Jose is a 36-month-old who presents for a preschool evaluation. His father reports the following development:
• Physical: Walks, runs, and jumps independently, walks up stairs alternating feet, pedals a three-wheeler, scribbles, copies circles and squares, and is able to balance on one foot for 2 to 3 seconds.
• Social: Recognizes three colors; speech is 75% understandable; uses three- to four-word sentences; talks about friends, favorite activities, and family; frequently engages in imitative play; has an imaginary friend; does stutter on occasion when excited or when intent on getting something said. Will typically repeat the first word in a sentence three to four times, but does not repeat syllables or consonants. This happens three to four times a week.
Questions.
1 Explain any red flags developmental
2 Explain whether you would have interpreted any of the red flags developmental differently.
3 Explain the next steps you would recommend for this patient in terms of treatment and management.
4 Explain how the management plan might change if the patients in the case studies above were at a different age.
