Evaluation of the CHILD WITH GLOBAL DEVELOPMENTAL DELAY (GDD)

EVALUATION OF THE CHILD WITHGLOBAL DEVELOPMENTAL DELAY (GDD)Obtain a detail history and examination Refer for auditory and ophthalmologic screening Consider metabolic studies /T4 if universal newborn screening not done If history of suspected seizures or epilepsy syndrome. Obtain EEG Consider screening for autism or a language disorder Is there close family member with GDD (e.g., sibling, aunt/uncle, and first cousin)?Due to a know metabolic, genetic, or structural nervous system disorder?Unexplained GDD?Obtain specific tests for that disorder Obtain cytogenetic screen and consider testing for subtelomeric rearrangementsAre there features suggesting a specific diagniotis ?Are there historical or physical fingdings( e.g. Dysmorphic features ) to suggest Down, Fragile X, or rett syndrome; other genetic disoders, or hypothyroidism? Are there historical (intrapartum asphyxia) or physical fingdings (microcephaly, cerebral palsy, focal fingdings) or focal seizures to suggest CNS injury or malformation?Does the child have any identifiable risk factors for excessive evironmental lead exposure per established current guidelines ?Is the loss or regression of developmental milestones , history of parental consangunity, prior unexplained loss of a child, or multiple miscarriages? A/BNoA/BYesIf testAre (-)Spesific tests for that disorderMRI preferred to CT scan Comprehensive Evaluation with : MRI Metabolic, testing EEG Cytogenetic screenGenetics consultation Stepwise evaluation MRI Cytogenetic screen/FraXMetabolic testing Test for subtelomeric rearrangements Test for Rett syndrome Lead Screen Yes NoABCDTerima kasih