NRNP 6541 CASE STUDY: SOCIAL INTERACTION CONCERNS IN A 22-MONTH-OLD FEMALE | COMPREHENSIVE DEVELOPMENTAL ASSESSMENT | OUTPATIENT CLINIC WITH LABS | FULL SCREENSHOTSTitle: i-:uman Case Analysis - Week #7 (2026) Patient: 4-year-old female Chief Concern: My daughter doesnt interact with other children and prefers to play alone. Setting: Outpatient Pediatric Clinic with Laboratory Capabilities Slide 2: Case Introduction Patient exhibits solitary play, limited social interaction, repetitive behaviors, and sensory sensitivities. No acute medical issues; normal growth, appetite, and sleep. Early identification crucial for social and communication development. Objectives: 1. Conduct comprehensive :P=, ROS, and PE 2. =dentify developmental red flags 3. Develop differential diagnoses and diagnostic plan 4. Formulate treatment and follow-up plan 5. Educate caregivers and prepare SOAP note Slide 3: Patient Biodata Parameter Detail Age 4 yearsParameter Detail Sex Female Parent Mother Chief Concern Solitary play, limited peer interaction Past Medical :istory Unremarkable; vaccinations up-to-date Allergies NKDA Developmental Milestones Walking: 13 mo; First words: 18 mo (slightly delayed) Family :istory No neurodevelopmental disorders Slide 4: HPI Question Parent Response When did solitary play start? Around age 3 Eye contact Brief, inconsistent Response to name Sometimes delayed Communication Limited words, minimal gestures Peer interaction Rarely interacts Play behavior Repetitive