Term
|
Definition
| poor ability to attend to a tast, impulsitivity, over activity |
|
|
Term
|
Definition
| chemical imbalance: dopaminergic, noradrenergic, serotinergic |
|
|
Term
| what groups or conditions is ADHD most common with |
|
Definition
males
people with 1st deg relatives
alcohol abuse, anti-social behavior |
|
|
Term
| when does ADAH usually appear |
|
Definition
|
|
Term
| what are 5 signs in pt history of ADAH |
|
Definition
repeated year of school
behavorial problems at school
agression
poor peer relations
academic difficulty |
|
|
Term
| what signs of ADHD can be found on a physical exam |
|
Definition
| soft neurological signs: impaired balance, mixed hand preference, dysdiadochokinesia (can't flick hands) |
|
|
Term
| what are three criteria for ADHD diagnosis |
|
Definition
low education level (not IQ)
higher verbal than performance scores on WISC
low scores on attention concentration performances |
|
|
Term
| why dosent low IQ describe ADHD, why do people associated it with ADHD |
|
Definition
| low IQ is learning dissability or mental retardation. these kids may act out becase they dont want to look dumb and aernt learning |
|
|
Term
| when diagnosing ADHD what do you have to rule out |
|
Definition
petit mal epilepsy (stariing spells look like zoning out and kid wont learn)
conduct disorder
learning dissability
hearing disorder/sensory impairment
medication side effects (anti-psycotic or convulsant)
gilles de la tourette syndroome |
|
|
Term
| what is the relation of tourette syndrome with ADHD |
|
Definition
| often seen with ADHD and is a side effect of the medication but can be seperate too |
|
|
Term
| when do you start ADHD tx |
|
Definition
| at or after 5 yo unless danger to self and other |
|
|
Term
| what behavorial therapy do ADHD pt do |
|
Definition
behavorial modifications
special ed
referral to mental health professionls |
|
|
Term
| what are the benifits of ADHD medication |
|
Definition
reduce over activity
increase attention span
improve relationships |
|
|
Term
| what things do ADHD medication not improve |
|
Definition
retention
information retreival
anger |
|
|
Term
| what are side effects od ADHD medication |
|
Definition
anxiety
anorexia
insomnia
abd pain
tics
increased HR
growth supression |
|
|
Term
| what is a drug free holiday, what is the thought on it |
|
Definition
kids feel different
learning should occur all the time |
|
|
Term
| breath holding: age, complications, treatment |
|
Definition
infants and toddlers
sometimes leads to seizures. RO seizure disorder first (seizure pass out then blue, no anger)
tx: ignore |
|
|
Term
| temper tantrums: age, cause, treatment |
|
Definition
10mo-3yo
caused by conflict
tx: verbal resolution, time out |
|
|
Term
| lying: age, cause, when is it a concern |
|
Definition
2-4 yo experimenting with language, may represent fantasy
in school age its to maintain self esteem and get out of situation
concern if deliberate or stories made up after 5 yo |
|
|
Term
| why is run away behavior so serious, what is the tx |
|
Definition
run rape and tox tests
too many threats now |
|
|
Term
| what are two childhood behaviors that suggest immediate referral to a mental health professional |
|
Definition
fire starting
poor treatment of animals |
|
|
Term
| what are 4 causes of agressive behavior |
|
Definition
drive theory: biological
phenomenologic approach: agression from day to day deprivation
social learning theory: learned responsein 2-5 yos (screaming, tantrums)
passive agressive behavior: throwing objects, against other kids, boys worse than girls |
|
|
Term
| what are conductive disorders |
|
Definition
| antisocial behaviors: lying, stealing, firesetting, poverty destruction, cruelty to animals, run away behaviors, weapon use |
|
|
Term
|
Definition
| individgual and group therapy |
|
|
Term
| what is a rumination disorder, who gets it |
|
Definition
Failure to thrive or weight loss due to repeated regurgitation of food
more in males, potentially fatal, 3-14 mo old |
|
|
Term
| what is PICA, who gets it, tx |
|
Definition
1-2 yo ingestion of non-nutrient substances repeatedly
self limited by 2 yo monitor for lead poisoning, parasites |
|
|
Term
|
Definition
frequent inability to control urine
primary: never could
secondary: recently acquired |
|
|
Term
| what is the cause of noctournal enuresis |
|
Definition
| improper toilet training regressive behavior (stress, illness, etc) |
|
|
Term
|
Definition
behaviorial modification
fluid restruction
conditioning devices
imipramine
DDAVP nasal spray or tablets |
|
|
Term
|
Definition
chronic constiation, fecal impaction, overflow incontenence
effects self esteem
loss of toilet training after 4 yo |
|
|
Term
|
Definition
mostly males
low socio-eco
anger |
|
|
Term
|
Definition
supportive
resolve constipation |
|
|
Term
| define nacrolepsy, when is it seen |
|
Definition
frequent daytime naps, cataplexy, sleep paralysis, hynogogic hallucinations
seen in adolescence |
|
|
Term
|
Definition
contraceptives
anti-depressants |
|
|
Term
|
Definition
| anxiety and affective disorders |
|
|
Term
| night terrors: who gets them, why |
|
Definition
preschool kids
not smooth transition in sleep stages (arousal from stage 4) |
|
|
Term
|
Definition
| do not stimulate child it makes it worse allow them to transition into the next stage, they do not know thier screaming |
|
|
Term
| define somnambulism, who gets it |
|
Definition
sleep walking
stage 3 or 4 of sleep
school age kids |
|
|
Term
|
Definition
|
|
Term
|
Definition
teeth grinding/bruxism
thumb sucking
stuttering
tics
tourettes |
|
|
Term
| what is the cause of habit disorders |
|
Definition
|
|
Term
| what do you do if your kid has tourettes |
|
Definition
ignore it
encourage them to speak slow |
|
|
Term
| what are two anxiety disorders in kids |
|
Definition
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