Approach to Speech Delay

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Physical Exam• Inspect the external ear canals and tympanic membranesfor effusion• Examine the mouth and pharynx for malformations thatmay impact speech• Complete a full systemic exam <strong>to</strong> assess any potentialimpact of chronic disease on development
WorkupWhat would you order?
Page 1 and 2: The McMasterat nightPediatricCurric
Page 3 and 4: Background• Language: the express
Page 5 and 6: Normal MilestonesAge Receptive Expr
Page 7 and 8: The Answer• Like lab tests, the n
Page 9 and 10: The Case• The parents of an 18-mo
Page 11 and 12: History• Full history of language
Page 13 and 14: History• A thorough medical histo
Page 15: Physical Exam• Observe the child
Page 19 and 20: Workup• In the case of abnormal n
Page 21 and 22: Differential DiagnosisOther Etologi
Page 23 and 24: Specific LanguageImpairment• Defi
Page 25 and 26: Autism Spectrum Disorders• Preval
Page 27 and 28: The Answer• Pointing to objects n
Page 29 and 30: Test Your Knowledge• The parents
Page 31 and 32: Summary• Pediatricians have a cen

Approach to Speech Delay

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