The loss of social skills could include loss of the ability/desire to play, loss of the ability to make appropriate eye contact, and loss of interest in playing social games. The loss of language skills could include the loss of a childs ability to understand spoken speech and sounds (receptive language skills) and/or the loss of a childs ability to use words/spoken language (expressive language skills). Diagnosis
The American Academy of Pediatrics recommends that most children receive a developmental screening at their 9-month, 18 month, and 30 month physical exams. Physicians also screen children for autism spectrum disorder at their 18-month and 2 year appointments. If the screening indicates a potential problem, a physician would then perform a developmental evaluation to identify the specific developmental areas affected and assess the childs needs. Parents can also monitor their children and inform their provider if their child has lost previously reached developmental milestones. Treatment
For treatment of regression of motor skills, occupational and physical therapy can be used. Occupational therapy can help children regain some of their lost fine motor skills. An occupational therapist can help a child improve their fine motor skills and hand-eye coordination so they can complete basic life tasks like bathing or feeding themselves, and fine motor skill tasks like writing. Physical therapy can be used to treat regression of gross motor skills. Physical therapists can help a child with skills like walking or mobility issues.Speech therapy is often used for treatment of regression of language skills.
Trifascicular block is a problem with the electrical conduction of the heart, specifically the three fascicles of the bundle branches that carry electrical signals from the atrioventricular node to the ventricles. The three fascicles are one in the right bundle branch, and two in the left bundle branch the left anterior fascicle and the left posterior fascicle. A block at any of these levels can cause an abnormality to show on an electrocardiogram
The most literal meaning of trifascicular block is complete heart block: all three fascicles are blocked. A second, and clinically distinct, definition of trifascicular block is a circumstance in which right bundle branch block (RBBB) and left bundle branch block occur in the same patient, but at distinct points in time. For example, a patient that is found to have a RBBB one day and a LBBB another can be said to have "alternating bundle branch blocks". In this context, because all three fascicles show evidence of block at different points in time, the term trifascicular block is often used. Finally, the third meaning of trifascicular block refers to a specific finding on an electrocardiogram in which bifascicular block is observed in a patient with a prolonged PR interval (first degree AV block). The treatment of trifascicular block is highly dependent on which clinical entity (one of the three above) is being described. Diagnosis
An electrophysiology study of the conduction system can help discern the severity of conduction system disease.