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Flashcards in Most Commons: Psychoactive & Behavior Deck (29)
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1

Fussy infant DDx

GERD Milk protein intolerance infxn colic

2

Anatomical d/o of a Fussy infant (7)

pyloric stenosis intussusception incarcerated hernia testicular torsion trauma hair tourniquet fracture

3

GERD signs in infants

Reflux poor weight gain/feeding/refusal irritability rectal bleeding Sandifer sign: arching of back, torsion of neck, lifting up of chin

4

Age Intussusception occurs

6 mths - 3 yrs

5

Bright blood in stool

Typical presentation of milk protein intolerance in infants who are otherwise asymptomatic

6

When GERD is worst

1st 4 mths

7

Pyloric stenosis Age: ____ PE finding: ____ Risk factors: ____

5 wks, almond sign is advanced sign RF: first born, males

8

Definition of Colic

crying for >3 hrs/day, 3 days/wk, >3wk period.

9

Colic is a diagnosis of ____

exclusion

10

5 S of soothing an infant

swaddling, shushing, sucking, swinging, stomach

11

___ are explosive emotional outburst

Tantrums

12

What are possible DDx of tantrums

Sz WPW syndrome

13

Tx for repeat tamtrum offenders

positive behav Modification extinguishing behaviors

14

Nocturnal enuresis DDx

UTI renal tubular acidosis/CKD bowel/bladder dysfxn if hx constipation (rx miralax) occult spina bifida

15

Safe origins of nocturnal enuresis

primary enuresis - easier to train- more psychiatric small bladder, deep sleeper.

16

Secondary nocturnal enuresis is ___ until proven otherwise

pathology

17

what should you consider If night and day incontinence occurs

ADH insensitivity

18

Tx for nocturnal enuresis

Chummie alarm underwear - most effective

19

___ is involuntary stooling

Encopresis

20

What is a common presentation of Encopresis

Diarrhea secondary to constipation

21

Tx for encopresis

Bowel training diet changes - fiber! behav changes/therapy medical therapy - Miralax or magnesium citrate Often referred to ED for disimpaction

22

Etiologies for Sleep disturbances

Parasomnias: night terror, sleepwalking [high fever]

23

DSM V criteria for ADHD

persistent pattern interferes w/ fxn inappropriate for dev level

24

DDx of ADHD

learning d/o

25

3 types of ADHD

Primary inattentive type Hyperactive type Mixed : most common

26

Screening for ADHD?

Connor’s and Vanderbilt Rating Scale

27

What is the youngest age of ADHD Dx?

school age

28

Comorbid d/o of ADHD

Tic OCD

29

Tx for ADHD

IEP [individualized education plan] Rx: +/- long acting stimulants, non-stimulant therapies