OPD :
06-Jul-2026 01:46PM
Demographic Details
- :
Diyansh Rao
- :
7 Year 2 Month 21 Days
- :
Male
- :
2019-04-15
- :
34 years
- :
Homemaker
- :
35 years
- :
Railways
- :
Joint
- :
5
- :
1
- :
Mathura
- :
8445788550
- :
Doctor
- :
Dadi, Mama
- :
Risdone, Lacosamide, axepta
- :
EEG- generalized epileptiform discharges
Presenting Concerns
- :
hyperactivity
Interaction history:
- :
Fleeting
- :
limited
Behavioral history:
Repetitive behaviors (RRBs):
stimming, spinning
Patterned behavior or activities:
Hyperactivity
Inattention
Impulsivity
Object obsession
Temper tantrums
Stubbornness
Aggression
:
Irrelevant laughing
Sensory Concerns:
- :
Hypersensitive
- :
Hypersensitive
- :
Seeks visuals
- :
Seeks pressure
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
Natal and Postnatal History:
- :
Institutional
- :
LSCS
- :
MSL
- :
FT
- :
Not known
- :
Cried immediately after birth
- :
No
- :
No
Past history:
:
No
:
No
:
6 mon back- was diagnosed by primary complex. ATT given for 3 months
:
Risdone 2.5 ml HS alternately, Lacosamide 2.5 ml BD, Axepta 10mg 1 tab HS
Investigations done-
:
Not done
:
Not done
Family history:
:
No
Developmental History:
Gross Motor
-
:
Achieved
:
3 months
-
:
Achieved
:
5 months
-
:
Achieved
:
6 months
-
:
Achieved
:
12 months
-
:
Achieved
:
2 years
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Fine Motor
:
Achieved
:
4 months
:
Achieved
:
6 months
:
Achieved
:
12 months
:
Not achieved
:
Achieved
:
:
Achieved
:
Language
Receptive:-
-
:
Not achieved
-
:
Not achieved
-
:
Not achieved
- :
Not following
Expressive:-
:
Achieved
:
:
Achieved
:
:
Achieved
:
Expressive:-
:
Achieved
:
:
Achieved
:
:
Achieved
:
:
Kinship words. Patterned speech.
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Consistent
- :
Consistent
- :
Emerging
- :
Attempts
- :
Emerging
- :
1-step
Answering Questions:-
:
Present
:
Present
Social
-
:
Achieved
:
2 months
-
:
Achieved
:
9 months
-
:
Achieved
:
12 months
-
:
Achieved
:
-
:
Achieved
:
-
:
Achieved
:
Response to Name Call
Sitting tolerance- (in minutes)
- :
Doesnt sit
- :
1-2 minutes
:
Destructive play
ADL Skills (Age-appropriate)-
- :
2. Started attempting
- :
2. Started attempting
- :
2. Started attempting
- :
1. Dependent
- :
1. Dependent
Type of Play : 2. Isolated
Academic History:
- :
Yes
- :
Regular
- :
Mathura Public School
- :
LKG
- :
6 hours
- :
DOesnt sit in school
Diet History:
- :
Mixed
- :
No
- :
Occasional
Sleep History
- :
10 hours
- :
No
Daily Screen Time
-
:
< 1 hour
- :
Mobile
Examination
a. Vitals:
b. Anthropometry:
:
20 Kg
:
120 cm
:
53.5 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
Advice
- :
IDP 2/week + PMT 1/week
- :
DQ, ISAA, DSM5 ASD
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food
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