Developmental delay

• What is developmental delay?


  Lag in child's physical, cognitive, behavioural, emotional or social development relative to milestones
• What are the categories for development?

  Motor - gross and fine

  Language - receptive and expressive

  Cognitive abilities

  Adaptive behaviours
• What are some referral points of some issues?

  Doesn't smile at 10 weeks

  Cannot sit unsupported at 12 months

  Cannot walk at 18 months
• What is an example of a fine motor skill problem?


  Hand preferance before 12 months - may indicate cerebral palsy
• What are some common causes of a gross motor problems?

  Varient of normal

  Cerebral palsy

  Neuromuscular disorders
• What are some causes of speech and language problems?

  Hearing

  Environmental deprivation

  General development delay
• What are some common ddx for developmental delay?


  Autism spectrum disorder

  Cerebral palsy

  Fragile X syndrome

  Down syndrome

  Fetal alcohol spectrum disorders
• What is the inital management for a child with suspected developmental delay?


  Clinical examination

  Investigations

  Referral for specialist

  Early intervention services