Demographic Details
- :
Swastik Sharma
- :
5 Year 8 Month 15 Days
- :
Male
- :
2020-06-12
- :
32 years
- :
Teacher
- :
33 years
- :
Professor
- :
Joint
- :
6
- :
1
- :
1- 9 years female
- :
D D nagar
- :
9575111122
- :
Relative
- :
Mother
Presenting Concerns
- :
Behavioral concerns
Interaction history:
- :
Fleeting
- :
limited
Behavioral history:
Repetitive behaviors (RRBs):
Patterned behavior or activities:
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
NVD
- :
FT
- :
3.8 Kg
- :
Cried immediately after birth
- :
No
- :
Yes
- :
Nicu stay for 10 days for Meconium aspiration
Past history:
:
No
:
No
:
Risperidone for 20 days
Investigations done-
:
Done
:
Normal
:
Done
:
Normal
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
3 months
-
:
Achieved
:
5 months
-
:
Achieved
:
6 months
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
Language
Receptive:-
Expressive:-
:
Achieved
:
3 months
:
Achieved
:
6 months
Expressive:-
:
Achieved
:
3 months
:
Achieved
:
6 months
Communication & Language Assessment
Non-Verbal Communication Grading:-
Answering Questions:-
:
Present
:
Present
Social
Response to Name Call
Sitting tolerance- (in minutes)
- :
1-2 m inutes
ADL Skills (Age-appropriate)-
- :
4. Needs minimal assistance
- :
4. Needs minimal assistance
- :
1. Dependent
- :
2. Started attempting
- :
2. Started attempting
Type of Play : 2. Isolated
Academic History:
- :
Yes
- :
Regular
- :
Pulkit hearts pre school
- :
Playgroup
Diet History:
Examination
a. Vitals:
b. Anthropometry:
c. General Examination
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
Advice
- :
IDP2/week +PMT1/week
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
-
No focus on academics at present