ADHD

Question 1

TASK

Answer 1

-loud and sisruptive behaviour 6 year old child

Question 2

d/d

Answer 2

-physical congenital lesions
-behaviour secondary to neonatal problems
-medical or physical illness including head injury
-unfavourable home circumstances
-difficulty adaptation to school
-auditory or visual problems

Question 3

hx

Answer 3

1.HOPC
-for how long : since birth
-sleep patter : very bizarre
-impulsive : always act without thinking of consequences
-easily frustrated : doesn’t stay at any activity for long
-teacher says never sits still
2.SCHOOL PREOGRESS
-IS HE BEHIND
-has friends?
-talks loudly? interrupts in class?
3.HOME SITUATION
-siblings? first
-siblings progress? ahead of him
-family situation : caring family, tried everything
-behaves exactly same as school
-cannot concentrate in tasks
4.Family HX
-similar in family
-yes father was similar in school
-same at home , but job doing ok
-moter job
-no family hx of intellectual disabilities
5.PREGNANCY
-NVD, WEIGHT, complications
-pregnancy uncomplicated
-weight gain, development
6.PMHX
-meningitis, encephalitis
-head injury
-vision and hearing checked?

Question 4

explanation

Answer 4

-ADHD POSSIBILITY as other causes excluded
-sugges neurodevelopment assessment with experienced psychiatrist
-mx of adhd, with behaviour modification with or without stimulants
-willingness to r/v