OPD :
23-Jun-2026 04:32PM
Demographic Details
- :
Dishani Sagoriya
- :
5 Year 10 Month 15 Days
- :
Female
- :
2020-08-08
- :
Joint
- :
8
- :
1
- :
1- 3.5 year male
- :
Dabra
- :
8770188422
- :
Doctor
- :
Parents
Presenting Concerns
- :
Unclear speech
- :
Since initiation of speech
Interaction history:
- :
Sustained
- :
age-appropriate
Behavioral history:
Stubbornness
Emotional history:
Irritability
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
NVD
- :
FT
- :
2.75 Kg
- :
Cried immediately after birth
- :
No
Past history:
:
No
:
Nil
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
4 months
-
:
Achieved
:
5 months
-
:
Achieved
:
6 months
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
:
Achieved
:
:
Not achieved
Language
Receptive:-
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
- :
2-step
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
11 months
:
Achieved
:
16 months
:
Achieved
:
:
Able to narrate stories.
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
11 months
:
Achieved
:
16 months
:
Achieved
:
:
Able to narrate stories.
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Consistent
- :
Consistent meaningful pointing
- :
Consistent
- :
2-step
Answering Questions:-
Social
-
:
Achieved
:
2 months
-
:
Achieved
:
8 months
-
:
Achieved
:
9 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
ADL Skills (Age-appropriate)-
- :
5. Independent
- :
4. Needs minimal assistance
- :
5. Independent
- :
4. Needs minimal assistance
- :
4. Needs minimal assistance
:
Doesnt prefer eating by herself
Type of Play : 5. Associative
Academic History:
- :
Yes
- :
Regular
- :
Cambridge school
- :
UKG
- :
5 hours
- :
CBSE
- :
Dabra
Diet History:
- :
Picky eater
- :
No
- :
Occasional
Daily Screen Time
-
:
> 5 hours
- :
Mobile and TV
Examination
a. Vitals:
b. Anthropometry:
:
19.5 Kg
:
112 cm
:
52 cm
c. General Examination
:
Ab
:
Ab
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
- :
Normal
- :
KJ-2+/2+, AJ-2+/2+
:
Normal
Oromotor Examination
- :
No
- :
Proper
- :
Proper
- :
Proper
- :
Proper
:
NAD
:
NAD
:
NAD
:
Poor self regulation, Misarticulation+
Advice
- :
after evaluation
- :
Speech and language evaluation, DSM5 ADHD
- :
After evaluation
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
-
No focus on academics at present