llbgurl's version from 2015-10-06 17:32

Section 1

Question Answer
a discrepency between childs actual and expected developmentlearning disorder
understanding and using language 15-20% in US most common in 3rd and 4th grade
males increased50% will have attention problems with learning disability
perception, integration, storing, retrieving, producing informationlearning disorders impair
common in learning disordersco-morbidities
fetal alcohol, MR, prader-willi, fragile x, turnersincreased learning disability
milestones of language and gross motor skillsLD hx
unusual hair patterns/sworls, epicanthol folds, low set ears, high arched mouthlearning disabilty
should disappear by age 8coordination/clumsiness
fragemented movements, can't do fast alternative movements, poor balance and coordinationLD
syndactyly, simean creasesLD
CBC, lead, TSH/FT4, drug screenLD
mental retardation on moms sideLD
nutrition, saftey, discipline, exerciseAG
most common pediatric behavioral disorderADHD
males 3:1ADHD
4-12% school aged kids, hypoxia at birth ADHD
2 or more settings, significant imparement, symptoms present MORE than 6 months and showed sx BEFORE age 7ADHD
6 inattentive or hyperactive sx out of 9 to be diagnosedADHD
anxiety disorder, dperession, learning disability, defiant/conduct disorderADHD
measures intelligence, early language wechsler scale
2-16 self report and direct observationachenbach
ages 3-17 parents and teacherconnors
ages 3-12 school questions and self administrationANSER/Levine
complete 42 questions specific for ADHDGephart
developmentDenver and Baley
adaptive behaviorsvineland
arms drops when extended, sloppy gait, head movements with EOMI, inadequate lateral gaze, can not converge eyesADHD
emphasize communication with parents/teachers/professionals; monitor effectiveness of specific interventionsAAP on ADHD

Section 2

Question Answer
70-80% effectivestimulants
increase availability of dopamine and Nor Epi and allow increase attention and behaviorstimulants
work best when given all the time with NO breaksstimulants
give before breakfast, avoid decongestants, adjust dose as child growsstimulants
stimulants caution withseizure disorder, marked anxiety, tension, aggitation
most have both motor and vocal symptomstic disorder
symptoms become more unpredictable during adolescents (hormones)tourettes syndrome
stimulants are contraindicated in Motor tic disorders, Family hx of diagnosed tourettes syndrome
methypenhadate ritilianshort acting max 40 mg/day
ritilian ERmax 80 mg/day
long acting methylphendate that lasts 12 hoursconcerta 54 mg max NOT for kids under 6 years of age
dextroamphetamineshort and long acting; max 20 mg/day
amphetamine mixed salts = adderallcan use age 3 and up, max 40 mg/day, increase small incriments at a time
given with stimulants to help with GI upsetsaltines
at least 3-6 months while on stimulantfollow up for ADHD
new to stimulants monthlyBP/HT/WT
suppression of growth height and weight with long term usestimulants

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