Hello and welcome to the zero to finals podcast. My name is Tom and in this episode I'm going to be

talking to you about developmental delay. And if you want to follow along with written notes on this topic,

you can follow along at zero to finals.com slash delay or in the development section of the zero to finals

pediatrics book. So let's get straight

into it. When you're doing a developmental assessment of a child, it's important to appreciate that

children develop at different rates and there's flexibility in the milestones. However, a child who's

very slow in all milestones or lags behind on a specific developmental

domain may have underlying pathology.

Global developmental delay

Global developmental delay refers to a child displaying slow development in all developmental

domains.

This could indicate an underlying diagnosis, such as Down syndrome,

fragile X syndrome, fetal alcohol syndrome, ret syndrome, and metabolic disorders.

Gross motor delay. A delay that's specific to the gross motor domain may

indicate underlying cerebral palsy, ataxia, myopathy, spina bifida or visual impairment. Fine motor

delay. A delay that's specific to the fine motor domain may

indicate underlying dyspraxia, cerebral palsy, muscular dystrophy, visual impairment, or congenital

ataxia, which is rare. Language delay.

A delay that's specific to the speech and language domain

may indicate underlying specific social circumstances,

for example exposure to multiple languages at home or siblings that do all the talking.

It could also indicate hearing impairment, learning

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