A 20-month-old boy is not yet walking independently but is cruising, babbling and has a normal examination. What is the appropriate action?
Answer and explanation
Correct answer: D. Reassure and review
- Step 1: Cruising is normal, and referral is usually considered if not walking by 18 months.
- Step 2: Walking is normal between about 12 and 18 months, with variation, and many children walk slightly later.
Answer
Reassure and review.
Why not the others: Urgent MRI of the brain: There are no neurological features justifying imaging. Start an anticonvulsant to prevent regression of the milestones he has gained: There is no seizure disorder. Refer for extensive genetic testing of every gene associated with delay: Extensive testing is not indicated.
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