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A Child with
disability
Dr: Awatif Abushhiwa
Tripoli-childrens hospital
+
Objectives
+
Definitions
Child
Plateau effect
Showing regression
Moderate
Mild
Sever
Profound
Prenatal
Perinatal
Infancy
Preschool
School age
cause :
1) Genetic :
Perinatal
cause:
1) extreme prematurity:
IVH\ periventricular leucomalacia
2) birth asphyxia
hypoxic ischemic encephalopathy
3) metabolic symptomatic
hypoglycemia, hyperbilirubinaemia
+
Postnatal
cause;
1) infection:
meningitis, encephalitis
2) anoxia
near drowning, seizures , suffocation
3) trauma
head injury (accidental or non accidental )
4) metabolic
hypoglycemia, inborn errors of metabolism
Other : unknown ( 25%)
Global
Cerebral palsy
Hearing loss
Hearing impairment
Abnormalities of vision
Visual impairment may present in infancy with:
Visual inattention
Nystagmus
Squint
+
Causes of visual impairment
Genetic :
Postnatal
Investigations
Investigations
Imaging : cranial ultrasound in newborn
CT& MRI brain scans
skeletal survey
Histopathology / histochemistry :
Learning difficulty
or mental handicap
Moderate( IQ 50-70)
Mild ( IQ 70-90)
Examples
Impairment( abnor
mal organ function)
Disability ( activity
limitations)
Handicap
( participation
&restriction )
Cataract
Inability to read or
move around
Delayed speech&
language
development
Inability to speak
clearly enough to be
understood
Defective
communication with
others
Motor deficit
imbalance or joints
stiffness
Inability to activities
of daily living such as
dressing , walking &
feeding
Dependence &
immobility
+
Continue
+
Continue
12.Thanks
Management
Multidisciplinary approach
Respiratory
Gastrointestinal
Hearing
Vision
orthopedi
c
Special health
visitor
Neurologica
l
Behavio
r
Speech &language therapist
Occupational therapist
Physiotherapist
Dietician
Social worker/social service
Psychologist ( clinical & educational)
Pediatrician
Not all disable people are stupid the worlds smartest is disabled
Thank you