Term
|
Definition
- impulsivity
- inattention
- hyperactivity |
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Term
| Dx criteria for hyperactive/impulsive ADHD: |
|
Definition
I FED EDD.
- Interrupts and intrudes on others
- Fidgetiness
- Excessive climbing/running
- Difficulty staying seated
- Excessive talking/blurting out answers
- Difficulty staying quiet
- Difficulty waiting turns |
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Term
| Dx criteria for hyperactive/impulsive ADHD: |
|
Definition
I FED EDD.
- Interrupts and intrudes on others
- Fidgetiness
- Excessive climbing/running
- Difficulty staying seated
- Excessive talking/blurting out answers
- Difficulty staying quiet
- Difficulty waiting turns |
|
|
Term
| Dx criteria for inattentive ADHD: |
|
Definition
FFFFLERDD
- Forgetfullness
- Failure to pay attention to detail
- Failure to listen when directly spoken to
- Failure to follow directions
- Loses materials for tasks
- Easily distracted
- Reluctant to participate
- Difficulty organizing
- Difficulty sustaining attention |
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|
Term
| Short acting ADHD stimulant drugs: |
|
Definition
- Methylphenidate: Ritalin, Focalin
- Dextroamphetamines: Dexedrine,Adderall
MRF and DDA are BOTH SHORT ACTING. |
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|
Term
| Long acting stimulant ADHD drugs: |
|
Definition
- Methylphenidate: Ritalin LA, Concerta,Metadate CD,Focalin XR
- Dextroamphetamines- Adderall XR,Vyvanse |
|
|
Term
| Non-stimulant ADHD drugs: |
|
Definition
- Strattera
- Clonidine
- Intuniv/Guanfacine/Tenex |
|
|
Term
| Straterra is a non-stimulant ADHD drug that is a __ __ __. It works better on __ ADHD.Dose is __ mg/kg/day for 3 days and then increase to ___ mg/kg/day everyday or divided BID. |
|
Definition
- norepinephrine reuptake inhibitor
- inattentive
- 0.5 mg/kg/d for 3 days
- 1.2-1.5 mg/kd/day (or divided into two doses/day) |
|
|
Term
| Clonidine is a __ __ __ __ __ that __ norepinephrine levels. This is best for __ ADHD and reduces __. Usually start with __mg tables, __ at bedtime and increase as needed. |
|
Definition
- alpha 2 adrenergic presynaptic agonist
- reduces norepinephrine levels
- hyperactive ADHD
- reduces tics
- 0.1 mg tablets
- half at bedtime |
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|
Term
| Intuniv/Guanfacine/Tenex is a __ __ _ __ __ __ ___.It is best for __ ADHD. Dosing starts at 1 mg/day, inrased dose by 1mg/day at weekly intevls until respnsed noted, up to 4 mg/dsy. |
|
Definition
- centrally acting alpha 2a adrenergic recepor agonist
- hyperactive/impulsive ADHD |
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|
Term
| MC SE of stimulant ADHD drugs: |
|
Definition
|
|
Term
|
Definition
|
|
Term
| 3rd leading cause of death for ages 15-29: |
|
Definition
|
|
Term
|
Definition
- Male
- Family History of suicide or attempts
- Gay/bisexual
- Hx of physical/sexual abuse
- Hx of past attempts
- Presence of firearms
- Impaired parent-child relationship
- Living outside the home
- Difficulties in school/bullying
- Neither working/attending school
- Social isolation
- Presence of stressful life event
- Personal mental health problem |
|
|
Term
|
Definition
- Don't leave patient alone
- Meet with patient alone and together with family
- Only send home after consulting with mental health expert
- Refer for hospitalization if there is high potential
- Remove risk in house, guns, knives, pills
- Restrict driving 24 hours at least
- Give instructions and numbers for crisis service |
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|
Term
| Depression clinical symptoms: |
|
Definition
MADFS
- Morbid ideation
- Anhedonia
- Dysphoric mood- irritability and tantrums
- Fatiguability
- Somatic symptoms |
|
|
Term
| drug tmt for depression in peds: |
|
Definition
-for mild-severe depression
- continue meds for 6-9months after remission of symptoms |
|
|
Term
| only SSRI approved for pediatrics: |
|
Definition
| Fluoxetine (Prozac) (thought many others are still used) |
|
|
Term
| follow up for peds with depression? |
|
Definition
- weekly for the first four weeks/month
- every other week for the second month |
|
|
Term
| BLACK BOX WARNING FOR SSRIS: |
|
Definition
| SUICIDE RISK FOR THOSE ON SSRIS UNDER THE AGE OF 24 |
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|
Term
| 3 characteristics of a pervasive developmental disorder: |
|
Definition
- impaired socialization
- impaired verbal/nonverbal communication
- restricted/repetitive patterns of behavior |
|
|
Term
|
Definition
PARCA
- PDD-NOS
- Autism
- Rett synddrome
- Childhood Disintegrative Disorder
- Asperger's syndrome |
|
|
Term
| Recommended screening tools for PDD: |
|
Definition
- M-CHAT
- Ages and Stages
- BRIGANCE screens
- Child development inventories
- Parents evaluation of developmental status |
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|
Term
| Criteria for further eval for PDD: |
|
Definition
- Not babbling by 12 months
- Not gesturing by 12 months
- No single words by 16 month
- No spontaneous 2-word phrases by 24 months
- Loss of any language skills at any age
any of these that met requirefurhter evaluation |
|
|
Term
social deficits
repetive behaviors
unusual responses to sensory stimuli
1/3-1/2 not enough speech to meet daily needs |
|
Definition
|
|
Term
Preserved linguistic and cognitive development with impaired social interactions
limited empathy with peers
atypical use of speech
specific narrow areas of interest |
|
Definition
|
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Term
|
Definition
- Normal development until 6-18 months, then regression
- Decelerated head growth, sometimes microcephaly
- Small hands/feet
- Cognitive impairment
- Stereotypic repetitive hand movments
- Problems with socialization
- Scoliosis, 50% of females non-ambulatory
- Seizures in 80%
- No verbal skills usually |
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|
Term
| Childhood Disintegrative Disorder dx: |
|
Definition
Onset ages 2-10 years
Skills acquired are completely lost in 2 of the following 6 areas: LSRCPM
- Language
- Socail skills and self care
- Receptive language
- Control over bladder/bowel
- Play skills
- Motor skills
In addition, 2 of the 3 following areas are abnormal: SCRI
- Social skills
- Communication skills
- Reptitive behavior
- Interest pattern |
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|
Term
| atypical autisim fits into what category: |
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Definition
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