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OPD : 11-Jun-2026 09:42AM Demographic Details Child's Name: Anuj Sharma Age: 10 Year 9 Month 17 Days Gender: Male DOB: 2015-08-25 Type of family: Joint Number of siblings: 3 Details of siblings (Age and sex): 18yr f, 15 y m, 13y f Address: Dholpur Contact: 9588937078 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Neuoregression Interaction history: Eye contact: Sustained Behavioral history: Mouthing of objects Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Others:: Jaundice Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: NVD Gestational Age: FT Birth Weight: 3.5 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: Yes Seizures: Yes Others: at a 6 years- TBM. admitted for 1 month. Last seizure episode 3 month back. Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 4 months Roll over: Achieved Age of attainment: 5 months Sitting without support: Achieved Age of attainment: 7 months Standing without support: Achieved Age of attainment: 9 months Walking without support: Achieved Age of attainment: 12 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Hopping: Achieved Age of attainment: Standing on one foot: Achieved Age of attainment: Skipping: Achieved Age of attainment: Fine Motor Bidextrous grasp: Achieved Age of attainment: 4 months Unidextrous grasp: Achieved Age of attainment: 6 months Pincer grasp: Achieved Age of attainment: 12 months Scribbling: Achieved Age of attainment: Drinking from cup: Achieved Age of attainment: Language Receptive:- Joint attention: Achieved Age of attainment: Pointing: Achieved Age of attainment: Understanding gestures: Achieved Age of attainment: Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 15 months Complete sentences: Achieved Age of attainment: 18 months Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 15 months Complete sentences: Achieved Age of attainment: 18 months Details:: Regression of milestones after 6 years of age. Currently Stands with support, but poor balance and coordination. Unidextrous grasp, (ill sustained), pincer grasp absent. Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Absent Answering Questions:- Social Social smile: Achieved Age of attainment: 3 months Stranger anxiety: Achieved Age of attainment: 6 months Waving bye bye: Achieved Age of attainment: 9 months Comes when called: Achieved Age of attainment: Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 1. Dependent Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 1. Unoccupied Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed diet. Choking episodes Food allergies: No Sleep History Total sleep duration (night): 8- 10 hours Afternoon nap: Yes Duration of Afternoon nap: occasional Daily Screen Time Duration: > 5 hours Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: Weight: 14 Kg Head circumference: 50.5 cm c. General Examination Dysmorphology: Ab Neurocutaneous markers: Ab d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Drooling: No Chewing: Proper Swallowing: Proper Blowing: Improper Sucking: Improper CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: Post meningitis sequelae Advice Evaluation: Neuromotor assessment 1, DQ (VSMS, DST) Investigations: EEG General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 11-Jun-2026 09:42AM Demographic Details

Child's Name: Anuj Sharma
Age: 10 Year 9 Month 17 Days
Gender: Male
DOB: 2015-08-25
Type of family: Joint
Number of siblings: 3
Details of siblings (Age and sex): 18yr f, 15 y m, 13y f
Address: Dholpur
Contact: 9588937078
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Neuoregression

Interaction history:

Eye contact: Sustained

Behavioral history:

Mouthing of objects

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
Others:: Jaundice

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: NVD
Gestational Age: FT
Birth Weight: 3.5 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: Yes Seizures: Yes Others: at a 6 years- TBM. admitted for 1 month. Last seizure episode 3 month back.

Investigations done-

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 4 months
Roll over: Achieved

Age of attainment: 5 months
Sitting without support: Achieved

Age of attainment: 7 months
Standing without support: Achieved

Age of attainment: 9 months
Walking without support: Achieved

Age of attainment: 12 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:
Hopping: Achieved

Age of attainment:
Standing on one foot: Achieved

Age of attainment:
Skipping: Achieved

Age of attainment:

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 4 months

Unidextrous grasp: Achieved

Age of attainment: 6 months

Pincer grasp: Achieved

Age of attainment: 12 months

Scribbling: Achieved

Age of attainment:

Drinking from cup: Achieved

Age of attainment:

Language

Receptive:-

Joint attention: Achieved

Age of attainment:
Pointing: Achieved

Age of attainment:
Understanding gestures: Achieved

Age of attainment:

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 15 months

Complete sentences: Achieved

Age of attainment: 18 months

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 15 months

Complete sentences: Achieved

Age of attainment: 18 months

Details:: Regression of milestones after 6 years of age. Currently Stands with support, but poor balance and coordination. Unidextrous grasp, (ill sustained), pincer grasp absent.

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Absent

Answering Questions:-

Social

Social smile: Achieved

Age of attainment: 3 months
Stranger anxiety: Achieved

Age of attainment: 6 months
Waving bye bye: Achieved

Age of attainment: 9 months
Comes when called: Achieved

Age of attainment:

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Eating: 1. Dependent
Bathing: 1. Dependent
Toilet training: 1. Dependent
Dressing: 1. Dependent
Undressing: 1. Dependent

Type of Play : 1. Unoccupied Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Mixed diet. Choking episodes
Food allergies: No

Sleep History

Total sleep duration (night): 8- 10 hours
Afternoon nap: Yes
Duration of Afternoon nap: occasional

Daily Screen Time

Duration: > 5 hours
Type of screen: Mobile and TV

Examination

a. Vitals:

b. Anthropometry:

Weight: 14 Kg Head circumference: 50.5 cm

c. General Examination

Dysmorphology: Ab Neurocutaneous markers: Ab

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Drooling: No
Chewing: Proper
Swallowing: Proper
Blowing: Improper
Sucking: Improper

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

Impression: Post meningitis sequelae

Advice

Evaluation: Neuromotor assessment 1, DQ (VSMS, DST)
Investigations: EEG
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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