CAMHS Flashcards
What are learning disabilities based on?
IQ
what is a normal IQ?
mild, moderate, severe, profound
> 100 normal
50-70 - mild
35-49 - mod
20-34 - severe
<20 profound
Which conditions cause learning disabilities?
ASD, ADHD, genetics (downs, fragile X), TORCH, PANDAS
ASD (Autism spectrum disorder)
what is it?
spectrum of severity with persistent impaired communication + social interaction
ASD
What age does it manifest and Sx?
M:F?
<3y
restrictive, repetitive, inflexible behviour pattern
4:1
Sx of ASD?
Low speech, empathy, isolation (low interest in shared play), concrete thinking, specific knowledge, TICS, Ritualistic behaviour, low emotional cues, LD
Dx and Tx of ASD?
M-CHAT
Supportive - SENCO, TEACCH, JASPER
ADHD
Age it manifests?
what is it and Sx?
6-12y manifesting
hyperactivity, impulsivity + attention deficit in 2+ environments
ASD
Dx?
DIVA-5
ASD
Tx?
Trial of watch and wait
1. Methylphenidate (CNS Stimulant - amphetamine)
2. Lisdexamfetamine
Risk of methylphenidate and what do we check?
Risk of RBBB (RVH) - Do baseline ECG
Monitor growth on charts (every 6 months) due to low appetite on med
What are Tics associated with?
ASD, ADHD, PANDAS
What are the 3 types of tics?
Simple (non goal oriented movement)
Complex (echolalia, coprolalia - verbal swearing, Capropraxia - middle fingers)
Tourettes (1+ year severe tics + multiple complex tics)
What are PANDAS?
What does it stand for?
Paediatric Autoimmune Neuropsychiatric Disorders Assoc with Strep
OCD/tics after a strep infection
What is a sleep disorder example?
Tx?
Insomnia (3+ days/week)
Zopiclone
what is Narcolepsy?
Acronym
prevent a person from choosing when to wake or sleep
CHESS
What does CHESS stand for?
Cataplexy (collapse after emotional high)
Hallucinations (visual)
Excessive daytime sleepy
Sleep Paralysis
Sleep difficulty
Tx for narcolepsy?
Modafinic (CNS stimulant) and sleep hygiene
