DEVELOPMENTAL DELAY Development at least 2 standard deviations below expected for age. Detailed medical and developmental history Physical examination Developmental Observations Consider social/environmental impacts. No loss of milestones delay in 2 or more domains delays in 2 or more domains include 1 motor (fine and /or gross motor 2 language 3 social see developmental/behavioural/learning problems clinical approach to global developmental delay intellectual disability delay in single domain motor delay gross motor and or fine motor cerebral palsy developmental coordination disorder benign congenital hyoptonia neuromuscular disorder speech/language delay hearing impairment isolated speech delay selective mutism mechanical dental cleft palate social delay autism spectrum disorder note that can often present with an associated speech delay as well genetic disease.

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