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PEDIATRIC TERMINOLOGY
GENERAL TERMS
NEWBORN: recien nacido
BREASTFEED: amamantar
LACTATION: lactancia
BREAST PUMP: sacaleches
Milk may be extracted from the breasts by using a breast pump and stored for later use.
BOTTLE: biberon
LATCH: prenderse
The baby latches on to the nipple to feed.
NIPPLE SHIELD: pezonera
Sometimes the there difficulties in latching and nipples get sore or cracked. In theses cases a nipple
shaped sheath called a nipple shield may be used during breastfeeding.
FORMULA: leche maternizada
If a mother does not want to breastfeed then the baby may be given formula
DIRTY/SOILED DIAPERS: pañales sucios
WET DIAPERS: pañales mojados
BULB SYRINGE: perilla
Used to remove secretions from the baby's nose or mouth.
PACIFIER: chupete o chupon
CAR SEAT: asiento para niños
WIC (WOMEN, INFANTS & CHILDREN): WIC (mujeres, bebes y niños) is a federal assistance
program which provides healthcare and nutrition of low-income pregnant women, mothers and their
children under 5 years of age.
NICU (NEONATAL INTENSIVE CARE UNIT).
Babies may need to spend some time in NICU when they are having difficulty breathing or other
problems. Especially the preterm babies.
DROPPER: gotero
Babies may be given liquids or medicines using a dropper.
STROLLER: carriola
RASH: sarpullido
CHICKEN POX: varicella
Viral infection characterized by a vesicular rash (blisters)
MEASLES: sarampion
Viral infection characterized by a red skin spots.
RUBELLA (aka GERMAN MEASLES OR 3-DAY MEASLES): rubeola
Viral infection. Three day rash. Light red spots. Swollen lymph glands nape.
SCARLET FEVER: escarlatina
Red body rash that can appear after strep throat infection.
HAND-MOUTH-FOOT DISEASE: fiebre aftosa humana
HEAD LICE: pediculosis
ORTHOPEDICS
MISALIGNED HIP: cadera dislocada/ luxada
This implies a displacement of the femoral head from the place where it shoud normally be in the
joint causing a loss of function. It causes the child to limp and can be due to: hip dysplasia, a slipped
capital femoral epiphysis (SCFE) or Perthe's disease.
HIP DYSPLASIA: displasia de cadera
Due to degenerative changes in the head of the femur.
SLIPPED CAPITAL FEMORAL EPIPHYSIS (SCFE): epifisiolisis de cadera
Due to a fracture at the growth plate, a “slippage” of the femoral head occurs leaving it out of place.
PERTHES' DISEASE: enfermedad de Perthes: due to deficient blood supply, the femoral head
doesn't develop well, becoming too small to bear the weight of the hip. Something like taking a car
removing it's normal wheel and replacing it with a motorcycle wheel!
GREENSTICK FRACTURE: fractura en tallo verde
Children's bones are more flexible that an adult's so they tend to have incomplete fractures called
“greenstick fractures”.
CLUBFOOT: pie zambo
Is a foot deformity where the foot is deviated inwards and downwards so that the only part of the
foot that makes contact with the floor is the ball of the foot (like a horse hoof).
MUSCULAR DYSTROPHY: distrofia muscular : is a group of genetically transmitted disorders
characterized by progressive weakness and muscle fiber degeneration without nerve damage. The
onset of muscular dystrophy is early in life. Duchenne's and Becker's are forms of muscular
dystrophy.
MUSCLE BIOPSY: biopsia de musculo
Either a needle or an incisional biopsy can be used to diagnose muscle diseases like muscular
dystrophy.
CPK LEVEL: examen de creatina fosfoquinasa
CPK stands for Creatinine Phosphokinase and is an enzyme whose levels increase in muscular
dystrophy.
CARDIOLOGY
TETRALOGY OF FALLOT: tetralogia de Fallot
Congenital heart malformation that includes 4 defects:
• Stenosis of the pulmonary artery
• Ventricular septal defect
• Aorta shifted to the right (causing it to receive blood from both ventricles when it should only
receive blood from the left ventricle) and
• Enlargement (hypertophy) of the right ventricle.
PATENT DUCTUS ARTERIOSUS: ductus arterioso persistente
The ductus arteriosus is a blood vessel that communicates the aorta and the pulmonary artery in
the fetus. It normally shrivels up at birth. When it fails to close we get what's known as a patent ductus
arteriosus. More frequently seen in preterm babies.
COARCTATION OF THE AORTA: coartacion de aorta
Congenital heart defect characterized by a narrowing of the aorta.
TRANSPOSITION OF THE GREAT VESSELS: transposicion de grandes vasos
Congenital condition in which the 2 major arteries of the heart (the aorta and the pulmonary artery)
are reversed in position (the aorta originating from the right ventricle and the pulmonary artery from
the left ventricle). Baby turns blue after birth.
VENTRICULAR SEPTAL DEFECT: comunicacion interventricular
ATRIAL SEPTAL DEFECTS: comunicacion interauricular
These last two conditions imply that there is a hole in the wall that separates the atria or the ventricles.
RHEUMATIC FEVER: fiebre reumatica: sometimes a child can develop a sore throat, a throat
infection called “strep throat” because it is caused by a bacteria called: Group A Steptococcus.
After that throat infection an inflammatory, autoimmune response against the child's joints and
heart can occur this is called rheumatic fever. It can cause serious damage to the heat valves and also
affect the brain causing chorea (see presentation on nervous system).
RESPIRATORY
ENLARGED ADENOIDS: hipertrofia de adenoides
Hypertrophy (enlargement) of the adenoids in young children may be great enough to interfere with
the child's breathing causing a snoring noisy sound when the child breathes.
BRONCHIOLITIS: bronquiolitis
Inflammation of the small airways (bronchioles). Most frequently seen in babies (3-6 months old).
RESPIRATORY DISTRESS SYNDROME (SDRA): sindrome de distres respiratorio
Condition seen in preterm babies with immature lungs. A collapse of the alveoli creates a severe
impairment of respiratory function. Leading cause of preterm death.
PERTUSIS (WHOOPING COUGH): tos ferina
CROUP (LARYNGOTRACHEOBRONCHITIS): crup (laringotraqueobronquitis)
Respiratory infection that causes inflammation and swelling of the larynx with hoarseness, barking
cough, stridor and may interfere with normal breathing.
STRIDOR: estridor
High-pitched wheezing sound due to upper airway obstruction (inflammation of the larynx).
EPIGLOTTITIS: epiglotitis
Inflammation of the epiglottitis with stridor. Emergency with may require intubation.
SUDDEN INFANT DEATH SYNDROME (SIDS): muerte infantil subita
CYSTIC FYBROSIS: fibrosis quistica o mucoviscidosis
Genetic disease of the mucous and sweat glands where these glands produce abundant and thick
secretions. This mainly affects the lungs where the thick secretions interfere with the breathing
process and predispose to infections
DIGESTIVE
CLEFT PALATE: paladar hendido
Congenital defect where the right and left bony plates that form the roof of the mouth did not fuse
during fetal development leaving a fissure or opening in the palate.
CLEFT LIP: labio Leporino
Congenital indentation in the upper lip.
BOWEL OBSTRUCTION: obstruccion intestinal
A form seen in children is called intussusception (the first 2 syllables of the word : IN-TU) help us to
remember that what's basically happening here is that the small intestine folds “into” itself sort of like
what happens when you close a telescope by sliding it's parts into each other.
PYLORIC STENOSIS: estenosis pilorica
Congenital narrowing of the stomach outlet which obstructs the emptying of the chyme into the
duodenum.
LACTOSE INTOLERANCE: intolerancia a la lactosa
Inabilty to digest milk, causes diarrhea.
DIARRHEA: diarrea
Has many causes. In children frequently caused by rotavirus.
BRAT DIET: dieta Brat (dieta para la diarrea)
BRAT stands for bananna, rice, apple, toast
ORAL REHYDRATION SALTS: sales de rehidratacion oral
Used to treat dehydration (diarrhea).
ONCOLOGY
ACUTE LYMPHOBLASTIC LEUKEMIA (ALL): leucemia linfoblastica aguda : most frequent
leukemia in children.
BURKITT'S LYMPHOMA: linfoma de Burkitt
GLIOMAS: glioma
MEDULLOBLASTOMA: meduloblastoma
Gliomas and Medulloblastomas are brain tumors frequently located in the cerebellum.
WILM'S TUMOR: tumor de Wilm's
Type of kidney cancer seen in children.
NEUROBLASTOMA: neuroblastoma
Most common cancer of infancy. Arising in nervous tissue, it can appear in different parts of a child's
body.
OSTEOSARCOMA: osteosarcoma
Bone cancer.
HEMATOLOGY
DIAMOND-BLACKFAN ANEMIA : anemia de Blackfan-Diamond
Inherited aplastic anemia with low RBC count
FANCONI'S ANEMIA : anemia de Fanconi
Inherited aplastic anemia with pancytopenia (counts of ALL blood cells are low)
NEONATAL JAUNDICE: Some newborns are born with high bilirubin levels because their liver is
still working a little slow or due to hemolysis. Lights help lower the bilirubin levels.
UROLOGY
EPISPADIAS: epispadias
Birth defect where instead of the urethra opening at the tip of the penis it opens on the upperside of
the penis.
HYPOSPADIAS: hipospadias
Is a birth defect where instead of the urethra opening at the tip of the penis it opens on the underside
of the penis.
PHIMOSIS: fimosis
Means that the uncircumcised foreskin is too snug, can't be pulled back.
CRYPTORCHIDISM: criptorquidia
Means that one of the testicles didn't make it down to the scrotum. Remember we had said that in
the fetus the testicle is located in the abdomen. This condition needs to be corrected surgically
because the testicle that is still up inside is at increased risk to develop testicle cancer.
VOIDING CYSTOURETHROGRAPHY (VCUG): cistouretrografia miccional (CUGM)
Urinary study done in children with recurrent UTI to see if they have ureteral reflux.
NEUROLOGY
SPINA BIFIDA : espina bifida
Spina bifida is a neural tube defect. The neural tube is an embryological structure from which the
brain, spinal cord and spinal column derive. Spina bifida occurs when the one or more vertebrae do
not form completely (the posterior vertebral arches fail to close) thus leaving an opening in the
vertebral spine through which elements of the spinal cord can protrude. This may result in leg
weakness or paralysis.
SPINA BIFIDA OCCULTA: espina bifida oculta
The defects in the vertebrae are so small that no elements of the spinal cord can protrude.
Sometimes a tuft of hair is present in the skin above the defect.
SPINA BIFIDA CYSTICA: espina bifida quistica
If what protrudes into the cyst is only meninges then it is called a:
• MENINGOCELE: meningocele
If what protrudes into the cyst is meninges and spinal cord then it is called a:
• MENINGOMYELOCELE: mielomeningocele
CEREBRAL PALSY: paralisis cerebral
A collective term used to describe congenital brain damage that is permanent but not progressive and
characterized by a child's lack of control of voluntary muscles.
HYDROCEPHALUS: hidrocefalia
Congenital disorder with abnormal increase of cerebrospinal fluid in the brain that causes the
cerebral ventricles to dilate. Infant will have a large head and open fontanelles.
FONTANELLES: fontanelas (mollera-coloquial term)
Soft spots on a baby's skull where skull bones are not yet calcified permitting brain and skull to
grow
ABSENCE SEIZURES (PETIT MAL): crisis de ausencia
Characterized by small seizures in which there is a sudden, temporary loss of consciousness lasting
only seconds but recurring 50-100 times a day. Blank stare during seizure.
VALPROIC ACID: acido valproico
Used to treat absence seizures
FEBRILE SEIZURE: convulsion febril
POLIOMYELITIS (POLIO): poliomielitis (polio)
EAR
BRAINSTEM AUDITORY EVOKED RESPONSE (BAER TEST): potenciales evocados
auditivos del tronco cerebral (PEATC)
Because a baby or child are too young to undergo an audiometry if it is suspected that they are hard
of hearing they undergo a BAER test which does not require that they participate in the test for it to be
done. This test detects electrical activity in the cochlea and auditory pathways in the brain. Test is
done by placing electrodes on scalp and earlobes.
PSYCHIATRY
AUTISM: autismo
Impaired social interaction and communication. These are children who fail to develop normal
social behaviors and show stereotyped behavior like hand flapping. They seem to live in their own
worlds. Some of them are less impaired and have a high functional autism known as :
ASPERGER'S SYNDROME: sindrome de Asperger
ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD): trastorno de deficit de
attencion e hiperactividad (TDAH): disorder characterized by persistent excessive inattention and
hyperactivity. These kids can't stay still or focus on something for long. Bad grades at school call to
it's attention.
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PEDIATRIC_TERMINOLOGY.pdf

  • 1. PEDIATRIC TERMINOLOGY GENERAL TERMS NEWBORN: recien nacido BREASTFEED: amamantar LACTATION: lactancia BREAST PUMP: sacaleches Milk may be extracted from the breasts by using a breast pump and stored for later use. BOTTLE: biberon LATCH: prenderse The baby latches on to the nipple to feed. NIPPLE SHIELD: pezonera Sometimes the there difficulties in latching and nipples get sore or cracked. In theses cases a nipple shaped sheath called a nipple shield may be used during breastfeeding. FORMULA: leche maternizada If a mother does not want to breastfeed then the baby may be given formula DIRTY/SOILED DIAPERS: pañales sucios WET DIAPERS: pañales mojados BULB SYRINGE: perilla Used to remove secretions from the baby's nose or mouth.
  • 2. PACIFIER: chupete o chupon CAR SEAT: asiento para niños WIC (WOMEN, INFANTS & CHILDREN): WIC (mujeres, bebes y niños) is a federal assistance program which provides healthcare and nutrition of low-income pregnant women, mothers and their children under 5 years of age. NICU (NEONATAL INTENSIVE CARE UNIT). Babies may need to spend some time in NICU when they are having difficulty breathing or other problems. Especially the preterm babies. DROPPER: gotero Babies may be given liquids or medicines using a dropper. STROLLER: carriola RASH: sarpullido
  • 3. CHICKEN POX: varicella Viral infection characterized by a vesicular rash (blisters) MEASLES: sarampion Viral infection characterized by a red skin spots. RUBELLA (aka GERMAN MEASLES OR 3-DAY MEASLES): rubeola Viral infection. Three day rash. Light red spots. Swollen lymph glands nape. SCARLET FEVER: escarlatina Red body rash that can appear after strep throat infection. HAND-MOUTH-FOOT DISEASE: fiebre aftosa humana HEAD LICE: pediculosis ORTHOPEDICS MISALIGNED HIP: cadera dislocada/ luxada This implies a displacement of the femoral head from the place where it shoud normally be in the joint causing a loss of function. It causes the child to limp and can be due to: hip dysplasia, a slipped capital femoral epiphysis (SCFE) or Perthe's disease. HIP DYSPLASIA: displasia de cadera Due to degenerative changes in the head of the femur. SLIPPED CAPITAL FEMORAL EPIPHYSIS (SCFE): epifisiolisis de cadera Due to a fracture at the growth plate, a “slippage” of the femoral head occurs leaving it out of place. PERTHES' DISEASE: enfermedad de Perthes: due to deficient blood supply, the femoral head doesn't develop well, becoming too small to bear the weight of the hip. Something like taking a car removing it's normal wheel and replacing it with a motorcycle wheel!
  • 4. GREENSTICK FRACTURE: fractura en tallo verde Children's bones are more flexible that an adult's so they tend to have incomplete fractures called “greenstick fractures”. CLUBFOOT: pie zambo Is a foot deformity where the foot is deviated inwards and downwards so that the only part of the foot that makes contact with the floor is the ball of the foot (like a horse hoof). MUSCULAR DYSTROPHY: distrofia muscular : is a group of genetically transmitted disorders characterized by progressive weakness and muscle fiber degeneration without nerve damage. The onset of muscular dystrophy is early in life. Duchenne's and Becker's are forms of muscular dystrophy. MUSCLE BIOPSY: biopsia de musculo Either a needle or an incisional biopsy can be used to diagnose muscle diseases like muscular dystrophy. CPK LEVEL: examen de creatina fosfoquinasa CPK stands for Creatinine Phosphokinase and is an enzyme whose levels increase in muscular dystrophy.
  • 5. CARDIOLOGY TETRALOGY OF FALLOT: tetralogia de Fallot Congenital heart malformation that includes 4 defects: • Stenosis of the pulmonary artery • Ventricular septal defect • Aorta shifted to the right (causing it to receive blood from both ventricles when it should only receive blood from the left ventricle) and • Enlargement (hypertophy) of the right ventricle. PATENT DUCTUS ARTERIOSUS: ductus arterioso persistente The ductus arteriosus is a blood vessel that communicates the aorta and the pulmonary artery in the fetus. It normally shrivels up at birth. When it fails to close we get what's known as a patent ductus arteriosus. More frequently seen in preterm babies. COARCTATION OF THE AORTA: coartacion de aorta Congenital heart defect characterized by a narrowing of the aorta. TRANSPOSITION OF THE GREAT VESSELS: transposicion de grandes vasos Congenital condition in which the 2 major arteries of the heart (the aorta and the pulmonary artery) are reversed in position (the aorta originating from the right ventricle and the pulmonary artery from the left ventricle). Baby turns blue after birth. VENTRICULAR SEPTAL DEFECT: comunicacion interventricular ATRIAL SEPTAL DEFECTS: comunicacion interauricular These last two conditions imply that there is a hole in the wall that separates the atria or the ventricles.
  • 6. RHEUMATIC FEVER: fiebre reumatica: sometimes a child can develop a sore throat, a throat infection called “strep throat” because it is caused by a bacteria called: Group A Steptococcus. After that throat infection an inflammatory, autoimmune response against the child's joints and heart can occur this is called rheumatic fever. It can cause serious damage to the heat valves and also affect the brain causing chorea (see presentation on nervous system). RESPIRATORY ENLARGED ADENOIDS: hipertrofia de adenoides Hypertrophy (enlargement) of the adenoids in young children may be great enough to interfere with the child's breathing causing a snoring noisy sound when the child breathes. BRONCHIOLITIS: bronquiolitis Inflammation of the small airways (bronchioles). Most frequently seen in babies (3-6 months old). RESPIRATORY DISTRESS SYNDROME (SDRA): sindrome de distres respiratorio Condition seen in preterm babies with immature lungs. A collapse of the alveoli creates a severe impairment of respiratory function. Leading cause of preterm death. PERTUSIS (WHOOPING COUGH): tos ferina CROUP (LARYNGOTRACHEOBRONCHITIS): crup (laringotraqueobronquitis) Respiratory infection that causes inflammation and swelling of the larynx with hoarseness, barking cough, stridor and may interfere with normal breathing. STRIDOR: estridor High-pitched wheezing sound due to upper airway obstruction (inflammation of the larynx). EPIGLOTTITIS: epiglotitis Inflammation of the epiglottitis with stridor. Emergency with may require intubation.
  • 7. SUDDEN INFANT DEATH SYNDROME (SIDS): muerte infantil subita CYSTIC FYBROSIS: fibrosis quistica o mucoviscidosis Genetic disease of the mucous and sweat glands where these glands produce abundant and thick secretions. This mainly affects the lungs where the thick secretions interfere with the breathing process and predispose to infections DIGESTIVE CLEFT PALATE: paladar hendido Congenital defect where the right and left bony plates that form the roof of the mouth did not fuse during fetal development leaving a fissure or opening in the palate. CLEFT LIP: labio Leporino Congenital indentation in the upper lip. BOWEL OBSTRUCTION: obstruccion intestinal A form seen in children is called intussusception (the first 2 syllables of the word : IN-TU) help us to remember that what's basically happening here is that the small intestine folds “into” itself sort of like what happens when you close a telescope by sliding it's parts into each other. PYLORIC STENOSIS: estenosis pilorica Congenital narrowing of the stomach outlet which obstructs the emptying of the chyme into the duodenum. LACTOSE INTOLERANCE: intolerancia a la lactosa Inabilty to digest milk, causes diarrhea. DIARRHEA: diarrea Has many causes. In children frequently caused by rotavirus. BRAT DIET: dieta Brat (dieta para la diarrea) BRAT stands for bananna, rice, apple, toast ORAL REHYDRATION SALTS: sales de rehidratacion oral Used to treat dehydration (diarrhea). ONCOLOGY ACUTE LYMPHOBLASTIC LEUKEMIA (ALL): leucemia linfoblastica aguda : most frequent leukemia in children. BURKITT'S LYMPHOMA: linfoma de Burkitt GLIOMAS: glioma MEDULLOBLASTOMA: meduloblastoma Gliomas and Medulloblastomas are brain tumors frequently located in the cerebellum. WILM'S TUMOR: tumor de Wilm's
  • 8. Type of kidney cancer seen in children. NEUROBLASTOMA: neuroblastoma Most common cancer of infancy. Arising in nervous tissue, it can appear in different parts of a child's body. OSTEOSARCOMA: osteosarcoma Bone cancer. HEMATOLOGY DIAMOND-BLACKFAN ANEMIA : anemia de Blackfan-Diamond Inherited aplastic anemia with low RBC count FANCONI'S ANEMIA : anemia de Fanconi Inherited aplastic anemia with pancytopenia (counts of ALL blood cells are low) NEONATAL JAUNDICE: Some newborns are born with high bilirubin levels because their liver is still working a little slow or due to hemolysis. Lights help lower the bilirubin levels. UROLOGY EPISPADIAS: epispadias Birth defect where instead of the urethra opening at the tip of the penis it opens on the upperside of the penis. HYPOSPADIAS: hipospadias Is a birth defect where instead of the urethra opening at the tip of the penis it opens on the underside of the penis. PHIMOSIS: fimosis Means that the uncircumcised foreskin is too snug, can't be pulled back. CRYPTORCHIDISM: criptorquidia Means that one of the testicles didn't make it down to the scrotum. Remember we had said that in the fetus the testicle is located in the abdomen. This condition needs to be corrected surgically because the testicle that is still up inside is at increased risk to develop testicle cancer. VOIDING CYSTOURETHROGRAPHY (VCUG): cistouretrografia miccional (CUGM) Urinary study done in children with recurrent UTI to see if they have ureteral reflux. NEUROLOGY SPINA BIFIDA : espina bifida Spina bifida is a neural tube defect. The neural tube is an embryological structure from which the brain, spinal cord and spinal column derive. Spina bifida occurs when the one or more vertebrae do not form completely (the posterior vertebral arches fail to close) thus leaving an opening in the vertebral spine through which elements of the spinal cord can protrude. This may result in leg weakness or paralysis.
  • 9. SPINA BIFIDA OCCULTA: espina bifida oculta The defects in the vertebrae are so small that no elements of the spinal cord can protrude. Sometimes a tuft of hair is present in the skin above the defect. SPINA BIFIDA CYSTICA: espina bifida quistica If what protrudes into the cyst is only meninges then it is called a: • MENINGOCELE: meningocele If what protrudes into the cyst is meninges and spinal cord then it is called a: • MENINGOMYELOCELE: mielomeningocele CEREBRAL PALSY: paralisis cerebral A collective term used to describe congenital brain damage that is permanent but not progressive and characterized by a child's lack of control of voluntary muscles. HYDROCEPHALUS: hidrocefalia Congenital disorder with abnormal increase of cerebrospinal fluid in the brain that causes the cerebral ventricles to dilate. Infant will have a large head and open fontanelles.
  • 10. FONTANELLES: fontanelas (mollera-coloquial term) Soft spots on a baby's skull where skull bones are not yet calcified permitting brain and skull to grow ABSENCE SEIZURES (PETIT MAL): crisis de ausencia Characterized by small seizures in which there is a sudden, temporary loss of consciousness lasting only seconds but recurring 50-100 times a day. Blank stare during seizure. VALPROIC ACID: acido valproico Used to treat absence seizures FEBRILE SEIZURE: convulsion febril POLIOMYELITIS (POLIO): poliomielitis (polio) EAR BRAINSTEM AUDITORY EVOKED RESPONSE (BAER TEST): potenciales evocados auditivos del tronco cerebral (PEATC) Because a baby or child are too young to undergo an audiometry if it is suspected that they are hard of hearing they undergo a BAER test which does not require that they participate in the test for it to be done. This test detects electrical activity in the cochlea and auditory pathways in the brain. Test is done by placing electrodes on scalp and earlobes.
  • 11. PSYCHIATRY AUTISM: autismo Impaired social interaction and communication. These are children who fail to develop normal social behaviors and show stereotyped behavior like hand flapping. They seem to live in their own worlds. Some of them are less impaired and have a high functional autism known as : ASPERGER'S SYNDROME: sindrome de Asperger ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD): trastorno de deficit de attencion e hiperactividad (TDAH): disorder characterized by persistent excessive inattention and hyperactivity. These kids can't stay still or focus on something for long. Bad grades at school call to it's attention. Thank you for choosing InterpreterPrep.com!