OPD :
11-Apr-2026 12:00PM
Demographic Details
- :
Dhairyansh Sahu
- :
4 Year 3 Month 26 Days
- :
Male
- :
2021-12-16
- :
30 years
- :
Homemaker
- :
35 years
- :
works in Pharma company
- :
Nuclear
- :
3
- :
0
- :
Bangalore
- :
6266502428
- :
Doctor
- :
Mother, mama
Presenting Concerns
- :
No initiation of speech
Interaction history:
- :
Fleeting
- :
Better with parents
Behavioral history:
Repetitive behaviors (RRBs):
Patterned behavior or activities:
Hyperactivity
Inattention
Impulsivity
Object obsession
Temper tantrums
Sensory Concerns:
- :
Hypersensitive
- :
Seeks pressure
:
Afraid of noise of mixer and hand dryer
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
LSCS
- :
Breech presentation
- :
FT
- :
2.75 Kg
- :
Cried immediately after birth
- :
No
- :
Yes
- :
1 day NICU stay on day 2 for NNHB
Past history:
:
No
:
No
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
5 months
-
:
Achieved
:
6 months
-
:
Achieved
:
8 months
-
:
Achieved
:
11 months
-
:
Achieved
:
12 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 mon ths
:
Achieved
:
12 mon ths
:
Not achieved
Language
Receptive:-
-
:
Achieved
:
3 years
-
:
Achieved
:
after 3 years
-
:
Achieved
:
3.5 years
- :
1-step
Expressive:-
:
Achieved
:
6 months
:
Not achieved
:
Achieved
:
1.5 years
:
Achieved
:
2 years
Expressive:-
:
Achieved
:
6 months
:
Not achieved
:
Achieved
:
1.5 years
:
Achieved
:
2 years
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Consistent
- :
Attempts
- :
1-step
Answering Questions:-
What
:
Present
:
Present
Social
-
:
Achieved
:
4 months
-
:
Achieved
:
1.5 years
Response to Name Call
Sitting tolerance- (in minutes)
- :
5 minutes
- :
Better for tasks
:
Can go with strangers too, likes puzzles more
ADL Skills (Age-appropriate)-
- :
4. Needs minimal assistance
- :
1. Dependent
- :
3. Needs significant assistance
:
Eating with spoon- emerging, indicates for urine and stool, passes stool standing
Academic History:
- :
Yes
- :
Regular
- :
Kids Pathshala
- :
PG 2
- :
2.5 hours
- :
Bangalore
Diet History:
- :
No
- :
Twice a week
Sleep History
- :
9 hours
- :
No
- :
Infrequent afternoon naps
Daily Screen Time
Examination
a. Vitals:
b. Anthropometry:
:
15 Kg
:
50 cm
c. General Examination
:
NAD
:
NAD
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
- :
Proper
- :
Proper
- :
Proper
- :
Proper
:
NAD
:
NAD
:
NAD
:
Social communication delay
Advice
- :
IDP 1/week + PMT 1/week
- :
ISAA, DSM 5 ASD, DQ (VSMS, DQ)
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food