Child with Develotmental Delay

A. History C. Newborn screening tests

B. Physical examination Vision/hearing screening
Develotmental screening

Identify and treat :

Vision/hearing disorder
Congenital syndromes
Neurologis disorder
D. Assess pattern of delay

Specific delays Global delay

E. Lenguage delay F. Social and emotional delay G. Motor delay

Identify and treat ;

Hearing loss correct age for prematurity

Normal receptive skills Decreassed receptive

Decreassed expressive skills and expressive skills

Mild Moderete/severe Mild Moderete/severe

Consider Consider
Counseling Autism
Stuctured group Global delay develotment
Setting monitor
3 mo
Monitor reassess Refer for speech
lenguage
In 3 mo pathology evaluation
And treatment Assess pattern

If worse consider : Global develotment deley

Decreased strength Regression of skills Decreased tone Increased tone

Decreased Normal/Increased
DTR DTR

Cosider:
Neuromuscular disorder Mild Moderete/ Mild Moderete/
Obtein CPK, refer to Pediatric neurology severe severe

Monitor Refer to PT Refer to PT Refer to PT

Consider:
MRI and
equipment
needs
 Child with DEVELOPMENTAL DELAY

Global delay
H (Cont’d From p 87)

Assess severity

Mild Moderate/ sever

Birth-3y: is a genetic condition suspected?

Refer for infant evaluation

3-6y:
Refer to local school district Yes No

Rescreen in 3 mo

Consider:
I
Improved Not improved Chromosomes, DNA for fragile X
Review newborn screen
Consider:
Monitor q 6 mo Metabolic screen
MRI

Refer to neurodiagnostic team for

Further assessment and counseling

Birth 3 y;
Refer for infant evaluation
3-4 y; Refer to local school districts

Literatur from, Pediatric Decision Making, Berman 4 th Edition 2003, Develotmental Delay In Children
Younger Than 6 Years, Page 86