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Nate Friedman, MD
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ADHD - evaluation

‍‍Suspicion of ADHD noted by ‍patient himself﻿ 
‍‍Presence of ‍inattention﻿ 
‍‍﻿‍Family history of ADHD﻿ 
‍‍﻿
‍‍Inattention and distractibility:
‍‍﻿‍Greatest for tasks requiring vigilance﻿ 
‍‍﻿‍Poor persistence in tasks without appeal﻿ 
‍‍﻿‍Poor organization and follow-through﻿ 
‍‍﻿‍Parents report:﻿﻿
‍‍            ‍"Doesn't listen"﻿  
‍‍            ‍"Can't concentrate and easily distracted"﻿ 
‍‍            ‍"Can't work without supervision"﻿ 
‍‍            ‍"Fails to finish tasks"﻿ 
‍‍            ‍"Daydreams, confused, in a fog"﻿ 
‍‍            ‍"Loses things"﻿ 
‍‍﻿
‍‍Impulsivity:
‍‍﻿‍Risk taking﻿ 
‍‍﻿‍Can't wait﻿ 
‍‍﻿‍Parents report: ﻿ 
‍‍            ‍"Won't share"﻿ 
‍‍            ‍"Constantly interrupts"﻿ 
‍‍            ‍"Doesn't think first"﻿ 
‍‍            ‍"Has to be first"﻿ 
‍‍            ‍"Reacts emotionally"﻿ 
‍‍﻿
‍‍Hyperactivity/overactivity:
‍‍﻿‍Speech overactivity, interrupting﻿ 
‍‍﻿‍Motor overactivity, fidgeting﻿ 
‍‍﻿‍Parents report:﻿ 
‍‍            ‍"Always on the go"﻿ 
‍‍            ‍"Constantly talking"﻿ 
‍‍            ‍"Loud"﻿ 
‍‍            ‍"Won't settle down"﻿ 
‍‍﻿
‍‍Associated conditions:
‍‍﻿‍School failure﻿ 
‍‍﻿‍Poor planning, organization and task performance﻿ 
‍‍﻿‍Speech and language problems﻿ 
‍‍﻿‍Poor motor coordination﻿ 
‍‍﻿‍Enuresis﻿ 
‍‍﻿‍Insatiability﻿ 
‍‍﻿‍High stimulus seeking﻿ 
‍‍﻿‍Low frustration tolerance﻿ 
‍‍﻿
‍‍﻿
‍‍﻿‍No evidence of oppositionnal behavior of defiance﻿ 
‍‍﻿‍No evidence of failure to understand tasks or instructions﻿ 
‍‍﻿‍Symptoms onset before 7 years old﻿ 
‍‍﻿‍Symptoms are present in 2 or more settings ﻿﻿
‍‍        ‍home﻿ ‍school﻿ ‍work﻿ ‍with friends﻿ 
‍‍﻿‍Duration > 6 months﻿ ‍Interference with social, academic or occupational functioning﻿ 
‍‍﻿
‍‍Physical exam:
‍‍Vital signs :
‍‍Height, weight and BMI
‍‍﻿‍Hearing screening ﻿       ‍Vision test﻿ 
‍‍﻿‍Thyroid exam: ﻿ 
‍‍Cardiovascular exam :
‍‍﻿‍Neurological exam:﻿ 
‍‍Observation : ‍Distractibility﻿ ‍Fidgeting﻿﻿‍Hyperactivity﻿ ‍Interpersonal interactions﻿ ‍Loud speech﻿ ‍Interrupts﻿ 
‍‍﻿
‍‍ADHD ‍high probability﻿ 
‍‍﻿
‍‍﻿
‍‍﻿

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