A 14 month old raises his hands around bright lights, gruntsand exhales. he is delayed, has curved pinky finger, eats non-food items and has a short neck. autism?

Evaluation?: Has this person been evaluated? Did the different conditions as you describe in your question just start, or have they been long standing? I am reluctant to make a diagnosis without being able to first perform a diagnostic evaluation. This boy clearly deserves an evaluation either by a board certified child & adolescent psychiatrist or a developmental pediatrician.

14 month old: From the description, it is difficult to make a diagnosis, but i recommend evaluation by a child psychiatrist first.

Neurodevelopmental : Disorders of genetic origin can present with dysmorphism (unusual physical features), developmental delays & autistic behaviors. The asq & the m-chat screening tests are at firstsigns.Org. A pediatric visit with the results may lead to referral to a developmental/ behavioral pediatrician. Also, your state's early intervention program can assess development & provide therapy without a diagnosis.