ASDs

Question 1

Px

Answer 1

-feats-
-Diffic soc rels- awkward, egocentric, unaware of rules.
-communicat skills- monotone, formal, abn gaze, impassive appearance, odd posture and body lang, comprehension, literal underst, visual learning.
-Restricted, stereotypes, repetit interests- obsessive, routine. Rigid thinking- routines, obsessive, lack imaginat, reduc empathy, difficultyl generalising.
Sensory integration diffics.
-neuro- seiz, tic, large head, abn gaze, ambidexterity.
-phsyio- heightened senses, not norm resp to pain, abn temp regul, lot paed illness.
-behav- irrit, temper, self inj, hyperactiv, aggress.
80% have mild ot mod learning disability
If norm IQ then classed as high func if lang diffics or asperger if not.
-assoc diffics-
Learning diffics, dyspraxia, dyslexia, hyperactiv, special abils, behav diffic, anx, sleep and eating.

Question 2

Mx

Answer 2

• spec assesment, speech and lang, educat psychology, OT, psychology, diet.
• education.
• work with school.
• parenting progs.
• env adaps and routine planning
• communicat aids
• adapt tx of comorbidities
• respiridone for ST sev aggression. SSRI for compulsive or self harming behav, and anx or dep.
• mealtonin for sleep
• respite, benefits, social worker
• support assocs.
• scoial skills, CBT, special school? Behav mx.

Question 3

Diffs

Answer 3

Other pervasive dev disorders eg retts, childhood disintegrative disorder, asperger, PDD not otherwise specified. 
Schizophrenia
LD
Lang disorder
Neuro disorder
Sensory impair
OCD
psychosocial deprivation

Question 4

Assessment

Answer 4

Hx
Distress and imapirment
Comorb
Cog abil
Impact on carers and soc supp
Observation
Various autism diag intervs and checklists
Geentic analysis
MDT incl school

Question 5

Prevalence

Answer 5

3 or 4 male to 1 female.

Onset us 3 yo.

Question 6

Aetiology

Answer 6

Genetic
Obstetric complics
Toxic agents
Pre or post natal infec
AI
Some have incr brain size or incr 4th nd lat ventrics. 
1/3 have high serum 5ht