Term
| Q: How do you introduce yourself in an autism concern consultation? |
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Definition
| A: "Hello, I’m Dr [Name] at this GP practice. Are you [child's] parent? May I confirm your child's full name and age? How can I help today?" |
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Term
| Q: What open question explores developmental concerns? |
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Definition
| A: "Could you describe what you've noticed that worries you about your child's development? Has anyone else observed similar behaviors?" |
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Term
| Q: What 4 key autism domains should you explore? |
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Definition
A:
1. Social: "Does your child make eye contact? Respond to their name?"
2. Communication: "How many words do they say? Do they point to show things?"
3. Repetitive behaviors: "Do they repeat actions/phrases? Insist on strict routines?"
4. Sensory: "Do they react strongly to sounds/lights? Have unusual interests like spinning objects?" |
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Term
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Definition
Q: What differential screening questions rule out other conditions?
A:
- "Any high fevers or recent infections?"
- "Episodes of staring/loss of awareness?"
- "Seizures or unusual movements?"
- "Extreme hyperactivity/inattention?" |
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Term
| Q: What does BIRD in paediatric history stand for? |
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Definition
A:
B: Birth history (delivery complications, NICU)
I: Immunisation status
R: Red Book usage
D: Developmental milestones (motor skills, social responses) |
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Term
| : What does PMAFTOSA cover? |
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Definition
Past medical history
Medications
Allergies
Feeding
Toileting
Sleep
Activity level |
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Term
| Q: What family/social history is relevant? |
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Definition
A:
- Family history of autism/speech delay
- Nursery attendance/interactions
- Sibling relationships
- Home support system |
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Term
| Q: How do you address ICE? |
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Definition
A:
- Ideas: "What do you think might be happening?"
- Concerns: "Is anything particularly worrying?"
- Expectations: "What were you hoping we could do?" |
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Term
| Q: What examinations would you perform? |
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Definition
A:
- General physical exam
- Neurological observation (eye contact, tone)
- ENT check (hearing assessment)
- Developmental observation (speech, play) |
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Term
| Q: How do you sensitively disclose possible ASD? |
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Definition
| A: "The concerns about speech delay, social interaction, and repetitive behaviors suggest possible Autism Spectrum Disorder. We'll need specialist assessment to confirm." |
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Term
| Q: What 4 key elements should ASD explanation include? |
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Definition
A:
1. "Affects how children communicate and experience the world"
2. "Not caused by parenting - children are born with it"
3. "Early support helps children thrive"
4. "Many lead fulfilling lives with proper support" |
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Term
| Q: What is the initial management plan? |
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Definition
A:
1. Referral to child development team (paediatrician, SALT, OT)
2. Hearing assessment
3. Provide NHS leaflets/support group info
4. Social prescriber for community resources |
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Term
| What safety netting advice is crucial? |
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Definition
A: Contact immediately if:
- Self-harm behaviors
- Safety-risk meltdowns
- Parental overwhelm
- Sudden skill regression |
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Term
| Q: How do you address MMR vaccine concerns? |
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Definition
| A: "The MMR-autism link is a disproven myth. The original study was retracted. Symptoms appear around MMR age coincidentally - vaccines protect against dangerous diseases." |
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Term
| Q: What follow-up actions are needed? |
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Definition
A:
- Schedule check-in call in 2-4 weeks
- Follow-up after specialist assessment
- Document referral details |
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Term
### FOLLOW-UP CONSULTATION (Diagnosis Confirmed) ###
Q: How do you confirm context in follow-up? |
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Definition
| A: "I understand the autism team confirmed ASD diagnosis. You're here to discuss next steps - is that correct?" |
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Term
| Q: What current functioning areas should you assess? |
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Definition
A:
- Speech progress
- Social interactions
- Behavioral patterns
- Sensory responses
- Daycare adaptation |
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Term
| Q: How do you disclose confirmed ASD diagnosis? |
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Definition
| A: "The assessment confirms Autism Spectrum Disorder. This means your child processes the world differently, affecting communication, behavior, and social interaction." |
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Term
| Q: What key points explain ASD? |
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Definition
A:
- "Neurodevelopmental condition (brain processes information differently)"
- "Not caused by parenting/vaccines - often familial"
- "Early intervention improves outcomes"
- "Many achieve independence with support" |
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Term
| Q: What 5 specialist referrals are essential? |
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Definition
A:
1. Speech and Language Therapy
2. Occupational Therapy (sensory needs)
3. Educational Psychology (SEN assessment)
4. Behavioral Therapy
5. CAMHS if anxiety emerges |
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Term
| Q: What home adaptations do you recommend? |
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Definition
A:
- Create predictable routines
- Use visual schedules
- Minimize sensory triggers
- Employ simple language
- Design calm spaces |
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