Lecture 1: Behavioral Medicine Flashcards
(35 cards)
What is the Wessel’s Rule of Three’s for Dxing colic?
Crying 3+ hrs a day for 3+ days a week for more than 3 weeks
Paroxysmal, facial grimacing, drawing up of the legs, peaks around 6 wks
colic crying
What are the 5 S’s Tx for? What do the 5 S’s stand for?
Note: colic crying is benign condition that is self limiting
Tx for Colic
- Swaddle
- Shush
- Swing
- Suck
- Side/stomach position
what is the MC reported behavioral problem in 2-3 year olds
Temper tantrums
What is the typical frequency of temper tantrums, how long do they last and how does that change with age?
typically have 1 per week that lasts 2-3 min
duration increases with age
What can parents do to help prevent temper tantrums?
prevent hunger, fatigue, loneliness and hyperstimulation, provide reinforcement for good behaviors, remove stress
What is a breath holding spell
Note: temporary phase, most resolve by age 7-8
Brief pd when child stops breathing involuntarily
What are breath holding spells often triggered by
can be related to?
What is common result
trigger = Emotional upset
+/- related to anemia
result = LOC
What are the 2 types of Breath holding spells
- Cyanotic
2. Pallod
Main characteristic of Cyanotic Breath holding spells
Arched back and stretched out legs
How do Pallod breath holding spells occur
child gets startled –> suddenly stops breathing
Although no testing/Dx usu needed for breath holding spells when is EEG and rescue breathing indicated?
seizure or not breathing > 2 min
Why is LOC important in breath holding spells
resets body to start breathing normally again
Definition of parosomnia
3 Examples
ANY abn/usual behavior during sleep
- night terrors
- nightmares
- sleepwalking
Night terrors vs nightmares which:
- kids cannot be awakened fully?
- kids become oriented quickly?
- a/w amnesia of episode
- occurs in 2nd half of night
- Tx: wake kids just prior to episode to reset sleep cycle
- kids cannot be awakened fully?
- night terrors - kids become oriented quickly?
- nightmares - a/w amnesia of episode
- night terrors - occurs in 2nd half of night
- nightmares - Tx: wake kids just prior to episode
- night terrors
what is diff b/t screening and surveillance
When do developmental screening (3 times)
screening = part of surveillance but it is FORMAL TESTING
9, 18, 30 months
5 domains of developmental milestones
- Language (expressive, receptive)
- Motor (fine, gross)
- Cognitive
- Social
- Play
What type of delay occurs when delay in ONLY 1 area? 3+ areas?
what domain is MC
1 area = Isolated dev delay
3+ areas = global
MC domain = speech/language
What does atypical delay mean?
What dz is this type of delay a/w?
asynchronous or delay out of order
a/w ASD
What is splintering
what 2 areas are kids w/ASD deficit in
discrepancy of skills
- Social communication < other developmental skills
- Joint attention
When is normal joint attention developed?
15-18 months
2 main components of DSM-5 criteria for ASD
- Persistent deficits in social communication & interaction
- Restricted, repetitive, sterotyped behavior, interests ad activities
Screening for ASD:
- what ages does specific screening begin at?
- when refer?
- score of 1 & child is < 18 mo, what give?
- ASD specific screening b/t 18-24 months
- refer when score > 2
- score of 1 & child is < 18 mo –> ASD specific screening tool
Screening for ASD:
- what ages does specific screening begin at?
- when refer?
- score of 1 & child is < 18 mo, what give?
- ASD specific screening b/t 18-24 months
- refer when score > 2
- score of 1 & child is < 18 mo –> ASD specific screening tool
