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OPD : 26-Jun-2026 11:23AM Demographic Details Child's Name: Kanishk Yadav Age: 4 Year 5 Month 10 Days Gender: Male DOB: 2022-01-16 Mother’s age (years): 33 years Mother’s occupation: Homemaker Father’s age (years): 34 years Father’s occupation: Bank Type of family: Joint Number of family members: 9 Number of siblings: 0 Address: Daulatganj, gwalior Contact: 6266584746 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Hyperactivity, object obsession Interaction history: Eye contact: Poor Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): running to and fro Patterned behavior or activities: Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Sensory Concerns: Tactile: Hypersensitive Auditory: Hyposensitive Proprioception: Seeks pressure Details:: Doesnt like messy things 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): Breech presentation Gestational Age: Late PT Birth Weight: 2.6 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: Yes Seizures: No Others: Hypospadiasis. At age 1.5 years admitted for febrile illness Past/Current therapies: Speech therapy since 8 months Past/Current medications: Homeopathic medicines 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: 3 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: 12 months Walking without support: Achieved Age of attainment: 14 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Fine Motor Bidextrous grasp: Achieved Age of attainment: 4 months Unidextrous grasp: Achieved Age of attainment: 5 months Pincer grasp: Achieved Age of attainment: 6 months Drinking from cup: Achieved Age of attainment: Language Receptive:- Joint attention: Not achieved Pointing: Not achieved Understanding gestures: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 8 months Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 8 months Meaningful words: Not achieved Details:: Speaks mumma, dadi but not meaningfully Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Inconsistent Drag for needs: Inconsistent Joint attention: Absent Pointing: Absent Understanding gestures: Absent Following commands (gesture + verbal): Nil Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 9 months Waving bye bye: Not achieved Response to Name Call Details: 10/10 with parents but not with others Sitting tolerance- (in minutes) For interaction: doesnt sit For tasks: 1-2 min ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 2. Started attempting Toilet training: 2. Started attempting Dressing: 1. Dependent Undressing: 2. Started attempting Details:: Wants to go to washroom repeatedly. Indication to urine is inconsistent. Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Diet History: Food preferences: Picky eater Food allergies: No Junk food intake: 1-2 times/week Sleep History Total sleep duration (night): 10 hours Afternoon nap: No Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 12 Kg Height: 93 cm Head circumference: 50 cm c. General Examination Dysmorphology: Ab Neurocutaneous markers: Ab d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns 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: IDP 2/week + PMT 1/week Evaluation: DQ (VSMS, DST), ISAA, DSM5 ASD Follow up plan: After 1 month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 26-Jun-2026 11:23AM Demographic Details

Child's Name: Kanishk Yadav
Age: 4 Year 5 Month 10 Days
Gender: Male
DOB: 2022-01-16
Mother’s age (years): 33 years
Mother’s occupation: Homemaker
Father’s age (years): 34 years
Father’s occupation: Bank
Type of family: Joint
Number of family members: 9
Number of siblings: 0
Address: Daulatganj, gwalior
Contact: 6266584746
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Hyperactivity, object obsession

Interaction history:

Eye contact: Poor
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): running to and fro Patterned behavior or activities: Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness
Sensory Concerns:

Tactile: Hypersensitive
Auditory: Hyposensitive
Proprioception: Seeks pressure

Details:: Doesnt like messy things

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): Breech presentation
Gestational Age: Late PT
Birth Weight: 2.6 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: Yes Seizures: No Others: Hypospadiasis. At age 1.5 years admitted for febrile illness

Past/Current therapies: Speech therapy since 8 months Past/Current medications: Homeopathic medicines 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: 3 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: 12 months
Walking without support: Achieved

Age of attainment: 14 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 4 months

Unidextrous grasp: Achieved

Age of attainment: 5 months

Pincer grasp: Achieved

Age of attainment: 6 months

Drinking from cup: Achieved

Age of attainment:

Language

Receptive:-

Joint attention: Not achieved
Pointing: Not achieved
Understanding gestures: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 8 months

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 8 months

Meaningful words: Not achieved

Details:: Speaks mumma, dadi but not meaningfully

Communication & Language Assessment

Non-Verbal Communication Grading:-

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

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 9 months
Waving bye bye: Not achieved

Response to Name Call

Details: 10/10 with parents but not with others

Sitting tolerance- (in minutes)

For interaction: doesnt sit
For tasks: 1-2 min

ADL Skills (Age-appropriate)-

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

Details:: Wants to go to washroom repeatedly. Indication to urine is inconsistent.

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Picky eater
Food allergies: No
Junk food intake: 1-2 times/week

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: No

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 12 Kg Height: 93 cm Head circumference: 50 cm

c. General Examination

Dysmorphology: Ab Neurocutaneous markers: Ab

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

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: IDP 2/week + PMT 1/week
Evaluation: DQ (VSMS, DST), ISAA, DSM5 ASD
Follow up plan: After 1 month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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