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OPD : 08-Sep-2026 02:14PM Demographic Details Child's Name: Vaidhav Singh Gurjar Age: 6 Year 9 Month 26 Days Gender: Male DOB: 2019-11-13 Type of family: Joint Number of family members: 6 Number of siblings: 1 Details of siblings (Age and sex): 3 year old female Address: Morar Contact: 9755215357 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Stuttering Duration of symptoms: Noted since 1-2 years Interaction history: Eye contact: Sustained Interaction: Takes time to mingle Quality of Interaction: age-appropriate Behavioral history: 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): cord around neck Gestational Age: FT Birth Weight: Not known ? IUGR Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: No Seizures: No Others: H/o allergic rhinitis Past/Current therapies: Nil Past/Current medications: Nil Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: Yes Others: Stuttering+ in family Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 4 months Roll over: Achieved Age of attainment: 5 months Sitting without support: Achieved Age of attainment: 6 months Standing without support: Achieved Age of attainment: 9 months Walking without support: Achieved Age of attainment: 12 months 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: 4 months Unidextrous grasp: Achieved Age of attainment: 6 months Pincer grasp: Achieved Age of attainment: 12 months Scribbling: Achieved Age of attainment: Drinking from cup: Achieved Age of attainment: Buttoning / Unbuttoning: Achieved Age of attainment: Language Receptive:- Joint attention: Achieved Age of attainment: 9 months Pointing: Achieved Age of attainment: 12 months Understanding gestures: Achieved Age of attainment: Following commands: 2-step Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 24 months Complete sentences: Achieved Age of attainment: 36 months Narrates events / stories: doesnt prefer Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 24 months Complete sentences: Achieved Age of attainment: 36 months Narrates events / stories: doesnt prefer Details:: Stuttering Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Understanding gestures: Consistent Answering Questions:- Social Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: St Paul Grade: 1 Hours spent in school: 5 hours Board: CBSE Location: Morar Any change of school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Occasional Sleep History Total sleep duration (night): 9-10 hours Afternoon nap: No Duration of Afternoon nap: Ocacsional naps Daily Screen Time Duration: > 5 hours Examination a. Vitals: b. Anthropometry: Weight: 21.3 Kg Height: 119 cm Head circumference: 51 cm c. General Examination Dysmorphology: Ab Neurocutaneous markers: Ab d. CNS: Higher Mental Functions Consciousness: Conscious Orientation: Oriented to time, place, person Memory: Intact Repetition: Intact Naming: Intact Voice: Intact Judgement: Intact Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Tone: Normal Deep tendon reflexes: Normal Oromotor Examination Drooling: No Chewing: Proper Swallowing: Proper Blowing: Proper Sucking: Proper Others: Tongue movements normal CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: Stuttering Advice Evaluation: Speech and language evaluation for stuttering Follow up plan: After evaluation General recommendation- Physical interactive play No Junk food

OPD : 08-Sep-2026 02:14PM Demographic Details

Child's Name: Vaidhav Singh Gurjar
Age: 6 Year 9 Month 26 Days
Gender: Male
DOB: 2019-11-13
Type of family: Joint
Number of family members: 6
Number of siblings: 1
Details of siblings (Age and sex): 3 year old female
Address: Morar
Contact: 9755215357
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Stuttering
Duration of symptoms: Noted since 1-2 years

Interaction history:

Eye contact: Sustained
Interaction: Takes time to mingle
Quality of Interaction: age-appropriate

Behavioral history:

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): cord around neck
Gestational Age: FT
Birth Weight: Not known ? IUGR
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: No Seizures: No Others: H/o allergic rhinitis

Past/Current therapies: Nil Past/Current medications: Nil Investigations done-

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: Yes Others: Stuttering+ in family

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 4 months
Roll over: Achieved

Age of attainment: 5 months
Sitting without support: Achieved

Age of attainment: 6 months
Standing without support: Achieved

Age of attainment: 9 months
Walking without support: Achieved

Age of attainment: 12 months
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: 4 months

Unidextrous grasp: Achieved

Age of attainment: 6 months

Pincer grasp: Achieved

Age of attainment: 12 months

Scribbling: Achieved

Age of attainment:

Drinking from cup: Achieved

Age of attainment:

Buttoning / Unbuttoning: Achieved

Age of attainment:

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 9 months
Pointing: Achieved

Age of attainment: 12 months
Understanding gestures: Achieved

Age of attainment:
Following commands: 2-step

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 24 months

Complete sentences: Achieved

Age of attainment: 36 months

Narrates events / stories: doesnt prefer

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 24 months

Complete sentences: Achieved

Age of attainment: 36 months

Narrates events / stories: doesnt prefer

Details:: Stuttering

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Consistent
Drag for needs: Consistent
Joint attention: Consistent
Pointing: Consistent meaningful pointing
Understanding gestures: Consistent

Answering Questions:-

Social

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: St Paul
Grade: 1
Hours spent in school: 5 hours
Board: CBSE
Location: Morar
Any change of school: No

Diet History:

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

Sleep History

Total sleep duration (night): 9-10 hours
Afternoon nap: No
Duration of Afternoon nap: Ocacsional naps

Daily Screen Time

Duration: > 5 hours

Examination

a. Vitals:

b. Anthropometry:

Weight: 21.3 Kg Height: 119 cm Head circumference: 51 cm

c. General Examination

Dysmorphology: Ab Neurocutaneous markers: Ab

d. CNS: Higher Mental Functions

Consciousness: Conscious
Orientation: Oriented to time, place, person
Memory: Intact
Repetition: Intact
Naming: Intact
Voice: Intact
Judgement: Intact

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Tone: Normal
Deep tendon reflexes: Normal

Oromotor Examination

Drooling: No
Chewing: Proper
Swallowing: Proper
Blowing: Proper
Sucking: Proper
Others: Tongue movements normal

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

Impression: Stuttering

Advice

Evaluation: Speech and language evaluation for stuttering
Follow up plan: After evaluation
General recommendation-
1. Physical interactive play
2. No Junk food

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