OPD :
08-Sep-2026 12:56PM
Demographic Details
- :
Advick Tomar
- :
3 Year 2 Month 5 Days
- :
Male
- :
2023-07-03
- :
32 years
- :
Homemaker
- :
35 years
- :
UP Police
- :
Joint
- :
4
- :
0
- :
Hazira
- :
7566155579
- :
Doctor
- :
Parents
- :
Syp mentat
Presenting Concerns
- :
Speech delay
Interaction history:
- :
Sustained
- :
age-appropriate
Behavioral history:
Patterned behavior or activities:
arranges toys in que
Hyperactivity
Inattention
Stubbornness
Sensory Concerns:
- :
Hypersensitive
- :
Seeks visuals
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
-
High-risk factors in pregnancy:
- Oligohydramnios
Natal and Postnatal History:
- :
Institutional
- :
LSCS
- :
PROM, Oligo
- :
32 weeks
- :
1 Kg
- :
Cried immediately after birth
- :
No
- :
Yes
- :
Admitted for 12 days- PT/ VLBW/ RDS
Past history:
:
Yes
:
No
:
Once admitted at 1.5 years of AGE
Investigations done-
:
Done
:
Reported Normal
:
Done
:
Reported Normal
Family history:
:
No
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
4 months
-
:
Achieved
:
5 months
-
:
Achieved
:
6 months
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
:
Achieved
:
Language
Receptive:-
-
:
Achieved
:
24 months
-
:
Achieved
:
36 months
-
:
Achieved
:
- :
1-step
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
18 months
:
Not achieved
:
Not achieved
:
Not achieved
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
18 months
:
Not achieved
:
Not achieved
:
Not achieved
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Emerging
- :
Emerging
- :
Emerging
- :
Attempts
- :
Emerging
- :
1-step
Answering Questions:-
:
Present
Social
-
:
Achieved
:
2 months
-
:
Achieved
:
9 months
-
:
Achieved
:
Delayed
-
:
Achieved
:
-
:
Not achieved
-
:
Not achieved
Response to Name Call
Sitting tolerance- (in minutes)
- :
5 minutes
- :
5-10 minutes
ADL Skills (Age-appropriate)-
- :
2. Started attempting
- :
2. Started attempting
- :
1. Dependent
- :
1. Dependent
- :
2. Started attempting
Type of Play : 4. Parallel
Academic History:
- :
No
Diet History:
- :
Mixed. Bottlefeeding+
- :
No
- :
Gems alternate day
Sleep History
- :
10 hours
- :
Yes
- :
2-2.5 hours
Daily Screen Time
-
:
< 1 hour
- :
Mobile
Examination
a. Vitals:
b. Anthropometry:
:
13.7 Kg
:
95 cm
:
45 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
:
? ASD. (Interaction is good but patterned)
Advice
- :
IDP 2/week + PMT 1/week
- :
ISAA, DSM 5 ASD
- :
CBC, Calcium, Vitamin D, Vitamin B12
- :
Next month
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food