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Peds Diagnosis
Pediatric Disorders
Condition | Signs/Symptoms | Functional Implications |
---|---|---|
Angelman Syndrome (happy puppet syndrome) | Microencephaly, tremors/jerky gait, developmental delays, severe lang. impairment, very happy mood. | Delayed: G/FM skills, walking skills, self-care skills. Sleep disorders, severe sensory processing problems. Behavioral problems: biting, hair pulling, stubbornness, screaming. |
Prader-Willi Syndrome | Hyperphasia, cognitive impairment, different behaviors, morbid obesity, low metabolism, hypotonia, dolicho | Obsessed w/eating, G/FM delays, delayed development of self-help skills. Obesity or hypotonia=delayed walking. |
Rett Syndrome (Girls only) | Typical development from 6-18mos. Loss of skills/fx. use of hands @ 18mos, loss or severe impaired ability to speak. Constant "hand washing", wringing clapping, mouthing movements, shakiness of trunk/limbs. Wide-based, stiff legged- walking | G/FM problems, delayed self-help skills, difficulty or inability to walk, delayed response to requests, alternative means of communication possibly needed. |
Fragile X Syndrome (Boys more than Girls) | Possible hyperactivity, hypotonia, sensory processing problems involving touch/sound, possible autistic behavior, language delays (more in boys), intelligence problems from learning disabled-> severe retardation. | Delayed: walking skills, G/FM skills, self-help skills. Possible: learning problems from ADD->ID, need for alternative comminication (boys). |
Fetal Alcohol Syndrome (FAS) | ID, Microencephaly, slamm facial features, heart defects, hyperactive | Developmental delay, hypotonic, poor coordination, sensory processing difficulties. Most common cause of birth defects. |
Failure to Thrive (FTT) | Weight under 3% on growth charts and is only 80% of ideal height/age. Progressive weight loss to below 1/3%. | Feeding: poor suck/swallow breathing, tactile sensitivity, delayed oral-motor skills. |
Erb's Palsy | Paralysis (may go away), affected arm noticably shorter. | Can increase by 18mos delaying G/FM skills, (untreated)= elbow flexion contractures. |
Autistic Disorder | Significant language delays, social/communication challenges, unusual behaviors/interests. ID, disturbance of sensory and perceptual processing. | All areas of occupation may be affected. |
Asperger Syndrome | Possible: social challenges, unusual behavior/interests. NO significant delay with communication skills. Display restrictive, repetitive patterns of behavior. | Tend to have age appropriate cognitive/self-help skills. |
Autism Spectrum Disorder (3 types) | significant social, communication, and behavioral changes. | All areas of occupation may be affected. |
Cerabral Palsy | Characterized by a disruption in volition control of posture/movement. Unusual ways of moving. seizure disorders, visual defects, feeding problems | Produces atypical muscle tone, persistence of primitive reflexes, poorly developed movement patterns, disruption of postural mechanism, muscle weakness. |
Intelectual Disability (ID) | characterized by significantly below average intellectual functioning. Also may have PDD. Significant delay in motor/cognitive development. | |
Down Syndrome (DS) | mental delays. Shortened limbs/fingers, Simian line (hand), small mouth, protruding tounge, slanted eye skin folds, heart defects, atlantoaxoid instability, sensory processing problems, ID | Motor delays |
Attention Deficit Hyperactivity Disorder (ADHD) | Difficulty with attention, hyperactivity, distractibility, impulsivity. Sleep disorders, emotional lability, poor self-esteem, poor frustration tolerance. | slow reaction time,delayed motor speed,diff. in interpreting/responding to cues from others/environmen, slower response to reinforcement,rapid mood changes, poor emotional control/self monitoring (stop/look/listen). Diffuculty putting things in order. |
Tuberous Sclerosis | Tumors grow internally/externally. Problem= location of where tumor grows. Tumors-benign. | Possible: ID, aggressive or hyperactive behavior, aphasia, sevre delays in G/FM skills, mild->severe delays in self help skills. |