OPD :
11-Apr-2026 06:06PM
Demographic Details
- :
Kanak Soni
- :
10 Year 2 Month 21 Days
- :
Female
- :
2016-01-21
- :
38 years
- :
Homemaker
- :
45 years
- :
Medofarm
- :
Nuclear
- :
4
- :
1
- :
17 year old female
- :
Naka chandravadni
- :
8103284195
- :
Doctor
- :
Mother
Presenting Concerns
- :
unable to do ADLs, doesnt prefer socializing
Interaction history:
Behavioral history:
Repetitive behaviors (RRBs):
Stimmimg
Patterned behavior or activities:
Temper tantrums
Stubbornness
Aggression
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
LSCS
- :
No labor pains
- :
FT
- :
3.1 Kg
- :
Cried immediately after birth
- :
No
- :
H/o vomitings on day 1
Past history:
:
Yes
:
No
:
Admitted once for AGE at 8 months, Recurrent UTI
:
OT for 1 year. Home strategies fm AIIMS
Investigations done-
:
Done
:
Done
:
On glasses since 8 years, Keratoconus
Family history:
:
Yes
:
schizophrenia in paternal grandfather
Developmental History:
Gross Motor
-
:
Achieved
:
4 months
-
:
Achieved
:
7 months
-
:
Achieved
:
9 months
-
:
Achieved
:
15 months
-
:
Achieved
:
18 months
Fine Motor
:
Achieved
:
2 years
:
Achieved
:
2.5 years
:
Achieved
:
3 years
:
Achieved
:
:
Achieved
:
:
Not achieved
Language
Receptive:-
-
:
Achieved
:
2.5 years
-
:
Achieved
:
3 years
- :
1-step
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
4.5 years
:
Achieved
:
after 4.5 years
:
Achieved
:
5 years
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
4.5 years
:
Achieved
:
after 4.5 years
:
Achieved
:
5 years
:
Afraid to climb stairs, closed spaces
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Consistent
- :
Consistent meaningful pointing
- :
Consistent
- :
1-step
Answering Questions:-
:
Present
:
Present
Social
-
:
Achieved
:
4 months
-
:
Achieved
:
8 months
-
:
Achieved
:
3.5 years
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
- :
15 minutes
- :
Better Tasks
ADL Skills (Age-appropriate)-
- :
5. Independent
- :
1. Dependent
- :
3. Needs significant assistance
- :
1. Dependent
- :
1. Dependent
:
Doesnt prefer doing ADLs
Type of Play : 5. Associative
:
Nil
:
Plays hide and seek
Academic History:
- :
Yes
- :
Regular
- :
Genius International School
- :
2
- :
6.5 hours
- :
CBSE
- :
Shivpuri Link Road
Diet History:
- :
Craving for sweets
- :
2-3 times/week
Sleep History
- :
7 hours
- :
No
- :
Infrequently
-
:
Daily Screen Time
-
:
< 2 hours
- :
Mobile
Examination
a. Vitals:
b. Anthropometry:
:
33.22Kg
:
136 cm
:
52 cm
c. General Examination
:
NAD
:
NAD
d. CNS:
Higher Mental Functions
- :
Conscious, oriented
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
:
NAD
:
NAD
:
NAD
Advice
- :
IDP 2/week + PMT 1/week
- :
CBC, thyroid profile, RBS, HBA1C, S cholesterol, S. Triglyceride
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
-
No focus on academics at present