OPD :
28-Sep-2026 09:45AM
Demographic Details
- :
Shivansh sahu
- :
2 Year 10 Month 6 Days
- :
Male
- :
2023-11-22
- :
8819080812
- :
Started going for toilet, command following
- :
Screaming, stubborness
Interaction history:
- :
Suboptimal
- :
limited
Behavioral history:
Repetitive behaviors (RRBs):
Toe walking
Patterned behavior or activities:
Hyperactivity
Sensory Concerns:
- :
Seeks pressure
- :
Seeks movement
:
Reduced
Birth & Perinatal History:
Antenatal History
Natal and Postnatal History:
Past history:
Family history:
Developmental History:
Gross Motor
Fine Motor
Language
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Inconsistent
- :
Inconsistent
- :
Inconsistent
- :
Cued pointing
- :
Emerging
- :
1-step
Answering Questions:-
:
Present
Social
Response to Name Call
Sitting tolerance- (in minutes)
- :
2-3 minutes
- :
5-7 minutes
ADL Skills (Age-appropriate)-
- :
3. Needs significant assistance
- :
3. Needs significant assistance
- :
3. Needs significant assistance
- :
2. Started attempting
- :
2. Started attempting
:
Improved
Type of Play : 3. Onlooker
Academic History:
- :
No
Diet History:
- :
Mixed
- :
No
- :
Nil
Sleep History
- :
9 hours
- :
Yes
- :
1-2 hours
Daily Screen Time
Examination
a. Vitals:
b. Anthropometry:
:
47 cm
c. General Examination
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
:
NAD
:
NAD
:
NAD
Advice
- :
IDP 2/week + PMT 1/15 days
- :
DQ, ISAA, DSM5 ASD
- :
CBC, Calcium, s vitamin D, S. Vitamin B12, thyroid profile. MRI Brain (Later).
- :
Syp Sizodon (1mg/ml) 0.1 ml at evening 8:00 PM
- :
Next month
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
|