Autism

Question 1

ICD10 Autism

Answer 1

Pervasive developmental disorder

Question 2

US DSM5 criteria for autism

Answer 2

1. Persistent deficits in social communication and interaction

and

2. Restricted, repetitive patterns of behavior, interests, or activities
   * Symptoms must be present early in development*
   * Symptoms may not manifest until social demand exceeds limited capacity*

Question 3

Autism prevalence in children

Boys vs girls?

Answer 3

1 in 68 kids

1 in 42 boys

1 in 189 girls

Question 4

Clinical features of autism

Answer 4

• Language delay (expressive and/or receptive)
• Impaired social communication and interaction (lack of reciprocity, joint attention, nonverbal communication, social relationships)
• Restricted, repetitive behaviors (hand flapping, self injurious, Sameness, perception issues)
• Associated Sx (impaired intellect, motor delays, savant skills)

Question 5

Autism symptom onset usually at…

Answer 5

2nd year of age

May be present as early as 6 months

Question 6

Screening instrument for autism

Answer 6

M-CHAT

Question 7

How many children in vaccination study? what did they all have?

Answer 7

12

GIT abnormalities

Question 8

Thimerosal

Answer 8

mercury containing preservative

all vax are available without it since 2001

NO DIFFERENCE!

Question 9

Dx of autism disorder :

History?

Exam?

Testing?

Referral?

Answer 9

Hx = Family history (autism, language, MR, TS, Seizures

Exam = Growth, skin exam (woods lamp for Tub. Scl.), Neuro for focal signs

Testing = Vision, hearing, lead, language, occup therapy, PT eval

Refer to developmental peds or autism center for final Dx