ADHD 5-12% school-aged children; M:F = 4:1; average onset 3 yo girls tend to have inattentive/distractible symptoms Boys have impulsive/hyperactive symptoms Identify upon school entry Etiology: genetic – family hx of ADHD, cognitive – difficult temperamental characteristics, arousal co-occurring conditions…
Bad News 1 When giving bad news, ensure that the setting is appropriate, and ensure patient’s confidentiality. 2 Give bad news: – in an empathic, compassionate manner – allowing enough time. – providing translation, as necessary. 3 Obtain patient consent before…
1 Do not delay immunizations unnecessarily (e.g., vaccinate a child even if he or she has a runny nose). Vaccine providers should recommend deferral or withholding of vaccines for true contraindications ONLY. Withholding vaccines for conditions that are not true…
Comprehensive Psychiatric Assessment ID: age, sex, source, reliability, marital status (single/common-in-law/married), ethnicity, culture/religion (optional), children, employment status, living situations) Mode of Presentation (ie brought in by EHS? by police?) HPI: pt’s current concerns – often require collateral info – family,…
Anxiety Universal human characteristic involving tension, apprehension, or terror Serves as an adaptive mechanism (fight or flight) Becomes pathological when fear is out of proportion to risk/severity of threat response continues beyond existence of threat or become generalized to other…
1. In all patients, and especially in high-risk groups (e.g., mental illness, chronic disability), opportunistically screen for substance use and abuse (tobacco, alcohol, illicit drugs). Use random urine drug screen – new kit distinguishes methadone and oxycodone from opiates. Amphetamines,…
Suicide Risk Factors – SAD PERSONS Scale Sex (male) Age >60, 15-24 Depression Previous attempts – the best predictor of completed suicide (worst if in the past year) Ethanol abuse Rational thinking loss (delusions, hallucinations, hopelessness) Mood disorders (depression > bipolar),…
1 Make sure travelers get up to date, timely, itinerary-specific advice from a reliable source (e.g., travel clinic, travel website). Travellers are encouraged to plan their travel consult four to six weeks prior to their anticipated departure date. The reason for…
Geographic: Africa, India, C & S. America, SE Asia – rural, night-biting mosquitoes Malaria should be suspected in patients with any febrile illness after exposure to a region where malaria is endemic Pathogen: Plasmodium falciparum (most common & most severe)…
7. Vaginal Discharge (Bacterial Vaginosis, Vulvovaginal Candidiasis, Trichomoniasis) Etiology The three infections most commonly associated with vaginal discharge in adult women are: Bacterial vaginosis (BV) – Not STI Most common cause of vaginal discharge. Characterized by an overgrowth of genital…
Preparing for the CCFP Exam 2015 