Mehl. Autism spectrum + Grief (Bereavement) 04-06 (2) Flashcards
M. Autism spectrum disorder (ASD).
Neurodevelopmental condition characterized by repetitive patterns of behavior, interests, or activities, and persistent challenges in social communication and interaction.
M. Neurodevelopmental condition characterized by repetitive patterns of behavior, interests, or activities, and persistent challenges in social communication and interaction?
Autism spectrum disorder (ASD).
M. Autism spectrum disorder (ASD). age onset? in what sex?
Usually starts before age 3; more common in boys.
M. Autism spectrum disorder (ASD). CP?
Child demonstrates difficulty understanding social cues, displays atypical speech patterns or body language, and/or intensely focus on specific activities.
M. Autism spectrum disorder (ASD).
Interest in linear patterns – i.e., trains, train tracks, and organizing toys in straight lines, can be seen.
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M. Autism spectrum disorder (ASD). what behavious characteristic?
Repetitive motions (stimming), such as rocking back and forth, are characteristic.
M. Autism spectrum disorder (ASD). IQ?
Patients with ASD might have reduced IQ at the expense of enhanced abilities elsewhere (e.g., painting).
M. Autism spectrum disorder (ASD). in what disorder IQ increased?
Asperger disorder is a variant of ASD where IQ is normal or increased.
M. Grief (Bereavement). NORMAL, duration?
No specific time frame, but usually < 6 months.
M. Grief (Bereavement). NORMAL, progression?
Normal progression is: Denial, Anger, Bargaining, Lamentation, Acceptance.
M. Grief (Bereavement). NORMAL.
- Gradual improvement (decreases over months)
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M. Grief (Bereavement). NORMAL. What about functional coping?
Functional coping (maintains basic self-care, responsibilities, and socio-occupational function).
M. Grief (Bereavement). NORMAL.
USMLE wants you to know that hearing voices of loved ones who’ve past away recently is normal (i.e., a 70-yr-old man sometimes wakes up in the middle of the night hearing his wife talking to him). But the voices will never be of the nature in which the patient is told to feel guilty or worthless.
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M. Grief (Bereavement). Pathologic. duration?
Can be >6-12 months.
M. Grief (Bereavement). Pathologic.
- Persistent / doesn’t abate with time.
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M. Grief (Bereavement). Pathologic.
what about daily functions?
Functional impairment of daily tasks, neglect of self-care, or thoughts of suicide.
M. Grief (Bereavement). Pathologic.
what about voices?
Hearing voices telling the patient he/she should feel guilty/worthless (i.e., the patient hears his uncle, who lives in another state, tell him he’s worthless).
