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Unit 1 Clinical Presentation Asperger’s Syndrome Presenter: Dr. Susana mwanza & Dr. Jonathan Ncheengamwa Moderator: Dr. Mpabalwani 24/11/2011.

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Presentation on theme: "Unit 1 Clinical Presentation Asperger’s Syndrome Presenter: Dr. Susana mwanza & Dr. Jonathan Ncheengamwa Moderator: Dr. Mpabalwani 24/11/2011."— Presentation transcript:

1 Unit 1 Clinical Presentation Asperger’s Syndrome Presenter: Dr. Susana mwanza & Dr. Jonathan Ncheengamwa Moderator: Dr. Mpabalwani 24/11/2011

2 L.F. Female/6 yr old Of Chilanga Referred to UTH for Neurological Assessment Presented to UTH on 13/10/2011 at 09.00hrs

3 c/o Regression of speech Inappropriate behaviour 4 6 /12 Inappropriate communication Difficulties in concentration Hyperactivity 12/12 Not able to construct sentences However able to read and write single words

4 Hx P/C Well till age 2 First noted change was loss of speech developmental mile stone previously appropriately developed

5 PMHx RVT-NR No other illneses

6 Birth Hx 1 st born Term SVD 3.6kg Cried spontaneously Pregnancy and labour uncomplicated

7 Feeding and <5 hx Breast fed in under 2hrs after birth Weaning at 4 months Received all vaccinations according to MOH protocol

8 FHx Negative No TB contact No hx of Psychiatric disease

9 Socio-economic Hx Mother-House wife Father-planner

10 examination Temp 35.3 deg. Celsius Wt-22kg Ht 123cm Fully conscious Afebile Exhibiting inappropriate behaviour with Occasional screeming

11 Examination RS CVS Normal P/A

12 Problem Delayed neuro-psycho-social development

13 Plan Consult neurologist and Child psychiatrist Follow up in clinic 2 under Unit 1

14 Clinic 2 review (26/10/11) Delayed speech Hyperactivity Neonatal period-No jaundice Sat by 6/12 Stood at 9/12 Able to feed self Able to toilet self

15 Social Hx Moody Plays alone 9even when in a group of children) Hardly ever hugs with mum-hits her sometimes Sometimes hits self Can use computer on his own and captures new words easily Says a word at a time

16 examination Alert Hyperactive Inappropriate behaviour-moving all over examination room No dysmorphism Systemic exam normal Normal testis

17 Problems Hyperactivity Speech delay Autistic behaviour

18 Review (same day0 Noted hx of using computer beyond neurologic age Tends to learn things on his own Mum says unable to sustain conversations But, able to read

19 O/E Alert In his own world Not hyperactive

20 Diagnosis Asperger’s syndrome

21 Plan To UNZA School of Education for psycosocial assessment Review in 3/52 in clinic 2

22 Highlights of UNZA assessment Hyperactive tendencies Not able to sit in one place Always making sounds and statements Did not make eye contact when being talked to Unable to take formal assessment Instead, Special Needs Assessment profile (SNAP) was administered

23 Diagnosis Autistic spectrum Disorders- Asperger’s Syndrome

24 Review (9/11/2011) Based on recommendations made at UNZA, mum was counselled To have child enrolled to special school (Baobab or UTH)


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