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OPD : 25-Jun-2026 11:56AM Demographic Details Child's Name: Satvik Baiga Age: 3 Year 10 Month 21 Days Gender: Male DOB: 2022-08-04 Mother’s age (years): 28 years Mother’s occupation: Lab technician Father’s age (years): 28 years Father’s occupation: Private job Type of family: Nuclear Number of family members: 4 Number of siblings: 1 Details of siblings (Age and sex): 6 months age male Address: Aamkho Contact: 7879856774 Referred By: School Informant: Father Presenting Concerns Chief concerns: Speech delay, hyperactivity Duration of symptoms: Noticed since 2 years age Interaction history: Eye contact: Fleeting Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Hand flapping, jumping, looks from corner of eyes Patterned behavior or activities: Repeatedly closes and open door Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Aggression Mouthing of objects Sensory Concerns: Tactile: Hyposensitive Auditory: Hyposensitive Proprioception: Seeks pressure Details:: afraid of dark and very loud sounds Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural High-risk factors in pregnancy: Ante partum haemorrhage Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): Fetal distress. MSL. cord around neck Gestational Age: FT Birth Weight: 2.5 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: Yes Seizures: Yes Others: At 3 mon- TBM. On MV for 1 day. Admitted for 25 days. ATT for 9 mon. no seizures after 1 year age 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: 9 months Roll over: Achieved Age of attainment: 10 months Sitting without support: Achieved Age of attainment: 11 months Standing without support: Achieved Age of attainment: 12 months Walking without support: Achieved Age of attainment: 13 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Fine Motor Bidextrous grasp: Achieved Age of attainment: 6 months Unidextrous grasp: Achieved Age of attainment: 8 months Pincer grasp: Achieved Age of attainment: 12 months Scribbling: Achieved Age of attainment: Buttoning / Unbuttoning: Not achieved Language Receptive:- Joint attention: Not achieved Pointing: Not achieved Understanding gestures: Not achieved Following commands: Not following Expressive:- Cooing: Achieved Age of attainment: 6 months Babbling: Achieved Age of attainment: 9 months Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: 6 months Babbling: Achieved Age of attainment: 9 months Meaningful words: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Absent Drag for needs: Absent Joint attention: Absent Pointing: Absent Understanding gestures: Absent Following commands (gesture + verbal): Nil Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 9 months Waving bye bye: Not achieved Comes when called: Not achieved Copying parents in tasks: Not achieved Asking for food and toilet: Not achieved Response to Name Call Details: 2/10 Sitting tolerance- (in minutes) For interaction: 1-2 minutes For tasks: 3-5 minutes ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 2. Started attempting Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Details:: Doesnt cooperate for haircut and nailcut Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Infrequent Sleep History Total sleep duration (night): 9-10 hours Afternoon nap: Yes Duration of Afternoon nap: 1-1.5 hours Daily Screen Time Duration: < 1 hour Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: c. General Examination Dysmorphology: Pre auricular tags on Left side Neurocutaneous markers: 1 cafe au lait macule over back 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: ? ASD Advice Intervention plan: IDP2/week + PMT 1/week Evaluation: DQ, ISAA, DSM5 ASD (Next month) Investigations: EEG, MRI Brain, Pediatric neurologist opinion Follow up plan: every month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 25-Jun-2026 11:56AM Demographic Details

Child's Name: Satvik Baiga
Age: 3 Year 10 Month 21 Days
Gender: Male
DOB: 2022-08-04
Mother’s age (years): 28 years
Mother’s occupation: Lab technician
Father’s age (years): 28 years
Father’s occupation: Private job
Type of family: Nuclear
Number of family members: 4
Number of siblings: 1
Details of siblings (Age and sex): 6 months age male
Address: Aamkho
Contact: 7879856774
Referred By: School
Informant: Father

Presenting Concerns

Chief concerns: Speech delay, hyperactivity
Duration of symptoms: Noticed since 2 years age

Interaction history:

Eye contact: Fleeting
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Hand flapping, jumping, looks from corner of eyes Patterned behavior or activities: Repeatedly closes and open door Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Aggression Mouthing of objects
Sensory Concerns:

Tactile: Hyposensitive
Auditory: Hyposensitive
Proprioception: Seeks pressure

Details:: afraid of dark and very loud sounds

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
High-risk factors in pregnancy:
1. Ante partum haemorrhage

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): Fetal distress. MSL. cord around neck
Gestational Age: FT
Birth Weight: 2.5 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: Yes Seizures: Yes Others: At 3 mon- TBM. On MV for 1 day. Admitted for 25 days. ATT for 9 mon. no seizures after 1 year age

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: 9 months
Roll over: Achieved

Age of attainment: 10 months
Sitting without support: Achieved

Age of attainment: 11 months
Standing without support: Achieved

Age of attainment: 12 months
Walking without support: Achieved

Age of attainment: 13 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 6 months

Unidextrous grasp: Achieved

Age of attainment: 8 months

Pincer grasp: Achieved

Age of attainment: 12 months

Scribbling: Achieved

Age of attainment:

Buttoning / Unbuttoning: Not achieved

Language

Receptive:-

Joint attention: Not achieved
Pointing: Not achieved
Understanding gestures: Not achieved
Following commands: Not following

Expressive:-

Cooing: Achieved

Age of attainment: 6 months

Babbling: Achieved

Age of attainment: 9 months

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 6 months

Babbling: Achieved

Age of attainment: 9 months

Meaningful words: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Absent
Drag for needs: Absent
Joint attention: Absent
Pointing: Absent
Understanding gestures: Absent
Following commands (gesture + verbal): Nil

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 9 months
Waving bye bye: Not achieved
Comes when called: Not achieved
Copying parents in tasks: Not achieved
Asking for food and toilet: Not achieved

Response to Name Call

Details: 2/10

Sitting tolerance- (in minutes)

For interaction: 1-2 minutes
For tasks: 3-5 minutes

ADL Skills (Age-appropriate)-

Eating: 2. Started attempting
Bathing: 2. Started attempting
Toilet training: 1. Dependent
Dressing: 1. Dependent
Undressing: 1. Dependent

Details:: Doesnt cooperate for haircut and nailcut

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No

Diet History:

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

Sleep History

Total sleep duration (night): 9-10 hours
Afternoon nap: Yes
Duration of Afternoon nap: 1-1.5 hours

Daily Screen Time

Duration: < 1 hour
Type of screen: Mobile and TV

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

Dysmorphology: Pre auricular tags on Left side Neurocutaneous markers: 1 cafe au lait macule over back

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: ? ASD

Advice

Intervention plan: IDP2/week + PMT 1/week
Evaluation: DQ, ISAA, DSM5 ASD (Next month)
Investigations: EEG, MRI Brain, Pediatric neurologist opinion
Follow up plan: every month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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