OPD :
31-Aug-2026 02:21PM
Demographic Details
- :
Keyansh Duboliya
- :
6 Year 7 Month 22 Days
- :
Male
- :
2020-01-09
- :
Nuclear
- :
3
- :
0
- :
Shivpuri
- :
7470403168
- :
Doctor
- :
Parents
Presenting Concerns
- :
Inattention, impulsivity, behavioral concerns
Interaction history:
- :
Sustained
- :
age-appropriate
Behavioral history:
Impulsivity
Stubbornness
Aggression
Self injurious behaviors
Bullying others
:
Difficulty in emotional regulation, excessive talking, interrupts in between
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
NVD
- :
FT
- :
3.5 Kg
- :
Cried immediately after birth
- :
No
- :
No
Past history:
:
No
:
No
Investigations done-
Family history:
:
Yes
:
? Depression/ Bipolar in father.
Developmental History:
Gross Motor
-
:
Achieved
:
4 months
-
:
Achieved
:
5 months
-
:
Achieved
:
6 months
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
:
Achieved
:
:
Achieved
:
Language
Receptive:-
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
- :
2-step
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
:
Achieved
:
:
Yes
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
:
Achieved
:
:
Yes
:
Misarticulation+
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Consistent
- :
Consistent meaningful pointing
- :
Consistent
- :
2-step
Answering Questions:-
Social
-
:
Achieved
:
2 months
-
:
Achieved
:
8 months
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
ADL Skills (Age-appropriate)-
- :
5. Independent
- :
5. Independent
- :
5. Independent
- :
5. Independent
- :
5. Independent
:
Prefers being fed by mother. Requires nagging for ADLs
Type of Play : 5. Associative
:
Prefers playing his way
Academic History:
- :
Yes
- :
Regular
- :
GK Heritage school
- :
1
- :
4 hours
- :
ICSE
- :
Shivpuri
- :
No specific concerns for school. Abacus class- 1 hour
Diet History:
- :
Mixed
- :
No
- :
Occasional
Sleep History
- :
Yes
- :
2 hours
-
:
Daily Screen Time
-
:
< 2 hours
- :
TV
Examination
a. Vitals:
b. Anthropometry:
:
27.9 Kg
:
125 cm
:
51 cm
c. General Examination
:
Ab
:
Ab
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
- :
No
- :
Proper
- :
Proper
- :
Proper
- :
Proper
:
NAD
:
NAD
:
NAD
:
Difficulty in self regulation. Misarticulation
Advice
- :
Home strategies adviced
- :
DSM5 ADHD, BASC
- :
Next month
-
General recommendation-
-
Physical interactive play
-
No Junk food