Behavior/Mental Health Flashcards
Colic
3wk-3mo
Crying 3hr/day, 3d/wk, >3wks
Normal crying timeframe
birth to 6 wk: 2 hr/day
> 6 wk: 3 hr/day
Breath-holding spells
6-18 mo
Involuntary
Simple: pale/cyanotic
Complex: unconscious
Association with iron deficiency
Consider iron supplements
Normal head-banging
< 5y/o
Neurologically intact
Abnormal head-banging
> 4yo or developmental delay
Chronic pain
Recurrent nightmares
Fear of being alone
Diminished interest
Decreased appetite
Post-traumatic syndrome disorder
First-line agent for depression
Fluoxetine
(Only FDA approved medication for depression in children/adolescents)
Use with caution in children on diuretics and with liver disease
TCA
Contraindicated in children with seizures and severe cardiac disorders
Can discolor urine (blue/green)
Amitryptyline
Defiant
Disobedient
Hostile
Little respect for authority
Oppositional Defiant Disorder
Lying
Stealing
Setting fires
Cruelty to animals
Impinge on basic rights to others
Conduct disorder
Repetitive behaviors
Recurrent thoughts and worries
Consume typically > 1hr/day
Functionally impairing
First line treatment
Obsessive compulsive disorder
CBT
Disruptive behavior
Insomnia
Flight of ideas
Hypersexual behavior
Grandiose
Bipolar Disorder
Neurologic symptoms are present which are not consistent with recognized pathophysiology of medical conditions
Conversion Disorder
Forward pelvic thrusting
Side to side head or body movement s
Closed eyes resistant to opening
Lack of post ictal confusion
Psychogenic non-epileptic seizures
Recreational drug
Hallucinations
Paranoia
Seizures
Bath Salts (synthetic cathinone)
Perioral/perinatal rash
Nose bleeds
Cough/wheezing
Shortness of breath
Benzene-like odor
Inhalant use
Bilateral GGO secondary to e-cigarette use within 90 days of symptom onset
EVALI
Acute management if symptomatic bath salt ingestion
IV lorazepam or diazepam
Spice
K2
Synthetic cannabinoids
Screening test for drug and alcohol use
CRAFFT
Car with someone that uses
Relaxing to use
Alone when using
Forget things while using
Friend/family concerned
Trouble due to using
FDA approved for Autism with severe aggressive or self-injurious behaviors
Risperidone
Aripiprazole
Management for tics in patients with ADHD
clonidine
Most common adverse effect of stimulant
Delayed onset of sleep
Multiple motor and vocal tics lasting > 1 year
Tourette syndrome
