Development
#has-images #ir #peds
- DEVELOPMENT [See chart]
- NORMAL
- Case on child not toilet training: what is the likely reason?
- Not yet interested in learning how, i.e. few signs present (requires physiologic, communication, psychologic)
- 5yo has been developing normally, but his father has been concerned he's been showing poor speech. What's the first Ix to do?
- MCQ: audiology testing, NOT genetic testing
- Developmental milestones for 6mo.
- Normal: tripod sits, pivots in prone position, reaches/grasps objects, brings toy to mouth, babbles, squeals when excited, grunts in anger, stranger anxiety starts
- Lists developmental progress for a 12mo, what type of delay does this child have - language, fine motor, gross motor, or global delay?
- Normal: gets into sitting position without help, stands without support, walks while holding on, neat pincer grasp, places cubes in cup with release, releases ball with throw, says 2-3 words, understand simple requests and questions, uses facial expressions/actions/sounds to make needs known, responds to own name, separation anxiety begins
- 3 yo development milestone (circle 8): I guess the biggest lesson I took away with me from this exam is from the key features section and this question in particular: listen to what your predecessors have to say about the exam in the past exams you see in this email account! When I saw, in one of the previous peds exam, that one is required to pick things out of a list of 20 development milestones, none of which appears in Toronto Notes, I did not take the warning seriously, and I'm forced to pay for my irreverence. I randomly circled 8 things and would be lucky if I can walk away with half the marks. So the lesson is that not only should you remember the short list of developmental milestones from Toronto Notes or the Peds handbook you got from year 2 for the short answers part, but you should also remember a longer, more exhaustive list of milestones from some other source for the key features version of the development milestonesànot true in 2015
- Normal: walks upstairs using handrail, stands on one foot, rides tricycles, stacks 10 blocks, twists lid off jars, copies a circle, combines 5 or more words in a sentence, understands 2-3 step commands, recognizes colours, shares willingly some of the time, make-believe games, plays with others, listens to music or stories for 5-10 minutes, jumping on one foot, washes and dries own hands, dresses self independently except shoe laces, knows own sex, tells detailed stories, knows primary colours, speaks with plurals
- Pick developmental milestones from a list (I think for a 3yo and another one for a 4yo?)
- Developmental Milestones achieved by 15 mo? 18mo? What about 6-10 yrs? 16 wks?
See chart
Developmental Milestones
There are four main areas of developement – gross motor, fine 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
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