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* Fred - This kid.... NeuroPsych
  mocha260 - 09/12/20 05:19
  A 7-year-old boy is brought to the physician because of a 1-year history of poor performance in school. His parents say that he is bright, has many friends, and seems to want to do well in school. His teachers report that he seems frustrated with his own progress and his inability to meet the expectations of his parents. Speech fluency and articulation and motor skills are appropriate for age. Physical examination shows no abnormalities. When asked to read during the examination, he has significant difficulty sounding out words he is unfamiliar with. Visual acuity test and audiometry show no abnormalities. Which of the following is the most likely diagnosis?

(B) Expressive language disorder
(D) Learning disorder

So between these 2

Since it mentioned "significant difficulty sounding out words he is unfamiliar with"

I was thinking its more of expressive disorder as his parents say hes a bright kid and he wants to improve.

- Is it because his hearing tests are normal it can't be expressive language disorder?

Answer is Learning disorder

*** Google says: **********************************

Developmental expressive language disorder is a condition in which a child has lower than normal ability in vocabulary, saying complex sentences, and remembering words. However, a child with this disorder may have the normal language skills needed to understand verbal or written communication.

6 Signs of Expressive Language Disorder
Difficulty putting words into sentences and in the right order.
Difficulty finding the right word and uses placeholder words like “uh” as they mentally search for it.
Leaving words out of sentences.
Mixing up word tense.
Vocabulary level is lower than what is age appropriate.

Specific learning disorder (often referred to as learning disorder or learning disability, see note on terminology) is a neurodevelopmental disorder that begins during school-age, although may not be recognized until adulthood. Learning disabilities refers to ongoing problems in one of three areas, reading, writing and math, which are foundational to one’s ability to learn.

An estimated 5 to 15 percent of school-age children struggle with a learning disability. An estimated 80 percent of those with learning disorders have reading disorder in particular (commonly referred to as dyslexia). One-third of people with learning disabilities are estimated to also have attention-deficit hyperactivity disorder (ADHD).
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