1 1
,1
1
1
1 1
2
.1Patient1Demographics1and1
1Background1
Lucas1is1a14-year-
old1male1who1was1brought1by1his1parents1to1the1outpatient1clinic1for1evaluation1due1to1
concerns1about1his1speech,1language,1and1social1development.1According1to1the1caregivers,1Lucas
1has1experienced1progressive1challenges1in1verbal1expression1and1social1interaction1over1the1
past1
2.51years.1His1difficulties1have1become1more1noticeable1as1he1interacts1with1peers1and1adults1in1pr
eschool1and1community1settings.1The1caregivers1report1that1while1Lucas1can1understand1basic1ins
tructions,1he1struggles1to1articulate1words1or1combine1them1into1meaningful1phrases.1He1often1us
es1gestures,1pointing,1and1facial1expressions1to1communicate1needs,1which1can1lead1to1frustration
1for1both1Lucas1and1his1caregivers.1
,1
1
1
1 1
3
.11Presenting1Concerns1
The1primary1concern1is1Lucas's1severe1expressive1language1delay,1which1impacts1his1
ability1to1communicate1effectively.1Observed1behaviors1include:1
• Limited1spoken1vocabulary1
• Inconsistent1use1of1two-word1phrases1
• Reliance1on1non-verbal1communication1
• Limited1participation1in1peer1play1and1cooperative1activities1
• Frustration1during1communication1attempts1
Caregivers1express1concern1about1the1long-
term1impact1of1these1delays1on1social,1emotional,1and1academic1development.1