Pediatrics 6th year, Tutorial (Dr. Adnan)

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Feb. 6th, 2012

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Pediatrics 6th year, Tutorial (Dr. Adnan)

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

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