Common paeds histories - Behavioural problems Flashcards
1
Q
What would you want to ask about a child having behavioural problems?
A
- Expand on nature of the proboem
- Ask about specific symptoms related to pscyh disorder
2
Q
What would you want to make sure you did when taking a history for a child with behavioural problems to get more of an idea of whats going on?
A
History from school and home
3
Q
What features of behavioural problems would suggest ADHD as a cause?
A
- Hyperactivity
- Inattention
4
Q
What features of behavioural disorders would suggest conduct disorder as the cause?
A
- Bullies/threatens/intimidates
- Aggressive
- Cruel to people/animals
5
Q
What features of behavioural problems would suggest oppositional defiant disorder as the cause?
A
- Loses temper
- Argues with adults and defies requests
- Deliberately annoys other people
6
Q
What features of behavioural disorders suggest OCD as the cause?
A
- Intrusive thoughts - obsessions
- Repetitive behaviours - compulsions
- Excessive washing/cleaning/checking
7
Q
What features of behavioural problems would suggest autism as the cause?
A
- Speech/language delay
- Imposition of routines
- Doesn’t seek friendship/prefers own company
- Limited gestures and expressions
8
Q
What would be your differential diagnosis for a child presenting with a behavioural disorder?
A
All psych conditions
- ADHD
- Conduct disorder
- Oppositional defiant disorder
- OCD
- Autism
- Anxiety disorder
- Attachment disorder
- Schizophrenia
- Depression
- Bipolar
