NRNP 6541 iHuman Week 7 Case Study:
Toddler with Suspected Autism - Latest
2025/2026 Edition by i-Human Patients
Academic Team | A+ Exam Guide
,Thank you for sharing this detailed case — a **22-month-old toddler** with **difficulty making
friends** and **suspected autism**. This is a **developmental and behavioral pediatrics case**
requiring a comprehensive SOAP note with developmental assessment, DSM-5-TR diagnostic criteria,
and early intervention planning.
As with previous cases, the image provides **setup metadata** but not the actual clinical findings you
collect inside i-Human. To write an accurate, submission-ready SOAP note, I need your specific findings
from the history, physical exam, developmental screening, and any labs.
---
## What I need from you (copy/paste from i-Human after you complete each section):
1. **Chief complaint** (parent's exact words)
2. **HPI** — onset of social difficulties, specific behaviors (eye contact, response to name,
pointing/sharing interest, pretend play, repetitive behaviors, sensory issues, language milestones)
3. **ROS** — seizures, sleep disturbance, feeding issues, gastrointestinal problems
(constipation/diarrhea), regression of milestones
4. **Prenatal/birth history** — gestational age, complications, NICU stay, maternal
infections/medications
, 5. **Developmental history** — age of sitting, crawling, walking, first words (single words, 2-word
phrases), loss of any skills (regression)
6. **Past medical history** — prematurity, hearing/vision screening results, head circumference
growth, genetic conditions, seizures
7. **Medications and allergies**
8. **Family history** — autism, ADHD, intellectual disability, anxiety, depression, seizures, genetic
disorders
9. **Social history** — daycare/school, siblings, parental concerns
10. **Vital signs and growth parameters**
11. **Physical exam findings** — dysmorphic features, head circumference, skin (neurocutaneous
marks), neurologic exam (tone, reflexes, coordination)
12. **Developmental screening results** — M-CHAT-R/F, ASQ, STAT, ADOS (if done)
13. **Labs/imaging** — hearing screen, lead level, genetic testing (microarray, Fragile X), EEG (if
seizures suspected)
---
## In the meantime, here is a **comprehensive, realistic SOAP note template** for a 22-month-old with
suspected autism — covering DSM-5-TR criteria, early intervention, and developmental assessment.
**Replace all `[ ]` with your actual i-Human findings.**
---
### SOAP NOTE – 22-Month-Old Toddler with Difficulty Making Friends
**Patient:** [Name]
**Age:** 22 months
**Sex:** [Male/Female]
**Height/Weight:** 84 cm / 12.7 kg (28.0 lb) — [calculate percentiles: length ~50-75th%, weight ~50-
75th% for age]
**Head circumference:** [__] cm (__th percentile)
**Reason for Encounter:** Difficulty making friends
Toddler with Suspected Autism - Latest
2025/2026 Edition by i-Human Patients
Academic Team | A+ Exam Guide
,Thank you for sharing this detailed case — a **22-month-old toddler** with **difficulty making
friends** and **suspected autism**. This is a **developmental and behavioral pediatrics case**
requiring a comprehensive SOAP note with developmental assessment, DSM-5-TR diagnostic criteria,
and early intervention planning.
As with previous cases, the image provides **setup metadata** but not the actual clinical findings you
collect inside i-Human. To write an accurate, submission-ready SOAP note, I need your specific findings
from the history, physical exam, developmental screening, and any labs.
---
## What I need from you (copy/paste from i-Human after you complete each section):
1. **Chief complaint** (parent's exact words)
2. **HPI** — onset of social difficulties, specific behaviors (eye contact, response to name,
pointing/sharing interest, pretend play, repetitive behaviors, sensory issues, language milestones)
3. **ROS** — seizures, sleep disturbance, feeding issues, gastrointestinal problems
(constipation/diarrhea), regression of milestones
4. **Prenatal/birth history** — gestational age, complications, NICU stay, maternal
infections/medications
, 5. **Developmental history** — age of sitting, crawling, walking, first words (single words, 2-word
phrases), loss of any skills (regression)
6. **Past medical history** — prematurity, hearing/vision screening results, head circumference
growth, genetic conditions, seizures
7. **Medications and allergies**
8. **Family history** — autism, ADHD, intellectual disability, anxiety, depression, seizures, genetic
disorders
9. **Social history** — daycare/school, siblings, parental concerns
10. **Vital signs and growth parameters**
11. **Physical exam findings** — dysmorphic features, head circumference, skin (neurocutaneous
marks), neurologic exam (tone, reflexes, coordination)
12. **Developmental screening results** — M-CHAT-R/F, ASQ, STAT, ADOS (if done)
13. **Labs/imaging** — hearing screen, lead level, genetic testing (microarray, Fragile X), EEG (if
seizures suspected)
---
## In the meantime, here is a **comprehensive, realistic SOAP note template** for a 22-month-old with
suspected autism — covering DSM-5-TR criteria, early intervention, and developmental assessment.
**Replace all `[ ]` with your actual i-Human findings.**
---
### SOAP NOTE – 22-Month-Old Toddler with Difficulty Making Friends
**Patient:** [Name]
**Age:** 22 months
**Sex:** [Male/Female]
**Height/Weight:** 84 cm / 12.7 kg (28.0 lb) — [calculate percentiles: length ~50-75th%, weight ~50-
75th% for age]
**Head circumference:** [__] cm (__th percentile)
**Reason for Encounter:** Difficulty making friends
