Common paeds histories - Behavioural problems Flashcards Preview

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Flashcards in Common paeds histories - Behavioural problems Deck (8)
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1
Q

What would you want to ask about a child having behavioural problems?

A
  • Expand on nature of the proboem
  • Ask about specific symptoms related to pscyh disorder
2
Q

What would you want to make sure you did when taking a history for a child with behavioural problems to get more of an idea of whats going on?

A

History from school and home

3
Q

What features of behavioural problems would suggest ADHD as a cause?

A
  • Hyperactivity
  • Inattention
4
Q

What features of behavioural disorders would suggest conduct disorder as the cause?

A
  • Bullies/threatens/intimidates
  • Aggressive
  • Cruel to people/animals
5
Q

What features of behavioural problems would suggest oppositional defiant disorder as the cause?

A
  • Loses temper
  • Argues with adults and defies requests
  • Deliberately annoys other people
6
Q

What features of behavioural disorders suggest OCD as the cause?

A
  • Intrusive thoughts - obsessions
  • Repetitive behaviours - compulsions
  • Excessive washing/cleaning/checking
7
Q

What features of behavioural problems would suggest autism as the cause?

A
  • Speech/language delay
  • Imposition of routines
  • Doesn’t seek friendship/prefers own company
  • Limited gestures and expressions
8
Q

What would be your differential diagnosis for a child presenting with a behavioural disorder?

A

All psych conditions

  • ADHD
  • Conduct disorder
  • Oppositional defiant disorder
  • OCD
  • Autism
  • Anxiety disorder
  • Attachment disorder
  • Schizophrenia
  • Depression
  • Bipolar

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