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Alexandra Shared "STEP Other Tricky Things To Remember" - 23 Picmonics

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STEP Other Tricky Things To Remember

Age 2 Months - Developmental Milestones
Gross Motor
Holds Head Up, But Unsteady
Moves Both Arms and Both Legs
Fine Motor
Opens Hands Briefly
Tracks Objects to the Midline
Language/Communication
Produces Sounds Aside from Crying
Reacts to Loud Noise
Social / Cognitive
Social Smile
Recognizes Parents
Soothed When Spoken to or Picked Up
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2 mins
Age 4 Months - Developmental Milestones
Gross Motor
Keeps Head Steady Without Support
Pushes Up on Elbows While on Tummy
Fine Motor
Holds a Toy in Hands
Moves Hands Towards Mouth
Language/Communication
Cooing
Turns to Voice
Social / Cognitive
Chuckles
Enjoys Looking Around
Looks at Hands With Interest
Opens Mouth When Hungry
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2 mins
Age 6 Months - Developmental Milestones
Gross Motor
Sits Propped Up On Hands
Rolls
Fine Motor
Raking Grasp
Language/Communication
Makes Squealing Noises
Blows "Raspberries"
Turn-Taking in Sounds
Social / Cognitive
Laughs
Enjoys Looking at Self in a Mirror
Recognizes Familiar People
Closes Lips to Signal Fullness
Puts Objects in Mouth
Reaches for Desired Toys
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2 mins
Age 9 Months - Developmental Milestones
Gross Motor
Sits Up Independently
Fine Motor
Transfers Objects Between Hands
Uses Fingers to Pull Food Toward Self
Language/Communication
Produces Various Sounds Like "mamamama" and "bababababa"
Raises Arms to be Lifted Up
Social / Cognitive
Separation Anxiety
Shows Facial Expressions
Looks When Calling Name
Smiles or Laughs at Peek-a-boo
Looks for Dropped Objects Out of Sight
Bangs Two Items Together
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2 mins
Age 1 Year - Developmental Milestones
Gross Motor
Pulls Up to Stand
First Steps
Fine Motor
Drinks From an Open Cup with Assistance
Two-Finger Pincer Grasp
Language/Communication
Understands “No”
Waves "Bye-Bye"
"Mama & Dada"
Social / Cognitive
Plays Pat-A-Cake
Puts Block in Cup
Searches for Hidden Toys
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2 mins
Age 18 Months - Developmental Milestones
Gross Motor
Walks Independently
Climbs On/Off Furniture Without Help
Fine Motor
Drinks from Open Cup Independently
Scribbles
Eats with Fingers
Tries to Use a Spoon
Stacks Three Blocks
Language/Communication
Attempts Three-word Phrases
Follows One-step Commands
Social / Cognitive
Checks While Moving Away
Points to Objects
Engages With Toys Simply
Copies Parent Doing Chores
Extends Hands for Washing
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2 mins
Age 2 Years - Developmental Milestones
Gross Motor
Kicks a Ball
Runs
Walks Up Stairs With Help
Fine Motor
Stacks Six Blocks
Feeds Self With a Spoon
Language / Communication
Two-Word Phrases
Points to Book Items as Prompted
Demonstrates Varied Gestures
Identifies Body Parts When Prompted
Social / Cognitive
Shows Empathy
Holds and Manipulates Objects Simultaneously
Engages With Multiple Toys
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2 mins
Age 3 Years - Developmental Milestones
Gross Motor
Starts Dressing Independently
Rides Tricycle
Fine Motor
Stack Nine Block Tower
Threads Items Together
Copies Circle
Uses Fork
Language / Communication
Engages in Two-way Conversation
75% Speech Understood by Stranger
Says First Name
Social / Cognitive
Avoids Hot Objects When Warned
Joins Other Kids in Play
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2 mins
Age 4 Years - Developmental Milestones
Gross Motor
Unbuttons Some Buttons
Catches a Large Ball
Serves Food or Pours Water With Help
Fine Motor
Copies Line, Circle, Stick Figure
Language / Communication
100% Speech Understandable
Identifies Colors
Social/ Cognitive
Cooperative Play
Imaginary Friends
Likes Being a “Helper”
Avoids Danger
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2 mins
Lesch-Nyhan Syndrome
X-linked Recessive
Absence of HGPRT
Hypoxanthine to IMP
Guanine to GMP
Excess uric acid
Gout
Retardation
Self-mutilation
Choreoathetosis
PRPP is increased
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2 mins
Metachromatic Leukodystrophy
Pathophysiology
Autosomal Recessive
Arylsulfatase A Deficiency
Increased Cerebroside Sulfate
Signs and Symptoms
Demyelination
Ataxia
Dementia
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1 min
Fabry's Disease
Pathophysiology
X-linked Recessive
Alpha-galactosidase A Deficiency
Increased Ceramide trihexoside
Early Signs and Symptoms
Decreased Sweating (Hypohidrosis)
Angiokeratoma
Episodic Peripheral Neuropathy
Late Signs and Symptoms
Cardiovascular Disease
Renal Failure
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1 min
Gauchers Disease
Pathophysiology
Autosomal Recessive
Beta Glucocerebrosidase Deficiency
Diagnosis
Lipid-laden Macrophages
Crumpled Tissue Paper
Signs and Symptoms
Osteoporosis
Bone Crises
Aseptic Necrosis of Femur
Erlenmeyer Flask Deformity
Hepatosplenomegaly
Pancytopenia
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2 mins
Tay-Sachs Disease
Pathophysiology
Autosomal Recessive
Hexosaminidase A Deficiency
Increased GM2 Ganglioside
More Common in Ashkenazi Jewish Population
Signs and Symptoms
Cherry Red Spot on Macula
Neurodegeneration
Developmental Delay
Diagnosis
Onion Skin Lysosomes
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1 min
Niemann-Pick Disease
Pathophysiology
Autosomal Recessive
Sphingomyelinase Deficiency
More Common in Ashkenazi Jewish Population
Signs and Symptoms
Cherry Red Spot on Macula
Hepatosplenomegaly
Neurodegeneration
Diagnosis
Foam Cells
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1 min
Krabbe Disease
Pathophysiology
Autosomal Recessive
Galactocerebrosidase Deficiency
Increased Psychosine
Signs and Symptoms
Developmental Delay
Peripheral Neuropathy
Optic Atrophy
Diagnosis
Globoid Cells
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1 min
Hurler Syndrome
Pathophysiology
Autosomal Recessive
Mucopolysaccharidoses
Alpha-L-Iduronidase Deficiency
Increased Heparan Sulfate
Increased Dermatan Sulfate
Signs and Symptoms
Hepatosplenomegaly
Developmental Delay
Gargoylism
Corneal Clouding
Airway Obstruction
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2 mins
Hunter Syndrome
Pathophysiology
X-linked Recessive
Mucopolysaccharidoses
Iduronate Sulfatase Deficiency
Increased Dermatan Sulfate
Increased Heparan Sulfate
Signs and Symptoms
No Corneal Clouding
Aggressive Behavior
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1 min
Von Gierke Disease
Pathophysiology
Autosomal Recessive
Type I Glycogen Storage Disease
Glucose-6-Phosphatase Deficiency
Signs and Symptoms
Increased Glycogen in Liver
Hepatomegaly
Enlarged Kidneys
Severe Fasting Hypoglycemia
Increased Triglycerides
Increased Uric Acid (Gout)
Increased Lactic Acid
Doll-like Facies
Treatment
Continuous Oral Glucose (or Cornstarch)
Avoid Fructose and Galactose
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2 mins
Cori Disease
Pathophysiology
Type III Glycogen Storage Disease
Deficiency of Alpha 1, 6 Glucosidase
Debranching Enzyme
Limit-Dextrin Accumulation (In Cytosolic Structures)
Signs and Symptoms
Hypoglycemia
Muscle Weakness
Hypotonia
Stunted Growth
Hepatomegaly
Diagnosis
Normal Blood Lactic Acid Levels
Gluconeogenesis Intact
Increased LFT's
Increased Creatine Kinase (CK/CPK)
Treatment
Continuous Feeding
High Protein Diet
Cornstarch (Uncooked)
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4 mins

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