A 5 year old boy was diagnosed with ADHD/ADD with the following complaints.Spitting over others, throwing things, stones, beats, urinating over others, does not follow instructions of parents/teachers, disobedient, restlessness, hyperactive. Grabs things, aggravation, contradiction, and advice.Uses abusive language, not friendly, no care about personal hygiene/toilet/brushing etc.Goes around here & there, never sits in one place. In the clinic he plays with the telephone, pulls the tie of the Doctor, snatches stethoscope etc. Goes to other units, suddenly runs out of OPD, goes down the staircase. Noticed since the age of 3 1/2 years.My objective was to identify ADHD cases at the earliest and educate the parents about the difficulty the child is undergoing and treat such cases in a timely manner. OTHER INFORMATION:Appetite good, but has to be forced. Aversion milk, Craving pork.Thirst: No changePerspiration: ReducedStool: HardBirth: FTND, Breast fed, walked at 1 year 2 months, talked 1 yr. Teething 1-1/2.Thermal: Not clearSleep: Talks duringLIFE SITUATIONThe only child of parents born after a long time. Father is working in the telephone department. There were recurrent fights in the family which the child has witnessed with fear and obstinacy started at an early age. Enuresis, vomited on the examination table. Father was treated for insomnia, loss of memory and anxiety since the age of 14 years.TOTALITYIrritable, throws thingsdisobedient, obstinatetroubles others with his behavior-spits etc.stool, greenish- dentition duringsleep – restless dreams
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