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
