Create - Child Development Centre

Patient Details


OPD : 13-Apr-2026 11:45AM Demographic Details Child's Name: Anirudh Dhakad Age: 3 Year 8 Month 1 Days Gender: Male DOB: 2022-08-12 Mother’s age (years): 29 years Mother’s occupation: Homemaker Father’s age (years): 30 years Father’s occupation: Govt employee Type of family: Nuclear Number of family members: 4 Number of siblings: 1 Details of siblings (Age and sex): 2 year old female Address: Kolaras Contact: 7987225679 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Speech delay, doesnt follow command Interaction history: Eye contact: Fleeting Behavioral history: Repetitive behaviors (RRBs): Handflapping, spinning Patterned behavior or activities: Inattention Insisting on sameness Object obsession Temper tantrums Stubbornness Aggression Sensory Concerns: Tactile: Hypersensitive Vestibular: Seeks movement Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: NVD Gestational Age: 32 weeks Birth Weight: 2 Kg Cry at birth: Cried immediately after birth NICU stay: Yes If yes- Duration & Indication: NICU stay for 8 days- for refusal to feed Past history: Hospitalization: Yes Others: Admitted at 1.5 mon for 8 days for sepsis, meningitis (Cow milk intake+). At 7-8 Episodes of inconsolable crying at 8 month Past/Current medications: Syp gardenal given for 5-6 months Investigations done- Hearing assessment: Done Details: OAE- B/l Pass 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: 8 months Standing without support: Achieved Age of attainment: 14 months Walking without support: Achieved Age of attainment: 18 months Fine Motor Bidextrous grasp: Achieved Age of attainment: 7 months Unidextrous grasp: Achieved Age of attainment: 8 months Pincer grasp: Achieved Age of attainment: 18 months Language Receptive:- Joint attention: Not achieved Pointing: Not achieved Understanding gestures: Not achieved Following commands: Not following Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 8 months Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 8 months Meaningful words: Not achieved Details:: afraid of climbing stairs Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Emerging Drag for needs: Emerging Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 6 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Not achieved Copying parents in tasks: Not achieved Asking for food and toilet: Not achieved Response to Name Call Details: 3/10 Sitting tolerance- (in minutes) For interaction: 1-2 minutes For tasks: 1-2 minutes ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 2. Started attempting Details:: In diapers Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Diet History: Food preferences: Picky eater (doesnt eat fruits) Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 10 hours Afternoon nap: Yes Duration of Afternoon nap: 2-3 hours Daily Screen Time Duration: > 2 hours Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: Weight: 11.5 Kg Height: 89 cm Head circumference: 45.5 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 Blowing: Proper Sucking: Improper 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 Medications: Continue Syp Iron as advised by pediatrician General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 13-Apr-2026 11:45AM Demographic Details

Child's Name: Anirudh Dhakad
Age: 3 Year 8 Month 1 Days
Gender: Male
DOB: 2022-08-12
Mother’s age (years): 29 years
Mother’s occupation: Homemaker
Father’s age (years): 30 years
Father’s occupation: Govt employee
Type of family: Nuclear
Number of family members: 4
Number of siblings: 1
Details of siblings (Age and sex): 2 year old female
Address: Kolaras
Contact: 7987225679
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Speech delay, doesnt follow command

Interaction history:

Eye contact: Fleeting

Behavioral history:

Repetitive behaviors (RRBs): Handflapping, spinning Patterned behavior or activities: Inattention Insisting on sameness Object obsession Temper tantrums Stubbornness Aggression
Sensory Concerns:

Tactile: Hypersensitive
Vestibular: Seeks movement

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: NVD
Gestational Age: 32 weeks
Birth Weight: 2 Kg
Cry at birth: Cried immediately after birth
NICU stay: Yes
If yes- Duration & Indication: NICU stay for 8 days- for refusal to feed

Past history:

Hospitalization: Yes Others: Admitted at 1.5 mon for 8 days for sepsis, meningitis (Cow milk intake+). At 7-8 Episodes of inconsolable crying at 8 month

Past/Current medications: Syp gardenal given for 5-6 months Investigations done-

Hearing assessment: Done Details: OAE- B/l Pass 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: 8 months
Standing without support: Achieved

Age of attainment: 14 months
Walking without support: Achieved

Age of attainment: 18 months

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 7 months

Unidextrous grasp: Achieved

Age of attainment: 8 months

Pincer grasp: Achieved

Age of attainment: 18 months

Language

Receptive:-

Joint attention: Not achieved
Pointing: Not achieved
Understanding gestures: Not achieved
Following commands: Not following

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 8 months

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 8 months

Meaningful words: Not achieved

Details:: afraid of climbing stairs

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Emerging
Drag for needs: Emerging

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 6 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Not achieved
Copying parents in tasks: Not achieved
Asking for food and toilet: Not achieved

Response to Name Call

Details: 3/10

Sitting tolerance- (in minutes)

For interaction: 1-2 minutes
For tasks: 1-2 minutes

ADL Skills (Age-appropriate)-

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

Details:: In diapers

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No

Diet History:

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

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: Yes
Duration of Afternoon nap: 2-3 hours

Daily Screen Time

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

Examination

a. Vitals:

b. Anthropometry:

Weight: 11.5 Kg Height: 89 cm Head circumference: 45.5 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
Blowing: Proper
Sucking: Improper

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
Medications: Continue Syp Iron as advised by pediatrician
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

Setting Panel

Select Layout

Light Dark

Sidebar Color

Color Theme

Mini Sidebar

Sticky Header

Patient Details print

Select Layout

Sidebar Color

Color Theme

Patient Details