ADHD Flashcards
mnemonic for adult inattentive predominant adhd symptoms on DSM 5?
SQUIRREL
mnemonic for adult hyperactive predominant adhd symptoms on DSM 5?
HAPPIER
inattentive predominant adhd symptoms on DSM 5
SQUIRREL
S- Struggle to maintain attention
Q- Quits jobs undone
U- Unorganized
I- Inattention to details
R- Rarely listens
R- Reluctant to engage
E- Easily distracted
L- Loss of things, info etc.
hyperactive predominant adhd symptoms on dsm 5?
HAPPIER
H- Hyperactivity
A- Always on the go
P-Poor waiting skills
P- Rrying (interrupting others)
I- Impulsive
E-Excessive talking
R-Runs impulsively
How many symptoms have to be present for both inattention and hyperactivity in adults vs in children (DSM-5)?
for adults >17 at least 5
for children <17 at least 6
How many symptoms have to be present for both inattention and hyperactivity in adults vs in children (ICD 11)?
several
duration of sympotms of ADHD according to both ICD11 and DSM 5?
at least 6 months
at what age some symptoms of ADHD has to be present according to DSM 5 and ICD 11?
before 12
Can the involvement of stimulating and rewarding activities be suspect for ADHD?
no.
what do icd 11 and dsm 5 say about setting where ADHD is observed?
symptoms have to be observed in 2 or more settings (school and home)
very first managment option for adult ADHD?
environmental modifications
if environmental modifications failed to work, what is next in adult adhd?
offer medications
what is NICE stance on diet and ADHD?
recommends against all diet-related treatments such as restrictions, fatty acid supplementations…
when should you refer an adult with adhd to cardiologist before prescription?
Suggestion of cardiac pathology ( hx, breathlessness, fainting, palpitations or murmur)
History of sudden death in 1st degree relative under 40
medical options in adult adhd
1- methylphenidate or lisdexamfetamine (alternatively)
2- Atomoxetine (if 1st failed or not tolerated)
when should ADHD patients be sent to a tertiary?
if age 5 or above
a young person who doesnot respond to one or more stimulant and one non-stimulant
what if lisdexamfetamin worked but induced intolance?
try dexamfetamine
which medication should only be offered to adhd by tertiary services?
when considering Guanfacine for adults
when adding Atypical antipsychotics to stimulant in ahdh with pervasive aggression, rage and irritability
what if an ADHD case developed mania?
stop ADHD Rx until episode resolves
what would you do if ADHD develops tics
continue if Rx outweighs the risks
or
Reduce
or
Stop
Or swap to guanfacine (children age >5 and young adults only), atomoxetine and clonidine
alternative Rx to problematic stimulant-induced tics in ADHD
guanfacine (children age >5 and young adults only), atomoxetine and clonidine
tell me about monitorings in ADHD management?
1- weight every 6 months
2- blood pressure and pulse after every dose change or initiation, and every 6months after dose stablized
how often blood pressue and pulse is changed in ADHD patient on medications?
blood pressure and pulse after every dose change or initiation and every 6 months after the dose stabilised
Prevalence of ADHD in world under 18?
5%
Prevalence of ADHD in those over 18?
3.5
adhd dults in the uk?
3-4%
Ratio of male to female adhd in children
2-5:1
ratio of male to female adhd in adults
1.6: 1
percentage of children who would struggle with at least residual of ADHD in adulthood?
90%
percentage of children who would struggle full blown ADHD in adulthood?
40-50%
Risk factors fo ADHD (NICE)?
Family hx
Maternal smoking during pregnancy
Maternal alcohol consumption during pregnancy
Maternal heroin use during pregnancy
Low birth weight
Foetal hypoxia
severe early psychosocial adversity
