NRNP 6541 PEDIATRIC DEVELOPMENTAL ASSESSMENT 2026 - 22-MONTH-OLD FEMALE WITH SOCIAL DELAYS | FULL SCREENSHOTS | COMPLETE SOAP, SCREENING TOOLS, PLAN | A+1. Case Introduction Patient Overview: The patient is a 4-year-old female, brought to an outpatient pediatric clinic by her mother for concerns about solitary play and limited social interaction. The child engages in repetitive play, has limited verbal communication, and shows sensory sensitivities (dislikes loud noises, certain textures). Appetite and sleep are normal; no medical concerns or regression reported. Clinical Context: Delayed or atypical social interaction in early childhood may indicate: Autism Spectrum Disorder (ASD) Social Communication Disorder (SCD) Global Developmental Delay Less likely: Selective Mutism or Social Anxiety Early evaluation and intervention are essential to optimize social, communicative, and adaptive developmental outcomes. Educational Objectives: Conduct thorough history and physical examination in pediatric behavioral concerns =dentify red flags for developmental disorders Develop differential diagnoses and diagnostic plan Formulate intervention, therapy, and follow-up plan Educate caregivers on behavioral strategies and early intervention2. Patient Biodata Parameter Detail Age 4 years Sex Female Chief Concern Prefers solitary play, limited interaction with peers Parent/Guardian Mother Setting Outpatient pediatric clinic with lab capabilities Past Medical :istory Unremarkable; vaccinations up-to-date Allergies NKDA Developmental Milestones