Impairment in afya

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''Motor''
//Gross// - check FH and birth Hx carefully
//Fine// - mostly hand skills and seldom isolated problem
//Co-ordination// - dyspraxia - check for cerebellar signs (past pointing and dysdiadochokinesis) in case of brain tumour
//Gait// - watch for hypermobility - think function - Ehlers Damloss (collagen disorder) - physio early to strengthen muscles is important
note tremor
//Dyspraxia// - Development Co-ordination Disorder

''Language''
//Stammer / stutter// - very common - SALT
//Delay// - common - SALT
//Mutism / Disorder//
check - social skills (make eye contact ?), hearing, other motor skills (eg walking), Hx babbling, FH of delay, points/gestures
if deaf - to audiology
if global problem - ? community pead
else SALT
Note therapy is advised by therapists but given by parents as needed daily

''Social''
//Aspergers// = high function autism (Autistic Spectrum disorder)
//Autism// - no cure - needs time, no good evidense for diet but parents like it as something to do - GCFC diet ?helps, don't diagnose too young as labels - but may be only way to get help
//Behaviour// - who in the family is it a problem for ? 
Mx - same for all but some may have trouble hearing and processing instructions
short sentances
clear message - actions match words
calm down and reward good behaviour

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