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OPD : 09-Sep-2026 05:20PM Demographic Details Child's Name: Atyant Age: 1 Year 10 Month 0 Days Gender: Male DOB: 2024-11-09 Mother’s age (years): 26 years Mother’s occupation: Homemaker Father’s age (years): 31 years Father’s occupation: Army Type of family: Joint Number of family members: 8 Number of siblings: 0 Contact: 8557925703 Referred By: Doctor Informant: Parents Investigations done: MRI Brain- Few non specific T2/FLAIR hyperintense foci in periventricular white matter Presenting Concerns Chief concerns: Developmental delay Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: Sensory Concerns: Auditory: Hypersensitive Visual: Seeks visuals Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural High-risk factors in pregnancy: Ante partum haemorrhage Others:: H/o 3 spontaneous abortions. 1 at 1.2 months, 2 at 2.5 months. Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: NVD Gestational Age: 32 week Birth Weight: 1.8 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: Yes If yes- Duration & Indication: H/o PROM. Admitted for 2 days for LBW Past history: Hospitalization: No Seizures: No Past/Current therapies: Nil Past/Current medications: Nil Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: Yes Others: Maternal aunt (Mausi) ID dumb Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 10 months Roll over: Achieved Age of attainment: 11 months Sitting without support: Achieved Age of attainment: 11 months Standing without support: Achieved Age of attainment: 20 months Walking without support: Not achieved Running: Not achieved Fine Motor Bidextrous grasp: Achieved Age of attainment: 9 months Unidextrous grasp: Achieved Age of attainment: 10 months Pincer grasp: Achieved Age of attainment: 12 months Language Receptive:- Joint attention: Achieved Age of attainment: Inconsistent Pointing: Achieved Age of attainment: Not achieved Understanding gestures: Not achieved Following commands: Not following Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved 2 word Phrases: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved 2 word Phrases: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Emerging Drag for needs: Emerging Joint attention: Emerging Pointing: Attempts Understanding gestures: Absent Following commands (gesture + verbal): Nil Answering Questions:- Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Not achieved Comes when called: Achieved Age of attainment: Asking for food and toilet: Not achieved Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 1. Dependent Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 3. Onlooker Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Occasional Sleep History Total sleep duration (night): 10-11 hours Afternoon nap: Yes Duration of Afternoon nap: 2-3 hours Daily Screen Time Duration: <30 minutes Type of screen: TV Examination a. Vitals: b. Anthropometry: Weight: 12.4 Kg Head circumference: 45 cm c. General Examination Dysmorphology: Low set ears (Rt side), plagiocephaly, depressed nasal bridge, pes planus d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Oromotor Examination Drooling: No Chewing: Proper Swallowing: Proper Blowing: Proper Sucking: Proper Examination summary: Hypotonia, DTR- reduced, plantars flexors, AF- closed. Plagiocephaly, low set ears (Right ears), depressed nasal bridge . CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: GDD ? Syndromic Advice Intervention plan: IDP 3/week Investigations: BERA, Ophthal examination, Pediatric orthopediacian opinion Medications: Syp Cogniwella3 5 ml OD Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 09-Sep-2026 05:20PM Demographic Details

Child's Name: Atyant
Age: 1 Year 10 Month 0 Days
Gender: Male
DOB: 2024-11-09
Mother’s age (years): 26 years
Mother’s occupation: Homemaker
Father’s age (years): 31 years
Father’s occupation: Army
Type of family: Joint
Number of family members: 8
Number of siblings: 0
Contact: 8557925703
Referred By: Doctor
Informant: Parents
Investigations done: MRI Brain- Few non specific T2/FLAIR hyperintense foci in periventricular white matter

Presenting Concerns

Chief concerns: Developmental delay

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

Sensory Concerns:

Auditory: Hypersensitive
Visual: Seeks visuals

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
High-risk factors in pregnancy:
1. Ante partum haemorrhage
Others:: H/o 3 spontaneous abortions. 1 at 1.2 months, 2 at 2.5 months.

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: NVD
Gestational Age: 32 week
Birth Weight: 1.8 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: Yes
If yes- Duration & Indication: H/o PROM. Admitted for 2 days for LBW

Past history:

Hospitalization: No Seizures: No

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

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: Yes Others: Maternal aunt (Mausi) ID dumb

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 10 months
Roll over: Achieved

Age of attainment: 11 months
Sitting without support: Achieved

Age of attainment: 11 months
Standing without support: Achieved

Age of attainment: 20 months
Walking without support: Not achieved
Running: Not achieved

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 9 months

Unidextrous grasp: Achieved

Age of attainment: 10 months

Pincer grasp: Achieved

Age of attainment: 12 months

Language

Receptive:-

Joint attention: Achieved

Age of attainment: Inconsistent
Pointing: Achieved

Age of attainment: Not achieved
Understanding gestures: Not achieved
Following commands: Not following

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

2 word Phrases: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

2 word Phrases: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Emerging
Drag for needs: Emerging
Joint attention: Emerging
Pointing: Attempts
Understanding gestures: Absent
Following commands (gesture + verbal): Nil

Answering Questions:-

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Not achieved
Comes when called: Achieved

Age of attainment:
Asking for food and toilet: Not achieved

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Eating: 1. Dependent
Bathing: 1. Dependent
Toilet training: 1. Dependent
Dressing: 1. Dependent
Undressing: 1. Dependent

Type of Play : 3. Onlooker Academic History:

Is child enrolled in school: No

Diet History:

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

Sleep History

Total sleep duration (night): 10-11 hours
Afternoon nap: Yes
Duration of Afternoon nap: 2-3 hours

Daily Screen Time

Duration: <30 minutes
Type of screen: TV

Examination

a. Vitals:

b. Anthropometry:

Weight: 12.4 Kg Head circumference: 45 cm

c. General Examination

Dysmorphology: Low set ears (Rt side), plagiocephaly, depressed nasal bridge, pes planus

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Oromotor Examination

Drooling: No
Chewing: Proper
Swallowing: Proper
Blowing: Proper
Sucking: Proper

Examination summary: Hypotonia, DTR- reduced, plantars flexors, AF- closed. Plagiocephaly, low set ears (Right ears), depressed nasal bridge . CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: GDD ? Syndromic

Advice

Intervention plan: IDP 3/week
Investigations: BERA, Ophthal examination, Pediatric orthopediacian opinion
Medications: Syp Cogniwella3 5 ml OD
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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