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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 101: I have Fibroids...

Mrs YIK, 38yrs, Non-veg, Married Muslim, Fashion Designer cum Home Maker, came on 02/03/2007 with the following complaints

CHIEF COMPLAINT

LOCATION SENSATION MODALITIES CONCOMITANTS
FEMALE GENITAL
TRACT
Since 2004
Fibroids 3+ Menorrhagia X 2days3
3 pads at a time, changes every 2 hrs.
Bright red blood, sometimes clots and offensive
< Morning 3+ Adv: Rx but pt refused
Menorrhagia + Dysmenorrrhoea sine Menarche
1992 Dysmen > for 2yrs
19994Post delivery- Rec of Menorrhagia
Tab. Ovaral G since 2004
GENERALITIES Body puffiness A/F Hormonal pills  
RESPIRATORY TRACT
Since approx. 1996
1/15days X 2-3 days
Unilateral either R or L Forehead → Eye
Sinusitis
Pain
Sneezing
> Crocin
A/F Cold water
< Fan, A/C
No < Ice-cream
Took Hom Rx X 6 months but no >.

PATIENT AS A PERSON
WEIGHT: 70kg constant
BUILT: Stocky → Obese. Gained 5kg in 3 yrs
APPETITE: N
THIRST: 6-7 gl/day
DESIRES: Hot food and drinks 3+, Sweets
AVERSION: Sweets2+
TONGUE: Coated
STOOL: 1/day
URINE: 5-6/day
SKIN: Fair, Redness < Sun
HAIR: Loss3+. Graying colors every week
EYES: Hypermetropia
OEDEMA: After HRT
PERSPIRATION: Armpits
MENSES: C/C. Before menses → Irritable3+, Mood swings3+, Heavy breast3+.
During menses → all symptoms >. THERMAL: C2H3 → CH4. Likes winter > 3+, Likes fan3+, Likes open air. Love to cover
BATH: Warm water
SLEEP: 7hrs. Lies on back. P/H disturbed sleep and tossing in sleep
DREAMS: Unremembered
MIND: Irritable at trifles, Brooding, Does not make friend easily, Affectionate children hugs children, Fear of dogs and darkness. Perfectionist, things has to be in place. Contradiction <. Weeping > alone

SEXUAL HISTORY: Desire ↓, 1/week. Dryness after HRT


OBSTETRIC HISTORY: P2G3A1
1st Pregnancy induced abortion
1st child → FTND. Male
2nd child → LSCS due to cord strangulation. Female

LIFE SPACE INVESTIGATION: The pt was born in the year 1965 in Assam. She is 4th of 6 siblings. Average student. Was a sports person. Liked Basketball. Initially like a tomboy. Fa expired in 1979. It didnít affect her much. She was too small and it was a joint family. Initially she was like a tomboy. Closest to youngest Sis. She had an arranged marriage in 1988 and came to Mumbai. In 1999 Mo expired which affected her much. Br expired in 2001 due to MI/CCF.

REPERTORIAL TOTATLITY

  1. Irritable at trifles
  2. Brooding
  3. Grief
  4. Fastidiousness
  5. Fear dogs
  6. Fear dark
  7. Cries, alone when
  8. > Alone
  9. Breast, heavy < Menses before
  10. Fibroids
  11. Menorrhagia
  12. Obesity
  13. Headache < Sun

TREATMENT & FOLLOW UP

DATE SYMPTOM REMEDY
02/03/07 Sinusitis Kali-bi 200 HS 1P=4
Pla pills 1-1/7days
Sabina 200 4P; 1P=4
16/03/07 Bleeding with backache. Sneezing on 15/03, running nose, A/F Cold. Stool N. Allergic Rhinitis 1/3wk. < A/C, Wet+, Headache in Sun L0. Hair fall L2. Dry Vagina L0. Tongue coated, Thirst++. Kali-c 200 1st dose
Pla pills 3-3/7days
Bry 200 3P; 1P=3
20/03/07 Cold since 19/3. Lachrymation, sneezes, thirst+. Watery discharge, heavy head. Ars-alb 200 3P; 1P=3
23/03/07 > Cold Tub-b 1M 1st dose
NIH 200 6P
Pla pills 1-1/7days
30/03/07 >. Cold L0. PMS +, Allergic rhinitis >. Hair fall L0. Sun headache L0. Swelling L0. Menses expected Kali-c 200 3P
Pla pills 3-3/7days
Sabina 200 4P; 1P=4
Mag-p 6X SOS if pain
06/04/07 Fibroids +, PMS and breast pain L5, SwellingL7. Menses 01/04 4/28days Tub-b 1M 2nd dose
1st week, Kali-c 200 3P
Pla pills 3-3/7days
2nd week, Kali-c 200 1P
Pla pills 3-3/7days
21/04/07 Fibroids 1st week, Thuj 200 1st dose Pla pills 3-3/7days
2nd week, Kali-c 200 1P
Pla pills 3-3/7days
3rd week, NIH 200 1P
Pla pills 3-3/7days
4th week, NIH 200 1P
Pla pills 3-3/7days
5th week, NIH 200 1P
Pla pills 3-3/7days
15/06/07 Fibroid +, Hormone L0, Dysmenorrhoea +, Backache+ 1st week, Kali-c 200 3P
Pla pills 3-3/7days
2nd week, Thuj 200 2nd dose
Kali-c 200 3P
Pla pills 3-3/7days
29/06/07 PMS L5, Fibroid L5, Sinusitis L0/2weeks, Wet and A/C < L0, Hair fall L0/month, Headache L0/month, Graying of hair L5, Vagina dryness L5, Skin red in Sun L5. Dysmenorrhoea L5, PMS and breast pain L0,
Backache L8
1st week, Kali-c 200 1P
Pla pills 3-3/7days
2nd week, Kali-c 200 1P
Pla pills 3-3/7days
13/07/07 Very bad. Menses on 1/7. 3 pads/d X3days 1st week, Tub-b 1M 3rd dose
Pla pills 3-3s/7days
2nd week, NIH 200 3P
Pla pills 1-1/7days
03/08/07 >. Headache and Sinusitis > 3+. Menses 2Ĺ/26 days 1st week, Kali-c 200 3P
Pla pills 3-3/7days
2nd week, Tub-b 1M 4th dose
Pla pills 3-3/7days
17/08/07 > 3+. 1st week, NIH 200 1P
Pla pills 3-3/7days
2nd week, NIH 200 1P
Pla pills 3-3/7days

Dr Sushma Jaiswal

Case 100: Mere Toote Hue Dil se...

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