OPD :
10-Oct-2026 11:23AM
Demographic Details
- :
Ojas Sharma
- :
4 Year 2 Month 22 Days
- :
Male
- :
2022-07-18
- :
35 years
- :
Homemaker
- :
39 years
- :
Factory
- :
Nuclear
- :
3
- :
Patri road
- :
9685243112
- :
Doctor
- :
Parents
- :
nil
Presenting Concerns
- :
Speech delay
Interaction history:
- :
Fleeting
- :
limited
Behavioral history:
Repetitive behaviors (RRBs):
Looks from corner of eye
Patterned behavior or activities:
Inattention
Object obsession
:
Screaming
Sensory Concerns:
- :
Seeks visuals
- :
Avoids swings
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
-
High-risk factors in pregnancy:
- Hypothyroidism
- :
Neonatal screening for hypothyroidism
Natal and Postnatal History:
- :
Institutional
- :
LSCS
- :
Cord around neck
- :
FT
- :
3 Kg
- :
Cried after stimulation
- :
No
- :
No
Past history:
:
No
:
No
:
Nil
:
Nil
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
4 months
-
:
Achieved
:
5 months
-
:
Achieved
:
6 months
-
:
Achieved
:
8 months
-
:
Achieved
:
9 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
Language
Receptive:-
-
:
Not achieved
-
:
Not achieved
-
:
Not achieved
- :
Not following
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Not achieved
Expressive:-
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Not achieved
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Emerging
- :
Emerging
- :
Absent
- :
Absent
- :
Absent
- :
Nil
Answering Questions:-
:
Present
Social
-
:
Achieved
:
2 months
-
:
Achieved
:
9 months
-
:
Not achieved
-
:
Not achieved
Response to Name Call
Sitting tolerance- (in minutes)
- :
2-3 minutes
- :
More for tasks
ADL Skills (Age-appropriate)-
- :
4. Needs minimal assistance
- :
2. Started attempting
- :
1. Dependent
- :
1. Dependent
- :
1. Dependent
:
Drags to toilet at home. not at other places
Type of Play : 2. Isolated
Academic History:
- :
Yes
- :
Regular
- :
Atlantic kids
- :
LKG
- :
2.5
Diet History:
- :
Mixed
- :
No
- :
Occasional
Sleep History
- :
10 hours
- :
No
Daily Screen Time
-
:
<30 minutes
- :
Mobile
Examination
a. Vitals:
b. Anthropometry:
c. General Examination
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
Advice
- :
IDP 2/week + PMT 1/week
- :
DQ, ISAA, DSM5 ASD (Later)
- :
CBC, Vitamin d, Vitamin B12, Thyroid profile, Calcium, Homocysteine
- :
Syp autinorm 5 ml BD
- :
Next month
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
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