Day 2 - Psych2 Delirium/Dementia, Peds Flashcards Preview

Step 2 DIT Rapid Review > Day 2 - Psych2 Delirium/Dementia, Peds > Flashcards

Flashcards in Day 2 - Psych2 Delirium/Dementia, Peds Deck (9):
1

Comorbidities common w/ ADHD in children

Oppositional deviant disorder, Conduct disorder, Learning disabilities, Depression, Bipolar disorder, Anxiety disorder

2

Criteria met before pharmacotherapy for ADHD

(1) Dx assessment (2) Age 6+ (3) Parents accept meds as appropriate (4) School cooperate w/ administration & monitoring (5) No prior high bp (6) Seizure free (7) Absence of developmental delay (8) No substance abusers in household (9) No prior hypersensitivity to med

3

Other meds for ADHD if failed stimulants/atomoxetine

TCAs, bupropion, alpha2 agonists (e.g., clonidine)

4

Common complications of stimulant drugs (e.g., methylphenidate, dextroamphetamine in ADHD) & how mgt

(1) Insomnia (sleep hygiene, meds earlier in day, shorter duration formulation, Clonidine - also bp med) (2) Appetite suppression/weight loss (meds after meals not before, med holidays on weekends/summer) (3) Tics (usually transient, low to moderate dose of methylphenidate - never give these meds to pts with Tourette's) (4) Psychosis/Mania - d/c (5) Decreased growth velocity (Adult height not affected, drug holidays may help w/ catch up growth)

5

Atomoxetine (tx ADHD) s/e

Increased risk of suicidality (closely observe, d/c), liver injury (d/c)

6

Tx options for

Counseling, psychotherapy; If interefering with daily functioning, antidopamine agents like phenazine, pimozide, or tetrabenazine (all tolerated better than haloperidol); If only focal vocal/motor tics, botulinum toxin injection; If impulse control issues, Clonidine or SSRIs; If refractory to medical mgt, deep brain stimulation to globus pallidus, thalamus, or other subcortical targets

7

Characteristic feat. of autism

Evident prior to age 3, lack of responsiveness to others, poor eye contact, lack of social smile, repetitive phrases, language delay, ritualistic habits, preoccupation, below normal IQ

8

Asperger's syndrome

Social impairment, repetitive activities, behavioral/interest abnormalities; No language problems or cognitive delays; (Think: weird but functional)

9

Childhood disintegrative disorder (CDD)

Regression of dev. in multiple areas after normal dev. for at least 2 years; Areas of regression - expressive or receptive language, adaptive behaviors, bowel/bladder control, play, motor skills; Assoc. w/ organic disease like seizures or metabolic disorders

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