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Behavioral/Development

Behavioral/Development - Term Definition Developmental...

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Term: Developmental screening - when Definition: general development 9, 18 and 30 months (or 24 months if no 30 month visit) autism 18, 24 and 30 months or any parental concern, red flags or sib with autism Term: Influences on language development Definition: family history girls progress faster than boys(by 1-2 months) boys more likely to develop language disorder bilingual - language development not delayed but mixing can occur Term: Language delay Definition: 50% of those delayed at 2 years will catch up by 3 years better receptive language and pretend play --- better prognosis Term: Dysfluency/stuttering Definition: normal onset age 2 - 5 years educate parents against interrupting, filling in, offering prompts or providing pressure to speak 70-80% will resolve in 1 - 2 years more likely to persist if boy(3X greater), family hx represents pathology after 5 years of age
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Term: When to refer for stuttering Definition: age > 5 years severe stuttering stuttering that does not respond to therapy in 6-8 weeks child or parental concern other symptoms - repetitive body movements Term: Articulation Definition: articulation of all consonant sounds is not complete until age 6 Term: Autism - criteria Definition: Criteria qualitative impairment in social interaction qualitative impairment verbal and nonverbal communication restricted, repetitive, and stereotyped patterns of behavior, interests and activities Term: Red flags for autism Definition: no babbling or gestures(pointing/waving) by 12 months no single words by 16 months no 2 spontaneous words by 24 months loss of language or social skills at any time lack of response to speech, echoing poor eye contact
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delayed or unusual play skills
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Term: Differential diagnosis in autism Definition: global developmental delay/intellectual disability social skills = intellectual functioning hearing loss have compensatory strategies speech/language delay should be social and communicative trauma Term: Treatment of autism Definition: early and intensive intervention results in most substantial improvements behavioral intervention results in most substantial improvements Term: Medication treatment for autism Definition: stimulants for ADHD SSRI's for anxiety/obsession, depression SSRI/atypical antipsychotics for repetitive behavior, aggression, self injury melatonin for sleep disorders incidence of seizures higher in pts with autism
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Term: IQ Definition: thought to be predictive of academic functioning, predictive validity increases with age mean = 100 borderline = 70-85 mild = 50-70 moderate = 35-49 severe = 20-34 profound = <20 Term: Intellectual disability Definition: previously mental retardation IQ + adaptive skill score sx - speech delay, slow learning, immaturity, delay in adaptive skills language development is better predictor of later cognitive ability than motor development early presentation more severe Term: Tests with ID Definition: image if unusual head shape, microcephaly, focal neuro si, seizures, macrocephaly genetic testing - comparative genomic hybridization 2nd line - fragile X, karyotype (only if suspect abnormality)
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