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WEEK #7 2026 FOR A 22 MONTHS DAUGHTER WITH DIFFICULT
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Y IN MAKING FRIENDS/ SOCIAL SECURITY CONCERNS (EARLY
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IDENTIFICATION AND MANAGEMENT OF AUTISM SPECTRUM
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DISORDER) LOCATION: OUTPATIENT CLINIC CAPABILITIES L
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ATEST
Walden University br
Early Identification and Management of Autism Spectrum Disorder (ASD) Outpat
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ient Pediatric Clinic
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,1. General Case Information br br
Patient: Pediatric female br br
Age: 3 years br br
Sex: Female br
Accompanied by: Mother br br
Setting: Outpatient pediatric clinic br br br
Reason for Encounter: Developmental concerns
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Chief Concern (Caregiver): br br
“My daughter doesn’t interact with other children and prefers to play alone.”
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2. Chief Complaint and Brief Summarybr br br br
The patient is a 3-year-
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old female brought in by her mother due to concerns about limited social interactio
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n, preference for solitary play, and reduced engagement with peers. The caregive
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r reports increasing concern as the child has not developed expected social and comm
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unication behaviors for her age. br br br br
3. History of Present Illness (HPI) br br br br
The child’s mother reports noticing developmental concerns beginning around 18–
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20 months of age, when the child showed less interest in interactive play compar
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ed to peers. Over the past year, these behaviors have become more apparent, particul
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arly in daycare and family social settings.
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, The child: br
Prefers to play alone rather than with other children
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Does not initiate play or respond consistently when peers attempt interaction
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Engages in repetitive play behaviors (lining up toys)
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Shows limited imaginative or pretend play
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Makes inconsistent eye contact
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Rarely points to objects to share interest
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Language development is delayed. The child uses single words inconsistently and do
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es not form age-
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appropriate phrases. She does not consistently respond to her name and appears mor
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e interested in objects than people.
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The caregiver denies:
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Regression of skills br br
Seizures
Hearing or vision concerns br br br
Significant medical illnesses br br br
No acute illness is reported.
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4. Past Medical, Surgical, Family, and Social History
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Past Medical History (PMH):
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Full-term pregnancy br
Normal vaginal delivery br br