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Behavioral problems: Q

  1. Infantile colic: starts within a week, reaches peak by the age of 4-6 weeks and improves after 3-4 months.
  2. Breath holding spells; usually occurs 6 month to 5 yrs. cyanotic-anger or frustration. pallid-fear or minor injury  T/t- Avoid precipitating factors
  3. Thumb sucking
    1. Pleasurable sensation is derived by the child from this self-stimulation
    2. Feeling of insecurity
    3. May effect dental alignment     
    4. Parents should be advised not to show excessive anxiety until at least 4 yrs old. Q
  4. Recurrent abdominal pain most commonly due to emotional/ functional**
  5. Medications Used in the Treatment of Attention Deficit/Hyperactivity Disorder.
    1. Methylphenidate – DOC        
    2. DEX methylphenidate            
    3. Atomoxetine
    4. Bupropion                    
    5. Imipramine                  
    6. Desipramine
    7. Nortriptyline                
    8. Clonidine                                             

Table: Examples of inattentive and hyperactive/ impulsive behavior included within the criteria for diagnosis of ADHD

Inattentive behavior

  1. Early distraction by extraneous stimuli
  2. Often makes careless mistakes in schoolwork or other activities
  3. Often has difficulty sustaining attention in tasks or play activities
  4. Often forgetful in daily activities
  5. Does not seem to listen to what is being said to him
  6. Often fails to finish schoolwork or other chores

Hyperactive/impulsive behavior

  1. Runs about or climbs excessively in situations where it is inappropriate
  2. Fidgets with hands and feet and squirms in seat
  3. Has difficulty awaiting turn in games or group situations
  4. Blurts out answers to questions

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