OPD :
10-Jul-2026 03:28PM
Demographic Details
- :
Krisha Bhadoriya
- :
4 Year 4 Month 1 Days
- :
Female
- :
2022-03-09
- :
Joint
- :
5
- :
1
- :
2 year old male
- :
9399218419
- :
Doctor
- :
Parents
Presenting Concerns
- :
Speech delay
- :
noticed since 2 years
Interaction history:
- :
Sustained
- :
age-appropriate
Behavioral history:
Sensory Concerns:
- :
Seeks pressure
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
NVD
- :
FT
- :
2.5 Kg
- :
Cried immediately after birth
- :
No
- :
No
Past history:
:
No
:
No
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
5 months
-
:
Achieved
:
7 months
-
:
Achieved
:
9 months
-
:
Achieved
:
20 months
-
:
Achieved
:
22 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
:
Achieved
:
Language
Receptive:-
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
- :
1-step
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
:
started speaking kinship words since 2 years
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Inconsistent
- :
Inconsistent
- :
Inconsistent
- :
Inconsistent meaningful pointing
- :
Emerging
- :
1-step
Answering Questions:-
:
Absent
Social
-
:
Achieved
:
2 months
-
:
Achieved
:
8 months
-
:
Achieved
:
9 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
- :
10-15 min
- :
10-15 min
ADL Skills (Age-appropriate)-
- :
2. Started attempting
- :
2. Started attempting
- :
2. Started attempting
- :
2. Started attempting
- :
2. Started attempting
Type of Play : 5. Associative
Academic History:
- :
No
Diet History:
- :
Mixed
- :
No
- :
Daily
Sleep History
- :
10-11 hours
- :
Yes
- :
2 hours
Daily Screen Time
-
:
<30 minutes
- :
Mobile
Examination
a. Vitals:
b. Anthropometry:
:
13.55 Kg
:
90 cm
:
46 cm
c. General Examination
:
Depressed nasal bridge
:
ab
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
- :
No
- :
Proper
- :
Proper
- :
Proper
- :
Proper
:
NAD
:
NAD
:
NAD
:
GDD
Advice
- :
Speech and language evaluation, DQ
- :
CBC, TSH, free T3, free T4, vitamin D, Calcium, Vitamin B 12
- :
Syp IQ norm DHA 5 ml OD
- :
After investigations
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
-
No focus on academics at present