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OPD : 12-May-2026 10:42AM Demographic Details Child's Name: Brashav Ahirwar Age: 8 Year 10 Month 21 Days Gender: Male DOB: 2017-06-21 Mother’s age (years): 27 years Mother’s occupation: Homemaker Father’s age (years): 29 years Father’s occupation: Private job Type of family: Joint Number of family members: 5 Number of siblings: 0 Address: Chhatarpur Contact: 9479841050 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Poor understanding, speech delay Interaction history: Eye contact: Poor Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Patterned behavior or activities: Hyperactivity Inattention Impulsivity Object obsession Stubbornness Aggression Others Emotional History Details: Irrelevant laughing Sensory Concerns: Tactile: Hypersensitive Auditory: Hypersensitive Proprioception: Seeks pressure Vestibular: Seeks movement Details:: Doesnt cooperate for haircutting Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): PROM. Leaking PV for 24 hrs Gestational Age: FT Birth Weight: 2.5 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: No Seizures: No Past/Current therapies: Nil Past/Current medications: Nil 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: 15 months Walking without support: Achieved Age of attainment: 18 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Hopping: 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: 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: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved 2 word Phrases: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved 2 word Phrases: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Emerging Drag for needs: Emerging Joint attention: Absent Pointing: Absent Understanding gestures: Absent Following commands (gesture + verbal): Nil Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 3 months Stranger anxiety: Not achieved Waving bye bye: Not achieved Response to Name Call Details: 5/10 Sitting tolerance- (in minutes) For interaction: 1-2 minutes For tasks: 1-2 minutes ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 2. Started attempting Undressing: 1. Dependent Details:: gives cues for indicating toilet needs Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Daily Sleep History Total sleep duration (night): 5-6 hours Afternoon nap: No Duration of Afternoon nap: Occasional afternoon naps Sleep disturbances: Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 23 Kg Height: 132 cm Head circumference: 51 cm c. General Examination Dysmorphology: NAD Neurocutaneous markers: NAD d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Deep tendon reflexes: ab/ab Superficial reflexes: Plantars- flexors/flexors Oromotor Examination Drooling: No Chewing: Proper Swallowing: Proper Blowing: Improper Sucking: Proper CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: ASD Advice Intervention plan: Home Based Program Evaluation: DQ, ISAA, DSM5 ASD, Speech and language evaluation Investigations: CBC, thyroid profile, S homocysteine, Vitamin D2, Vitamin B12, Fragile X TP PCR Follow up plan: After 1 month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 12-May-2026 10:42AM Demographic Details

Child's Name: Brashav Ahirwar
Age: 8 Year 10 Month 21 Days
Gender: Male
DOB: 2017-06-21
Mother’s age (years): 27 years
Mother’s occupation: Homemaker
Father’s age (years): 29 years
Father’s occupation: Private job
Type of family: Joint
Number of family members: 5
Number of siblings: 0
Address: Chhatarpur
Contact: 9479841050
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Poor understanding, speech delay

Interaction history:

Eye contact: Poor
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Patterned behavior or activities: Hyperactivity Inattention Impulsivity Object obsession Stubbornness Aggression Others Emotional History Details: Irrelevant laughing
Sensory Concerns:

Tactile: Hypersensitive
Auditory: Hypersensitive
Proprioception: Seeks pressure
Vestibular: Seeks movement

Details:: Doesnt cooperate for haircutting

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): PROM. Leaking PV for 24 hrs
Gestational Age: FT
Birth Weight: 2.5 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: No Seizures: No

Past/Current therapies: Nil Past/Current medications: Nil 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: 15 months
Walking without support: Achieved

Age of attainment: 18 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:
Hopping: 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:

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: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

2 word Phrases: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

2 word Phrases: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

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

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 3 months
Stranger anxiety: Not achieved
Waving bye bye: Not achieved

Response to Name Call

Details: 5/10

Sitting tolerance- (in minutes)

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

ADL Skills (Age-appropriate)-

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

Details:: gives cues for indicating toilet needs

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No

Diet History:

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

Sleep History

Total sleep duration (night): 5-6 hours
Afternoon nap: No
Duration of Afternoon nap: Occasional afternoon naps
Sleep disturbances:

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 23 Kg Height: 132 cm Head circumference: 51 cm

c. General Examination

Dysmorphology: NAD Neurocutaneous markers: NAD

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Deep tendon reflexes: ab/ab
Superficial reflexes: Plantars- flexors/flexors

Oromotor Examination

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

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

Impression: ASD

Advice

Intervention plan: Home Based Program
Evaluation: DQ, ISAA, DSM5 ASD, Speech and language evaluation
Investigations: CBC, thyroid profile, S homocysteine, Vitamin D2, Vitamin B12, Fragile X TP PCR
Follow up plan: After 1 month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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