| History Intake |
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Concerns, Diagnosis, Differentiate Diagnosis |
For school aged children in each well and sick visits:
School performance?
Attention or other behavior problems?
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If has concern, get more history for ADHD diagnosis and differentiation |
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Have any symptoms of inattention?
Makes careless mistakes
Poor attention
Seems not to listen
Not finish school work
Difficulty organizing
Avoids to start tasks
Loses things easily
Easily distracted
Forget daily activities |
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DSM-IV Criteria for ADHD Predominantly Inattentive Type: has six or more the symptoms of inattention which have been present for at least 6 months |
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Have any symptoms of hyperactivity –Impulsivity?
Fidgets with hands or feet
Unable to stay on seat
Runs or climbs too much
Difficult to play quietly
Acts as “driven by a motor”
Talks too much
Blurts out answers too soon
Difficulty waiting a turn
Interrupts others’ talk |
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DSM-IV Criteria for ADHD Predominantly Hyperactive -Impulsive Type: has six or more the symptoms of inattention which have been present for at least 6 months |
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Have symptoms of inattention and hyperactivity –impulsivity? |
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DSM-IV Criteria for ADHD, Combined Type: both criteria inattention and hyperactivity –impulsivity are met for the past 6 months |
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Symptoms that cause impairment were present before age 7 years?
The symptoms cause significant impairment in social, school, or work (in two or more settings)?
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Criteria for ADHD diagnosis
Some symptoms that cause impairment were present before age 7 years.
The symptoms cause significant impairment in two or more settings.
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More history for
Development, emotion and social
Family and environment
School, teacher, and learning
Other behavior problems
Medical problems
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Co-morbidity and Differential Diagnosis
Conduct disorder
Difficult peer relationships
Learning disorders
Mood disorder – depression, anxiety Obsessional disorders
Oppositional defiant disorder
Pervasive Developmental Disorders (Autism)
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