Paeds Vivas · growth-development-and-behaviour
Developmental regression — branching viva
Branching viva on urgent diagnostic approach to developmental skill loss.
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RACP DCEMRCPCH Clinical
Prompt
Clinic and ED scenarios of children with possible developmental regression across ages.
Stem
You are the paediatric registrar. A caregiver says their child “is going backwards.” [1]
References8ShowHide
- [1]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
- [3]Moeschler JB Comprehensive evaluation of the child with intellectual disability or global developmental delays. Pediatrics, 2014.PMID 25157020
- [4]Bonkowsky JL Leukodystrophies in Children: Diagnosis, Care, and Treatment. Pediatrics, 2021.PMID 34426533
- [6]Neul JL Rett syndrome: revised diagnostic criteria and nomenclature. Annals of neurology, 2010.PMID 21154482
- [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
- [9]Loo KK Diagnostic Overshadowing: Insidious Neuroregression Mimicking Presentation of Autism Spectrum Disorder. Journal of developmental and behavioral pediatrics : JDBP, 2022.PMID 35943376
- [14]Starmer AJ Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
- [18]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. The Lancet. Child & adolescent health, 2025.PMID 40451224