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OPD : 21-May-2026 01:15PM Demographic Details Child's Name: Krishna Shakya Age: 1 Year 4 Month 9 Days Gender: Male DOB: 2025-01-12 Contact: 7898803311 Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: 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 Answering Questions:- Social Response to Name Call Details: 9-10/10 Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 4. Parallel Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Sleep History Total sleep duration (night): 10 hours Afternoon nap: Yes Duration of Afternoon nap: 2 naps- 2 hours Examination a. Vitals: b. Anthropometry: Height: 73 cm Head circumference: 44 cm c. General Examination Dysmorphology: Downs phenotype Neurocutaneous markers: Ab d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Tone: Hypotonia Deep tendon reflexes: KJ- 2+/2+, AJ-+/+ Superficial reflexes: Plantars- flexors Oromotor Examination CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: GDD with Downs Syndrome Advice Intervention plan: IDP (+PT) 3.week. (To add Language intervention in the session) Medications: Syp Calcium 5 ml BD Follow up plan: After 1 month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 21-May-2026 01:15PM Demographic Details

Child's Name: Krishna Shakya
Age: 1 Year 4 Month 9 Days
Gender: Male
DOB: 2025-01-12
Contact: 7898803311

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

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

Answering Questions:-

Social

Response to Name Call

Details: 9-10/10

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

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

Type of Play : 4. Parallel Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Mixed

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: Yes
Duration of Afternoon nap: 2 naps- 2 hours

Examination

a. Vitals:

b. Anthropometry:

Height: 73 cm Head circumference: 44 cm

c. General Examination

Dysmorphology: Downs phenotype Neurocutaneous markers: Ab

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Tone: Hypotonia
Deep tendon reflexes: KJ- 2+/2+, AJ-+/+
Superficial reflexes: Plantars- flexors

Oromotor Examination

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

Impression: GDD with Downs Syndrome

Advice

Intervention plan: IDP (+PT) 3.week. (To add Language intervention in the session)
Medications: Syp Calcium 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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