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Autism Spectrum Disorders

Afsha Rais, MD, Rogerio Montes and Niyomi De Silva, MD Reviewed 06/2022
 


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 for suspicion of a neurodevelopmental disorder

  • Impairment in social-emotional reciprocity:

    • Failure of normal back-and-forth conversations; red...

TREATMENT

GENERAL MEASURES

  • Early intensive behavioral intervention with applied behavior analysis, focused on learning and reinforcing acceptable behaviors. Treatment addresses social communication, la...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Constant monitoring by caregivers. Evaluation every 6-12 months by physician for symptom and medical management

  • Intellectual and language testing...

REFERENCES

1
Hyman SL, Levy SE, Myers SM; Council on Children With Disabilities, Section on Developmental and Behavioral Pediatrics. Identification, Evaluation, and Management of Children With Autism S...

ADDITIONAL READING

Sanchack K, Thomas C. Autism spectrum disorder: primary care principles. Am Fam Physician. 2016;94(12):972–979.  

SEE ALSO

Algorithm: Intellectual Disability 

CODES

ICD10

  • F84.5 Asperger's syndrome

  • F84 Pervasive developmental disorders

  • F84.2 Rett's syndrome

  • F84.3 Other childhood disintegrative disorder

  • F84.0 Autistic disorder

  • F84.8 Other pervasive developmental di...

CLINICAL PEARLS

American Academy of Pediatrics ALARM mnemonic: 
  • ASD is prevalent (screen all children between 18 and 24 months).

  • Listen to parents when they feel something is wrong.

  • Act early: Screen chi...

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