OPD :
26-Jun-2026 03:00PM
Demographic Details
- :
Kunal
- :
3 Year 10 Month 21 Days
- :
Male
- :
2022-08-05
- :
29 years
- :
Homemaker
- :
35 years
- :
Driving
- :
Nuclear
- :
5
- :
2
- :
1- 6 year old female, 9 year old female
- :
Bhind (Live in delhi)
- :
9211587183
- :
Doctor
- :
Parents
Presenting Concerns
- :
Speech delay
Interaction history:
- :
Sustained
- :
age-appropriate
Behavioral history:
Inattention
Temper tantrums
Stubbornness
Sensory Concerns:
- :
Seeks movement
Birth & Perinatal History:
Antenatal History
- :
No
-
High-risk factors in pregnancy:
- PIH
Natal and Postnatal History:
- :
Institutional
- :
NVD
- :
Late PT
- :
2.4 Kg
- :
Delayed cry
- :
Yes
- :
Yes
- :
Nicu stay- 3 days. HIE. RD.
Past history:
:
At age 8 months- admitted for pnemonia for 5 days. ITS. Epileptic spasms from 1 year age. Last episode 2.5 years back
:
Syp Valprol 3.5ml BD
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
18 months
-
:
Achieved
:
2 years
-
:
Achieved
:
2 years
-
:
Achieved
:
2 year 3 months
-
:
Achieved
:
2.5 years
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
2 years
:
Achieved
:
2 years
:
Achieved
:
2.5 years
:
Achieved
:
3 years
:
Not achieved
Language
Receptive:-
-
:
Achieved
:
2 years
-
:
Achieved
:
2.5 years
-
:
Achieved
:
- :
1-step
Expressive:-
:
Achieved
:
1 years
:
Achieved
:
2 years
:
Achieved
:
3 years
:
Achieved
:
3.5 years
Expressive:-
:
Achieved
:
1 years
:
Achieved
:
2 years
:
Achieved
:
3 years
:
Achieved
:
3.5 years
:
Unclear speech
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Consistent
- :
Consistent meaningful pointing
- :
Emerging
- :
1-step
Answering Questions:-
Social
-
:
Achieved
:
1 year
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
ADL Skills (Age-appropriate)-
- :
2. Started attempting
- :
2. Started attempting
- :
2. Started attempting
- :
2. Started attempting
- :
2. Started attempting
Type of Play : 4. Parallel
Academic History:
- :
No
Diet History:
- :
Mixed
- :
No
- :
Daily
Sleep History
- :
10 hours
- :
Yes
- :
1-2 hours
Daily Screen Time
-
:
> 5 hours
- :
Mobile and TV
Examination
a. Vitals:
b. Anthropometry:
:
13.8 Kg
:
95 cm
:
48 cm
c. General Examination
:
ab
:
ab
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
- :
No
- :
Proper
- :
Proper
- :
Proper
- :
Proper
:
NAD
:
NAD
:
NAD
:
GDD
Advice
- :
DQ
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food