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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],23 de Febrero del 2010
CONCEPTOS DE: Asepsia, Antisepsia, Infección. CLASIFICACIÓN DE HERIDAS QUIRÚRGICAS E INFECCIONES QUIRÚRGICAS
Objetivos ,[object Object],[object Object],[object Object]
Asepsia ,[object Object],Definición
Asepsia ,[object Object],[object Object],Asepsia quirúrgica
Asepsia ,[object Object],[object Object],Maniobras para intentar una cirugía aséptica
Esterilización ,[object Object],[object Object],Definición
Esterilización
Antisepsia  ,[object Object],[object Object],Definición
Antisepsia  ,[object Object],Antisepsia quirúrgica
Antisepsia  ,[object Object],[object Object],[object Object],[object Object],[object Object],Antiséptico
Infección  ,[object Object],Definición
Infección  ,[object Object],[object Object],[object Object],[object Object],[object Object],Infección quirúrgica
La herida quirúrgica  ,[object Object],Definición
La herida quirúrgica  ,[object Object],[object Object],[object Object],[object Object],[object Object],Clasificación de la herida quirúrgica
La herida quirúrgica  ,[object Object],Heridas limpias
La herida quirúrgica  ,[object Object],Heridas limpias contaminadas
La herida quirúrgica  ,[object Object],Heridas contaminadas
La herida quirúrgica  ,[object Object],Heridas sucias
Infección  del sitio  quirúrgic o  (I S Q)  ,[object Object],Definición
[object Object],[object Object],[object Object],Infección  del sitio  quirúrgic o  (I S Q)
[object Object],[object Object],[object Object],[object Object],Infección  del sitio  quirúrgic o  (I S Q)
Clasificación ,[object Object],[object Object],[object Object],[object Object]
 
[object Object],INFECCIÓN DE LA HERIDA QUIRÚRGICA  SUPERFICIAL (IHQS)   
[object Object],INFECCIÓN DE LA HERIDA QUIRÚRGICA  PROFUNDA (IHQP)
I N FECCIÓN DE LA HERIDA QUIRÚRGICA  ÓRGANO/ESPACIO   ,[object Object],[object Object]
IHQ QUE COMPRENDE MAS DE UN SITIO ESPECÍFICO   ,[object Object],[object Object],[object Object],[object Object]
Celulitis ,[object Object],[object Object],[object Object],[object Object],Infección  del sitio  quirúrgic o  (I S Q)
Linfangitis ,[object Object],Infección  del sitio  quirúrgic o  (I S Q)
Reacción erisipeloide ,[object Object],Infección  del sitio  quirúrgic o  (I S Q)
Foliculitis ,[object Object],Infección  del sitio  quirúrgic o  (I S Q)
Infecciones necrosantes de tejidos blandos ,[object Object],Infección  del sitio  quirúrgic o  (I S Q)
Tétanos ,[object Object],[object Object],[object Object],[object Object],Infección  del sitio  quirúrgic o  (I S Q)
Infecciones en cavidades corporales ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Infección  del sitio  quirúrgic o  (I S Q)
[object Object],[object Object],[object Object],Infección  del sitio  quirúrgic o  (I S Q)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Infección  del sitio  quirúrgic o  (I S Q)
Resumen ,[object Object],[object Object],[object Object]
Conclusiones “ Es importante para el médico conocer los conceptos de asepsia y antisepsia, ya que si los entiende y puede aplicar correctamente se pueden evitar muchas complicaciones principalmente en los pacientes que son sometidos a cirugías, donde se produce una herida quirúrgica y un mecanismo de entrada para el agente.”
Bibliografía ,[object Object],[object Object],[object Object]

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Cirugia asepsia

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  • 2. CONCEPTOS DE: Asepsia, Antisepsia, Infección. CLASIFICACIÓN DE HERIDAS QUIRÚRGICAS E INFECCIONES QUIRÚRGICAS
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  • 39. Conclusiones “ Es importante para el médico conocer los conceptos de asepsia y antisepsia, ya que si los entiende y puede aplicar correctamente se pueden evitar muchas complicaciones principalmente en los pacientes que son sometidos a cirugías, donde se produce una herida quirúrgica y un mecanismo de entrada para el agente.”
  • 40.

Editor's Notes

  1. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  2. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  3. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  4. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  5. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  6. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  7. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  8. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  9. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  10. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  11. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  12. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  13. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  14. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.
  15. According to the APA’s DSM-IV-TR, the essential feature of Attention Deficit Hyperactivity Disorder is “a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than typically observed in individuals at a comparable level of development.” Estimates of the prevalence of ADHD range from 3-7% of school-age children. 1 ADHD is associated with impaired academic and social functioning, and research suggests that it is associated with morbidity and poorer outcomes later in life as well. The current DSM-IV diagnostic criteria for ADHD incorporates the three principal hallmark symptoms: attention deficit or attention inconsistency, hyperactivity (may not be present in all children), and impulsive behavior. While shades of all of these three symptoms are present to varying degrees in all children, the key operative diagnostic qualifier is the careful evaluation of what constitutes inappropriate behavior leading to problems in social, scholastic, family and work environment. The test of inappropriateness rests on identifying symptoms that are maladaptive and inconsistent with developmental level. Consequently, it is not easy to precisely define ADHD, and it may never occur in its “pure” form. However, it is a distinct clinical syndrome greatly in need of early detection and treatment. Untreated, ADHD leaves millions of children and adults misunderstood and unnecessarily struggling in a hostile environment and, often, incapacitated or riddled with frustration and anger. There is also the flip side to ADHD in that many of these children have high energy, intuitiveness, creativity, and enthusiasm that can be channeled with proper therapeutic management. 1.DSM-IV-TR. Washington, DC: APA; 2000.