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TSM 51
Case launch 29- a child who was slow to speak
15
Medical
Undergraduate 2
12/27/2012

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Cards

Term
What 2 types of deafness are there?
Definition
1) Conductive: sound can't reach middle ear; defect lateral to the cochlea
2)Sensory-neural: any defect medial to the cochlea
Term
By what mechanisms may a child be deaf?
Definition
1) Acquired
2) Congenital
Term
What is the most common form of deafness in childhood?
Definition
Acquired + conductive
Term
What is aphonia?
Definition
Can't produce any sound.
Term
What is dysphonia?
Definition
An abnormality of speech.
Term
What question is it important to ask patients with aphonia?
Definition
Can you cough? This indicates if the vocal cords are moving. If they can cough then there is no abnormality in the larynx.
Term
What is it important to ask in children who can't speak properly?
Definition
Can they swallow. If they can swallow it indicates that there is not a neurological problem in the larynx or pharynx.
Term
What do decibels measure?
Definition
Sound intensity.
Term
When does a child develop an appreciation of different phonemes?
Definition
5/6 months
Term
At what age is the hearing pathway closed?
Definition
7 years old.
Term
What causes glue ear?
Definition
Fluid in the ear creates a negative pressure sucking the malleus in.
Term
What are the developmental stages of language development?
Definition
1) Develop phoneme
2) Babble
3) Double mono-syllables (da-da)
4) First words
5) Increase vocabulary
6) 2 words together
Term
At what age does a child say double mono-syllables?
Definition
10-12 months
Term
At what age does a child say their first word?
Definition
12-14 months
Term
At what age does a child say two words together?
Definition
18-24 months
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