Peds Neurodevelopmental Disorders Flashcards
How do we best define intellectual disability?
Decrease in cognitive function
Decrease in adaptive function
3 ways to encounter/find intellectual disability?
Genetic screening via prenatal screening
Within a syndrome, down or fragile X
Acquired, lead, alcohol, hypothyroid
What is the patho of autism? 2 components.
Decreased capacity for social communication
Restricted and repetitive behavior
2 components of ADHD?
Hyperactivity manifested in being impulsive
Attention deficit manifested as inattention
4 criteria for ADHD?
2 or more settings
6 months or longer
Frequent
Onset 7-12
2 common manifestations of a tic?
When does it need to be diagnosed?
Duration?
Treatment?
Physical or vocal
Less than 18
Greater than 1 year
D2 antagonist
First line treatments for ADHD?
Stims
Atomoxetine
3 options to treat Tourette’s?
Guanfacine
Clonidine
D2 antagonists
At what ages are we diagnosing mild, moderate, and severe autism?
4-6
2-4
0-2
Kid comes in for wetting the bet, how do I proceed?
Determine if it is primary or secondary.
If its primary and they are below 7, just encourage
If its secondary, then UA for UTI or STI (abuse) and US anatomical defect
If both UA and US is negative, think regression and figure out the stressor and always rule out abuse
What is the underlying problem with conduct disorder?
What is it really, but we cant call it that and why?
3 components and which one is the big identifier?
These are kids under 18 who have antisocial PD, but we can’t diagnose them with it because they are under 18. So these folks can progress to ASPD.
Fight against peers, destruction, and violate rules (fight authority)
The fight against peers is the big one. Bully, hurt animals, torture/cruel, and force sex.
What is the underlying problem of oppositional defiance?
What is the big difference between ODD and CD?
Get parents to parent better
ODD has defiance towards authority, can be destructive a bit, but does not hurt their friends or others. Not criminals.
