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Autism Spectrum Disorders

Liyu Liu, DO and Holly L. Baab, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Group of neurodevelopmental disorders of early childhood: DSM-5: umbrella term autism spectrum disorders (ASDs) which combines autistic disorder, childhood disintegrative disorder, A...

DIAGNOSIS

HISTORY

  • Listen to parents’ concerns and test early if they or you have suspicion of a neurodevelopmental disorder.

  • Impairment in social interaction

    • Impairment in nonverbal behaviors such as e...

TREATMENT

GENERAL MEASURES

  • Comprehensive structured educational programming of a sustained and intensive design, most commonly applied behavioral analysis therapy

  • Core features of a successful education...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Constant monitoring by caregivers

  • Reevaluation every 6 to 12 months by physician for seizures, sleep and nutritional problems, and to follow pres...

REFERENCES

1
1 Christensen DL, Baio J, Van Naarden Braun KV, et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitori...

ADDITIONAL READING

  • Lai MC, Lombardo MV, Baron-Cohen S. Autism. Lancet.  2014;383(9920):896–910. {L-End} {L-End} [View Abstract on OvidMedline]

  • Reichow B, Barton EE, Boyd BA, et al. Early intens...

SEE ALSO

Algorithm: Intellectual Disability 

CODES

ICD10

  • F84.0 Autistic disorder

  • F84.5 Asperger’s syndrome

  • F84.3 Other childhood disintegrative disorder

  • F84.9 Pervasive developmental disorder, unspecified

  • F84.8 Other pervasive developmental disorders

ICD9

CLINICAL PEARLS

ALARM mnemonic from the American Academy of Pediatrics (AAP) 
  • ASD is prevalent (screen ALL children between 18 and 24 months).

  • Listen to parents when they feel something is wrong.

  • Act ear...

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