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Psychiatry > Childhood Pathology > Flashcards

Childhood Pathology Flashcards

(55 cards)

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1
Q

What does LT deprivation of affection result in?

A
  • Dec muscle tone
  • Poor language & socialization skills
  • Lack of basic trust
  • Anaclitic depression
  • Wt loss
  • Physical illness
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2
Q

What is anaclitic drepression?

A

Infant withdrawn/unresponsive

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3
Q

What are the 4 W’s of infant deprivation?

A
  • Weak
  • Wordless
  • Wanting (socially)
  • Wary
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4
Q

What can deprivation for >6mo lead to?

A

Irreversible changes

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5
Q

What can severe deprivation result in?

A

Infant death

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6
Q

What is the evidence of Physical child abuse?

A
  • Healed fx on X-ray
  • Burns (cigarette, scalding)
  • Subdural hemorrhage
  • Multiple bruises
  • Retinal hemorrhage or detachment
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7
Q

What is the evidence of Sexual child abuse?

A
  • Genital, anal or oral trauma
  • STI’s
  • UTI’s
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8
Q

Who is typically the abuser in Physical child abuse?

A

Male caregiver

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9
Q

Who is typically the abuse in Sexual child abuse?

A

Known to victim, usually male

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10
Q

How many deaths happen from Physical child abuse in the US?

A

~3,000 deaths/year

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11
Q

What is the age group for Physical child abuse?

A

80% <3yo

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12
Q

What is the Peak incidence of age for Sexual child abuse?

A

9-12 yo

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13
Q

What is child neglect?

A

Failure to provide a child w/ adequate food, shelter, supervision, education &/or affection

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14
Q

What is the MC form of child maltreatment?

A

Child neglect

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15
Q

What is the evidence of child neglect?

A
  • Poor hygiene
  • Malnutrition
  • Withdrawal
  • Impaired social/emotional dev
  • Failure to thrive
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16
Q

What should be reported to child protective services?

A

Child abuse or neglect

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17
Q

What is the onset of ADHD?

A

Before age 7

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18
Q

What is ADHD?

A

Limited attention span & poor impulse control

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19
Q

What is ADHD characterized by?

A
  • Hyperactivity
  • Impulsivity
  • Inattention in multiple settings
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20
Q

What is the pt intelligence like in ADHD?

A

Normal intelligence but difficulties in school

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21
Q

What is the duration of ADHD?

A

Continues into adulthood in 50% of pts

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22
Q

What is ADHD assc w/?

A

Dec frontal lobe volumes

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23
Q

What is the tx of ADHD?

Study These Flashcards
A
  • Methylphenidate
  • Amphetamines
  • Atomoxetine
  • Behavior interventions (reinforcement, rewards)
24
Q

What is conduct disorder?

Study These Flashcards
A

Repetitive & pervasive behavoir violating the basic rights of others (aggression, property destruction, theft)

25
After age 18 what do pt w/ conduct disorder meet criteria for?
Antisocial personality disorder
26
What is Oppositional defiant disorder?
Enduring pattern of hostile, defiant behavior toward authority figures in the absence of serious violation of social norms
27
What is the onset of Tourette's synd?
Before age 18
28
What is Tourette's synd characterized by?
Sudden, rapid, recurrent, nonrhythmic, stereotyped motot & vocal tics taht persist for **\>1 year**
29
The lifelong presence of Tourettes Synd is _____ in the general pop.
0.1-1.0%
30
What is Coprolalia?
Involulntary obscene speech
31
What % of Tourette pts is Coprolalia found in?
10-20% of pts
32
What is Tourette's synd assoc w/?
OCD
33
What is the tx for Tourettes synd?
Antipsychotics & behavior therapy
34
What is the common age of onset of Separation anxiety disorder?
7-9 yo
35
What is Separation anxiety disorder?
Overwhelming fear of separation from home or loss of attachment figure
36
What can separation anxiety disorder lead to?
Factitious physical complaints to avoid going to or staying at school
37
What is the tx for separation anxiety disorder?
SSRIs & relaxation tech/behavioral interventions
38
What is Pervasive developmental disorder?
Characterized by difficulties w/ language & failure to acquire or early loss of social skills
39
What are the pervasive developmental disorders?
* Autistic disorder * Asperger's disorder * Rett's disorder * Childhood distegrative disorder
40
What is Autistic disorder?
Severe language impairment & poor social interactions
41
What do Autistic pt's have a greater focus on?
Objects\>people
42
What is Autistic disorder characterized by?
Repetitive behavior & usually below-normal intelligence
43
What is Autistic disorder rarely accompanied by?
Unusual abilities (savants)
44
Who is autistic disorder MC in?
Boys
45
What is the tx for Autism?
Behavioral & supportive therapy to improve communication & social skills. Meds when appropriate
46
What is Asperger's disorder?
Milder form of autism
47
What is Asperger's disorder characterized by?
* All-absorbing interests * Repetitive behavior * Problems w/ social relationships
48
What is the intelligence like in Asperger's disorder?
Children are of normal intelligence & lack verbal or cognitive deficits. No language impairment
49
What is Rett's disorder?
X-linked disorder seen almost exclusively in girls (affected males die in utero or shortly after birth)
50
When do sx of Rett's disorder become apparent?
Around ages 1-4
51
What is Rett's disorder characterized by?
* Regression * Loss of development * Loss of verbal abilities * Mental retardation * Ataxia * Stereotyped hand-writing
52
What is the age of onset of Childhood disintegrative disorder?
Common at 3-4 years
53
What is Childhood disintegrative disorder?
Marked regression in multiple areas of functioning after a least 2 years of apparently normal development
54
What do childhood disintegrative disorder pts have a significant loss of?
* Expression or receptive language skills * Social skills or adaptive behavior * Bowel or bladder control * Play or motor skills
55
Who are childhood disintegrative disorders MC in?
Boys

Psychiatry (6 decks)

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