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OPD : 01-Jul-2026 11:57AM Demographic Details Child's Name: Hridayansh Sehgal Age: 4 Year 9 Month 10 Days Gender: Male DOB: 2021-07-11 Contact: 7047412523 Interaction history: Eye contact: Suboptimal Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Hyperactivity Inattention Temper tantrums Stubbornness Aggression Sensory Concerns: Proprioception: Seeks pressure Vestibular: Seeks movement Birth & Perinatal History: Antenatal History Natal and Postnatal History: Past history: Investigations done- Family history: Developmental History: Gross Motor Fine Motor Language Expressive:- Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Understanding gestures: Absent Following commands (gesture + verbal): 1-step Answering Questions:- Social Response to Name Call Sitting tolerance- (in minutes) For interaction: 5 minutes For tasks: 5-7 minutes ADL Skills (Age-appropriate)- Eating: 3. Needs significant assistance Bathing: 3. Needs significant assistance Toilet training: 4. Needs minimal assistance Dressing: 2. Started attempting Undressing: 2. Started attempting Type of Play : 3. Onlooker Outdoor play duration: Prefers playing his way Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 10 hours Afternoon nap: No Sleep disturbances: No Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Advice Evaluation: ISAA, DSM5 ASD/ADHD Investigations: Fragile X TPPCR. Whole Exome Sequencing Medications: Syp sizodone (1mg/ml) 0.4 ml for next 7 days then 0.5 ml for next 7 days Follow up plan: Every month General recommendation- Zero Screen Time Physical interactive play No Junk food No focus on academics at present

OPD : 01-Jul-2026 11:57AM Demographic Details

Child's Name: Hridayansh Sehgal
Age: 4 Year 9 Month 10 Days
Gender: Male
DOB: 2021-07-11
Contact: 7047412523

Interaction history:

Eye contact: Suboptimal
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Hyperactivity Inattention Temper tantrums Stubbornness Aggression
Sensory Concerns:

Proprioception: Seeks pressure
Vestibular: Seeks movement

Birth & Perinatal History: Antenatal History

Natal and Postnatal History:

Past history:

Investigations done-

Family history:

Developmental History:

Gross Motor

Fine Motor

Language

Expressive:-

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Consistent
Drag for needs: Consistent
Joint attention: Consistent
Pointing: Consistent meaningful pointing
Understanding gestures: Absent
Following commands (gesture + verbal): 1-step

Answering Questions:-

Social

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: 5 minutes
For tasks: 5-7 minutes

ADL Skills (Age-appropriate)-

Eating: 3. Needs significant assistance
Bathing: 3. Needs significant assistance
Toilet training: 4. Needs minimal assistance
Dressing: 2. Started attempting
Undressing: 2. Started attempting

Type of Play : 3. Onlooker Outdoor play duration: Prefers playing his way Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Mixed
Food allergies: No
Junk food intake: Nil

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: No
Sleep disturbances: No

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Advice

Evaluation: ISAA, DSM5 ASD/ADHD
Investigations: Fragile X TPPCR. Whole Exome Sequencing
Medications: Syp sizodone (1mg/ml) 0.4 ml for next 7 days then 0.5 ml for next 7 days
Follow up plan: Every month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food
4. No focus on academics at present

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