CAMHs

Question 1

Features of autistic spectrum disorder?

Answer 1

Deficits in social interaction, communication and behaviour. Typically evident before age 2-3 years.
Social interaction - lack of eye contact, delay in smiling, avoids physical contact, unable to read non-verbal cues, difficulty establishing friendships.
Communication - delay/absence or regression in language development, difficulty with imaginative behaviour, repetitive use of words.
Behaviour - general interest in numbers/patterns. Self stimulating movements, niche interests, extremely resitrcted food preferences

Question 2

Diagnosis and management of ASD?

Answer 2

Ix - Paediatric psychiatrist. Can be done before age 3.

Rx - MDT with child psychology, speech and language specialists, dietitian.

Question 3

Features of ADHD?

Answer 3

Very short attention spam,
Quickly moving from one activity to another,
Quickly losing interest in tasks,
Constantly moving,
Impulsive behavior,
Disruptive or rule breaking.

Question 4

Management of ADHD?

Answer 4

Conservative - healthy diet and exercise.
Medication - Methylphenidate, dexamfetamine, atomoxetine.

Question 5

Possible blood results in restrictive eating disorders?

Answer 5

Anaemia,
Leucopenia,
Thrombocytopenia,
Hypokalaemia

Question 6

Features of refeeding syndrome?

Answer 6

Hypomagnesaemia, hypokalaemia, hypophosphataemia, fluid overload.
Risk of arrhthmia and heart failure.

Question 7

Features of bulimia nervosa?

Answer 7

Erosion of teeth,
Swollen salivary glands,
Mouth ulcers,
GORD,
Calluses on knuckles (russell’s sign)

Question 8

Features of anorexia nervosa?

Answer 8

Weight loss,
Amenorrhoea,
Lanugo hair,
Hypotension,
Hypothermia,
Mood changes.
High risk of cardiac complications - arrhythmias, cardiac atrophy, sudden cardiac death.

Question 9

What is tourette’s syndrome?

Answer 9

Development of tics that are persistent for over a year. Often presents around age 5.

Question 10

Examples of simple and complex tics?

Answer 10

Simple - clearing throat, blinking, head jerking, sniffing, grunting.
Complex - Physical movements, copropraxia (obscene gestures), coprolalia (saying obscene words), Echolalia (repeating other peoples words).

Question 11

Management of tourettes?

Answer 11

Mild - reassurance.
Severe - habit reversal training, exposure with response prevention and meds if very severe - Clonidine/guanfacine (alpha 2 adrenergic agonists) or antipsychotic meds