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Speech Delay, Pediatric

Maureen C. McMahon, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Speech delay is delay in the acquisition of spoken language.

  • Language is a system of symbols through which humans communicate thoughts, feelings, and ideas. It has three components—re...

DIAGNOSIS

HISTORY

Does the family note a concern about speech delay or hearing impairment? 
  • Question: Perinatal history?

  • Significance: prenatal care, maternal illness, neonatal intensive care unit (NICU)...

TREATMENT

GENERAL MEASURES

  • Congenital hearing loss is managed by a team consisting of an otolaryngologist, audiologist, and speech/language therapist who individualize management. Options are amplifica...

ADDITIONAL READING

  • Agin M. The “late talker”—when silence isn’t golden. Contemp Pediatr.  2004;21:22–32. [View Abstract on OvidInsights]

  • Campbell T, Dollaghan C, Rockette H, et al. Risk factors fo...

CODES

ICD9

  • 315.39 Other developmental speech disorder

  • 315.34 Speech and language developmental delay due to hearing loss

  • 315.31 Expressive language disorder

  • 315.32 Mixed receptive-expressive language diso...

FAQ

  • Q: Do 2nd- and 3rd-born children speak later than 1st-born children?

  • A: No. The norms for expected speech/language development are the same regardless of birth order. 2nd- and 3rd-born children sho...

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