OPD :
19-Aug-2026 12:01PM
Demographic Details
- :
Parmarth Sharma
- :
4 Year
- :
Male
- :
2022-08-09
- :
Nuclear
- :
5
- :
2
- :
15 Year female, 13 Year male
- :
DB city
- :
9826025738
- :
Doctor
- :
Parents
Presenting Concerns
- :
Speech delay
Interaction history:
- :
Sustained
- :
age-appropriate
Behavioral history:
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
LSCS
- :
Prev LSCS
- :
FT
- :
2.7 Kg
- :
Cried immediately after birth
- :
No
- :
No
Past history:
:
No
:
No
Investigations done-
:
Done
:
BERA- normal
:
Not done
Family history:
:
No
:
speech delay in elder child
Developmental History:
Gross Motor
-
:
Achieved
:
4 months
-
:
Achieved
:
5 months
-
:
Achieved
:
7 months
-
:
Achieved
:
10 months
-
:
Achieved
:
12 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Achieved
:
:
Achieved
:
Language
Receptive:-
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
- :
2-step
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
started speaking mumma at 12 months. Currently restricted vocabulary- 10-12 words
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Consistent
- :
Consistent meaningful pointing
- :
Consistent
- :
2-step
Answering Questions:-
:
Absent
Social
-
:
Achieved
:
2 months
-
:
Achieved
:
8 months
-
:
Achieved
:
9 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
ADL Skills (Age-appropriate)-
- :
5. Independent
- :
4. Needs minimal assistance
- :
3. Needs significant assistance
- :
3. Needs significant assistance
- :
3. Needs significant assistance
Type of Play : 5. Associative
Academic History:
- :
Yes
- :
Regular
- :
Jaipuria school
- :
Nursery
- :
5 hours
Diet History:
- :
Mixed
- :
Yes
- :
Occasional
Sleep History
- :
10 hours
- :
Yes
- :
2-3 hours
Daily Screen Time
-
:
> 2 hours
- :
TV
Examination
a. Vitals:
b. Anthropometry:
:
15 Kg
:
96 cm
:
50 cm
c. General Examination
:
Operated for tongue tie
:
Ab
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
- :
No
- :
Proper
- :
Proper
:
NAD
:
NAD
:
NAD
:
Expressive Language Delay with history of ankyloglossia, status post surgical release, with possible contribution of previous restricted lingual mobility to speech and language difficulties.
Advice
- :
LDP 3/week
- :
Speech and Language Evaluation
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food