OnlineMedEd: Psychiatry - Peds Behavioral Flashcards
Enuresis is defined as ______________.
repeated urination on clothing or bed
List five things that may underly enuresis.
- Voluntary (patient is acting out)
- Disease states (e.g., diabetes)
- Anatomic causes (e.g., nerve damage causing urge incontinence)
- Medications
- Regression
Regression in a child (in all its forms, including enuresis) can be caused by what things?
- New sibling (kid wanting the attention given to the new child)
- Abuse (look out for this on exams!)
What does “normal” enuresis look like?
Bedwetting in a child seven or younger who never became completely dry
How should “normal” enuresis be treated?
- Positive reinforcement (never negative!)
- Water restriction before bed
- Alarm blankets
- Vasopressin (not always the right answer on the test)
What tests should you order in a case in which a child who had learned to hold it through the night suddenly starts bedwetting again?
Ultrasound (for anatomic abnormalities) and urinalysis (for UTI)
If both are negative, then regression is likely.
There is something important to note about conduct disorder and oppositional defiant disorder: ________________.
they are not on a spectrum, but conduct disorder can look like ODD if the child has yet to do the things that define conduct disorder (like breaking the law)
What is the distinction between ODD and CD?
- CD presents with fighting authority and hurting peers and animals
- ODD presents with fighting authority while cooperating with peers and animals
Conduct disorder is characterized by ____________________.
- Bullying (hurting animals, forced sex, and torturing peers)
- Destruction of property (burning things, stealing)
- Rule violation (truancy, running away from home twice or more)
How should conduct disorder be treated?
Juvenile detention
What is the main pathology behind oppositional defiant disorder?
Incongruent parenting
