A 7-year old boy presented with a foster carer. He had been with the foster carer for five weeks, having been removed from his family due to ongoing child protection concerns. The Foster carer reported that the child has poor concentration and attention, which causes difficulty in learning basic skills. Examination He is an overactive boy and struggles to sit. He cannot focus and is physically inappropriate.
He fidgets while examining but is generally cooperative. His speech is not easy to understand. What is the differential diagnosis? (Answer is posted in the comment section below!) *This case is from the Editorial team of Docplexus and is meant for educative purposes only.