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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