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OPD : 06-Apr-2026 03:06PM Demographic Details Child's Name: Vedant Katare Age: 5 Year 6 Month 9 Days Gender: Male DOB: 2020-09-28 Mother’s age (years): 35 years Mother’s occupation: Homemaker Father’s age (years): 36 years Father’s occupation: Into construction Type of family: Joint Number of family members: 12 Number of siblings: 1 Details of siblings (Age and sex): 1- 1year old female Address: Morar Contact: 9893427605 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Behaviorqal issues Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: Inattention Impulsivity Stubbornness Aggression Sensory Concerns: Details:: Sometimes hugs mother when hear whistles Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural High-risk factors in pregnancy: Hypothyroidism Others:: Neonatal thyroid screening- normal Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): Cord around neck Gestational Age: FT Birth Weight: 3.1 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: No Seizures: No 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: 6 months Standing without support: Achieved Age of attainment: 9 months Walking without support: Achieved Age of attainment: 11 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Hopping: Achieved Age of attainment: Standing on one foot: Not achieved 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 Scribbling: Achieved Age of attainment: Drinking from cup: Achieved Age of attainment: Buttoning / Unbuttoning: Achieved Age of attainment: Language Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 14 months Complete sentences: Achieved Age of attainment: Narrates events / stories: Doesnt prefer Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 14 months Complete sentences: Achieved Age of attainment: Narrates events / stories: Doesnt prefer Details:: Doesnt expresses by himself Communication & Language Assessment Non-Verbal Communication Grading:- Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Understanding gestures: Consistent Following commands (gesture + verbal): 1-step Answering Questions:- What Where Who Why When Echolalia: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Achieved Age of attainment: 9 months Comes when called: Achieved Age of attainment: 12 months Copying parents in tasks: Achieved Age of attainment: Asking for food and toilet: Achieved Age of attainment: Response to Name Call Sitting tolerance- (in minutes) For interaction: Less than 5 minutes For tasks: More for tasks ADL Skills (Age-appropriate)- Eating: 3. Needs significant assistance Bathing: 2. Started attempting Toilet training: 5. Independent Details:: Sometimes accidents happens. Tend to hold urine and stool Type of Play : 5. Associative Details:: Understands basic rules of play. Fights frequently. Wants everyone to follow him Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: Genius Kids School Grade: UKG Hours spent in school: 5 hours Location: Morar Diet History: Food allergies: Yes Junk food intake: Occasional Sleep History Total sleep duration (night): 6-7 hours Afternoon nap: Yes Duration of Afternoon nap: 1 hour Sleep disturbances: Yes Daily Screen Time Duration: < 2 hours Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Tone: Normal Deep tendon reflexes: KJ- 2+/2+, AJ- 2+/2+ Superficial reflexes: Plantar- B/l flexors Oromotor Examination Drooling: No Chewing: Improper Swallowing: Proper Blowing: Proper Sucking: Proper CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Advice Evaluation: Vanderbilt ADHD, DSM5 ADHD, BASC General recommendation- Zero Screen Time Physical interactive play No Junk food No focus on academics at present

OPD : 06-Apr-2026 03:06PM Demographic Details

Child's Name: Vedant Katare
Age: 5 Year 6 Month 9 Days
Gender: Male
DOB: 2020-09-28
Mother’s age (years): 35 years
Mother’s occupation: Homemaker
Father’s age (years): 36 years
Father’s occupation: Into construction
Type of family: Joint
Number of family members: 12
Number of siblings: 1
Details of siblings (Age and sex): 1- 1year old female
Address: Morar
Contact: 9893427605
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Behaviorqal issues

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

Inattention Impulsivity Stubbornness Aggression
Sensory Concerns:

Details:: Sometimes hugs mother when hear whistles

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
High-risk factors in pregnancy:
1. Hypothyroidism
Others:: Neonatal thyroid screening- normal

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): Cord around neck
Gestational Age: FT
Birth Weight: 3.1 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: No Seizures: No

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: 6 months
Standing without support: Achieved

Age of attainment: 9 months
Walking without support: Achieved

Age of attainment: 11 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:
Hopping: Achieved

Age of attainment:
Standing on one foot: Not achieved

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

Scribbling: Achieved

Age of attainment:

Drinking from cup: Achieved

Age of attainment:

Buttoning / Unbuttoning: Achieved

Age of attainment:

Language

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 14 months

Complete sentences: Achieved

Age of attainment:

Narrates events / stories: Doesnt prefer

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 14 months

Complete sentences: Achieved

Age of attainment:

Narrates events / stories: Doesnt prefer

Details:: Doesnt expresses by himself

Communication & Language Assessment

Non-Verbal Communication Grading:-

Drag for needs: Consistent
Joint attention: Consistent
Pointing: Consistent meaningful pointing
Understanding gestures: Consistent
Following commands (gesture + verbal): 1-step

Answering Questions:-

What Where Who Why When Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Achieved

Age of attainment: 9 months
Comes when called: Achieved

Age of attainment: 12 months
Copying parents in tasks: Achieved

Age of attainment:
Asking for food and toilet: Achieved

Age of attainment:

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: Less than 5 minutes
For tasks: More for tasks

ADL Skills (Age-appropriate)-

Eating: 3. Needs significant assistance
Bathing: 2. Started attempting
Toilet training: 5. Independent

Details:: Sometimes accidents happens. Tend to hold urine and stool

Type of Play : 5. Associative Details:: Understands basic rules of play. Fights frequently. Wants everyone to follow him Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: Genius Kids School
Grade: UKG
Hours spent in school: 5 hours
Location: Morar

Diet History:

Food allergies: Yes
Junk food intake: Occasional

Sleep History

Total sleep duration (night): 6-7 hours
Afternoon nap: Yes
Duration of Afternoon nap: 1 hour
Sleep disturbances: Yes

Daily Screen Time

Duration: < 2 hours
Type of screen: Mobile and TV

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Tone: Normal
Deep tendon reflexes: KJ- 2+/2+, AJ- 2+/2+
Superficial reflexes: Plantar- B/l flexors

Oromotor Examination

Drooling: No
Chewing: Improper
Swallowing: Proper
Blowing: Proper
Sucking: Proper

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

Advice

Evaluation: Vanderbilt ADHD, DSM5 ADHD, BASC
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food
4. No focus on academics at present

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