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The four diagnostic systems list various CNS domains that can qualify for functional impairment, which can determine an FASD diagnosis: Evidence of a complex pattern of behavior or cognitive abnormalities inconsistent with developmental level in the following CNS domains Sufficient for a pFAS or ARND diagnosis using IOM guidelines [20] Learning disabilities, academic achievement, impulse control, social perception, communication, abstraction, math skills, memory, attention, judgment Performance at two or more standard deviations on standardized testing in three or more of the following CNS domains Sufficient for an FAS, pFAS or static encephalopathy diagnosis using 4-Digit Diagnostic Code [72] Executive functioning, memory, cognition, social/adaptive skills, academic achievement, language, motor skills, attention, activity level General cognitive deficits (e.g., IQ) at or below the 3rd percentile on standardized testing Sufficient for an FAS diagnosis using CDC guidelines [73] Performance at or below the 16th percentile on standardized testing in three or more of the following CNS domains Sufficient for an FAS diagnosis using CDC guidelines [73] Cognition, executive functioning, motor functioning, attention and hyperactive problems, social skills, sensory processing disorder, social communication, memory, difficulties responding to common parenting practices Performance at two or more standard deviations on standardized testing in three or more of the following CNS domains Sufficient for an FAS diagnosis using Canadian guidelines Cognition, communication, academic achievement, memory, executive functioning, adaptive behavior, motor skills, social skills, social communication Ten brain domains [edit] A recent [74] The proposed Ten Brain Domains include: [74] Achievement Adaptive behavior Attention Cognition Executive functioning Language Memory Motor skills Multisensory integration or soft neurological problems Social communication [74] The Fetal Alcohol Diagnostic Program (FADP) uses unpublished Minnesota state criteria of performance at 1.5 or more standard deviations on standardized testing in three or more of the Ten Brain Domains to determine CNS damage

A.Tamayo-TrujilloR.Cadena-UllauriS.Frias-ToralE.Guevara-RamrezP.Paz-CruzE.et al (2023)

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Also, vomiting, diarrhea, and inconsistent pill-taking can reduce effectiveness