This document contains a case study and assessment of a 4-year-old preschooler named Ms. Prarthana. On observation, she was semi-conscious and occasionally responded to verbal commands. Her vital signs and anthropometric measurements were recorded. On examination, she had a squint in both eyes and neck rigidity. Her developmental history and immunization history were noted. She comes from a lower-middle class family with consanguineous parents.

2. To assess the growth and development of the
child in relation to her age and to recognize
any deviation from the normal
AIM

3.  Ms Prarthana
 4year old , pre- schooler
On Observation:-
 Semi-conscious,
 Occasionally responds to verbal commands

4. VITAL SIGNS
.Temp - 99. F
. Heart rate - 110/mt
. Respiratory rate - 32/mt
. BP - 110/66 mm of Hg

5. ANTHROPOMETRY
. Height - 98cm
. Weight on admission - 11.5 Kg
. Head circumference - 48cm
. Mid arm circumference - 110/66 mm of Hg

6. HEAD
. The head appears normal in size and
symmetry
. Hair is black ,there is no signs of
nutritional deficiency
. No dandruff present , no swelling

7. EYES
. Squint is present, both eyeballs inwadely
deviated. There is no signs jaundice,
conjunctivitis etc.
. Both pupils are reacting to light .

8. EARS
. Appears normal in size ands shape.
. No signs of any infection in the ear noticed.

9. MOUTH
. All Primary teeth are present.
. No evidence of any dental caries
. Mild oral thrush is present.
. Tongue looks moist
. Lips are normal

10. NECK
. Neck rigidity is present
. Tracheostomy tube in sites
. Tracheostomy was done on 17/08/11
. Suture area is clean an healthy

11. CHEST
. Chest looks normal in size,shape summetry
and movement
. At present movement of the chest wall is
symmetric bilaterally and co-ordinated with
breathing

12. ABDOMEN
. Abdomen appears flat
. There is no signs of any polydactyl and
syndactyly and clubbing
. No sign of any dehydration present
Umbilicus is normal in size , no evidence of
any abnormalities or hernias noticed

13. HAND & FEET
. Extrimities appears cold;and pale
. There is no signs of any polydactyly and
syndactyly and clubbing
. All four limbs movement are restricted.
. The grasp reflex is very weak
. Resistence to passive movement
. No pedal edema

14. AUSCULTATION
. Chest : air entry to both the lungs are
normal.
. Abdomen : Peristalsis heard ; no signs of
any abnormal peristalsis

15. PALPATION
. There is no evidence of any
submental,cervical,tonsillar or inguinal
lymphadenopathy
. Liver is palpable ,spleen is not palpable

16. PERCUSSION
. There is no evidence of any free fluid in the
abdomen

17. PRENATAL & BIRTH HISTORY
. Mother was booked case,immunized
against Tetanus
. Her first , second and third trimester were
uneventful.
. Delivery vaginaly at term.
. Birth weight was 2.9 kg
. Baby cried immediately after birth
. Breast feeding started immediately after
birth
. Infancy period was uneventful

18. DEVELOPMENTAL HISTORY
As per mothers:-
. Neck holding - 4 months
. Social smile - 3 months
. Recognition of mother - 3 months
. Sitting with support - 7 months
. Sitting without support - 8 months
. Stand with support - 10 months
. Walks without support - 1 year
. Running - 15 months
MS. PRASTHANA was attending nursery school
since last 1 year. She was able to recite nursery
poems

19. SOCIAL HISTORY OF FAMILY
 Belongs to lower- middle class family.
 Parents had a consangenous marriage ( Married to uncle’s
daughter)
Mr.Pandurang
(Father 27 years
Mrs. Sunder
(Mother 24 years)
Prarthana
(4 years)
Samar
(2 years)

20. IMMUNIZATION HISTORY
. Immunized till age.
. BCG OPV ,DPT , MEASLE are taken in
time
. Polio vaccine were also given during pulse
polio programme