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When doing an evaluation of a patient that has been referred to you for muscle weakness what are the signs and symptoms that would help you distinguish between SMA and DMD?

The deepest epidermal layer is called the

You are asked to evaluate an 11-month old baby who is delayed with gross and fine motor skills. The baby is able to prop sit when placed but cannot sit with an erect back to play with toys with her hands. You notice that she has an increased lordosis in supine and in prone. She is able to roll both prone to supine and supine to prone. When she prop-sits or when you hold her in your lap, you notice she keeps her neck hyperextended resting on her elevated shoulders. She has head lag on a  pull to sit. She can assume quadruped and rock back and forth with an increased lordosis, but then collapses to her stomach. She has no means of forward progression on the floor. Her muscle tone is low overall. She has a forward leaning trunk when supported in an upright standing position.  Her toes curl into flexion in this standing position.  She does not have protective extension to the front in sitting: USE THIS CASE TO ANSWER THE NEXT 2 questions. What is the highest level skill described above?

Which lobe of the brain is involved in processing sensory information?

You are working with an infant in the NICU. The baby has been hospitalized for 3 months due to complications of prematurity. The family is getting ready to take the baby home for the first time. The D/C summary list the following diagnoses. S/P exposure to drugs at birth Priventricular leukomalacia Bronchopulmonary dysplasia Trachialmalacia The baby has been referred to Early Steps and Federal and State funded agency providing care in the natural environment in children 0-3 yr old. What professionals do you think should be included in this babies care. Try to think about the diagnoses and what associated issues might come about as a result. Select the most complete list.  

What type of muscle tone this baby have? Give one reason why?

The increase in lumbar lordosis in prone, supine, and quadruped could indicate which of the following?

ha Prioritize 3 things (below) to work on with this child. Fill in 3 strengths (below) you see in this picture related to what we have been talking about in small groups related to observations.   Please Number them: To work on: 1. 2. 3.  Strengths: 1. 2. 3.

Please read the following and answer the questions based on information contained in the scenario. Donny Nutt was referred to you for therapy. The referral states his diagnosis as delayed development. He is 8 months old at the time you see him and the mother reports to you that he was born prematurely by C-section after she went into early labor at 32 weeks gestation. He had an APGAR of 4 at one minute, 6 at five minutes, and 6 at ten minutes. He required oxygen at birth and was in the NCU for 6 weeks. While in the NICU he had a cranial ultrasound that revealed an intraventricular hemorrhage (IVH) grade 3 on the right side of his brain. Today she reports to you that he has been a poor feeder, is unable to hold his bottle, is irritable, and never sleeps more than 2 hours at a time. When he cries he pushes and arches his back and becomes very stiff. He still has a difficult time holding his head up for long periods of time and when tired rests it to the side. You notice that when you speak to him he appears to look past you and does not make eye contact however he does smile and turn his head to locate sound. On a pull to sit his head initially lags behind but then he begins to right his head. When placed in sitting he folds into flexion over his legs and does not support on his arms. He rolls prone to supine with increased extensor tone and not segmentally. He does not roll supine to prone. When placed in standing he immediately comes up on his toes. Mom wants to know when he will walk. During your assessment you should base Donny’s development and achievement of motor skills on the following:

Signs and symptoms of Leukemia in Down Syndrome are important to know when you are following someone with this condition. The most common type of lecukemian in DS is acute myeloid leukemia (AML) although also this population is at risk for acute lymphoblastic leukemia (ALL). Common signs and symptoms of leukemia would be: