ADHD_GJ - Learning Issue: Attention Deficit Hyperactivity...

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Learning Issue: Attention Deficit Hyperactivity Disorder (ADHD) Name: Gina Jackson Definition ADHD is a Hyperkinetic Disorder 3 Subtypes inattentive hyperactive/impulsive combined Must present symptoms before 7 y/o Also known as: Attention Deficit Disorder (ADD) Hyperative Child Syndrome Etiology The cause of ADHD is unknown. Suggested contributory factors: prenatal toxic exposures, prematurity, prenatal mechanical insult to the fetal nervous system, and food additives/colorings/preservatives/sugar. Research has shown a genetic correlation. The genes involved include: DRD4, DRD5, DAT, DBH, 5-HTT, HTR1B, and SNAP25. Catecholamine-rich frontosubcortical systems of the brain show disrupted function in ADHD. Symptoms Presents before 7 years or age. 3 principle signs inattention Impulsivity hyperactivity Must be persistent and impairing symptoms that cause impairment in at least 2 settings Short attention span, easy distractibility, cannot follow instructions, demands extra attention, forgetful, makes careless mistakes, and fidgets. Physical Exam/Signs No physical signs Behavior characteristics should be observed. Diagnostic Testing DSM-IV-TR Diagnostic Criteria for ADHD (see table 1 below) DSM-IV-TR Diagnostic Criteria for ADHD Not Otherwise Specified For patients whose present with prominent symptoms but do not meet criteria for ADHD Utah Criteria for Adult ADHD Use for diagnosis in adults Blood lead level tests and Thyroid function tests to determine if there is another cause for presenting symptoms Meds/ Treatment Plan Patient should be referred to a psychiatrist, medication should not be the first
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ADHD_GJ - Learning Issue: Attention Deficit Hyperactivity...

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