Pediatrics Book

http://www.fpnotebook.com/

ADHD Diagnosis

Aka: ADHD Diagnosis, ADHD DSM IV Criteria, Attention Deficit Hyperactivity Disorder Diagnosis, Attention Deficit Disorder Diagnosis
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  1. See also
    1. ADHD
    2. ADHD Differential Diagnosis
    3. ADHD Comorbid Conditions
  2. Types
    1. Primarily Inattentive Type (314.00)
    2. Primarily Hyperactive-Impulsive Type (314.01)
    3. Combined Type (314.01)
    4. Not otherwise specified (314.9)
  3. Precautions
    1. Diagnosis should be based on evidence from both parents and teachers
    2. Evaluate for ADHD Comorbid Conditions and for ADHD Differential Diagnosis
    3. Thorough initial evaluation is imperative (see ADHD)
      1. History: Development, Learning, Family History, Social environment
      2. Exam: Complete inclduing Vision, Hearing, Neurologic Exam
      3. Labs and diagnostics are not routinely recommended
  4. Diagnostics: Scales for children
    1. Vanderbilt ADHD Diagnostic Test
      1. Preferred option since it is freely available
      2. NICHQ Vanderbilt Scales for initial and follow-up parent and teacher evaluations
        1. http://www.nichq.org/adhd_tools.html
    2. Conners Parent and Teachers Questionnaires
      1. Gold standard survey, but copyrighted and expensive
      2. (1985) Psychopharmacology Bulletin 21:816
      3. Available from MHS
        1. http://www.mhs.com/product.aspx?gr=cli&prod=conners3&id=overview
    3. ADHD Rating Scale-IV
      1. Dupaul (1998) ADHD Rating Scale IV, Guilford
    4. Barkley (1991) ADHD workbook, Guilford Press
      1. Scales and Surveys for ADHD evaluation
      2. May be photocopied freely
    5. Achenbach Behavioral Checklist
      1. Available from (802) 656-8313
    6. ADD-II Comprehensive Teacher Rating Scale (ACTeRS)
      1. Available from MetriTech: (800) 747-4868
    7. Child Behavior Rating Scale
      1. Available from Western Psych. Resources: 800-648-8857
    8. Copeland Symptom Checklist for ADD
      1. Available from Resurgens Press: (404) 457-2004
  5. Diagnostics: Scales for adults
    1. Adult ADHD Rating Scale-IV
    2. Adult ADHD Self-Report Scale Symptom Checklist v1.1
      1. http://webdoc.nyumc.org/nyumc/files/psych/attachments/psych_adhd_checklist.pdf
    3. Brown Attention-Deficit Disorder Rating
    4. Connors Adult ADHD Rating Scales
    5. Current Symptoms Scale by Barkley and Murphy
    6. Wender-Reimherr Adult Attention-Deficit Disorder Scale
  6. Diagnosis: General Criteria
    1. ADHD Symptoms and signs onset before 7 years
    2. Symptoms and signs Persists for 6 months or longer
    3. Impairment in more than 1 setting
    4. Severity beyond developmental level
  7. Diagnosis: Inattentive ADHD Criteria (6 of 9 present)
    1. Fails to give close attention to details
    2. Difficulty sustaining attention
    3. Does not appear to listen
    4. Has difficulty following instructions
    5. Difficulty with organization
    6. Avoids tasks requiring sustained attention
    7. Often loses things
    8. Easily distracted
    9. Forgetful in daily activities
  8. Diagnosis: Hyperactive, Impulsive ADHD Criteria (6 of 9 present)
    1. Fidgets or squirms
    2. Difficulty staying seated
    3. Runs or climbs inappropriately
    4. Difficulty engaging in activities quietly
    5. Always "on the go", "driven by a motor"
    6. Talks excessively
    7. Blurts out answers
    8. Difficulty in waiting their turn
    9. Interrupts or intrudes upon others
  9. References
    1. (1994) DSM 4, APA
    2. Accardo (1999) Pediatr Clin North Am 46:845-56
    3. Barbaresi (1996) Mayo Clin Proc 71:463-71
    4. Smucker (2001) Am Fam Physician 64:817-32
    5. Post (2012) Am Fam Physician 85(9):890-896

Attention deficit hyperactivity disorder (C1263846)

Definition (MEDLINEPLUS)

Is it hard for your child to sit still? Does your child act without thinking first? Does your child start but not finish things? If so, your child may have attention deficit hyperactivity disorder (ADHD for short.) Nearly everyone shows some of these behaviors at times, but ADHD lasts more than 6 months and causes problems in school, at home and in social situations.

ADHD is more common in boys than girls, and it affects 3-5 percent of children in the United States. The principal characteristics of ADHD are

  • Inattention
  • Hyperactivity
  • Impulsivity

No one knows exactly what causes ADHD. It runs in families, so genetics may be a factor. A complete evaluation by a trained professional is the only way to know for sure if your child has ADHD. Treatment often includes medicines to control symptoms. Structure at home and at school is also important. Parenting classes or behavioral therapy may also help.

NIH: National Institute of Mental Health

Definition (MSH) A behavior disorder originating in childhood in which the essential features are signs of developmentally inappropriate inattention, impulsivity, and hyperactivity. Although most individuals have symptoms of both inattention and hyperactivity-impulsivity, one or the other pattern may be predominant. The disorder is more frequent in males than females. Onset is in childhood. Symptoms often attenuate during late adolescence although a minority experience the full complement of symptoms into mid-adulthood. (From DSM-IV)
Definition (PSY) A behavior disorder in which the essential features are signs of developmentally inappropriate inattention, impulsivity, and hyperactivity.
Concepts Mental or Behavioral Dysfunction (T048)
MSH D001289
ICD9 314.9, 314.01, 314
ICD10 F90.9, F90
SnomedCT 229713001, 229717000, 154951006, 192129005, 192592000, 154952004, 192634008, 154940006, 192126003, 192596002, 192134009, 7461003, 406506008, 42584006
DSM4 314.9, 314.01
English Attention-deficit hyperactivity disorder, Attention Deficit Disorder with Hyperactivity, Attention Deficit Disorders with Hyperactivity, Attention Deficit Hyperactivity Disorder, Attention Deficit Hyperactivity Disorders, Hyperkinetic Syndrome, Syndromes, Hyperkinetic, Hyperkinetic syndrome of childhood, Attention deficit disorder of childhood with hyperactivity, Attention-Deficit Disorder, Predominantly Hyperactive-Impulsive Type, Attention-Deficit/Hyperactivity Disorder NOS, Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type, HYPERKINETIC SYNDROME, Hyperactivity Disorder NOS, Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type, SYNDROME HYPERKINETIC, Attention deficit disorder with hyperactivity syndrome, Hyperactive child syndrome, Att deficit hyperactivity dis, Attentn deficit hyperkin disor, Childhood hyperkinetic syndr., Childhood hyperkinetic syndrome, Hyperkinetic disorder, unsp, Hyperkinetic disorder, unspecified, Hyperkinetic syndrome NOS, [X]Hyperkinetic disorder, unsp, [X]Hyperkinetic disorder, unspecified, Hyperkinetic disorders, HYPERACTIVITY OF CHILDHOOD, ATTENTION DEFICIT-HYPERACTIVITY DISORDER, Attention deficit hyperactivity disorder (ADHD), ATTENTION DEFICIT HYPERACTIVITY DIS, ATTENTION DEFICIT DIS WITH HYPERACTIVITY, ADD - Attention deficit disorder with hyperactivity, ADD-Attn def dis with hyperact, ADDH, ADHD (attention deficit hyperactivity disorder), unspecified hyperkinetic syndrome of childhood (diagnosis), attention deficit disorder with hyperactivity, attention deficit hyperactivity disorder, hyperactive child syndrome, childhood hyperkinetic syndrome, unspecified hyperkinetic syndrome of childhood, Attention deficit disorder (disorder), Childhood hyperkinetic syndrome (disorder), attention-deficit hyperactivity disorder (diagnosis), ADHD, combined type, ADHD (attention-deficit hyperactivity disorder), attention-deficit hyperactivity disorder, combined type attention-deficit disorder, combined type attention-deficit disorder (diagnosis), Attention deficit-hyperactivity disorder, Attention deficit/hyperactivity disorder, Attention deficit/hyperactivity disorder NOS, ADHD, predominantly hyperactive-impulsive type, Syndrome hyperkinetic, ATTENTION DEFICIT HYPERACTIVITY DISORDER, [X]Hyperkinetic disorder, unspecified (disorder), Hyperkinetic synd NOS, Attn deficit w hyperact, Hyperkinetic syndrome NOS (disorder), Attention-deficit hyperactivity disorders, Attention-deficit hyperactivity disorder NOS, Attention Deficit Disorder with Hyperactivity [Disease/Finding], minimal brain dysfunction, attention deficits disorder hyper, disorder hyperactivity, hyperkinetic disorder, attention deficit hyper disorder, hyperactivity disorder, addh, attention deficit(hyper) disorder, attention deficit hyperactivity disorder (ADHD), Attention deficit hyperactivity disorder, predominantly hyperactive impulsive type, Attention deficit hyperactivity disorder, predominantly hyperactive impulsive type (disorder), Hyperkinetic syndrome, Overactive child syndrome, Attention deficit hyperkinetic disorder, Hyperkinetic disorder, Attention deficit hyperactivity disorder (disorder), ADHD - Attention deficit disorder with hyperactivity, Attention deficit hyperactivity disorder, attention deficit disorder; with hyperactivity, child; hyperactivity, disorder; attention deficit, with hyperactivity (ADHD), disorder; hyperactivity, disorder; hyperkinetic, hyperactivity; child, hyperactivity; disorder, hyperkinetic; disorder, hyperkinetic; syndrome, syndrome; hyperkinetic, Attention deficit disorder, ADHD, Unspecified hyperkinetic syndrome of childhood, attention deficit disorder, Disorder;attent deficit(hyper), hyperkinetic syndrome
Italian Disturbo da deficit di attenzione/iperattività, Sindrome del bambino iperattivo, ADHD, Sindrome ipercinetica non specificata dell'infanzia, Disturbo da deficit di attenzione-iperattività, Disturbo da deficit di attenzione associato ad iperattività, Disturbo da deficit di attenzione/iperattività NAS, Disturbo da deficit di attenzione dell'infanzia con iperattività, Sindrome ipercinetica dell'infanzia, Sindrome ipercinetica, Disturbi da deficit di attenzione con iperattività, ADHD, con predominanaza del tipo iperattivo-impulsivo, Disturbo da deficit di attenzione con iperattività
Dutch aandachtstekort-hyperactiviteitsstoornis NAO, hyperkinetisch syndroom, niet-gespecificeerd hyperkinetisch syndroom op kinderleeftijd, aandachtstekort-hyperactiviteitsstoornis, hyperkinetisch syndroom van de kinderleeftijd, syndroom hyperkinetisch, hyperactief kindsyndroom, ADHD, aandachtstekortstoornis met hyperactiviteit op kinderleeftijd, ADHD, overwegend hyperactief-impulsief type, Hyperkinetische stoornis, aandachtstekortstoornis; met hyperactiviteit, hyperactiviteit; kind, hyperactiviteit; stoornis, hyperkinetisch; stoornis, hyperkinetisch; syndroom, kind; hyperactiviteit, stoornis; aandachtstekort, met hyperactiviteit (ADHD), stoornis; hyperactiviteit, stoornis; hyperkinetisch, syndroom; hyperkinetisch, Hyperkinetische stoornis, niet gespecificeerd, aandachtstekortstoornis met hyperactiviteit, Hyperkinetische stoornissen, Aandachtstekortstoornis met hyperactiviteit, Syndroom, hyperkinetisch
French Hyperactivité avec déficit de l'attention, Trouble d'hyperactivité avec déficit de l'attention (ADHD), Trouble déficitaire de l'attention avec hyperactivité SAI, Syndrome d'hyperkinésie, Trouble déficitaire de l'attention de l'enfance avec hyperactivité, Syndrome d'hyperactivité de l'enfant, Syndrome hyperkinétique de l'enfance non précisé, Syndrome hyperkinétique de l'enfance, Trouble hyperkinétique, Trouble d'hyperactivité avec déficit de l'attention, SYNDROME D'HYPERKINESIE, ADHD, type prédominant hyperactif/impulsif, Déficit de l'attention/hyperactivité, Syndrome hyperkinétique, Déficit de l'attention avec hyperactivité, Syndrome de l'enfant hyperactif, Trouble de déficit de l'attention avec hyperactivité, Trouble déficitaire de l'attention avec hyperactivité, Déficit d'attention et hyperactivité, TDHA, THADA
German hyperkinetisches Syndrom des Kindesalters, Aufmerksamkeitsdefizit-Hyperaktivitaetsstoerung, ADDH, hyperaktives Kind-Syndrom, hyperkinetisches Syndrom, unspezifisches hyperkinetisches Syndrom des Kindesalters, Aufmerksamkeitsdefizitstoerung des Kindesalters mit Hyperaktivitaet, Aufmerksamkeitsdefizit/Hyperaktivitaetsstoerung NNB, Syndrom hyperkinetisch, ADHD, HYPERKINETISCHES SYNDROM, Hyperkinetische Stoerung, nicht naeher bezeichnet, Hyperkinetische Stoerungen, ADHD, vorwiegend hyperaktiv-impulsiver Typ, Aufmerksamkeitsdefizit/Hyperaktivitaetsstoerung, Hyperkinetisches Syndrom, ADHS, Aufmerksamkeitsdefizitsyndrom mit Hyperaktivität, Aufmerksamkeitsstörung mit Hyperaktivität
Portuguese Síndrome hiperquinética na infância, Síndrome hiperquinética, Perturbação de défice de atenção com hiperactividade, Perturbação de défice de atenção da infância com hiperactividade, Perturbação de défice de atenção/hiperactividade, Perturbação de défice de atenção/hiperactividade NE, Síndrome de criança hiperactiva, Síndrome hiperquinética NE da infância, Síndrome hipercinética, Disfunção Cerebral Mínima, SINDROME HIPERCINETICO, ADHD, tipo predominantemente hiperactivo/impulsivo, ADHD, Transtorno da Falta de Atenção, Transtorno do Deficit de Atenção com Hiperatividade, Transtorno da Falta de Atenção com Hiperatividade, TDAH, Défice de atenção/perturbação de hiperactividade, Síndrome Hipercinética, Transtorno de Hiperatividade e Falta de Atenção
Spanish Síndrome hipercinético de la infancia, Síndrome hipercinético no especificado de la infancia, Síndrome hipercinético, Síndrome hipercinético infantil, Trastorno por déficit de atención de la infancia con hiperactividad, Trastorno por déficit de atención con hiperactividad NEOM, Disfunción Cerebral Mínima, Disfuncion Cerebral Minima, Childhood hyperkinetic syndrome, Attention deficit hyperactivity disorder, Attention deficit disorder, HIPERCINETICO SINDROME, TDAH, con predominio hiperactivo-impulsivo, [X]trastorno hiperquinético, no especificado, [X]trastorno hipercinético, no especificado (trastorno), [X]trastorno hipercinético, no especificado, trastorno de hiperactividad con déficit de atención, con predominio de hiperactividad-impulsividad (trastorno), TDAH, con predominio hiperactivo - impulsivo, trastorno por déficit de atención con hiperactividad, con predominio hiperactivo - impulsivo, trastorno de hiperactividad con déficit de atención, con predominio de hiperactividad-impulsividad, trastorno por déficit de atención con hiperactividad, con predominio hiperactivo - impulsivo (trastorno), ADHD, síndrome hipercinético, SAI (trastorno), síndrome hipercinético, SAI, síndrome hiperquinético, SAI (trastorno), síndrome hiperquinético, SAI, Trastorno por déficit de atención con hiperactividad, TDAH, síndrome del niño hiperactivo, síndrome hiperquinético, trastorno por déficit de atención con hiperactividad (trastorno), trastorno por déficit de atención con hiperactividad, trastorno de hiperactividad con déficit de atención (trastorno), trastorno de hiperactividad con déficit de atención, Síndrome Hipercinético, Trastorno por Déficit de Atención con Hiperactividad, Perturbación de la Actividad y de la Atención, Trastorno Hipercinético con Déficit de la Atención, Trastorno de Déficit de Atención con Hiperactividad, Trastorno de Hiperactividad con Déficit de Atención, Trastorno de Hiperactividad y Déficit de Atención, Trastorno o Síndrome Deficitario de la Atención con Hiperactividad, Perturbacion de la Actividad y de la Atencion, Sindrome Hipercinetico, Trastorno Hipercinetico con Deficit de la Atencion, Trastorno de Deficit de Atencion con Hiperactividad, Trastorno de Hiperactividad con Deficit de Atencion, Trastorno de Hiperactividad y Deficit de Atencion, Trastorno o Sindrome Deficitario de la Atencion con Hiperactividad, Trastorno por Deficit de Atencion con Hiperactividad
Japanese 過活動を伴う小児期の注意欠陥障害, 運動過多症候群, 注意欠陥多動性障害ＮＯＳ, 過活動を伴う注意欠陥障害, ＡＤＨＤ, 小児の過活動症候群, 児童期の過動症候群、詳細不明, 小児期の運動過多症候群, ﾁｭｳｲｹｯｶﾝﾀﾄﾞｳｾｲｼｮｳｶﾞｲ, ｶｶﾂﾄﾞｳｦﾄﾓﾅｳｼｮｳﾆｷﾉﾁｭｳｲｹｯｶﾝｼｮｳｶﾞｲ, ｼｮｳﾆｷﾉｳﾝﾄﾞｳｶﾀｼｮｳｺｳｸﾞﾝ, ﾁｭｳｲｹｯｶﾝﾀﾄﾞｳｾｲｼｮｳｶﾞｲNOS, ｳﾝﾄﾞｳｶﾀｼｮｳｺｳｸﾞﾝ, ｼｮｳﾆﾉｶｶﾂﾄﾞｳｼｮｳｺｳｸﾞﾝ, ADHD, ｶｶﾂﾄﾞｳｦﾄﾓﾅｳﾁｭｳｲｹｯｶﾝｼｮｳｶﾞｲ, ｼﾞﾄﾞｳｷﾉｶﾄﾞｳｼｮｳｺｳｸﾞﾝｼｮｳｻｲﾌﾒｲ, 注意欠陥性行動異常障害, 注意欠損多動障害, 注意欠陥障害, 注意欠陥多動障害, 脳損傷-微細, 活動過剰性注意集中障害, 多動症候群, 注意不足活動亢進症, 最小脳機能不全, 微細脳損傷, ＡＤＨＤ、多動性−衝動性優勢型, ADHDﾀﾄﾞｳｾｲｼｮｳﾄﾞｳｾｲﾕｳｾｲｶﾞﾀ, 注意欠陥多動性障害, 活動過剰性注意欠陥障害
Swedish ADHD
Finnish Aktiivisuuden ja tarkkaavuuden häiriö
Russian MINIMAL'NAIA MOZGOVAIA DISFUNKTSIIA, MOZGOVAIA DISFUNKTSIIA MINIMAL'NAIA, GIPERAKTIVNOSTI SINDROM S DEFITSITOM VNIMANIIA, GIPERKINETICHESKII SINDROM, VNIMANIIA RASSTROISTVA S GIPERAKTIVNOST'IU, VNIMANIIA DEFITSIT S GIPERAKTIVNOST'IU, ВНИМАНИЯ ДЕФИЦИТ С ГИПЕРАКТИВНОСТЬЮ, ВНИМАНИЯ РАССТРОЙСТВА С ГИПЕРАКТИВНОСТЬЮ, ГИПЕРАКТИВНОСТИ СИНДРОМ С ДЕФИЦИТОМ ВНИМАНИЯ, ГИПЕРКИНЕТИЧЕСКИЙ СИНДРОМ, МИНИМАЛЬНАЯ МОЗГОВАЯ ДИСФУНКЦИЯ, МОЗГОВАЯ ДИСФУНКЦИЯ МИНИМАЛЬНАЯ
Czech Syndrom hyperaktivního dítěte, Syndrom hyperkinetický, Hyperkinetický syndrom v dětství, Blíže neurčený hyperkinetický syndrom v dětství, Porucha se zhoršenou pozorností/hyperaktivitou NOS, Porucha se zhoršenou pozorností v dětství s hyperaktivitou, Porucha se zhoršenou pozorností/hyperaktivitou, Porucha se zhoršenou pozorností-hyperaktivitou, Porucha se zhoršenou pozorností a hyperaktivitou, Hyperkinetický syndrom, ADHD, převážně hyperaktivně-impulzivní typ, pozornost snížená spojená s hyperaktivitou, hyperkinetická porucha, ADHD, hyperkinetický syndrom
Korean 과운동성 장애, 상세불명의 과운동성 장애
Croatian POREMEĆAJ POMANJKANJA PAŽNJE S HIPERAKTIVNOŠĆU
Polish Zespół nadpobudliwości psychoruchowej, Zespół hiperkinetyczny, Zespół nadpobudliwości psychoruchowej z deficytem uwagi, Zaburzenia uwagi z nadpobudliwością, Zespół deficytu uwagi z nadruchliwością, Zespół minimalnego uszkodzenia mózgu, ADHD
Hungarian Figyelemhiányos/hyperactivitasos zavar, Gyermekkori figyelemhiányos zavar hyperactivitással, ADHD, Hyperkinetikus syndroma, ADHD, praedominalisan hyperactív-impulsív típus, Figyelemhiány-hiperaktivitás zavar, Hyperactiv gyermek syndroma, Hiperkinetikus tünetegyüttes, Gyermekkori hiperkinetikus tünetegyüttes, Figyelem hiányos hyperactivitas betegség, Figyelemhiányos/hyperactivitasos zavar k.m.n., A gyermekkor nem meghatározott hyperkinetikus syndromája
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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