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afya
Autism
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ''Epidemiology'' 75% are male usually develops before 3 years All 3 of these features must be present for a diagnosis to be made global impairment of language and communication impairment of social relationships ritualistic and compulsive phenomena ''Other features'' most children have a decreased IQ - the 'idiot savant' is rare ''Associated conditions'' Fragile X Rett's syndrome 1% population, boys>girls 6% of siblings (60% twins) Triad - impairment of ... social interaction, social communication, imagination - present in >1 setting may include ... unusual response to sensory stimuli distressed response to new / crowded places rigid eating patturn sleep difficulty speech - nil, echolalia, repetitive phrases lack of non-verbal interaction passive aloof aggressive in relation to others rigid/limited repetitive play stereotypic play - flicking fingers repetitively, fascination with eg train timetable may switch off if overwhelmed no single feature is diagnostic - it is overall patturn and quality Co-morbidity Epilepsy (complex partial or tonic-clonic) (with normal intelligence - 7%) (absence is rare) ADHD / Dyspraxia Tourettes Depression (esp teenagers when realise not fitting in) Mx complex and individual - beware the private sector eg diet - no evidense it makes a difference SALT Educational psychology / autism support / social services (benefit support)
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slimindex, index, Psychiatry