Behavioral DO Flashcards
- Repeated or chronic ingestion of non-nutritive substances, e.g., paint, dirt
- After year 2, needs investigation
Pica
RF for Pica
Mental retardation and lack of parental nurturing
Cx of Pica
Increased risk for lead poisoning, iron deficiency, and parasitic infections
voluntary or involuntary repeated discharge of urine after a developmental age when bladder control should be present (most by age of 5 years);
Eneuresis
What is Primary Eneuresis
– No significant dry period; most common and usually nocturnal (nocturnal enuresis)
– Hyposecretion of ADH and/or receptor dysfunction
Pharmacotherapy for failed behavioral therapy in nocturnal enuresis—
oral desmopressin (DDAVP)
What is secondary eneuresis
− After a period of dryness ≥6 months
− Causes—psychological, urinary tract infection, constipation, diabetes
− More common in girls
passage of feces into inappropriate places after a chronologic age of 4 years, or equivalent developmental level
Encopresis
Causes of Encopresis
psychological (toilet phobia), early toilet training, agressive management of constipation, painful defecation, fissures
What type of encopresis
° 2/3 of cases
° Hard stool on rectal examination is sufficient to document, but a negative exam requires a plain abdominal x-ray
Retentive encopresis
Mx of retentive encopresis
Presence of fecal retention is evidence of chronic constipation, and thus treatment will require active constipation management
Asscn of primary encopresis
especially in boys, associated with global developmental
delays and enuresis
Asscn of secondary encopresis
high levels of psychosocial stressors and conduct disorder
episodic nocturnal behaviors that often involve cognitive disorientation and autonomic and skeletal muscle disturbance
Parasomnias
See table of parasomnia
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