CC: Mrs. Lester brings her 24-month old son Richard for an initial appointment. The family just moved to your area from Ohio. She is concerned that “something’s wrong.” HPI: Her concerns began around 14 to 15 months. Mrs. Lester reports that Richard had poor eye contact even with familiar caregivers. He used "ma" rather indiscriminately to mean anything, did not point to objects and did not wave bye-bye. She brought these issues to the attention of her pediatrician while living in Ohio. However, the doctor thought this was normal for a boy his age.

Yasmin Ali is a 16-month old girl who presents with her Yemeni parents and paternal grandmother for an initial well-child visit with you. They have transferred to your practice due to insurance changes. They tell you immediately that she was born three months prematurely. They are very happy that she is doing so well despite being born so early.