| Medical Information for Boris |
17.11.2009 – the patient directed from the orphanage accompanied by the workers of the orphanage, directed by the
children’s doctor, sent with the diagnosis of backwardness of mental development. The patient has been at the orphanage
for a period of 1 month, it is known from the previous anamnesis that the patient was born prematurely as the third
child of the family; the mother is HIV pos; patient checked, HIV neg. The patient has a habit of eating baby food only
from the feeding bottle laying down, placing the bottle on his chest. Does not play with other children, does not
communicate, is passively interested in activities. Is sleeping in crib, is wearing a diaper. Is communicating via noises,
gestures, not words. Is reacting to sounds +/-; follows with his look; cries often. Is leaping one leg from time to time, is
clumsy.
Plan of research: consultation with a psychologist in order to specify the psychic status of the patient. General blood,
biochemistry.
Objective find
18.11.2009 – the patient is in a satisfactory overall state. Little contact with the patient, it is short-termed, no words or
sentences, he is expressing himself with making sounds, gestures, crying and with his behavior. There are signs of being
sad, isolated, the patient cries often, does not express positive emotions a lot. Has recurring behavior resulting from
tension such as swaying his body back and forth, also other stereotypical movements do appear. Reacts to sounds,
observes the surroundings, shows partial interest. He needs a lot of extra help with his activities, the skills that are
appropriate for his age have not developed. He is able to only eat from the feeding bottle.
Summary and recommendations
20.11.2009 – the child has a severe development disorder but the reason for it is not clear. The symptomatics indicate
rather him being abused that having a pervasive development disorder. Repeated research is needed after ½ year for
specifying the diagnosis. An individual rehabilitation plan needs to be compiled for the rehabilitation of the child and the
level of difficulty of the disability is to be appointed.
The HIV analysis given at the Merimetsa Infection Centre in February 2009 were negative. Boriss is healthy, taken off
the register.
children’s doctor, sent with the diagnosis of backwardness of mental development. The patient has been at the orphanage
for a period of 1 month, it is known from the previous anamnesis that the patient was born prematurely as the third
child of the family; the mother is HIV pos; patient checked, HIV neg. The patient has a habit of eating baby food only
from the feeding bottle laying down, placing the bottle on his chest. Does not play with other children, does not
communicate, is passively interested in activities. Is sleeping in crib, is wearing a diaper. Is communicating via noises,
gestures, not words. Is reacting to sounds +/-; follows with his look; cries often. Is leaping one leg from time to time, is
clumsy.
Plan of research: consultation with a psychologist in order to specify the psychic status of the patient. General blood,
biochemistry.
Objective find
18.11.2009 – the patient is in a satisfactory overall state. Little contact with the patient, it is short-termed, no words or
sentences, he is expressing himself with making sounds, gestures, crying and with his behavior. There are signs of being
sad, isolated, the patient cries often, does not express positive emotions a lot. Has recurring behavior resulting from
tension such as swaying his body back and forth, also other stereotypical movements do appear. Reacts to sounds,
observes the surroundings, shows partial interest. He needs a lot of extra help with his activities, the skills that are
appropriate for his age have not developed. He is able to only eat from the feeding bottle.
Summary and recommendations
20.11.2009 – the child has a severe development disorder but the reason for it is not clear. The symptomatics indicate
rather him being abused that having a pervasive development disorder. Repeated research is needed after ½ year for
specifying the diagnosis. An individual rehabilitation plan needs to be compiled for the rehabilitation of the child and the
level of difficulty of the disability is to be appointed.
The HIV analysis given at the Merimetsa Infection Centre in February 2009 were negative. Boriss is healthy, taken off
the register.
