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Patient Details


OPD : 29-Apr-2026 04:31PM Demographic Details Child's Name: Avnish yadav Age: 3 Year Gender: Male DOB: 2023-02-12 Contact: 6260518537 Interaction history: Eye contact: Fleeting Interaction: Improved with parents Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Handflapping, toe walking increased when excited Patterned behavior or activities: Hyperactivity Inattention Impulsivity 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: Emerging Drag for needs: Emerging Joint attention: Absent Pointing: Attempts Answering Questions:- Echolalia: Present Social Response to Name Call Sitting tolerance- (in minutes) For tasks: 3-5 minutes Details:: 5 minutes ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 2. Started attempting Toilet training: 2. Started attempting Dressing: 2. Started attempting Undressing: 2. Started attempting Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Diet History: Food allergies: No Sleep History Total sleep duration (night): 10 hours Afternoon nap: Yes Duration of Afternoon nap: 30 minutes Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 15 Kg Height: 100 cm Head circumference: 49 cm c. General Examination Dysmorphology: NAD Neurocutaneous markers: NAD d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Advice Intervention plan: IDP 2/week + PMT 1/week Evaluation: DQ (VSMS+DST), ISAA, DSM5 ASD Medications: Syp Risdone (1mg/ml) 0.3 ml HS at 7 PM in evening. Syp autinorm 5 ml BD. Follow up plan: After 1 month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 29-Apr-2026 04:31PM Demographic Details

Child's Name: Avnish yadav
Age: 3 Year
Gender: Male
DOB: 2023-02-12
Contact: 6260518537

Interaction history:

Eye contact: Fleeting
Interaction: Improved with parents
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Handflapping, toe walking increased when excited Patterned behavior or activities: Hyperactivity Inattention Impulsivity

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: Emerging
Drag for needs: Emerging
Joint attention: Absent
Pointing: Attempts

Answering Questions:-

Echolalia: Present

Social

Response to Name Call

Sitting tolerance- (in minutes)

For tasks: 3-5 minutes

Details:: 5 minutes

ADL Skills (Age-appropriate)-

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

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No

Diet History:

Food allergies: No

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: Yes
Duration of Afternoon nap: 30 minutes

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 15 Kg Height: 100 cm Head circumference: 49 cm

c. General Examination

Dysmorphology: NAD Neurocutaneous markers: NAD

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Advice

Intervention plan: IDP 2/week + PMT 1/week
Evaluation: DQ (VSMS+DST), ISAA, DSM5 ASD
Medications: Syp Risdone (1mg/ml) 0.3 ml HS at 7 PM in evening. Syp autinorm 5 ml BD.
Follow up plan: After 1 month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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