At what age would you be worried if
1. Lack of smiles or other joyful expressions
- Lack of reciprocal (back-and-forth sharing of) vocalizations, smiles, or other facial expressions
6 mo
9 m
At what age would you be worried if:
- Failure to respond to name when called
- Absence of babbling
- Lack of reciprocal gestures (showing, reaching, waving, pointing
12 mo
At what age would you be worried if:
- Lack of proto-declarative pointing or other showing gestures
- Lack of single words
15 mon
At what age would you be worried if:
- limited social imitative play
- Lack of spoken language/gesture combinations
18 mo
At what age would you be worried if:
Lack of two-word meaningful phrases (without imitating
or repeating)
limited pretend play
24 mo
when do babies get head control
3 mo
worry by 5 mo
when do babies master trunk control
9 mo
when do babies transfer objects
4 mo
worry by 7 mo
when does the palmar grasp occur
6-8 month
when does a pincer grasp occur
7-11 month
when can they use a spoon
2 yr
when can they do zippers and buttons
4-5 yrs
at 1 years, what should they be saying?
mama, dada + 1 word
what should they be saying at 2 yrs
2 word combo, 50 words and 50% intelligible
what should they be saying at 3 yrs
3 word combo, 200 words and 75 % intelligible
what should they be saying at 4 yrs
full sentences and 100% clear
stranger anxiety
5-6 mo
separation anxiety
9-15 mo bc lack obj permanence
when do they get a best friend?
4-6 yrs
when does imaginitive play start?
2-3 yrs eg box=telehone
when does reciprocal play occur
3-5 yrs
what should a 18 month old do?
50 words
strts word combo
single step commands
knows boy parts
when should you refer:
- if not responding to name
- if no words
- if not pulling to stand
- if less than 20 words
- if not responding to name - 9 mo
- if no words - 12
- if not pulling to stand - 12
- if less than 20 words - 18
if any regression
if any social communication concerns
what are the 3 criteria regarding communication and interaction that need to be present to Dx ASD
- problems reciprocating social or emotional interactions
- severe problems maintaining relationships
- non verbal communication issues
what 2/4 criteria regarding restrictive behaviour that need to be present to Dx ASD
- stereotype or repetitive speech/mov/obj use
- excessive adherence to routine
- very restricted interest
- hyper or hypo reactivity to sensory input
what else is needed for Dx of ASD?
A) communication criteria (recoprocity/relationships/nonverbal)
B) restrictive behaviour: 2/4
C)Symptoms present in early developmental period
D) Significant impairment in social, occupational
E) Not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay.
what syndromes can present like ASD and must be ruled out
TS fragile X Sz Rett NF T21 Angelman
what is the genetic issue with Rett syndrome
X linked recessive
gene: MECP 2
disease is lethal in male
what are clinical features of Rett syndrome
dev regression at 1 yr writhing hand mov loss of purposeful hand movement ASD features Sz acquired microcephaly peculiar sighing respirations with intermittent periods of apnea cardiac arrythmia
what are causes of toe walking?
idiopathic tight heel cord congenital contracture of achilles tendon autism diplegic CP tethered cord DMD/Becker's
when should babies roll both ways
6 mo
worry by 9
what are 3 syndromes with cafe au lait
NF
TS
Bloom syndrome
tracking?
by 6 weeks
what test can tell you that a baby has vision issues
visual evoked response
what is normal hearing?
0-20 dB
who should get cochlear implants
if profound bilateral sensorineural hearing loss who have limited benefit from hearing aid