OPD :
08-Jun-2026 07:09PM
Demographic Details
- :
Jay
- :
3 Year 3 Month 14 Days
- :
Male
- :
2023-02-25
- :
9589455898
- :
Doctor
- :
Parents
Presenting Concerns
- :
Object oriented
Interaction history:
- :
Suboptimal
- :
Plays with kids
- :
age-appropriate
Behavioral history:
Repetitive behaviors (RRBs):
Impulsivity
Insisting on sameness
Object obsession
Sensory Concerns:
- :
Fear of loud sounds
- :
Avoids swings
:
Sits on swings with parents, not alone
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
-
High-risk factors in pregnancy:
- Oligohydramnios
Natal and Postnatal History:
- :
Institutional
- :
LSCS
- :
Previous LSCS, Oligo
- :
38 weeks
- :
3.1 Kg
- :
Cried immediately after birth
- :
No
- :
Yes
- :
1 day for NNHB
Past history:
:
No
:
No
:
H/o breath holding spells
:
Nil
:
Nil
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
3 months
-
:
Achieved
:
5 months
-
:
Achieved
:
6 months
-
:
Achieved
:
11 months
-
:
Achieved
:
12 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
:
Achieved
:
Language
Receptive:-
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
- :
1-step
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
2 year 8 months
:
Achieved
:
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
2 year 8 months
:
Achieved
:
:
Misraticulation+
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Consistent
- :
Consistent meaningful pointing
- :
Consistent
- :
1-step
Answering Questions:-
:
Absent
:
Absent
Social
-
:
Achieved
:
3 months
-
:
Achieved
:
8 months
-
:
Achieved
:
9 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
- :
2 minutes
- :
Can sit for longer period
ADL Skills (Age-appropriate)-
- :
4. Needs minimal assistance
- :
2. Started attempting
- :
3. Needs significant assistance
- :
1. Dependent
- :
2. Started attempting
:
Eats preferred food by himself.
Type of Play : 4. Parallel
Academic History:
- :
Yes
- :
Regular
- :
Adventures Kids
- :
Nursery
- :
4 hours
- :
Thatipur
Diet History:
- :
Mixed
- :
No
- :
Occasional
Sleep History
- :
8.5 hours
- :
No
-
:
Daily Screen Time
-
:
> 2 hours
- :
TV
Examination
a. Vitals:
b. Anthropometry:
:
12.8 Kg
:
48 cm
c. General Examination
:
Ab
:
Ab
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
- :
No
- :
Proper
- :
Proper
- :
Proper
- :
Proper
:
NAD
:
NAD
:
NAD
Advice
- :
DQ (VSMS, DST), ISAA
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food