Create - Child Development Centre

Patient Details


OPD : 27-Aug-2026 12:24PM Demographic Details Child's Name: Devansh Jadoun Age: 1 Year 1 Month 15 Days Gender: Male DOB: 2025-07-12 Mother’s age (years): 26 years Mother’s occupation: Homemaker Father’s age (years): 28 years Father’s occupation: Driver Type of family: Nuclear Number of family members: 4 Number of siblings: 1 Details of siblings (Age and sex): 3 year old female Address: CP colony Contact: 8717872487 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Delayed milestones Strengths of child: Social interaction Interaction history: Eye contact: Sustained Behavioral history: Sensory Concerns: Auditory: Hypersensitive Visual: Seeks visuals Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): Prev LSCS, cord around neck Gestational Age: FT Birth Weight: 2 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: Yes If yes- Duration & Indication: For 12-15 days for respiratory distress, NNHB Past history: Hospitalization: No Seizures: No Past/Current therapies: Nil Past/Current medications: Nil 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: Partial Roll over: Achieved Age of attainment: Partial Sitting without support: Not achieved Standing without support: Not achieved Walking without support: Not achieved Fine Motor Bidextrous grasp: Not achieved Unidextrous grasp: Not achieved Pincer grasp: Not achieved Language Receptive:- Joint attention: Not achieved Pointing: Not achieved Understanding gestures: Not achieved Following commands: Not following Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 9 months Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 9 months Meaningful words: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Absent Drag for needs: Absent Joint attention: Absent Pointing: Absent Understanding gestures: Absent Following commands (gesture + verbal): Nil Answering Questions:- Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Not achieved Comes when called: 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: Mixed diet Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 10-11 hours Afternoon nap: Yes Duration of Afternoon nap: 2-3 hours Sleep disturbances: 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 Motor delay: Gross motor and Fine motor Tone: Hypertonia Deep tendon reflexes: KJ-3+/3+, AJ- 3+/3+ Superficial reflexes: Plantars- B/l extensors Oromotor Examination Drooling: Yes Chewing: Improper Swallowing: Proper Blowing: Improper Sucking: Improper Others: Teething- not erupted Examination summary: Tone increased in all 4 limbs, arching+ (increased neck and back extensor tone, DTR- brisk, Plantar- extensors, Microcephaly, AF- closed, fisting+, Pull to sit- lifts head, back curved, On prone- Lifts head to 60 degrees. CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: GDD. Spastic CP. microcephaly Advice Intervention plan: IDP + PT 3/week Investigations: EEG, BERA, Pediatric Ophthalmologist opinion Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 27-Aug-2026 12:24PM Demographic Details

Child's Name: Devansh Jadoun
Age: 1 Year 1 Month 15 Days
Gender: Male
DOB: 2025-07-12
Mother’s age (years): 26 years
Mother’s occupation: Homemaker
Father’s age (years): 28 years
Father’s occupation: Driver
Type of family: Nuclear
Number of family members: 4
Number of siblings: 1
Details of siblings (Age and sex): 3 year old female
Address: CP colony
Contact: 8717872487
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Delayed milestones

Strengths of child: Social interaction

Interaction history:

Eye contact: Sustained

Behavioral history:

Sensory Concerns:

Auditory: Hypersensitive
Visual: Seeks visuals

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): Prev LSCS, cord around neck
Gestational Age: FT
Birth Weight: 2 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: Yes
If yes- Duration & Indication: For 12-15 days for respiratory distress, NNHB

Past history:

Hospitalization: No Seizures: No

Past/Current therapies: Nil Past/Current medications: Nil 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: Partial
Roll over: Achieved

Age of attainment: Partial
Sitting without support: Not achieved
Standing without support: Not achieved
Walking without support: Not achieved

Fine Motor

Bidextrous grasp: Not achieved

Unidextrous grasp: Not achieved

Pincer grasp: Not achieved

Language

Receptive:-

Joint attention: Not achieved
Pointing: Not achieved
Understanding gestures: Not achieved
Following commands: Not following

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 9 months

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 9 months

Meaningful words: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Absent
Drag for needs: Absent
Joint attention: Absent
Pointing: Absent
Understanding gestures: Absent
Following commands (gesture + verbal): Nil

Answering Questions:-

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Not achieved
Comes when called: 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: Mixed diet
Food allergies: No
Junk food intake: Nil

Sleep History

Total sleep duration (night): 10-11 hours
Afternoon nap: Yes
Duration of Afternoon nap: 2-3 hours
Sleep disturbances: 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

Motor delay: Gross motor and Fine motor
Tone: Hypertonia
Deep tendon reflexes: KJ-3+/3+, AJ- 3+/3+
Superficial reflexes: Plantars- B/l extensors

Oromotor Examination

Drooling: Yes
Chewing: Improper
Swallowing: Proper
Blowing: Improper
Sucking: Improper
Others: Teething- not erupted

Examination summary: Tone increased in all 4 limbs, arching+ (increased neck and back extensor tone, DTR- brisk, Plantar- extensors, Microcephaly, AF- closed, fisting+, Pull to sit- lifts head, back curved, On prone- Lifts head to 60 degrees. CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: GDD. Spastic CP. microcephaly

Advice

Intervention plan: IDP + PT 3/week
Investigations: EEG, BERA, Pediatric Ophthalmologist opinion
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

Setting Panel

Select Layout

Light Dark

Sidebar Color

Color Theme

Mini Sidebar

Sticky Header

Patient Details print

Select Layout

Sidebar Color

Color Theme

Patient Details