July week 2:

Normal Development

1. Johnson CP, Blasco PA. Infant Growth and Development. Ped Rev. July 1997;18(7):224-42.
2. AAP policy statement. Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening. Pediatrics. Vol. 118 No. 1 July 2006, pp. 405-420

Case 1:

A mother brings in her 3 children, age 9 months, 2 years, and 5 years old, for well visits. She reports the 9 month old is babbling, creeping, and can bang toys together. The 2 yo can say mama and dada nonspecifically, points at pictures in a book, uses a spoon and cup well. The 5 year old can draw a square, speak in full sentences, knows the days of the week, and cuts with scissors.

Your medical student is not familiar with normal developmental milestones. What resources do you suggest? 
What is the difference between developmental surveillance and developmental screening? When would you do each? 
What is your plan for each child during this visit? 
Which category of development is the best indication of intellectual ability later? What are risk factors for poor language development?

Case 2:

Which of the following patients need referral for further developmental assessment or services?

A 14 month old who is not yet walking but whose 3 older siblings walked by 11 months
A 2 yr old boy in a bilingual household without single words. 
A 3 yo with toe walking who rolled at 2 months and pulled to stand at 4 months. 
A 5 yr old with stuttering. 
A 6 yr old who writes 2 letters of his name backwards.

Case 3:

Review PIR quiz at the end of the article.