| Medical Information for Egon P. |
We have seen Egon's video.
He seems to have a very sweet personality, great conversationalist, and listens eagerly to the person taking the video,
answering questions and laughing.
He seems to have a very sweet personality, great conversationalist, and listens eagerly to the person taking the video,
answering questions and laughing.
CERTIFICATE OF CHARACTER
EGON P.
Dgn: mixed-type development disorder F 83.0
At the Elva Orphanage since 09.01.2002.
A „shaken baby syndrome“ and „short intestine syndrome“ diagnosed at the age of 11 months.
Egon is mainly good-hearted and friendly, lively and talkative. His friendliness can sometimes be annoying and forced.
His activeness is tiring to the other children and also to adults. In the family Egon is bold, sensible, does know how to get
what he wants but outside the house Egon is shy, silent and afraid ( he has a fear for all kinds of animals). In everyday
activities he is brisk and quite able to learn. He takes part of all the games and learning activities in the family. Is
interested in books. Recently he has developed an interest and wish towards learning the letters and writing them
down. Is interested in drawing; loves to build. Manually on an average level; draws well. There is always fantasy and
his own vision in his works.
He is able to explain what is it and why is it so. His interest is very short-termed and superficial when it comes to
activities outside the orphanage and visits.
Egon has a big fantasy. It is sometimes hard to make a difference of truth and lies in his stories.
There is backwardness in height and weight. His social skills are also underdeveloped.
Is able to service himself.
His interest to be active is short-termed; motivation is low, has trouble finishing what he has started. Concentrating is
problematic – attention is fading.
Uses grammatically codified spoken language. Speech is fluent, sounds are apparent. Very talkative but has limited
subjects to talk about. Understanding speech is lower that it should be for his age. Vocabulary is not appropriate for his
age also. Has difficulties listening to stories – gets tired easily, turns to be motorically restless, starts to talk about
something else. Has difficulties sensing time – does not know the timeline of the week-days, mixes up seasons etc. The
development of psychic processes is lower than the indications for his age. Has mastered sound – certain skills of
phonemical analyses, listens to certain sound in the speech, pronounces shorter words, differs the longer sounds).
Knows a certain amount of letters.
Diagnose of the speech therapist: hypo-speech …. II
The development of the child is not according to his age. Wears glasses
EXCERPT FROM THE CHILDS DEVELOPMENTAL HISTORY
EGON from the III pregnancy II birth of a 37 year old mother. Was born prematurely, weight 2300g, height 44 cm,
amniotic fluid was green. During the pregnancy the fetus was damaged by the mothers chlamydiosis. The child was
born with an open abdomen wall, through what the small- and large intestine had come out, there was an ileus of the
small intestine because it was not passable. The defect has been operated on 6 occasions, was fed through a sonde for a
long time, 3 months, repeated septicaemias appeared due to an aperture that had evolved in the area of the scare-
hernia. Was allowed home from the hospital when 9 months old, weight 5740g, backwardness in psychomotorical
development.
Later has been in the hospital for 3 times due to being too lightweight, because at home the mother did not provide the
child with normal food due to a disability. A „shaken baby syndrome“ was diagnosed based on extravasations in the
eyes, a neurological finding and convulsion jags. Because of the above-mentioned reasons Egon was put to the Elva
Orphanage at the age of 1,5. Dgn: short intestine syndrome. Hypotrofia II level. „Shaken intestine syndrome“.
Backwardness in psychomotorical development ( is sitting, stands with support, babbles, does not speak).
The future developmental dynamics are positive, but slow and not appropriate for his age. Bachwardness in height,
weight, social skills and speech development, has difficulties concentrating, fading attention. Is mainly conciliatory,
friendly. Has suffered from the following illnesses: septicaemia, enteritis, pneumonia, anaemia, bronchitic, upper
respiratory catarrhs. There is no extra sensitivity when it comes to food and medicines. Necessary inoculations have
been done. Continiously needs overall developmental activities, speech theraphy and teaching.
Stay at the hospial:
Departement: neurology and neurological rehabilitation, stationary of neurology and neurological rehabilitation.
Arrived: 11.02.2008
Left: 15.02.2008 7:45
Bed Days: 4
Final clinical diagnosis:
Main diagnosis: slight mental backwardness without significant behavioural disorders F 70.0
Additional illness: astigmatism H52.2
Specification: oc.utr.
Additional illness: additional strabism, in other words divergent
strabismus H 50.0
Specification: oc.sin.
Anamnesis, reasoning of the diagnosis and the course of illness:
He was hospitalised for the evaluation of the developmental dynamics and for the evaluation of readiness for school.
Anamnesis: born from the 3rd pregnancy, 2nd birth. Weight at birth – 2300g, height 44cm. The patient has been
operated on 6 times due to innate castroskisis and thin-bowel atresia. He received parenteral feeding until the age of 11
months. Since the age of 2 years he is eating with is mouth without any problems. At the age of 11 months the patient
was diagnosed with the „shaken baby“ synrome. At the age of 4 the mental development was evaluated to be on the
level appropriate for a 3 year old and on the year 2006 (at the age of 5) the patient was diagnosed with a mixed-type
development disorder.
Objective find: in a good overall state, very active, talkative boy. Neurologically: is walking with toes pointed inwards,
is throwing the right vane, quite stable when walking on toes and walking on heels, finger-nose touching is done with
confidence. Lively tendon-periostralrefleces j>k, dex>sin, NVL is more flat on the right, otherwise cranial nerves
without pathological findings. The heart has a functionalt type of systolical murmur Height 113,5 cm, weight 18,3 kg
and head measurement is 49,5 cm (all under 2SD), significant scars on the abdomen, no organomecalia.
Reasoning of the diagnosis: slight mental backwardness was diganosed by a psyhiatrist of the basis of developmental
tests, astigmatism and divergent strabismus were diagnosed by an eye doctor on the basis of clinical reasearches.
Researches and procedures:
11.02.2008 14:56, MIGGUR, ANNE-LY – D04595 – E42 – otorinolaryncology.
Resin in the right ear, rinsed, findings of the eardrums normal. Normal hearing of the toneaudiometric bil.
Normal find of the RhinoOroscopia. Voice is not nasal. Sometimes breathes with an open mouth. Suspicion of a enlarged
adenoid in the year 2006, stayed under surveilance for operative treatment.
13.02.2008 14:56 – JÜRI, PIRET – D03871 – E43 – ophthalmology
Visus od= 0.8 with glasses 1.0
Os = 0.16 with glasses 0.4
His own glasses +1.5 Dsph + 1.0cyl72
+3.0Dsph + 1.0 cyl 90 stay the same
Convergence on the left, slight angle also with glasses. Additionally m. obl. inf. hyperfunction on the left.
Bulbuses seem to be in order. Fundus ou – discs are with slightly diffused edges, pink. Macules are in norm.
Veins are meandrous.
Oclusion treatment could be done to the right eye (cover from the right) for 3-4 hours a day.
Refractometrics: od+2.0 Dsph + 1.0 cyl 87 os + 4.0 Dsph + 1.5 cyl 97
14.02.2008 14:17 – ESSENSON, ENE – D04583 – E49 – psyhiatry
The contact with the child is good. The child is constant in cooperation and is interested in results. According to Leiter
the non-verbal mental age is 5:6, has obtained numbers, letters, he can count and make simple calculations. Hand-eye
cooperation according to VMI is 5:0. Free drawing is in accordance with the analogical age of the elements. Joyful,
friendly. Is active in showing his will. Needs teaching according to a simplified study-programme.
15.02.2008 10:36 – MARATS, INNA – M0102 – speech-theraphist
A boy at the age of 7 years and 6 months. The contact is good, the child is friendly and willing to cooperate. Slight
problems in concentrating appearing during researches. Uses simple sentences and simpler complexed sentences in
communication. Agramatism (morfology mistakes and syntetic agramatism) in spontaneous speech, has difficulties
understanding the time-space realationship. Vocabulary is limited in meanings and capacity. The child knows almost
all the letters. Is reading word-by-word, sometimes the synthesis of letters to words is disturbed.
The crotchets of speech derrive from a slower mental development. It is likely that the child should be taught according
to a simplified study-programme.
13.02.08 – the EEG research
The bioelectric activity of the awake and sleeping brain has a slightly disturbed main phone.
15.02.2008 12:19 JESSE, KARIN – M3018 – physiotheraphist
The child’s movement skills and physiological development guarantee being able to operate on a daily bases, during
testing („Movement ABC“) it appears that the child has a backwardness in movement development – clumsy in crass-
motorical and delicate-motorical hand movement, weak static balance. Has slight difficulties in concentrating on an
assignment. Mucle-tonus is good, all the bursas are moving according to norm. It is reccomended to approve movement
skills combined with other developmental activities.
15.02.2008 14:33 MUUG, KÜLLI – D03875 – E36 – psyhologist
A boy at the age of 7 years and 6 months for the research of mental abilities in dynamics. Positive dynamics in
development. Good contact, is working along. According to the Kaufman tests the result is lower that appropriate for
his age. In a series of information processing the echo-memory is 3 units. In this case the result is on the level of 4-5
years and 3months. At the simultaneous information processing the exercise of the triangles was submitted on the
level appropriate for the age of 4 years, matrixes on the level of 7 years and 3 months. Space-memory and photo-series
on the level of 5 to 5.3 years. Learned skills on the level of 5 years and 9 months. The results of the researche indicate a
slight backwardness in mental development, needs to study according to a simlified study-programme.
Condition upon leaving from the hospital:
End-result of the illness: without changes
Leaving to: home
Regime and treatment reccomendations:
-occlusion treatment for the right eye (cover the right eye)for 3-4 hours a day
-needs teaching according to a simplified study-programme
Ambulant reception:
-the ambulant controll at the childrens neurologist if needed
Medical facility
Certificate
Issued to Tartu County Administration
Egon
ID 50007216519
Date of birth 21.07.2000
Decision: the child has congenital gastroschisis, small intestine atresia, because of what he has been operated six times.
The diagnosis of shaken baby syndrome when 2 years old. Mild mental retardation diagnosed by the psychiatrist,
astigmatism, convergent strabismus by the oculist. Occlusion treatment has been done to the right eye 3 – 4 h per
day.
Doctor, signature
Kaja Liik
07.01.2010
EGON P.
Dgn: mixed-type development disorder F 83.0
At the Elva Orphanage since 09.01.2002.
A „shaken baby syndrome“ and „short intestine syndrome“ diagnosed at the age of 11 months.
Egon is mainly good-hearted and friendly, lively and talkative. His friendliness can sometimes be annoying and forced.
His activeness is tiring to the other children and also to adults. In the family Egon is bold, sensible, does know how to get
what he wants but outside the house Egon is shy, silent and afraid ( he has a fear for all kinds of animals). In everyday
activities he is brisk and quite able to learn. He takes part of all the games and learning activities in the family. Is
interested in books. Recently he has developed an interest and wish towards learning the letters and writing them
down. Is interested in drawing; loves to build. Manually on an average level; draws well. There is always fantasy and
his own vision in his works.
He is able to explain what is it and why is it so. His interest is very short-termed and superficial when it comes to
activities outside the orphanage and visits.
Egon has a big fantasy. It is sometimes hard to make a difference of truth and lies in his stories.
There is backwardness in height and weight. His social skills are also underdeveloped.
Is able to service himself.
His interest to be active is short-termed; motivation is low, has trouble finishing what he has started. Concentrating is
problematic – attention is fading.
Uses grammatically codified spoken language. Speech is fluent, sounds are apparent. Very talkative but has limited
subjects to talk about. Understanding speech is lower that it should be for his age. Vocabulary is not appropriate for his
age also. Has difficulties listening to stories – gets tired easily, turns to be motorically restless, starts to talk about
something else. Has difficulties sensing time – does not know the timeline of the week-days, mixes up seasons etc. The
development of psychic processes is lower than the indications for his age. Has mastered sound – certain skills of
phonemical analyses, listens to certain sound in the speech, pronounces shorter words, differs the longer sounds).
Knows a certain amount of letters.
Diagnose of the speech therapist: hypo-speech …. II
The development of the child is not according to his age. Wears glasses
EXCERPT FROM THE CHILDS DEVELOPMENTAL HISTORY
EGON from the III pregnancy II birth of a 37 year old mother. Was born prematurely, weight 2300g, height 44 cm,
amniotic fluid was green. During the pregnancy the fetus was damaged by the mothers chlamydiosis. The child was
born with an open abdomen wall, through what the small- and large intestine had come out, there was an ileus of the
small intestine because it was not passable. The defect has been operated on 6 occasions, was fed through a sonde for a
long time, 3 months, repeated septicaemias appeared due to an aperture that had evolved in the area of the scare-
hernia. Was allowed home from the hospital when 9 months old, weight 5740g, backwardness in psychomotorical
development.
Later has been in the hospital for 3 times due to being too lightweight, because at home the mother did not provide the
child with normal food due to a disability. A „shaken baby syndrome“ was diagnosed based on extravasations in the
eyes, a neurological finding and convulsion jags. Because of the above-mentioned reasons Egon was put to the Elva
Orphanage at the age of 1,5. Dgn: short intestine syndrome. Hypotrofia II level. „Shaken intestine syndrome“.
Backwardness in psychomotorical development ( is sitting, stands with support, babbles, does not speak).
The future developmental dynamics are positive, but slow and not appropriate for his age. Bachwardness in height,
weight, social skills and speech development, has difficulties concentrating, fading attention. Is mainly conciliatory,
friendly. Has suffered from the following illnesses: septicaemia, enteritis, pneumonia, anaemia, bronchitic, upper
respiratory catarrhs. There is no extra sensitivity when it comes to food and medicines. Necessary inoculations have
been done. Continiously needs overall developmental activities, speech theraphy and teaching.
Stay at the hospial:
Departement: neurology and neurological rehabilitation, stationary of neurology and neurological rehabilitation.
Arrived: 11.02.2008
Left: 15.02.2008 7:45
Bed Days: 4
Final clinical diagnosis:
Main diagnosis: slight mental backwardness without significant behavioural disorders F 70.0
Additional illness: astigmatism H52.2
Specification: oc.utr.
Additional illness: additional strabism, in other words divergent
strabismus H 50.0
Specification: oc.sin.
Anamnesis, reasoning of the diagnosis and the course of illness:
He was hospitalised for the evaluation of the developmental dynamics and for the evaluation of readiness for school.
Anamnesis: born from the 3rd pregnancy, 2nd birth. Weight at birth – 2300g, height 44cm. The patient has been
operated on 6 times due to innate castroskisis and thin-bowel atresia. He received parenteral feeding until the age of 11
months. Since the age of 2 years he is eating with is mouth without any problems. At the age of 11 months the patient
was diagnosed with the „shaken baby“ synrome. At the age of 4 the mental development was evaluated to be on the
level appropriate for a 3 year old and on the year 2006 (at the age of 5) the patient was diagnosed with a mixed-type
development disorder.
Objective find: in a good overall state, very active, talkative boy. Neurologically: is walking with toes pointed inwards,
is throwing the right vane, quite stable when walking on toes and walking on heels, finger-nose touching is done with
confidence. Lively tendon-periostralrefleces j>k, dex>sin, NVL is more flat on the right, otherwise cranial nerves
without pathological findings. The heart has a functionalt type of systolical murmur Height 113,5 cm, weight 18,3 kg
and head measurement is 49,5 cm (all under 2SD), significant scars on the abdomen, no organomecalia.
Reasoning of the diagnosis: slight mental backwardness was diganosed by a psyhiatrist of the basis of developmental
tests, astigmatism and divergent strabismus were diagnosed by an eye doctor on the basis of clinical reasearches.
Researches and procedures:
11.02.2008 14:56, MIGGUR, ANNE-LY – D04595 – E42 – otorinolaryncology.
Resin in the right ear, rinsed, findings of the eardrums normal. Normal hearing of the toneaudiometric bil.
Normal find of the RhinoOroscopia. Voice is not nasal. Sometimes breathes with an open mouth. Suspicion of a enlarged
adenoid in the year 2006, stayed under surveilance for operative treatment.
13.02.2008 14:56 – JÜRI, PIRET – D03871 – E43 – ophthalmology
Visus od= 0.8 with glasses 1.0
Os = 0.16 with glasses 0.4
His own glasses +1.5 Dsph + 1.0cyl72
+3.0Dsph + 1.0 cyl 90 stay the same
Convergence on the left, slight angle also with glasses. Additionally m. obl. inf. hyperfunction on the left.
Bulbuses seem to be in order. Fundus ou – discs are with slightly diffused edges, pink. Macules are in norm.
Veins are meandrous.
Oclusion treatment could be done to the right eye (cover from the right) for 3-4 hours a day.
Refractometrics: od+2.0 Dsph + 1.0 cyl 87 os + 4.0 Dsph + 1.5 cyl 97
14.02.2008 14:17 – ESSENSON, ENE – D04583 – E49 – psyhiatry
The contact with the child is good. The child is constant in cooperation and is interested in results. According to Leiter
the non-verbal mental age is 5:6, has obtained numbers, letters, he can count and make simple calculations. Hand-eye
cooperation according to VMI is 5:0. Free drawing is in accordance with the analogical age of the elements. Joyful,
friendly. Is active in showing his will. Needs teaching according to a simplified study-programme.
15.02.2008 10:36 – MARATS, INNA – M0102 – speech-theraphist
A boy at the age of 7 years and 6 months. The contact is good, the child is friendly and willing to cooperate. Slight
problems in concentrating appearing during researches. Uses simple sentences and simpler complexed sentences in
communication. Agramatism (morfology mistakes and syntetic agramatism) in spontaneous speech, has difficulties
understanding the time-space realationship. Vocabulary is limited in meanings and capacity. The child knows almost
all the letters. Is reading word-by-word, sometimes the synthesis of letters to words is disturbed.
The crotchets of speech derrive from a slower mental development. It is likely that the child should be taught according
to a simplified study-programme.
13.02.08 – the EEG research
The bioelectric activity of the awake and sleeping brain has a slightly disturbed main phone.
15.02.2008 12:19 JESSE, KARIN – M3018 – physiotheraphist
The child’s movement skills and physiological development guarantee being able to operate on a daily bases, during
testing („Movement ABC“) it appears that the child has a backwardness in movement development – clumsy in crass-
motorical and delicate-motorical hand movement, weak static balance. Has slight difficulties in concentrating on an
assignment. Mucle-tonus is good, all the bursas are moving according to norm. It is reccomended to approve movement
skills combined with other developmental activities.
15.02.2008 14:33 MUUG, KÜLLI – D03875 – E36 – psyhologist
A boy at the age of 7 years and 6 months for the research of mental abilities in dynamics. Positive dynamics in
development. Good contact, is working along. According to the Kaufman tests the result is lower that appropriate for
his age. In a series of information processing the echo-memory is 3 units. In this case the result is on the level of 4-5
years and 3months. At the simultaneous information processing the exercise of the triangles was submitted on the
level appropriate for the age of 4 years, matrixes on the level of 7 years and 3 months. Space-memory and photo-series
on the level of 5 to 5.3 years. Learned skills on the level of 5 years and 9 months. The results of the researche indicate a
slight backwardness in mental development, needs to study according to a simlified study-programme.
Condition upon leaving from the hospital:
End-result of the illness: without changes
Leaving to: home
Regime and treatment reccomendations:
-occlusion treatment for the right eye (cover the right eye)for 3-4 hours a day
-needs teaching according to a simplified study-programme
Ambulant reception:
-the ambulant controll at the childrens neurologist if needed
Medical facility
Certificate
Issued to Tartu County Administration
Egon
ID 50007216519
Date of birth 21.07.2000
Decision: the child has congenital gastroschisis, small intestine atresia, because of what he has been operated six times.
The diagnosis of shaken baby syndrome when 2 years old. Mild mental retardation diagnosed by the psychiatrist,
astigmatism, convergent strabismus by the oculist. Occlusion treatment has been done to the right eye 3 – 4 h per
day.
Doctor, signature
Kaja Liik
07.01.2010
Health
Physical: Healthy, to the best of our knowledge
Mental/Behavioral: Unknown, see description.
Physical: Healthy, to the best of our knowledge
Mental/Behavioral: Unknown, see description.
Egon is studying in the first grade of Kammer School since 1st September.
Egon is very good in studying. He knows all the capital letters and is able to read. He can count and write numbers
in math. Egon likes all the lessons where he can do something with his hands. His drawings and paste-works are full
of fantasy. Egon is working along in class but it takes him a lot of time to get on the line of working. Sometimes Egon
tends to tell the other kids the answers because he is can not wait for his turn. The boy grasps everything new very
quickly. Egon likes to hear stories and tales and later discuss them and answer questions. Egon has a very special
fantasy.
Egon likes to be alone rather that in a group. He is seeking for a place where he could be alone after lessons. Egon
likes to communicate with his teachers. When communicating with grown-ups Egon is polite and take into account
the rules of order.
During communicating with children his own age Egon can sometimes be pesky and guileful. Sometimes he just
pinches or hits his fellow students with his hand. If you ask for a reason Egon doesn’t say anything. There have been
situations in his teaching-group when Egon does not follow orders and acts cussedly. There have been problems with
going to sleep at bedtime.
Egon has fulfilled his school obligations very well. He has not been absent from any of the lessons during the first
quarter. Egon likes to take part of all the activities.
Egon is very good in studying. He knows all the capital letters and is able to read. He can count and write numbers
in math. Egon likes all the lessons where he can do something with his hands. His drawings and paste-works are full
of fantasy. Egon is working along in class but it takes him a lot of time to get on the line of working. Sometimes Egon
tends to tell the other kids the answers because he is can not wait for his turn. The boy grasps everything new very
quickly. Egon likes to hear stories and tales and later discuss them and answer questions. Egon has a very special
fantasy.
Egon likes to be alone rather that in a group. He is seeking for a place where he could be alone after lessons. Egon
likes to communicate with his teachers. When communicating with grown-ups Egon is polite and take into account
the rules of order.
During communicating with children his own age Egon can sometimes be pesky and guileful. Sometimes he just
pinches or hits his fellow students with his hand. If you ask for a reason Egon doesn’t say anything. There have been
situations in his teaching-group when Egon does not follow orders and acts cussedly. There have been problems with
going to sleep at bedtime.
Egon has fulfilled his school obligations very well. He has not been absent from any of the lessons during the first
quarter. Egon likes to take part of all the activities.
