OPD :
17-Oct-2026 02:49PM
Demographic Details
- :
Aarav
- :
5 Month 10 Days
- :
Male
- :
2026-05-07
- :
27 years
- :
Homemaker
- :
31 years
- :
Private job
- :
Joint
- :
4
- :
Morena
- :
9753777744
- :
Doctor
- :
Parents
Presenting Concerns
- :
Doesnt fixate vision
Interaction history:
Behavioral history:
Birth & Perinatal History:
Antenatal History
- :
No
- :
Natural
-
High-risk factors in pregnancy:
- Oligohydramnios
Natal and Postnatal History:
- :
Institutional
- :
LSCS
- :
34 weeks
- :
2.5 Kg
- :
Cried immediately after birth
- :
On Day 2 admitted for NNHB. neonatal screening of thyroid profile- WNL
Past history:
:
No
Investigations done-
:
Done
:
BERA- normal
:
Done
:
Fundus- Normal
Family history:
:
No
Developmental History:
Gross Motor
-
:
Not achieved
-
:
Not achieved
Fine Motor
:
Not achieved
:
Not achieved
Language
Receptive:-
-
:
Not achieved
Expressive:-
:
Achieved
:
4 months
:
Not achieved
Expressive:-
:
Achieved
:
4 months
:
Not achieved
Communication & Language Assessment
Non-Verbal Communication Grading:-
- :
Absent
- :
Absent
- :
Absent
- :
Absent
- :
Absent
Answering Questions:-
Social
-
:
Not achieved
-
:
Not achieved
Response to Name Call
Sitting tolerance- (in minutes)
ADL Skills (Age-appropriate)-
Type of Play : 1. Unoccupied
Academic History:
Diet History:
Sleep History
- :
as per age
Daily Screen Time
Examination
a. Vitals:
b. Anthropometry:
:
9.5 kg
:
63 cm
:
42.5 cm
c. General Examination
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
- :
Normal
- :
KJ- 2+/2+, AJ-2+/2+
- :
Plantars- withdrawal
Oromotor Examination
:
Pull to sit- uplifts head, prone- lifts head upto 45 degree. AF- at level. Tone- normal :
NAD
:
NAD
:
NAD
Advice
- :
Home strategies adviced for early stimulation
- :
DASII assessment
- :
As adviced by pediatrician
- :
Next month
-
General recommendation-
-
Zero Screen Time
-
Physical interactive play
-
No Junk food