OPD :
18-Apr-2026 02:29PM
Demographic Details
- :
Navit Noor
- :
4 Year 10 Month 29 Days
- :
Male
- :
2021-05-20
- :
-
- :
Joint
- :
7999644694
- :
Doctor
- :
Paternal aunt (bua)
Presenting Concerns
- :
Hyperactivity, Poor understanding, speech delay
- :
Since birth
Interaction history:
- :
Fleeting
- :
Wants to play with children, approaches them
- :
limited
Behavioral history:
Repetitive behaviors (RRBs):
Stimmimg, staring at light
Patterned behavior or activities:
Hyperactivity
Inattention
Impulsivity
Temper tantrums
Stubbornness
Aggression
Sensory Concerns:
- :
Hyposensitive
- :
Seeks visuals
- :
Seeks pressure
:
Throws aobjects to hear sounds
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
- :
Generalised swelling over body
Natal and Postnatal History:
- :
Institutional
- :
LSCS
- :
Non progression of labor
- :
FT
- :
Not known
- :
Cried immediately after birth
- :
No
- :
Admitted on day 3 for 15 days. Hypoglycemic seizures.? IEM Discharged on AEDs. Continued till 1.5 years age
Past history:
:
No
:
No
:
Abnormal body movements f/b excessive crying till 9 months of age. Were taking treatment from Bhopal. ?Infantile spasms. Inj ACTH, omnacortil were given. AEDs stopped at 1.5 year
:
PT for 1 year for spasticity
:
On homeopathic medications
Investigations done-
:
Done
:
BERA- normal
:
Done
Family history:
Developmental History:
Gross Motor
-
:
Achieved
:
6 months
-
:
Achieved
:
8 months
-
:
Achieved
:
1 years
-
:
Achieved
:
3 years
-
:
Achieved
:
3.5 years
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
3 years
:
Achieved
:
after 3 years
:
Not achieved
Language
Receptive:-
-
:
Not achieved
-
:
Not achieved
Expressive:-
:
Achieved
:
3 years
:
Achieved
:
3.5 years
:
Not achieved
Expressive:-
:
Achieved
:
3 years
:
Achieved
:
3.5 years
:
Not achieved
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Absent
- :
Absent
Answering Questions:-
Social
-
:
Achieved
:
2.5 years
-
:
Achieved
:
3 years
-
:
Not achieved
Response to Name Call
Sitting tolerance- (in minutes)
- :
Doesnt sit
- :
Doesnt sit
ADL Skills (Age-appropriate)-
- :
2. Started attempting
- :
1. Dependent
- :
1. Dependent
- :
1. Dependent
- :
2. Started attempting
Academic History:
- :
No
Diet History:
- :
No
- :
Nil
Sleep History
- :
8 hours
- :
Yes
- :
2-3 hours
-
:
No
Daily Screen Time
Examination
a. Vitals:
b. Anthropometry:
:
12 Kg
:
42 cm
c. General Examination
:
NAD
:
NAD
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
- :
Gross motor and Fine motor
- :
Normal
- :
KJ 2+/2+, AJ 2+/2+
Oromotor Examination
- :
Yes
- :
Proper
- :
Proper
- :
Improper
- :
Improper
:
NAD
:
NAD
:
NAD
:
GDD
Advice
- :
DQ (VSMS, DST), ISAA
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
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