@article{ref1,
title="Approach to children with aggressive behavior for general pediatricians and hospitalists: Part 2-evaluation, tests, and treatment",
journal="Pediatric annals",
year="2018",
author="Haidar-Elatrache, Sara and Wolf, Marlisa and Fabie, Noelle Andrea V. and Sahai, Shashi",
volume="47",
number="10",
pages="e408-e412",
abstract="After reviewing the various etiologies that can contribute to a presentation of aggressive behavior in a child (see part 1), a physician should conduct a thorough history and physical examination. The history should be obtained from the patient and caregivers, both together and separately in adolescents. A good physical examination starts with assessment and interpretation of vital signs, followed by a head-to-toe examination focusing on the skin, eyes, and thyroid, and then a neurologic examination. The testing and observation should be tailored to the individual patient, including laboratory results, imaging, and specialist consultation. Management of aggressive behavior can often be achieved through a combination of environmental modifications and verbal techniques, with special consideration given to children with neurodevelopmental problems such as autism. Pharmacologic agents are a good next step, and physical restraints can be used as a last resort. Evaluation of suicidality with thorough and complete questioning as well as assessment of a safety plan can aid in determining patient disposition such as need for admission to a psychiatric facility. [Pediatr Ann. 2018;47(10):e408-e412.].<br><br>Copyright 2018, SLACK Incorporated.<p /> <p>Language: en</p>",
language="en",
issn="0090-4481",
doi="10.3928/19382359-20180919-02",
url="http://dx.doi.org/10.3928/19382359-20180919-02"
}