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OPD : 05-Oct-2026 02:28PM Demographic Details Child's Name: Tarush Agrawal Age: 9 Year Gender: Male DOB: 2017-09-24 Mother’s age (years): 36 years Mother’s occupation: Homemaker Father’s age (years): 37 years Father’s occupation: Business Type of family: Joint Number of family members: 12 Number of siblings: 1 Details of siblings (Age and sex): Twin Address: Jayendraganj Contact: 9611074871 Referred By: Doctor Informant: Father, uncle Presenting Concerns Chief concerns: Behavioral concern Duration of symptoms: Noticed since early infancy Interaction history: Eye contact: Suboptimal Behavioral history: Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Aggression Emotional history: Irritability Sensory Concerns: Auditory: Hypersensitive Visual: Avoids visuals Proprioception: Seeks pressure Vestibular: Seeks movement Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Others:: Twins Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): Twins Gestational Age: 28 weeks Birth Weight: 1.9 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: Yes If yes- Duration & Indication: For 15 days for VLBW NNHB Past history: Hospitalization: No Seizures: No Investigations done- Hearing assessment: Done Details: Reports not seen Vision assessment: Done Details: Refractive error. Since 3 years wearing glasses. Family history: Neuropsychiatric condition: Yes Any recent stressful events in family: Yes Details (If yes): Aggrevated since 1 month after viral illness Others: Mother Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 8 months Roll over: Achieved Age of attainment: 12 months Sitting without support: Achieved Age of attainment: 18 months Standing without support: Achieved Age of attainment: 2 months Walking without support: Achieved Age of attainment: 3 years Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Fine Motor Bidextrous grasp: Achieved Age of attainment: 1 year Unidextrous grasp: Achieved Age of attainment: 2 year Pincer grasp: Achieved Age of attainment: 3 year Scribbling: Achieved Age of attainment: Drinking from cup: Achieved Age of attainment: Buttoning / Unbuttoning: Not achieved Language Receptive:- Joint attention: Achieved Age of attainment: Pointing: Achieved Age of attainment: Understanding gestures: Achieved Age of attainment: Following commands: 1-step Expressive:- Cooing: Achieved Age of attainment: 1 year Babbling: Achieved Age of attainment: 1.5 years Meaningful words: Achieved Age of attainment: 3 years 2 word Phrases: Achieved Age of attainment: 5 years Complete sentences: Achieved Age of attainment: Expressive:- Cooing: Achieved Age of attainment: 1 year Babbling: Achieved Age of attainment: 1.5 years Meaningful words: Achieved Age of attainment: 3 years 2 word Phrases: Achieved Age of attainment: 5 years Complete sentences: Achieved Age of attainment: Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Understanding gestures: Emerging Following commands (gesture + verbal): 1-step Answering Questions:- Echolalia: Present Patterned speech: Present Social Social smile: Achieved Age of attainment: 6 months Stranger anxiety: Achieved Age of attainment: 3 years Response to Name Call Sitting tolerance- (in minutes) For interaction: Fidgetiness ADL Skills (Age-appropriate)- Eating: 5. Independent Bathing: 2. Started attempting Toilet training: 5. Independent Dressing: 3. Needs significant assistance Undressing: 3. Needs significant assistance Type of Play : 3. Onlooker Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: LAHS Grade: 1 Hours spent in school: 5 hours Board: CBSE Any change of school: Yes Repetition of grade: Yes Additional information: Repeated UKG. Discontinued since 1.5 month Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Occasional Sleep History Total sleep duration (night): 7-8 hours Afternoon nap: No Daily Screen Time Duration: > 5 hours Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Oromotor Examination Drooling: No Chewing: Proper Swallowing: Proper Blowing: Proper Sucking: Proper CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: Behavioral concerns, ADHD owing to extreme prematurity Advice Intervention plan: IDP Evaluation: DSM 5ADHD, IQ test Medications: Tab Arip 2 mg 1/2 tab OD for 7 days then 1 tab OD after breakfast Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 05-Oct-2026 02:28PM Demographic Details

Child's Name: Tarush Agrawal
Age: 9 Year
Gender: Male
DOB: 2017-09-24
Mother’s age (years): 36 years
Mother’s occupation: Homemaker
Father’s age (years): 37 years
Father’s occupation: Business
Type of family: Joint
Number of family members: 12
Number of siblings: 1
Details of siblings (Age and sex): Twin
Address: Jayendraganj
Contact: 9611074871
Referred By: Doctor
Informant: Father, uncle

Presenting Concerns

Chief concerns: Behavioral concern
Duration of symptoms: Noticed since early infancy

Interaction history:

Eye contact: Suboptimal

Behavioral history:

Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Aggression Emotional history:
Irritability
Sensory Concerns:

Auditory: Hypersensitive
Visual: Avoids visuals
Proprioception: Seeks pressure
Vestibular: Seeks movement

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
Others:: Twins

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): Twins
Gestational Age: 28 weeks
Birth Weight: 1.9 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: Yes
If yes- Duration & Indication: For 15 days for VLBW NNHB

Past history:

Hospitalization: No Seizures: No

Investigations done-

Hearing assessment: Done Details: Reports not seen Vision assessment: Done Details: Refractive error. Since 3 years wearing glasses.

Family history:

Neuropsychiatric condition: Yes Any recent stressful events in family: Yes Details (If yes): Aggrevated since 1 month after viral illness Others: Mother

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 8 months
Roll over: Achieved

Age of attainment: 12 months
Sitting without support: Achieved

Age of attainment: 18 months
Standing without support: Achieved

Age of attainment: 2 months
Walking without support: Achieved

Age of attainment: 3 years
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 1 year

Unidextrous grasp: Achieved

Age of attainment: 2 year

Pincer grasp: Achieved

Age of attainment: 3 year

Scribbling: Achieved

Age of attainment:

Drinking from cup: Achieved

Age of attainment:

Buttoning / Unbuttoning: Not achieved

Language

Receptive:-

Joint attention: Achieved

Age of attainment:
Pointing: Achieved

Age of attainment:
Understanding gestures: Achieved

Age of attainment:
Following commands: 1-step

Expressive:-

Cooing: Achieved

Age of attainment: 1 year

Babbling: Achieved

Age of attainment: 1.5 years

Meaningful words: Achieved

Age of attainment: 3 years

2 word Phrases: Achieved

Age of attainment: 5 years

Complete sentences: Achieved

Age of attainment:

Expressive:-

Cooing: Achieved

Age of attainment: 1 year

Babbling: Achieved

Age of attainment: 1.5 years

Meaningful words: Achieved

Age of attainment: 3 years

2 word Phrases: Achieved

Age of attainment: 5 years

Complete sentences: Achieved

Age of attainment:

Communication & Language Assessment

Non-Verbal Communication Grading:-

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

Answering Questions:-

Echolalia: Present Patterned speech: Present

Social

Social smile: Achieved

Age of attainment: 6 months
Stranger anxiety: Achieved

Age of attainment: 3 years

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: Fidgetiness

ADL Skills (Age-appropriate)-

Eating: 5. Independent
Bathing: 2. Started attempting
Toilet training: 5. Independent
Dressing: 3. Needs significant assistance
Undressing: 3. Needs significant assistance

Type of Play : 3. Onlooker Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: LAHS
Grade: 1
Hours spent in school: 5 hours
Board: CBSE
Any change of school: Yes
Repetition of grade: Yes
Additional information: Repeated UKG. Discontinued since 1.5 month

Diet History:

Food preferences: Mixed
Food allergies: No
Junk food intake: Occasional

Sleep History

Total sleep duration (night): 7-8 hours
Afternoon nap: No

Daily Screen Time

Duration: > 5 hours

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Oromotor Examination

Drooling: No
Chewing: Proper
Swallowing: Proper
Blowing: Proper
Sucking: Proper

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

Impression: Behavioral concerns, ADHD owing to extreme prematurity

Advice

Intervention plan: IDP
Evaluation: DSM 5ADHD, IQ test
Medications: Tab Arip 2 mg 1/2 tab OD for 7 days then 1 tab OD after breakfast
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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