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Autism Spectrum Disorders

Richard Gibson, MD and Holly L. Baab, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Group of neurodevelopmental disorders of early childhood characterized by (i) persistent deficits in social communication and interaction and (ii) restricted, repetitive patterns of ...

DIAGNOSIS

HISTORY

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

  • Impairment in social-emotional reciprocity

    • Failure of normal back-and-forth con...

TREATMENT

GENERAL MEASURES

  • Early intensive behavioral intervention (EIBI) involving treatment for at least 25 hours per week to address social communication, language, play skills, and maladaptive beha...

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-up p...

REFERENCES

1
Zwaigenbaum L, Bauman ML, Fein D, et al. Early screening of autism spectrum disorders: recommendations for practice and research. Pediatrics.  2015;136(Suppl 1):S41–S59. [View Abstrac...

ADDITIONAL READING

  • Myers SM, Johnson CP; for American Academy of Pediatrics Council on Children with Disabilities. Management of children with autism spectrum disorders. Pediatrics.  2007;120(5):...

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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