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Paeds Casesgrowth-development-and-behaviour

Paeds Cases · growth-development-and-behaviour

Lost words at 20 months — regression OSCE

OSCE on history, threat triage, counselling and urgent plan for developmental regression.

osce development history and communication1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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Study tools

Target exams

MRCPCH ClinicalRACP DCE
Prompt
20-month-old with loss of words and pointing over 10 weeks; worried caregiver.

Objectives

  1. Confirm true developmental regression with a skill timeline. [1]
  2. Triage threat and progressive red flags. [1] [9]
  3. Explain an urgent plan including hearing assessment and parallel referrals. [1] [3]
  4. Safety-net and close loops with teach-back. [14] [17]
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References8ShowHide
  1. [1]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
  2. [3]Moeschler JB Comprehensive evaluation of the child with intellectual disability or global developmental delays. Pediatrics, 2014.PMID 25157020
  3. [7]Pickles A Loss of language in early development of autism and specific language impairment. Journal of child psychology and psychiatry, and allied disciplines, 2009.PMID 19527315
  4. [9]Loo KK Diagnostic Overshadowing: Insidious Neuroregression Mimicking Presentation of Autism Spectrum Disorder. Journal of developmental and behavioral pediatrics : JDBP, 2022.PMID 35943376
  5. [11]Robins DL Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics, 2014.PMID 24366990
  6. [13]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI evidence synthesis, 2020.PMID 32813387
  7. [14]Starmer AJ Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
  8. [17]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis. The British journal of general practice : the journal of the Royal College of General Practitioners, 2025.PMID 39117428
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