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OPD : 27-Apr-2026 01:59PM Demographic Details Child's Name: Vinayak Khandelwal Age: 3 Year 5 Month 4 Days Gender: Male DOB: 2022-11-23 Mother’s age (years): 41 years Mother’s occupation: Runs boutique Father’s age (years): 50 years Father’s occupation: Pvt job Type of family: Nuclear Number of family members: 4 Number of siblings: 1 Details of siblings (Age and sex): 17 year old male Address: Bade Contact: 9993696369 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Doesnt mingle with people, speech delay Duration of symptoms: Since infancy Interaction history: Eye contact: Fleeting 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 Aggression Mouthing of objects Sensory Concerns: Auditory: Hypersensitive Proprioception: Seeks pressure Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural High-risk factors in pregnancy: Hypothyroidism Others:: Thyroid screening of child not done Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): Oligo Gestational Age: FT Birth Weight: around 2 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: No Seizures: No Past/Current therapies: Nil Past/Current medications: Nil 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: 4 months Roll over: Achieved Age of attainment: 6 months Sitting without support: Achieved Age of attainment: 12 months Standing without support: Achieved Age of attainment: 14 months Walking without support: Achieved Age of attainment: 15 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: 6 months Pincer grasp: Achieved Age of attainment: 12 months Language Receptive:- Joint attention: Achieved Age of attainment: 2 years Pointing: Achieved Age of attainment: 3 years Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 2 years Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 2 years Meaningful words: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Emerging Joint attention: Inconsistent Pointing: Cued pointing Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: Stranger anxiety: Achieved Age of attainment: Waving bye bye: Not achieved Response to Name Call Details: 8/10 Sitting tolerance- (in minutes) For interaction: 2 minutes ADL Skills (Age-appropriate)- Eating: 1. Dependent Bathing: 1. Dependent Toilet training: 2. Started attempting Dressing: 1. Dependent Undressing: 2. Started attempting Details:: Doesnt allow for haircutting Type of Play : 3. Onlooker Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: Saraswati shishu Mandir Grade: Playgroup Hours spent in school: 2.5 hours Location: Bade Diet History: Food preferences: Picky eater (doesnt eat fruits) Food allergies: No Junk food intake: Biscuits occasionally Daily Screen Time Duration: > 5 hours Type of screen: Mobile Examination a. Vitals: b. Anthropometry: Weight: 12 Kg Height: 90 cm Head circumference: 47 cm c. General Examination Dysmorphology: NAD Neurocutaneous markers: NAD d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Drooling: No Chewing: Proper Swallowing: Proper CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: ?ASD Advice Intervention plan: IDP 1/week + PMT 1/week Evaluation: DQ (VSMS, DST), ISAA, DSM5 ASD Investigations: CBC, Thyroid screening, calcium, Vitamin D2, S CPK General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 27-Apr-2026 01:59PM Demographic Details

Child's Name: Vinayak Khandelwal
Age: 3 Year 5 Month 4 Days
Gender: Male
DOB: 2022-11-23
Mother’s age (years): 41 years
Mother’s occupation: Runs boutique
Father’s age (years): 50 years
Father’s occupation: Pvt job
Type of family: Nuclear
Number of family members: 4
Number of siblings: 1
Details of siblings (Age and sex): 17 year old male
Address: Bade
Contact: 9993696369
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Doesnt mingle with people, speech delay
Duration of symptoms: Since infancy

Interaction history:

Eye contact: Fleeting
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 Aggression Mouthing of objects
Sensory Concerns:

Auditory: Hypersensitive
Proprioception: Seeks pressure

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
High-risk factors in pregnancy:
1. Hypothyroidism
Others:: Thyroid screening of child not done

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): Oligo
Gestational Age: FT
Birth Weight: around 2 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: No Seizures: No

Past/Current therapies: Nil Past/Current medications: Nil 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: 4 months
Roll over: Achieved

Age of attainment: 6 months
Sitting without support: Achieved

Age of attainment: 12 months
Standing without support: Achieved

Age of attainment: 14 months
Walking without support: Achieved

Age of attainment: 15 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: 6 months

Pincer grasp: Achieved

Age of attainment: 12 months

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 2 years
Pointing: Achieved

Age of attainment: 3 years

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 2 years

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 2 years

Meaningful words: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Emerging
Joint attention: Inconsistent
Pointing: Cued pointing

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment:
Stranger anxiety: Achieved

Age of attainment:
Waving bye bye: Not achieved

Response to Name Call

Details: 8/10

Sitting tolerance- (in minutes)

For interaction: 2 minutes

ADL Skills (Age-appropriate)-

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

Details:: Doesnt allow for haircutting

Type of Play : 3. Onlooker Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: Saraswati shishu Mandir
Grade: Playgroup
Hours spent in school: 2.5 hours
Location: Bade

Diet History:

Food preferences: Picky eater (doesnt eat fruits)
Food allergies: No
Junk food intake: Biscuits occasionally

Daily Screen Time

Duration: > 5 hours
Type of screen: Mobile

Examination

a. Vitals:

b. Anthropometry:

Weight: 12 Kg Height: 90 cm Head circumference: 47 cm

c. General Examination

Dysmorphology: NAD Neurocutaneous markers: NAD

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Drooling: No
Chewing: Proper
Swallowing: Proper

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

Impression: ?ASD

Advice

Intervention plan: IDP 1/week + PMT 1/week
Evaluation: DQ (VSMS, DST), ISAA, DSM5 ASD
Investigations: CBC, Thyroid screening, calcium, Vitamin D2, S CPK
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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