CASE PRESANTATION OF HOMOEOPATHIC CASE TAKING.pptx

Case presentation

1. CASE PRESENTATION SUBMITTED BY PRIYANKA KUSHWAHA DEPT.OF PHARMACY BATCH -2023-2026

2. UNDER THE GUIDANCE OF CASE PRESENTATION COORDINATOR DR PRATIBHA (PROFESSOR DEPT. OF SURGERY) DR NEHA NAGAR ( ASSISTANT PROFEESOR DEPT. OF REPERTORY) DR MANMOHAN CHAMOLI (ASSISTANT PROFESSOR DEPT.OF PRACTICE OF MEDICINE) DEPARTMENT OF PHARMACY DR MEENAKSHI AMBAWANI (PROFESSOR DEPT. OF PHARMACY)

3. DEMOGRAPHIC DATA NAME OF PATIENT MRS.PAYAL AGE 30 YEAR SEX FEMALE RELIGION HINDU UIN NO. 2027/24 OCCUPATION HOUSE HELPER ADDRESS GRETER NOIDA

4. PRESENTING COMPLAINTS PAIN IN THE RIGHT SHOULDER ALONG WITH NECK PAIN SINCE 2-3 YEARS. CHARACTER- PERSISTANT DULL ACHING PAIN MODALITIES- < BY CHANGE OF WEATHER < NIGHT < MOVEMENT > BY PRESSURE RADIATION- extension from RIGHT ARM TO PALM ASSOCIATED SYMTOPMS- disturb sleep DIFFICULTY IN DOING DAILY ROUTINE WORK due to pain

5. CONT…. HEAVINESS IN THE ABDOMEN SINCE 6 MONTHS. <EMPTY STOMACH, <MORNING ASSOCIATED WITH NAUSEA AFTER CHOLECYSTECTOMY 6 MONTHS BACK Weakness AND LETHARGY.

6. HISTORY OF PRESENTING COMPLAINTS IN 2021 PT COMPLAINING OF SEVERE PAIN IN RIGHT SIDE OF NECK AND PAIN GOES TO RIGHT SIDE OF THE ARM AND PALM . IN RIGHT PALM PT FEELING A TINGLING SENSATION AND ALSO NUMBNESS PRESENT , BUT NO PAIN . SHE TOOK ALLOPATHIC TREATMENT FROM A LOCAL ORTHOPEDICS ,AFTER 2-3 DAYS PATIENT FEEL BETTER AFTER THAT PAIN OCCURS ON AND OFF. SHE WAS ON PAINKILLER.

7. PAST HISTORY TUBECTOMY DONE SINCE 4 YEARS BACK CHOLESYSTECTOMY DONE SINCE 6 MONTH BACK

8. PERSONAL HISTORY DEVELOPMENTAL LANDMARK- ON TIME. BORN AND BROUGHT UP- GREATER NOIDA (UP). ADDICTIONS- NOTHING SIGNIFICANT HOBBIES-DANCING . DIET-NON-VEGETARIAN. ANY ALLERGY- NOT KNOWN. ENVIRONMENT AT HOME- CONGENIAL.

9. CONT …. OBSTETRICAL HISTORY – G2P2A0L2 , P1-NVD FEMALE, P2 –LSCS FEMALE , GYNAECOLOGICAL H/O – LMP -12/3/24 CYCLE -28 DAYS DURATION -3D FLOW –NORMAL

10. FAMILY HISTORY MOTHER- CERVICAL SPODYLITIS AND HYPOTHYROIDISM(DIED). FATHER- NO SIGNIFICANT MEDICAL HISTORY (DIED). GRAND FATHER-NO SIGNIFIC ANT MEDICAL HISTORY (DIED). GRAND MOTHER- NO SIGNIFICANT MEDICAL HISTORY(DIED) .

11. PHYSICAL GENERALES APPETITE- DECREASED , TWO TIMES A DAY THIRST- 2-3 LT IN A DAY. DESIRE- SPICY FOOD, AVERSION- SWEET THERMAL- HOT

12. CONT… URINE- D5-6 ,N0 STOOL- UNSATISFACTORY STOOL. PERSPIRATION- SCANTY OFFENSIVE SLEEP- DISTURBED SLEEP. DREAMS- NOT SPECIFIC

13. GENERAL PHYSICAL EXAMINATION MENTAL STATE AND LEVEL OF CONCIOUSNESS : Conscious and well oriented BUILT AND NUTRITION – Mesomorphic and Good Gait: Steady PALLOR -ABSENT ICTERUS -ABSENT CYANOSIS -ABSENT OEDEMA -ABSENT CLUBBING- ABSENT

14. CONT …. LYMPHADENOPATHY - NO LYMGH NODE ENLARGMENT PULSE - 74 BPM RESPIRATION - 14 Breaths /min TEMPERATURE – 98.6°C B P- 120/82 mmHg HEIGHT- 5’2’’ WEIGHT - 74 Kg

15. SENSITIVE : NOISE : N/S SUN: N/S DUST: N/S

16. MENTAL GENRALES NEUCLEAR FAMILIY- 2 CHILDREN PT SAYS SHE IS HAPPY IN FAMILY ,THERE IS NO ISSUE BUT SHE WAS ANXIOUS ABOUT IS HEALTH AND FAMILY MEMBERS ,SHE THINKS ABOUT HEALTH IS DETEORATE THEN WHO WAS CARE HER FAMILY MEMBERS . EASILY ANGER WHEN SHE WAS ANGRY DUE TO HER PAIN AND EXCESSIVE WORK OF HOUSE THEN SHE WAS BEATEN HER CHILDREN AND POUR OUT FRUSTATION ON HER CHILDREN ALWAYS FEELS HEAVINESS IN VERTEX OF HEAD.

17. CONCLUSION RESERVED IN NATURE ANXIETY ABOUT HEALTH. ALWAYES FEEL HEAVINESS IN VERTEX OF HEAD. PAIN AND NUMBNESS IN RT SHOULDER AND NECK REAGION DURING BED TIME.

18. ANALYSIS OF SYMPTOMS SYMPTOMS COMMON UNCOMMON GRADE ANXIETY ABOUT HEALTH DESIRE TO PRESSURE ON AFFECTED SIDE PAIN IN NECK HEVINESS IN VERTEX OF HEAD CONSTIPATION WITH HARD STOOL ACIDITY AND HEVINESS IN ABDOMEN PAIN IN ANAL REAGION

19. EVALUTION OF SYPTOMS

20. TOTALITY OF SYMPTOMS ANXIETY ABOUT HEALTH. DESIRE TO PRESSURE ON AFFECTED SIDE. HEAVINESS ON VERTEX OF HEAD. PAIN IN NECK UNSATISFACTORY STOOL WITH BLOOD ACIDITY AND HEAVINESS IN ABDOMEN PAIN IN ANAL REAGION

21. REPERTORIAL TOATALITY AND REPERTORISATION WITH ZOMEO

22. PRESCRIPTION Rx- 200 BD FOR 3 DAYS SL 30 BD FOR 15 DAYS ADVISE- TAKE PLENTY OF WATER TAKE HIGH FIBER RICH DIET CLOSE MONITORING OF ANY CHANGE OF SYMPTOMS.

23. FOLLOW-UP 1 st FOLLOW-UP- MODERATE RELIEF IN PAIN OF NECK. BETTER FEELING AFTER MEDICATION AND COUNSELLING. SATISFACTORY STOOL AND SLEEP . NO ANY FRESH COMPLAINTS SEEN . PAIN IS PRESENT IN IN ARM AND PALM . Rx- SL 30 BD FOR 15 DAYS .

24. CONT…. 2 nd FOLLOW-UP- DECREASED PAIN DURING SLEEP EASY TO DO ROUTINE WORK CONSTIPATION RELIEF PAIN IS PRESENT ON PALM (ON AND OFF) Rx- SINGLE DOSE SL 30 BD FOR 15 DAYS.

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