Newman Flashcards
1
Q
when should a toddler be screened for autism
A
18 and 24 months
2
Q
what should a baby be doing a 6 months
A
- Babbles (consonants)
- sits momentarily
3
Q
what should a baby be doing at 9 months
A
- momma/dada (nonspecific)
- pulls up
- cruises
- sits well without support
4
Q
What should a baby be doing at 1 year
A
- separation anxiety
- momma/dada (specific)
- Stacks 3 cubes
5
Q
baby at 2 years
A
- 2 words together
- 2/4 of language understood by ppl who don’t live in the home
- Starting interest in potty training
- 6 blocks
- copy a line
6
Q
Baby at 3 years
A
- Tricycle
- 3 numbers, 3 colors, 3 words together
- playing in groups of 3
- 9 blocks
- 3/4 or speech understood by strangers
7
Q
baby at 4 years
A
- 4 body parts
- 4/4 of speech understandable by strangers
- past tense (“before”)
- copies a cross (1 line at 2 years, 2 lines at 4 years)
8
Q
baby at 6 years
A
- ties shoes
- skips
- Draws a person with 6 parts
9
Q
pediatric myopathies I need to know
A
- Muscular dystrophies: Duchenne and Becker
- mitochondrial disorders
- Glycogen storage disorder type 2 (Pompe Disease)
- Acquired muscle disorders: Juvenile dermatomyositis
- Drugs and toxins causing muscle weakness and elevated CK levels: statin induced myopathy
10
Q
when should a baby be able to plank in your hand
A
4 months
11
Q
what areas of body are involved in Duchenned and Becker muscular dystrophy
A
proximal limbs
12
Q
genetics of Duchenne Muscular Dystrophy
A
- X-linked recessive
- so half of sons have it and half of daughters are carriers
- OUT of FRAME mutations
- ABSENCE of dystrophin
13
Q
describe effects of Duchenne on daughter carriers
A
- may have CK elevations
- may develop cardiomyopathy
14
Q
clinical aspects of Duchenne
A
- Rarely have antigravity neck flexor strength
- Gower’s sign (due to proximal muscle weakness): patients has to use their hands and arms to walk up their own body from a squatting position
- Calf and thigh muscles enlarged in beginning (true muscle hypertrophy and later replaced by fat and connective tissue
- Toe-walking by age 6
- wheel chair by 12-13 . . then scoliosis
- Compromised respiratory status . . respiratory failure is a common cause of death
15
Q
Reflexes in Duchenne
A
diminished reflexes at knew, biceps, triceps
