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Educating the parents about autism spectrum disorder
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Fluoxetine
Hearing exam
Restructuring of the home environment
Risperidone
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This patient is presenting with behaviors concerning for autism spectrum disorder but first should have a hearing disorder ruled out. Autism spectrum disorder presents with social-emotional reciprocity deficits, non-verbal communicative behaviors, and trouble with developing, maintaining, and understanding relationships. These patients often exhibit repetitive motor movements, insistence on sameness, and have fixated interests. Prior to making this diagnosis, it is important to rule out other organic causes that may cause these symptoms such as hearing dysfunction. Incorrect Answers: Answer 1: Educating the parents about autism spectrum disorder would be a premature step to take. Though this patient is exhibiting many behaviors suggestive of autism spectrum disorder, he needs to be further worked up for other possible organic etiologies. Answer 2: Fluoxetine is an appropriate treatment for autism spectrum disorder once the diagnosis has been established and other causes ruled out. Answer 4: Restructuring of the home environment would be the appropriate management of autism spectrum disorder once other diagnoses have been ruled out. Answer 5: Risperidone is another appropriate drug for autism spectrum disorder especially when aggressive behavior or repetitive motor symptoms are present. Bullet Summary: Prior to making the diagnosis of autism spectrum disorder, other organic etiologies must be ruled out such as hearing dysfunction.
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