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Data gathering
- Red flags – faltering growth
- Examine – growth, wt, behaviour with family members, school, friends
Clinical management
- Explanation
- Symptoms suggestive (hyperactive, inattention, impulsive) – referred to specialist who does assessment, confirms diagnosis and starts medication
- Treatment
- Family therapy – reward good behaviour, ignore bad behaviour
- Watchful waiting for up to 10w in mild cases
- Parent education programme
- Balanced diet, regular exercise (avoiding artificial colouring not recommended)