OPD :
25-Apr-2026 11:21AM
Demographic Details
- :
Kayrav Prajapati
- :
5 Year 11 Month 28 Days
- :
Male
- :
2020-04-28
- :
Deceased
- :
Joint
- :
3
- :
0
- :
Thatipur
- :
6232635251
- :
Doctor
- :
Nani
Presenting Concerns
- :
Doesnt respond to name call consistently
:
Need based communication (verbally)
Interaction history:
- :
Fleeting
- :
limited
Behavioral history:
Repetitive behaviors (RRBs):
Hand flapping, spinning
Patterned behavior or activities:
Inattention
Object obsession
Temper tantrums
Stubbornness
Aggression
Sensory Concerns:
- :
Hyposensitive
- :
Hypersensitive
- :
Seeks visuals
- :
Seeks pressure
- :
Seeks movement
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
NVD
- :
Late PT
- :
1.5Kg
- :
Cried after stimulation
- :
No
- :
No
Past history:
:
No
:
No
:
H/o chronic constipation in past
:
Nil
:
Nil
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
4 months
-
:
Achieved
:
6 months
-
:
Achieved
:
7 months
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Not achieved
:
Achieved
:
:
Not achieved
Language
Receptive:-
-
:
Achieved
:
Inconsistent
-
:
Achieved
:
Inconsistent
- :
1-step
Expressive:-
:
Achieved
:
:
Achieved
:
1.5 years
:
Achieved
:
1.5 years
:
Achieved
:
3 years
:
Not achieved
Expressive:-
:
Achieved
:
:
Achieved
:
1.5 years
:
Achieved
:
1.5 years
:
Achieved
:
3 years
:
Not achieved
:
Misarticulation+
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Consistent
- :
Consistent meaningful pointing
- :
Consistent
- :
1-step
Answering Questions:-
What
Where
Who
:
Present
:
Present
Social
-
:
Achieved
:
6 months
-
:
Achieved
:
1 year
-
:
Achieved
:
2 years
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
- :
2 minutes
- :
Better for tasks
ADL Skills (Age-appropriate)-
- :
1. Dependent
- :
1. Dependent
- :
3. Needs significant assistance
- :
1. Dependent
- :
2. Started attempting
:
Goes to toilet at home. Doesnt go outside. Needs assistance for cleaning
Type of Play : 2. Isolated
Academic History:
- :
Yes
- :
Regular
- :
UKG
- :
4 hours
- :
Thatipur
- :
8 am to 12 pm
Diet History:
- :
Picky eater
- :
No
- :
Occasional
Sleep History
- :
8 hours
- :
No
Daily Screen Time
Examination
a. Vitals:
b. Anthropometry:
:
16.6Kg
:
110 cm
:
50 cm
c. General Examination
:
NAD
:
NAD
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
- :
1+/1+
Oromotor Examination
- :
No
- :
Proper
- :
Proper
- :
Improper
- :
Improper
:
Mild hypotonia :
NAD
:
NAD
:
NAD
:
?ASD
Advice
- :
IDP 1/week + PMT 1/week
- :
ISAA, DSM 5 ASD, Language evaluation (Later)
- :
CBC, S. Calcium, Vitamin D2, Vitamin B12, Thyroid profile
- :
Continue Syp Cos 3 as advised by pediatrician
- :
After 1 month
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
-
No focus on academics at present