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DD
| Early intervention programs, special education programs, vocational training Speech-language therapy, PT, OT
| Hippotherapy should be considered, esp for children who have difficulty w/balance & children who have ASD. |
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Childhood apraxia of speech or other significant speech delay/disorder
| Intensive speech-language therapy (preferably by a speech-language pathologist who has specific training in treating motor speech disorders) | To maximize effective oral communication & prevent or limit later language impairment &/or reading disorder |
Anxiety /
Selective mutism
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| For children who have selective mutism, co-treatment by speech-language therapist & psychologist should be strongly considered. |
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ASD
| Applied behavior analysis (preferably conducted by a board-certified behavior analyst) or other empirically supported intervention for ASD | |
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ADHD
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Aggression
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| Physical aggression should be assessed & treated immediately to prevent development of a long-standing pattern of aggression. |
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Oppositionality
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| Maintain awareness of potential role of anxiety & speech &/or language difficulties. |
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Seizures
| Standardized treatment w/ASM by experienced neurologist |
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Hydrocephalus
| Ventriculo-peritoneal shunting as needed | |
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Congenital heart disease
| Treatment per cardiologist | |
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Aortic dilatation
| Beta-blocker therapy in some affected persons per cardiologist | Some w/severe aortic dilatation have required surgery. 2 |
Poor weight gain /
Failure to thrive
|
| Low threshold for clinical feeding eval &/or radiographic swallowing study if clinical signs or symptoms of dysphagia |
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Constipation
| Stool softeners, prokinetics, osmotic agents, or laxatives as needed | Aggressive mgmt at all ages to prevent encopresis & impaction |
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Growth hormone deficiency
| Human growth hormone replacement therapy | |
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Genitourinary malformations
| Treatment per nephrologist &/or urologist | |
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Abnormal vision &/or strabismus
| Standard treatment(s) per ophthalmologist | Community vision services through early intervention or school district |
Hearing /
Recurrent otitis
|
| Community hearing services through early intervention or school district |
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Clubfeet
| Casting & treatment per orthopedist | |
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Family/Community
| Ensure appropriate social work involvement to connect families w/local resources, respite, & support. Coordinate care to manage multiple subspecialty appointments, equipment, medications, & supplies.
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