OPD :
30-Apr-2026 12:52PM
Demographic Details
- :
Nkhil Kehrvar
- :
9 Year 8 Month 5 Days
- :
Male
- :
2016-08-25
- :
27 years
- :
Homemaker
- :
31 years
- :
Electrician
- :
Joint
- :
7
- :
1
- :
5 years old
- :
Datia
- :
8964958682
- :
Doctor
- :
Father, uncle
Presenting Concerns
- :
Understanding not as per age
- :
Since early childhood
Interaction history:
- :
Suboptimal
- :
doesnt understand how to approach
Behavioral history:
Inattention
Stubbornness
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
- :
ANC check ups- details not there
Natal and Postnatal History:
- :
Institutional
- :
NVD
- :
FT
- :
Not known
- :
Cried immediately after birth
- :
No
- :
No
Past history:
:
No
:
No
:
surgically operated for hypospadiasis at 1.5 years age
:
Nil
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
4 months
-
:
Achieved
:
5 months
-
:
Achieved
:
6 months
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
16 months
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
:
Not achieved
Language
Receptive:-
-
:
Achieved
:
9 months
-
:
Achieved
:
2 years
- :
1-step
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
4 years
:
Achieved
:
5 years
:
Not achieved
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
4 years
:
Achieved
:
5 years
:
Not achieved
:
Limited vocabulary for basic needs.
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Consistent meaningful pointing
- :
Emerging
- :
1-step
Answering Questions:-
:
No
Social
-
:
Achieved
:
2 months
-
:
Achieved
:
2 years
-
:
Not achieved
-
:
Not achieved
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
ADL Skills (Age-appropriate)-
- :
5. Independent
- :
1. Dependent
- :
3. Needs significant assistance
- :
1. Dependent
- :
2. Started attempting
:
Needs assistance for
Type of Play : 4. Parallel
:
Also plays alone with toys
Academic History:
- :
Yes
- :
Regular
- :
Rachna Public school
- :
1
- :
4 hours
- :
Datia
- :
sits alone in class, not involved
Diet History:
- :
Mixed
- :
No
- :
Daily
Sleep History
- :
10 hours
- :
No
-
:
No
Daily Screen Time
-
:
< 2 hours
- :
Mobile and TV
Examination
a. Vitals:
:
96/min
:
24/min
b. Anthropometry:
:
21.8 Kg
:
127 cm
:
50 cm
c. General Examination
:
NAD
:
NAD
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
- :
Normal
- :
KJ 2+/2+, AJ =2+/2+
:
Absent
Oromotor Examination
- :
No
- :
Proper
- :
Proper
- :
Proper
- :
Proper
:
NAD
:
NAD
:
NAD
:
?ID
Advice
- :
Home startegies advised
- :
IQ/ DQ
- :
CBC, S. ferritin. thyroid profile, RBS, Calcium, Vitamin D2, Vitamin B12, RFT. MRI Brain
- :
Syp Cos3 5 ml BD. Syp Multivitamin 5 ml OD.
- :
Review after 1 month
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
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