FPC: child psychiatry II Flashcards
(23 cards)
What are intellectual disabilities?
Disorders with onset during development that feature deficits in intellectual and adaptive functioning.
What are intellectual functions?
Reasoning, problem solving, abstract thinking, academics, etc.
What do deficits in adaptive functions lead to?
Issues with communication, social engagement, independence, sociocultural standards and awareness, etc.
What is social communication disorder?
Persistent difficulty in use of verbal and nonverbal communication in social contexts. May have a hard time with flow of normal conversations, making inferences, and sharing information that is appropriate in social context.
Describe autism spectrum disorder.
Persistent deficits in social communication and interaction in all contexts. There will also be restricted, repetitive patterns of behavior, have issues with routines, or have unique special interests.
What 3 things are required for autism diagnosis in terms of deficits in social communication and interaction?
- Deficits in social-emotional reciprocity 2. Deficits in nonverbal communication 3. Deficits in developing, maintaining, and understanding relationships.
What are categories for the restricted, repetitive patterns of behavior, interests, or activities in autism?
- Repetitive motor movements 2. Inflexible adherence to routines 3. Highly fixated interests 4. Hyper or hypoactive sensory input (need at least 2 of these).
Is intellectual disability present in autism spectrum disorder?
It may be, but not always.
Describe ADHD.
Persistent patterns of inattention and/or hyperactivity-impulsivity that interferes with functioning or development; the symptoms are not consistent with developmental level.
What are some important criteria for ADHD?
Symptoms persist for 6 months, interfere with functioning or development, are present in two or more settings, and interfere with social, academic, and occupational function.
What age do symptoms have to appear in for the diagnosis to be ADHD?
By the age of 12; diagnosis doesn’t have to be made then, but signs need to be there.
How many inattention/hyperactivity symptoms are needed for ADHD diagnosis?
At least 6 of each.
Describe Tourette’s disorder.
Multiple motor and vocal tics have been present at some time and wax/wane in frequency but persist for one year. Starts before age 18.
Describe persistent motor or verbal tic disorder.
Single or multiple motor or vocal tics, but not both. They may change in frequency but occur for at least one year, and onset is prior to 18.
Describe provisional tic disorder.
Single or multiple motor and/or vocal tics present less than 1 year.
What age do tics usually start in kids?
4-6.
When do tics peak in kids?
10-12; they decline after this, but in a tic disorder they persist.
Describe enuresis.
Repeated voiding of urine into bed or clothes, involuntary or intentionally. It has to either happen at least twice a week for 3 consecutive months or cause significant distress. Cannot be caused by something else like meds.
What age is required for diagnosis of enuresis?
5 or older.
What is primary enuresis?
Never had a period of “dryness” where the repeated voiding was not happening.
What is secondary enuresis?
At one point had a period of “dryness” where repeated voiding was not happening; essentially had a time where they were fully potty trained.
What is encopresis?
Repeated passage of feces into inappropriate places involuntarily or intentionally at least once a month for 3 months and is not attributable to another physiological cause.
What age is needed for encopresis diagnosis?
4 or older.
