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#ir #peds
developmental problems Differential Diagnosis
• Motor
o Problems with CNS (e.g., Cerebral palsy)
o Problems with PNS (e.g., Muscular dystrophy)
o Metabolic conditions (e.g., Hypothyroidism)
o Genetic syndromes (e.g., Down Syndrome)
• Language
o Structural/functional abnormalities of oromotor anatomy
o Hearing impairment
o Pure language disorders
o Pervasive developmental disorders (e.g., Autism Spectrum
Disorder)
• Cognitive
o Global developmental delay due to:
- Genetic conditions (e.g., Fragile X)
- Deprived environment
- Prenatal/perinatal events leading to brain anoxia/ischemia
(rare)
- Prenatal exposures (e.g., Fetal Alcohol Spectrum Disorders)
• Emotional/Social
o Pervasive developmental disorders (e.g., Autism Spectrum
Disorder)
o Deprived environment
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Development
e motor, language and social. All areas should be explored when exploring a developmental history. The milestones cited are, on average, those at the 50th percentile for age. Developmental Problems <span>Differential Diagnosis • Motor o Problems with CNS (e.g., Cerebral palsy) o Problems with PNS (e.g., Muscular dystrophy) o Metabolic conditions (e.g., Hypothyroidism) o Genetic syndromes (e.g., Down Syndrome) • Language o Structural/functional abnormalities of oromotor anatomy o Hearing impairment o Pure language disorders o Pervasive developmental disorders (e.g., Autism Spectrum Disorder) • Cognitive o Global developmental delay due to: - Genetic conditions (e.g., Fragile X) - Deprived environment - Prenatal/perinatal events leading to brain anoxia/ischemia (rare) - Prenatal exposures (e.g., Fetal Alcohol Spectrum Disorders) • Emotional/Social o Pervasive developmental disorders (e.g., Autism Spectrum Disorder) o Deprived environment Management • Motor o Educate parents about poor correlation between motor delays and intelligence o Refer to Physiotherapy and Occupational therapy o


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