Paeds Vivas · growth-development-and-behaviour
Intellectual developmental disorder — branching viva
Branching viva on IDD criteria, aetiological evaluation, anti-overshadowing and transition.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are seeing children with suspected or confirmed intellectual developmental disorder in a general paediatrics clinic. The examiner will test diagnostic criteria, first-line evaluation, acute conversion and longitudinal care.
Stem
The examiner starts with definitions, then adds a toddler with multi-domain delay, a school-age child with “learning difficulty,” an acute ED presentation, and an adolescent without transition planning. [1] [5]
References8ShowHide
- [1]Moeschler JB Comprehensive evaluation of the child with intellectual disability or global developmental delays. Pediatrics, 2014.PMID 25157020
- [2]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
- [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, 2021.PMID 34211152
- [5]Tassé MJ The Relation Between Intellectual Functioning and Adaptive Behavior in the Diagnosis of Intellectual Disability. Intellectual and developmental disabilities, 2016.PMID 27893317
- [10]Hoytema van Konijnenburg EMM Treatable inherited metabolic disorders causing intellectual disability: 2021 review and digital app. Orphanet journal of rare diseases, 2021.PMID 33845862
- [16]Council on Children with Disabilities and Medical Home Implementation Project Advisory Committee Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics, 2014.PMID 24777209
- [17]White PH Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
- [18]Kuo DZ Recognition and Management of Medical Complexity. Pediatrics, 2016.PMID 27940731