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Attention-Deficit/Hyperactivity Disorder (ADHD) Clinical Pathway, Primary Care – History and Physical

Attention-Deficit/Hyperactivity Disorder (ADHD) Clinical Pathway — Primary Care

History and Physical

History
  • Birth history
    • Maternal substance use
  • Developmental delays/learning disorders, hearing impairment, vision impairment
  • Behavior in school, extra-curricular activities
  • Nutrition/weight/growth
  • Sleep hygiene and disturbances, including obstructive sleep apnea
  • Family hx
    • ADHD, mood disorders
    • Cardiac disease; sudden cardiac death < 40 yrs
  • Adverse childhood events and trauma
Additional Adolescent History
  • Substance use
  • Sexual orientation, gender identity
  • Stress, mood
    • Suicidal ideation
    • Non-suicidal self-injury
    • Anxiety
    • OCD
  • Inadequate sleep hygiene
  • PTSD
  • Impulsive behaviors
  • Performance outside of school, home
    • Sports
    • Work
    • Driving
Physical
  • Poor social engagement with examiner/parents, poor eye contact
  • Hyperactivity, impulsivity
  • Aggression, self-injurious behavior
  • Stereotyped behavior

 

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