OPD :
15-Jul-2026 01:17PM
Demographic Details
- :
Adwick Narwariya
- :
4 Year 9 Month 20 Days
- :
Male
- :
2021-09-25
- :
Nuclear
- :
3
- :
0
- :
City centre
- :
9074731668
- :
Doctor
- :
Father
Presenting Concerns
- :
Noticed at 1.5 years age
Interaction history:
- :
Suboptimal
- :
limited
Behavioral history:
Repetitive behaviors (RRBs):
running to and fro
Inattention
Sensory Concerns:
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
NVD
- :
FT
- :
2kg
- :
Cried immediately after birth
- :
No
- :
Yes
- :
At 3rd DOL- admitted for hypoglycemia for 4-5 days
Past history:
:
No
:
No
:
Nil. Food restrictions.
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
6 months
-
:
Achieved
:
12 months
-
:
Achieved
:
1.5 years
-
:
Achieved
:
2.5 years
-
:
Achieved
:
3 years
Fine Motor
:
Achieved
:
12 months
:
Achieved
:
18 months
:
Not achieved
:
Not achieved
:
Not achieved
:
Not achieved
Language
Receptive:-
-
:
Achieved
:
4 years
-
:
Achieved
:
4 years
-
:
Achieved
:
- :
Not following
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
10 months
:
Achieved
:
2.5 years
:
Achieved
:
3.5 years
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
10 months
:
Achieved
:
2.5 years
:
Achieved
:
3.5 years
:
Misarticulation
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Consistent
- :
Consistent meaningful pointing
- :
Consistent
- :
1-step
Answering Questions:-
Social
-
:
Not achieved
-
:
Achieved
:
18 months
-
:
Achieved
:
4.5 years
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
- :
2-3 minutes
- :
3-5 minutes
ADL Skills (Age-appropriate)-
- :
2. Started attempting
- :
1. Dependent
- :
1. Dependent
- :
1. Dependent
- :
1. Dependent
Type of Play : 3. Onlooker
Academic History:
- :
Yes
- :
Regular
- :
GD Knight school
- :
Nursery
- :
4 hours
- :
Thatipur
Diet History:
- :
Dairy product, gluten, sugar restricted
- :
Nil
Sleep History
- :
10 hours
- :
Yes
- :
1 hours
Daily Screen Time
Examination
a. Vitals:
b. Anthropometry:
:
45.5 cm
:
105 cm
c. General Examination
:
Long facies, prominent ears
:
1 cafe au lait macule over Left thing 1.5*0.5 cm
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
- :
Gross motor and Fine motor
- :
KJ-2+/2+
- :
Plantars- extensors
- :
Gait abnormality +
- :
flexed posture
Oromotor Examination
- :
No
- :
Proper
- :
Proper
- :
Proper
- :
Proper
:
NAD
:
NAD
:
NAD
:
GDD
Advice
- :
DQ, Language and speech evaluation, neuromotor assessment 1
- :
CBC, thyroid profile, Calcium, Vitamin D, Vitamin B12, S. Homocysteine, tTG IgA, Total serum IgA
- :
Syp Multivitamin A to Z ml OD, Syp Calcimax P 5 ml OD
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
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