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i-Human Case Study: Lucas 4-Year-Old with Severe Expressive Language Delay | Speech and Social Communication Assessment

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A comprehensive i-Human pediatric case study documenting Lucas, a 4-year-old male presenting with severe expressive language delay and social communication challenges. This detailed assessment includes patient demographics, presenting concerns, medical and developmental history, family and social history, behavioral observations, assessment tools (clinical observation, standardized language assessments, parent interview, social communication screening), clinical findings, differential diagnosis (F80.1 Severe Expressive Language Delay vs Autism Spectrum Disorder), multidisciplinary intervention plan (speech-language therapy, occupational therapy, parent training), therapy goals and strategies, prognosis, follow-up plan, and ethical considerations. Essential for speech-language pathology, occupational therapy, nursing, and medical students completing pediatric developmental case studies.

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.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

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.11Presenting1Concerns1
The1primary1concern1is1Lucas's1severe1expressive1language1delay,1which1impacts1his1
ability1to1communicate1effectively.1Observed1behaviors1include:1
• Limited1spoken1vocabulary1

• Inconsistent1use1of1two-word1phrases1
• Reliance1on1non-verbal1communication1

• Limited1participation1in1peer1play1and1cooperative1activities1
• Frustration1during1communication1attempts1
Caregivers1express1concern1about1the1long-
term1impact1of1these1delays1on1social,1emotional,1and1academic1development.1

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Uploaded on
February 17, 2026
Number of pages
27
Written in
2025/2026
Type
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