Approach to Speech Delay

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Test Your Knowledge• Of the following clinical features, which would the mostpredictive of future development of autism in your 18-month-old patient?A. Does not interact well with strangersB. Does not point to objectsC. Only engages in parallel play at daycareD. Has no words
The Answer• Pointing to objects normally appears at 9 months; lack ofshared attention, including pointing, is the strongestpredictor of future development of autism• Toddlers normally have stranger anxietyso ask about reciprocity andcommunication with caregivers• Parallel play is the norm until age 2-3years• No words at 18 months is concerning butSLI is more likely than autism
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 and 16: Physical Exam• Observe the child
Page 17 and 18: WorkupWhat would you order?
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: Autism Spectrum Disorders• Preval
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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