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B3 CMN4
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
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
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
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
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
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
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
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
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
2 mins
Age 5 Years - Developmental Milestones
Gross Motor
Buttons Some Buttons
Hops on One Foot
Fine Motor
Prints Letters
Language / Communication
Counts to 10
Uses Simple Rhymes
>3 Back-and-forth Exchanges
Answers Simple Questions
Tells a Story
Social / Cognitive
Names Some Letters When Pointed
Follows Rules
Sings, Dances, Acts
Does Simple Chores
2 mins
Types of Seizures
Tonic-Clonic
Tonic
Clonic
Absence (Petit Mal)
Myoclonic
Atonic
Partial (Focal) Seizure
Focal Aware (Formerly Called Simple Partial)
Focal Impaired Awareness (Formerly Called Complex Partial)
3 mins
Glasgow Coma Scale
LOC Assessment
Score of 3 to 15
8 or Less = Coma
Eye Opening
Verbal Response
Motor Response
1 min
Increased Intracranial Pressure (ICP) Assessment
Change in LOC
Headache
Cushings Triad
Irregular Respirations
Widening Pulse Pressure
Bradycardia
Projectile Vomiting
Abnormal Pupils
Papilledema
Posturing
2 mins
Ethosuximide
Indications
First Line Absence Seizure Treatment
Mechanism of Action
Blocks Thalamic T-Type Ca2+ Channels
Side Effects
Stevens-Johnson Syndrome
Fatigue
Diarrhea
32 secs
Carbamazepine
Indications
First-line Seizure Medication
First Line for Trigeminal Neuralgia
Mechanism of Action
Stabilizes Inactive State of Na+ Channels
Side Effects
Stevens-Johnson Syndrome
Induce Cytochrome P450
Teratogen
Hepatotoxicity
Blood Dyscrasias
2 mins
Cluster Headache
Presentation
More Common in Men
Unilateral Periorbital Headache
Ipsilateral Tearing
Precipitated by Alcohol
Stabbing Pain
Duration
15 min - 3 Hours
Repetitive Attacks in Clusters
Treatment
High Flow 100% O2
Ergots
Sumatriptan
2 mins
Tension Headache
Presentation
More Common in Women
Bilateral Band-like Pain
Occipital and Neck region
Exacerbated by Stress
Exacerbated by Fatigue
Duration
> 30 Minutes
Acute Treatment
Relaxation
Caffeine
NSAIDs
Acetaminophen
Preventative Treatment
Amitriptyline
1 min
Migraine Headaches Signs and Symptoms
Signs and Symptoms
More Common in Women
Exacerbated by Activity
Unilateral Pulsating Pain
Aura
Photophobia and Phonophobia
Nausea/Vomiting
Duration
4 hours to 3 Days
1 min
Migraine Headache Treatments
Acute Treatment
Avoid Triggers
Sumatriptan
NSAIDs
Preventative Treatment
Beta Blockers
Calcium Channel Blockers
Amitriptyline
Topiramate (Anticonvulsants)
1 min
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