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#has-images #ir #peds
Approach to Developmental History
-History of presenting illness
-Perinatal history (TORCH inf's)
-Past medical history
-Hearing, vision, sleep, feeding
-Developmental history (-start asking from several age groups lower than current age; observe child)
-Family history (developmental delay, learning disabilities
metabolic/genetic conditions
consanguinity)
-Social history (typical day, language spoken at home, other children at home, daycare/preschool, child maltx/CAS, income, etc)

physical exam
•Weight, height and head circumference at 50th percentile (want to know if macro/microcephaly, any dysmoprhic ft's
make sure to undress & look at skin)
•Low, posteriorly rotated ears but no other dysmorphic features or unusual birth marks
•Normal general and neurologic examinations


GLOBAL DEVELOPMENTAL DELAY
Significant delay (at least two standard deviations below the mean with standardized tests) in at least two developmental domains from the following:
Gross or fine motor
Speech/ language
Cognition
Social/ personal
Activities of Daily Living
-Child must be less than 5 years old

Causes of GDD/ID
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Development
f cow’s milk from the maternal diet can be undertaken Gotta Find Strong Coffee Soon •Gross Motor •Fine Motor •Speech/ Language •Cognitive •Social Emotional, Behaviour •(Adaptive Skills) <span>Approach to Developmental History -History of presenting illness -Perinatal history (TORCH inf's) -Past medical history -Hearing, vision, sleep, feeding -Developmental history (-start asking from several age groups lower than current age; observe child) -Family history (developmental delay, learning disabilities metabolic/genetic conditions consanguinity) -Social history (typical day, language spoken at home, other children at home, daycare/preschool, child maltx/CAS, income, etc) physical exam •Weight, height and head circumference at 50th percentile (want to know if macro/microcephaly, any dysmoprhic ft's make sure to undress & look at skin) •Low, posteriorly rotated ears but no other dysmorphic features or unusual birth marks •Normal general and neurologic examinations GLOBAL DEVELOPMENTAL DELAY Significant delay (at least two standard deviations below the mean with standardized tests) in at least two developmental domains from the following: Gross or fine motor Speech/ language Cognition Social/ personal Activities of Daily Living -Child must be less than 5 years old Causes of GDD/ID . Pediatric milestones in development 1 year: - single words 2 years: - 2 word sentences -understands 2 step commands 3 years:


Summary

statusnot read reprioritisations
last reprioritisation on suggested re-reading day
started reading on finished reading on

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