Paediatrics

Question 1

What medications may be considered in the management of autism?

Answer 1

SSRIs: helpful to reduce symptoms like repetitive stereotyped behaviour, anxiety, and aggression
Antipsychotic drugs: useful to reduce symptoms like aggression, self-injury.
Methylphenidate: for attention deficit hyperactivity disorder (ADHD).

Question 2

Management of autism:

Answer 2

1. Refer to CAHMS for an accurate diagnosis. MDT!
2. Family education + school adaptations.
3. PBS to manage any challenging behaviour.
4. Focus on managing sleep problems.
5. Manage underlying causes of challenging behaviour.

Question 3

What is considered pre-diabetic?

Answer 3

HbA1c 42-47
or
Fasting glucose 6.1-6.9

Question 4

Complications of diabetes to ask about in a history:

Answer 4

Gastroparesis - constipation.
Sexual dysfunction
Peripheral neuropathy
Diabetic foot ulcers
Orthostatic hypotension
Peripheral arterial disease
ACS