OPD :
23-Apr-2026 12:29PM
Demographic Details
- :
Sunidhi Tomar
- :
3 Year 11 Month 3 Days
- :
Female
- :
2022-05-20
- :
32 years
- :
Homemaker
- :
33 years
- :
Private job
- :
Joint
- :
6
- :
0
- :
Kila gate
- :
8878159644
- :
Doctor
- :
Parents
Presenting Concerns
- :
Poor understanding, Behavioral issues
Interaction history:
Behavioral history:
Repetitive behaviors (RRBs):
Handflapping
Hyperactivity
Inattention
Impulsivity
Temper tantrums
Stubbornness
Aggression
Sensory Concerns:
- :
Hypersensitive
- :
Seeks pressure
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
LSCS
- :
Oligo, non progression of labor
- :
FT
- :
2 Kg
- :
Delayed cry
- :
Yes
- :
Yes
Past history:
:
Yes
:
No
:
Last year admitted for infective illness for 5 days
:
Nil
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
1 year
-
:
Achieved
:
1 year
-
:
Achieved
:
1.5 years
-
:
Achieved
:
2 years
-
:
Achieved
:
2.5 years
-
:
Achieved
:
Fine Motor
:
Achieved
:
1 year
:
Achieved
:
1.5 year
:
Achieved
:
2.5 years
:
Not achieved
:
Not achieved
:
Not achieved
Language
Receptive:-
-
:
Achieved
:
2 year
-
:
Achieved
:
2.5 years
- :
1-step
Expressive:-
:
Achieved
:
after 1 year
:
Achieved
:
2 years
:
Achieved
:
3 years
Expressive:-
:
Achieved
:
after 1 year
:
Achieved
:
2 years
:
Achieved
:
3 years
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Emerging
- :
Inconsistent
- :
Inconsistent
- :
Cued pointing
- :
Emerging
Answering Questions:-
Social
-
:
Achieved
:
1 years
-
:
Achieved
:
1.5 years
-
:
Achieved
:
3 years
-
:
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
- :
1. Dependent
:
Doesnt cooperate for nailcut and haircut
Type of Play : 3. Onlooker
Academic History:
- :
No
Diet History:
- :
Mixed
- :
No
Sleep History
- :
8 hours
- :
Yes
- :
2.5 hours
Daily Screen Time
-
:
< 2 hours
- :
Mobile
Examination
a. Vitals:
b. Anthropometry:
:
15Kg
:
101 cm
:
47 cm
c. General Examination
:
Sandal gap. clinodacttyly
:
Ab
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
- :
Gross motor and Fine motor
- :
Normal
- :
1+/1+
- :
Plantar- withdrawal
:
Absent
Oromotor Examination
- :
No
- :
Proper
- :
Proper
- :
Proper
- :
Proper
:
Genu recurvatum, Balance and coordination concerns, fine motor difficulties :
NAD
:
NAD
:
NAD
:
GDD
Advice
- :
Stop bottlefeeding. IDP (+PT) 1/week + LDP 1/week + PMT 1/week
- :
DQ (VSMs +DST), Language evaluation
- :
After 1 month
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
-
No focus on academics at present