Neurodevelopmental disorders (ID, CD, ASD, ADHD) Flashcards

1
Q

def intellectual disability

A

neurodev disorder that occurs during childhood ➔ affects intellectual abilities like thinking language, memory, and adaptive functioning

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2
Q

what are some developmental red flags? gross motor, fine motor, speech, and social

A
  • gross: not walking by 18M, or rolling too early <3M
  • fine: hand preference at <18M
  • speech: <10 words at 18M
  • social: not smiling at 3M, not pointing at 15-18M
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3
Q

def global developmental delay

A

children who can do the IQ tests may be dx with this if they have sig delays in at least 2 dev domains

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4
Q

causes for intellectual disability?

A
  • genetic ➔ fragile X and T21
  • teratogen
  • other things that happened during birth
  • acquired: CNS infection/malignancy, TBI
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5
Q

how to test for ID?

A
  • evalu adaptive function and ability to function int ehir environment (mor than one = think home and school)
  • cognitive testing – IQ test
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6
Q

how to tx ID?

A
  • manage comorbidities
  • beware of polypharm
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7
Q

what is a communication disorder?

A

Difficulty in understanding or using spoken, written or other forms of communication (can be expressive, receptive, or both)

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8
Q

def expressive language disorder

A

difficulty forming ideas and messages w/ language

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9
Q

def receptive language disorder

A

difficulty understanding messages

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10
Q

causes for communication disorders?

A
  • genetics: down syndrome, fragile X
  • nutritional
  • injuries
  • epilepsy
  • environmental: lack of language exposure or stimulating coms
  • deaf or hard of hearing
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11
Q

def autism spectrum disorders

A

Neurologic disorder characterized by 1) persistent deficits in social communication and social interaction across multiple contexts and 2) restricted, repetitive patterns of behaviour, interests, or activities

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12
Q

what does A.S.D. acrynom?

A

A - aloneness ➔ not understanding social cues
S - sameness ➔ behavioural rigidity
D - development (early) ➔ poor

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13
Q

common psychiatric diseases that are comorbid with ASD

A

intellectual disbaility
anxiety disorder

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14
Q

early signs of ASD?

A

atypical communication or behvaiour at 12-18M

inappropriate body language
overly literal
not understanding facial expression

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15
Q

what is ADHD?

A

Affect attention, ability to sit still, and self-control

DSM-5 three subtypes:
Hyperactive-impulsive
Inattentive
Combined

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16
Q

the 3 subtypes of ADHD are

A

Hyperactive-impulsive
Inattentive
Combined

17
Q

females are more likely to have ______ subtype of ADHD

A

hypoactive

18
Q

males are more likely to have ______ subtype of ADHD

A

hyperactive

19
Q

ddx for ADHD (inattention and hyperactiveness)

A

inattention ➔ anxiety, sleep disorders, learning disabilities, absent seizure

r/o obstructive sleep apnea

20
Q

causes for ADHD

A
  • largely genetic
  • associated with early childhood brain trauma - infection, fetal alochol syndrome
  • hyperthyroidism
21
Q

in general how do you work up a neurodevelopmental disorder?

A
  1. suspect bc of delayed development
  2. review medical history - birth history + parental history of development + family hx of developmental disorders
  3. review dev milestones
  4. social history ➔ school
  5. looks for dysmorphic features + assess growth parameters
  6. assess hearing and visual acuity to see if that could be impacting their development
  7. assess with specific syndromes ➔ questionnaires
22
Q

how to tx the neurodevelopmental disorders?

A

ID ➔ special education and supports, family education, speech and lagnuage therapy, OT, CBT

communication disorders: SLP, tx underlying cause, social support and support groups

ASD: behavioural intervention, family education, screen for other psychiatric comorbidities, tx other comorbidtiies

ADHD:
- if <6Y go for behavioural therapy to develop coping strategies
- stimulants ➔ Ritalin and Adderall