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Flashcards in Pediatric Psych Deck (85)
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1

Manifestations of ADHD

Hyperactivity
Impulsivity
Inattention

2

Symptoms of ADHD

Cognitive functioning
Academic functioning
Behavioral functioning
Emotional functioning
Social functioning

3

Hyperactive ADHD Male to Female Ratio

4:1

4

Inattentive ADHD Male to Female Ratio

2:1

5

Comorbid Disorders of ADHD

Oppositional defiant disorder
Conduct disorder
Depression
Anxiety disorder
Learning disabilities

6

Pathogenesis of ADHD

Genetic imbalance of catecholamine metabolism in cerebral cortex
Environmental factors

7

Cerebral & Functional Abnormalities in ADHD Result in

Impaired executive functions
Impulsivity

8

Impaired Executive Functions in ADHD

Forward planning
Abstract reasoning
Mental flexibility
Working memory

9

Dietary influences on ADHD

Food additives
Refine sugar intake
Food sensitivity
Essential fatty acid deficiency
Iron & zinc deficiency

10

Associations with ADHD

Prenatal exposure to tobacco
Prematurity
Low birth weight
Prenatal exposure to alcohol
Head trauma in young children

11

Symptoms of ADHD

Inattentiveness
Impulsivity
Hyperactivity

12

Diagnosis of ADHD

Persistence, pervasiveness, and functional complications of the behavioral symptoms

13

Criteria for ADHD

Present in more than one setting
Persist for 6+ months
Present before age 12
Impair function in academic, social, or occupational activities
Excessive for developmental level of the child
Other mental disorders

14

Symptoms of Hyperactivity ADHD

Excessive Fidgetiness
Difficulty remaining seated when sitting is required
Feelings of restlessness or inappropriate running around or climbing
Difficulty playing quietly
Difficult to keep up with

15

Symptoms of Impulsivity ADHD

Excessive talking
Difficulty waiting turns
Blurting out answers too quickly
Interruption or intrusion of others

16

When are hyperactive ADHD symptoms typically observed?

By the time child reaches 4
Increase up to 7-8
After 8, symptoms decline
Adolescent- may not be noticeable

17

When are impulsive ADHD symptoms usually observed?

Persist throughout life

18

Symptoms of Inattention ADHD

Failure to provide close attention to detail, careless mistakes
Difficulty maintaining attention in play, school, or home activities
Seems not to listen, even when addressed
Fails to follow through
Difficulty organizing tasks, activities, & belongings
Avoids tasks that require mental effort
Loses objects required for tasks or activities
Easily distracted by irrelevant stimuli
Forgetfulness in routine activities

19

Description of the Inattentive Subtype of ADHD

Sluggish cognitive tempo and frequently appear to be daydreaming or "off task"

20

ADHD Symptoms Impair Function in 3 Areas

Academic
Social
Occupational

21

Evaluation of a Child with ADHD

Medical
Developmental
Educational
Psychosocial evaluation

22

Medical Evaluation of ADHD

School- learning, happy, behavioral problems, completing assignments
Prenatal exposures
Perinatal complications or infections
CNS infection
Head trauma
Recurrent OM
Meds
Family Hx of similar behaviors

23

PE of ADHD Children

Measurements
Dysmorphic features
Neurocutaneous abnormalities
Neuro exam
Observation of behavior

24

Developmental & Behavioral Assessment of ADHD child

Onset, course, functional impact
Emotional, medical,& developmental events
Developmental milestones
School abscess
Psychosocial stressors
Observation of parent-child interactions

25

Narrow Band Scales for ADHD

Establish presence of core symptoms
Depends on age of child, scale used, & informant

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Broadband Scales Assess What for ADHD

Internalizing behaviors
Externalizing behaviors other than ADHD
Identify coexisting condition & narrow DDx

27

Educational Evaluation of ADHD

Teacher completes ADHD specific rating scale
Narrative summary of classroom behavior & interventions, learning patterns, & functional impairment
Copies of report cards & schoolwork
Review multidisciplinary evals

28

DSM-5 Criteria for ADHD

6+ symptoms of hyperactivity & impulsivity OR inattention
17+ years is 5+ symptoms of hyperactivity & impulsivity OR inattention

29

Hyperactivity/Impulsivity or inattention must do what according DSM-5 criteria?

Occur often
Present in 2+ settings
Persist for 6+ months
Present before 12 years
Impair function in academic, social, or occupational activities
Be excessive

30

3 Subtypes of ADHD

Predominantly inattentivie
Predominantly hyperactive-impulse
Combined