Pediatrics 6th year, Tutorial (Dr. Adnan)
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Pediatrics 6th year, Tutorial (Dr. Adnan)

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Feb. 6th, 2012

Feb. 6th, 2012

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Pediatrics 6th year, Tutorial (Dr. Adnan) Presentation Transcript

  • 1. Growth and development Dr.Adnan MH Hamwandi professor of pediatrics College of Medicine University of Sulaimany
  • 2. Definitions
    • Growth is increase in cell mass and number.
    • Development is differentiation in function .
    • Although they are presented separately, they
    • are closely correlated entities.
  • 3. Growth
    • Weight
    • average weight at birth 3.250Kg.
    • 3 -12 months of age age (in months)+ 9
    • 2
    • 1 - 6 years age (in years) x 2 + 8
    • 7 – 12 years age (in years) x 7 -5
    • 2
  • 4. Growth
    • Height or Length
    • average length at birth 50 cm
    • at 1 year 75 cm.
    • 2 – 12 years age (in years) x 6 + 77
  • 5. Growth
    • Head circumference
    • average OFC at birth 35 cm.
    • at 3 months 41 cm.
    • at 6 months 44 cm.
    • at 1 year 47 cm.
    • at 2 year 49 cm.
    • at 3 year 50.5 cm.
  • 6. Development
    • Developmental milestones in the first 2 years
    • Gross motor average age
    • head steady in sitting 2 mo.
    • pull to sit, no head lag 3 mo.
    • hands together in midline 3 mo.
    • sits without support 6 mo.
    • creep – crawl 7 mo.
  • 7. Development( gross motor)
    • pulls to standing, cruises 10 mo.
    • walks alone 12 mo.
    • runs 16 mo.
    • goes upstairs alternating feet 30 mo.
    • rides tricycle 36 mo.
    • hops on one foot 48 mo.
    • skips 60 mo.
  • 8. Development
    • Fine motor average age
    • grasps a rattle 3.5 mo.
    • reaches for an object 4 mo.
    • transfers object from hand to hand 5.5 mo.
    • thumb finger grasp 8 mo.
    • turns pages of book 12 mo.
    • scribbles 13 mo.
  • 9. Development (fine motor)
    • builds a tower of 2 cubes 15 mo.
    • builds a tower of 6 cubes 22 mo.
    • copies a circle 36 mo.
    • copies cross and square 48 mo.
    • draws triangle from copy 60 mo.
  • 10. development
    • Communication and language average age
    • smiles in response to face or voice 1.5 mo.
    • monosyllabilic babble 6 mo.
    • Inhibits to NO 7 mo.
    • follows one step command 10 mo.
    • Speaks first real word 12 mo.
    • Speaks 4-6 words 15 mo.
  • 11. Development (language)
    • speaks 10-15 words 18 mo.
    • speaks 2 word sentences 19 mo.
    • speaks 3 words together 24 mo.
    • knows full name 30 mo.
    • knows age and sex, count 3 no. 36 mo.
    • tells a story 48 mo.
    • names 4 colors, counts 10 no. 60 mo.
  • 12. Development
    • Cognitive and social average age
    • stares momentarily at spots 2 mo.
    • stares to own hand 4 mo.
    • bang 2 cubes, avoid strangers 8 mo.
    • uncover toy ( after seeing it hidden) 12 mo.
    • egocentric pretend play 17 mo.
  • 13. Development (cognitive and social)
    • uses stick to reach toy 17 mo.
    • pretend play with toy 17 mo.
    • handles spoon well, helps undress 24 mo.
    • plays simple games, washes hands 36 mo.
    • plays with group, goes toilet alone 48 mo.
    • dresses and undresses, ask questions
    • about meaning of words 60 mo.