Behavioural Disorders

Question 1

What are the behavioural disorder

Answer 1

Pica, thumb sucking, temper tantrums,breath holding spells,nocturnal enuresis,rett syndrome

Question 2

Thumb sucking resolved by 5 yr but if persist what are the risk

Answer 2

Dental malalignment
Paronychia

Question 3

What is bruxism

Answer 3

Teeth grinding
Associated with anxiety
Can lead to TMJ dislocation and dental abnormality

Question 4

Temper tantrums

Answer 4

Seen in 18-24 months
Associated with breath holding spell
Treatment :ridd

Question 5

Breath holding spell

Answer 5

Dd-seizures
Associated with IDA
Immaturity of ANS recetors
2 types pallid, cyanotic
Tx: reassurance, iron

Question 6

Nocturnal enuresis

Answer 6

> 5 yrs- involuntary micturition at night.
There is family history

Question 7

Management of nocturnal enuresis

Answer 7

First line - motivational therapy +beh modification
2nd line -alarm therapy
Pharmacotherapy:desmopressin
Imipramine, very high failure rate

Question 8

Rett syndrome

Answer 8

Seen exclusively in girls
Mutation - MECP-2
C/f developmental regression
Writing or wrigling hand movement
Tx:Trofenitide-newdrug
Igf 1 analogue
Decreses neuro inf