Paeds Vivas · growth-development-and-behaviour
Developmental delay: global diagnostic approach — viva
Branching structured oral on global developmental delay diagnostic approach.
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Target exams
RACP DCEMRCPCH Clinical
Prompt
A 2-year-old is referred because of late walking, few words and poor fine-motor play. You are the paediatric registrar in clinic.
Opening (must-hit)
“I will confirm multi-domain delay with corrected age if preterm, gate threats and regression, check hearing and vision, start early intervention today, then plan phenotype-driven or agnostic genetic testing with selective metabolic imaging or EEG only for red flags.” [1] [2] [5]
References7ShowHide
- [1]Moeschler JB Comprehensive evaluation of the child with intellectual disability or global developmental delays. Pediatrics, 2014.PMID 25157020
- [2]Rodan LH Genetic Evaluation of the Child With Intellectual Disability or Global Developmental Delay: Clinical Report. Pediatrics, 2025.PMID 40545261
- [3]Manickam K Exome and genome sequencing for pediatric patients with congenital anomalies or intellectual disability: an evidence-based clinical guideline of the American College of Medical Genetics and Genomics (ACMG). Genetics in medicine : official journal of the American College of Medical Genetics, 2021.PMID 34211152
- [4]Miller DT Consensus statement: chromosomal microarray is a first-tier clinical diagnostic test for individuals with developmental disabilities or congenital anomalies. American journal of human genetics, 2010.PMID 20466091
- [5]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
- [6]Katz AL Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456510
- [7]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