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Patient Details


OPD : 04-Jun-2026 11:44AM Demographic Details Child's Name: Yuvaan Patel Age: 2 Year 3 Month 15 Days Gender: Male DOB: 2023-11-23 Contact: 7000835883 Interaction history: Eye contact: Fleeting Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Hand flapping, spinning- reduced Hyperactivity Inattention Birth & Perinatal History: Antenatal History Natal and Postnatal History: Past history: Investigations done- Family history: Developmental History: Gross Motor Fine Motor Language Expressive:- Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Cued pointing Understanding gestures: Emerging Following commands (gesture + verbal): 1-step Answering Questions:- Echolalia: Present Social Response to Name Call Details: 8/10 Sitting tolerance- (in minutes) For interaction: 1-2 minutes For tasks: 5 minutes Details:: Echolalia- minimal ADL Skills (Age-appropriate)- Eating: 3. Needs significant assistance Bathing: 2. Started attempting Toilet training: 2. Started attempting Dressing: 1. Dependent Undressing: 2. Started attempting Details:: Doesnt sit on potty seat Type of Play : 3. Onlooker Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Twice a week Sleep History Total sleep duration (night): 10 hours Afternoon nap: No Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: Improvement in human interaction, eye contact. Satrted following commands. Using pointing meaningfully. Temper tantrums reduced Advice Intervention plan: IDP 2/week + PMT 1/week Follow up plan: Every month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 04-Jun-2026 11:44AM Demographic Details

Child's Name: Yuvaan Patel
Age: 2 Year 3 Month 15 Days
Gender: Male
DOB: 2023-11-23
Contact: 7000835883

Interaction history:

Eye contact: Fleeting
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Hand flapping, spinning- reduced Hyperactivity Inattention

Birth & Perinatal History: Antenatal History

Natal and Postnatal History:

Past history:

Investigations done-

Family history:

Developmental History:

Gross Motor

Fine Motor

Language

Expressive:-

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Consistent
Drag for needs: Consistent
Joint attention: Consistent
Pointing: Cued pointing
Understanding gestures: Emerging
Following commands (gesture + verbal): 1-step

Answering Questions:-

Echolalia: Present

Social

Response to Name Call

Details: 8/10

Sitting tolerance- (in minutes)

For interaction: 1-2 minutes
For tasks: 5 minutes

Details:: Echolalia- minimal

ADL Skills (Age-appropriate)-

Eating: 3. Needs significant assistance
Bathing: 2. Started attempting
Toilet training: 2. Started attempting
Dressing: 1. Dependent
Undressing: 2. Started attempting

Details:: Doesnt sit on potty seat

Type of Play : 3. Onlooker Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Mixed
Food allergies: No
Junk food intake: Twice a week

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: No

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: Improvement in human interaction, eye contact. Satrted following commands. Using pointing meaningfully. Temper tantrums reduced

Advice

Intervention plan: IDP 2/week + PMT 1/week
Follow up plan: Every month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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