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OPD : 07-Apr-2026 01:58PM Demographic Details Child's Name: Aaradhya Sikarwar Age: 1 Year 10 Month 5 Days Gender: Female DOB: 2024-06-02 Mother’s age (years): 33 years Mother’s occupation: Homemaker Father’s age (years): 36 years Father’s occupation: Pvt job Type of family: Joint Number of family members: 6 Number of siblings: 0 Address: Dhaulpur Contact: 9811194590 Referred By: Doctor Informant: Mother, maternal aunt Presenting Concerns Chief concerns: Delayed development Behavioral history: Sensory Concerns: Auditory: Hypersensitive Visual: Seeks visuals Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Others:: Conceived after 11 years of marriage Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: NVD Gestational Age: FT Birth Weight: 3.5 Kg Cry at birth: Cried immediately after birth Resuscitation required: Yes Details of Resuscitation: BMV NICU stay: Yes If yes- Duration & Indication: NICU stay- 12 days. HIE 2. Discharged on AED (levera for 7-8 months) Past history: Hospitalization: Yes Others: Seizures noticed again from 4 month of age. Multiple episodes. Treated on the line pf west syndrome. Improved Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 10 months Roll over: Achieved Age of attainment: 11 months Sitting without support: Not achieved Standing without support: Not achieved Fine Motor Bidextrous grasp: Not achieved Unidextrous grasp: Not achieved Language Receptive:- Joint attention: Not achieved Pointing: Not achieved Expressive:- Cooing: Achieved Age of attainment: 6 months Babbling: Not achieved Expressive:- Cooing: Achieved Age of attainment: 6 months Babbling: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Absent Answering Questions:- Social Social smile: Achieved Age of attainment: Stranger anxiety: Not achieved Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 1. Dependent Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 1. Unoccupied Academic History: Is child enrolled in school: No Diet History: Food preferences: Complimentary feed started after 6 months. Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 12 hours Afternoon nap: Yes Duration of Afternoon nap: 30 minutes Sleep disturbances: No Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 9.5 Kg Height: 78 cm Head circumference: 42 cm c. General Examination Dysmorphology: NAD Neurocutaneous markers: NAD d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Motor delay: Gross motor and Fine motor Tone: Hypotonia Deep tendon reflexes: KJ 3/week, AJ- 2/week Superficial reflexes: Plantar- flexors/flexors Oromotor Examination Chewing: Improper Swallowing: Improper Blowing: Improper Sucking: Improper Examination summary: Squint CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: GDD . Epilepsy. Advice Intervention plan: IDP 3/week Investigations: Complete ophthalmological examination, BERA Medications: As adviced by pediatrician General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 07-Apr-2026 01:58PM Demographic Details

Child's Name: Aaradhya Sikarwar
Age: 1 Year 10 Month 5 Days
Gender: Female
DOB: 2024-06-02
Mother’s age (years): 33 years
Mother’s occupation: Homemaker
Father’s age (years): 36 years
Father’s occupation: Pvt job
Type of family: Joint
Number of family members: 6
Number of siblings: 0
Address: Dhaulpur
Contact: 9811194590
Referred By: Doctor
Informant: Mother, maternal aunt

Presenting Concerns

Chief concerns: Delayed development

Behavioral history:

Sensory Concerns:

Auditory: Hypersensitive
Visual: Seeks visuals

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
Others:: Conceived after 11 years of marriage

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: NVD
Gestational Age: FT
Birth Weight: 3.5 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: Yes
Details of Resuscitation: BMV
NICU stay: Yes
If yes- Duration & Indication: NICU stay- 12 days. HIE 2. Discharged on AED (levera for 7-8 months)

Past history:

Hospitalization: Yes Others: Seizures noticed again from 4 month of age. Multiple episodes. Treated on the line pf west syndrome. Improved

Investigations done-

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 10 months
Roll over: Achieved

Age of attainment: 11 months
Sitting without support: Not achieved
Standing without support: Not achieved

Fine Motor

Bidextrous grasp: Not achieved

Unidextrous grasp: Not achieved

Language

Receptive:-

Joint attention: Not achieved
Pointing: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 6 months

Babbling: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 6 months

Babbling: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Absent

Answering Questions:-

Social

Social smile: Achieved

Age of attainment:
Stranger anxiety: Not achieved

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Eating: 1. Dependent
Bathing: 1. Dependent
Toilet training: 1. Dependent
Dressing: 1. Dependent
Undressing: 1. Dependent

Type of Play : 1. Unoccupied Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Complimentary feed started after 6 months.
Food allergies: No
Junk food intake: Nil

Sleep History

Total sleep duration (night): 12 hours
Afternoon nap: Yes
Duration of Afternoon nap: 30 minutes
Sleep disturbances: No

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 9.5 Kg Height: 78 cm Head circumference: 42 cm

c. General Examination

Dysmorphology: NAD Neurocutaneous markers: NAD

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Motor delay: Gross motor and Fine motor
Tone: Hypotonia
Deep tendon reflexes: KJ 3/week, AJ- 2/week
Superficial reflexes: Plantar- flexors/flexors

Oromotor Examination

Chewing: Improper
Swallowing: Improper
Blowing: Improper
Sucking: Improper

Examination summary: Squint CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: GDD . Epilepsy.

Advice

Intervention plan: IDP 3/week
Investigations: Complete ophthalmological examination, BERA
Medications: As adviced by pediatrician
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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