Science Medicine Paediatrics
NR 606-Midterm
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Terms in this set (154)
-ages 2-7.
-think symbolically
Preoperational Stage -learn to use words or pictures to represent objects
-Egocentric/difficulty seeing things from others' perspectives
-Preoperational thinking is very concrete
- in Rett syndrome
Apraxia
-Impairs body movements, eye gaze, and speech
rare neurodevelopmental disorder
-mutation in the methyl CpG binding protein 2 (MECP2)
Rett syndrome - spontaneously, NOT inherited
- normal growth/devel early in life -impaired growth/devel later in life
-loss of the purposeful use of the hands and the ability to speak (apraxia).
-can help to slow the loss of abilities
-Meds to control seizures and assist with breathing problems and motor
difficulties
Anti-seizure medications
treatment for Rett Syndrome Spinal fusion surgery (if scoliosis develops)
Custom seating equipment
Augmentative communication
Occupational therapy
Physical therapy
Leg braces
-antipsychotics
-tx is often lifelong
1st line treatment for COS
indiv and family therapy to augment
High risk of metabolic side effects, including weight gain.
2nd gen antipsychotics -Long-term monitor of weight, blood pressure, fasting glucose, and lipid levels is
required
, -a higher cumulative risk of tardive dyskinesia
1st gen antipsychotics
-reserved for clients who do NOT respond to second-generation antipsychotics.
diagnosed in clients younger than 13
-Same as for adult clients, but the clinical presentation may differ.
-Auditory hallucinations -most common symptom in children, though many
children do not report their hallucinations due to fear the voices will harm them :(
Diagnostic criteria of COS
-Children’s negative symptoms-often misinterpreted by parents as: laziness, lack
of motivation, or depression.
-Cognitive decline- common, including verbal memory, attention, and
concentration
-COS may cause developmental delays
Prodromal symptoms often begin gradually in mid-adolescence with:
-subtle changes in mood, thinking/ social functioning
Stressful life events:
Prodromal symptoms of early onset -the loss of a loved one, the end of a relationship, abuse/substance use
schizophrenia in childhood and Positive symptoms =hallucinations, delusions, or disordered behavior or thinking
adolescence tend to come and go throughout the illness
negative symptoms=apathy, lethargy, and withdrawal from social events or
settings tend to be more stable throughout life.
Cognitive symptoms= impact ability to function independently.
-exacerbations and remissions.
-after the 1st psychotic episode, clients may recover/function somewhat normally
for a long time before relapsing.
-The pattern of illness during the first 5 years after the dx generally indicates the
The course of schiz
client's course
-Each relapse leads to further decline in client functioning.
-Over time, positive symptoms tend to become less severe
-negative symptoms may increase in severity.
- psychoeducation
-behavioral therapies ie. Comprehensive Behavioral Intervention for Tics (CBIT)
can be used if psychoeducation is insufficient.
First line treatment for Tourette's
-antipsychotics such as pimozide and aripiprazole to control tics
-requires monitoring for adverse effects!
ie: motor impairment, hypersomnia, and endocrine dysfunction
Males 4x likely to have ASD than females
having a sibling with ASD
ASD risk factors having older parents
having certain genetic conditions such as Fragile X syndrome or Down syndrome
having a very low birth weight
avoiding eye contact
showing little interest in peers/caretakers
Early sxs of ASD: limited language abilities
frustration with minor changes in routine
repetitive behaviors
NR 606-Midterm
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
NR607 Final Exam NR606 Final Exam Imaging quality FD
310 terms 235 terms 69 terms 67
brecklund Preview brecklund Preview Xvev Preview
Terms in this set (154)
-ages 2-7.
-think symbolically
Preoperational Stage -learn to use words or pictures to represent objects
-Egocentric/difficulty seeing things from others' perspectives
-Preoperational thinking is very concrete
- in Rett syndrome
Apraxia
-Impairs body movements, eye gaze, and speech
rare neurodevelopmental disorder
-mutation in the methyl CpG binding protein 2 (MECP2)
Rett syndrome - spontaneously, NOT inherited
- normal growth/devel early in life -impaired growth/devel later in life
-loss of the purposeful use of the hands and the ability to speak (apraxia).
-can help to slow the loss of abilities
-Meds to control seizures and assist with breathing problems and motor
difficulties
Anti-seizure medications
treatment for Rett Syndrome Spinal fusion surgery (if scoliosis develops)
Custom seating equipment
Augmentative communication
Occupational therapy
Physical therapy
Leg braces
-antipsychotics
-tx is often lifelong
1st line treatment for COS
indiv and family therapy to augment
High risk of metabolic side effects, including weight gain.
2nd gen antipsychotics -Long-term monitor of weight, blood pressure, fasting glucose, and lipid levels is
required
, -a higher cumulative risk of tardive dyskinesia
1st gen antipsychotics
-reserved for clients who do NOT respond to second-generation antipsychotics.
diagnosed in clients younger than 13
-Same as for adult clients, but the clinical presentation may differ.
-Auditory hallucinations -most common symptom in children, though many
children do not report their hallucinations due to fear the voices will harm them :(
Diagnostic criteria of COS
-Children’s negative symptoms-often misinterpreted by parents as: laziness, lack
of motivation, or depression.
-Cognitive decline- common, including verbal memory, attention, and
concentration
-COS may cause developmental delays
Prodromal symptoms often begin gradually in mid-adolescence with:
-subtle changes in mood, thinking/ social functioning
Stressful life events:
Prodromal symptoms of early onset -the loss of a loved one, the end of a relationship, abuse/substance use
schizophrenia in childhood and Positive symptoms =hallucinations, delusions, or disordered behavior or thinking
adolescence tend to come and go throughout the illness
negative symptoms=apathy, lethargy, and withdrawal from social events or
settings tend to be more stable throughout life.
Cognitive symptoms= impact ability to function independently.
-exacerbations and remissions.
-after the 1st psychotic episode, clients may recover/function somewhat normally
for a long time before relapsing.
-The pattern of illness during the first 5 years after the dx generally indicates the
The course of schiz
client's course
-Each relapse leads to further decline in client functioning.
-Over time, positive symptoms tend to become less severe
-negative symptoms may increase in severity.
- psychoeducation
-behavioral therapies ie. Comprehensive Behavioral Intervention for Tics (CBIT)
can be used if psychoeducation is insufficient.
First line treatment for Tourette's
-antipsychotics such as pimozide and aripiprazole to control tics
-requires monitoring for adverse effects!
ie: motor impairment, hypersomnia, and endocrine dysfunction
Males 4x likely to have ASD than females
having a sibling with ASD
ASD risk factors having older parents
having certain genetic conditions such as Fragile X syndrome or Down syndrome
having a very low birth weight
avoiding eye contact
showing little interest in peers/caretakers
Early sxs of ASD: limited language abilities
frustration with minor changes in routine
repetitive behaviors
