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Medical conditions which can cause ADHD type symptoms include: hyperthyroidism, seizure disorder, lead toxicity, hearing deficits, hepatic disease, sleep apnea, drug interactions, and head injury. Primary sleep disorders may affect attention and behavior and the symptoms of ADHD may affect sleep.
Diagnosis is clinical and is based on comprehensive medical, developmental, educational, and psychologic evaluations (see also the American Academy of Pediatrics ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents).