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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 110: Doc! I am Allergic to Milk

Mast JPM, 6yrs Hindu egg eating vegetarian, came on 29/4/04 with the following complaints

CHIEF COMPLAINT

LOCATION SENSATION MODALITIES CONCOMITANTS
RESPIRATORY TRACT
Since Oct’98
D1 Sneezing, running
nose, occ. Fever
D2 Cough with yellow
expectoration
D3 Wheezing
Dry cough
A/F Cold climate
< After bath
< Stress, Fear
< Monsoon
< Night3
< Gets up 9am
> As day advances
> Antibiotics
Earlier Nebuliser Now Seroflow inhaler OD since 3 month Allergic to milk and milk products
EXTREMITIES, Legs 1/2 - 3 days Pain3+

PATIENT AS A PERSON
HEIGHT: 3'8"
WEIGHT: 21.5 kg
BUILT: Lean
APPETITE: N but takes 1 hour to eat
DESIRES: Salty3+, Fried3+, Idlis, Noodles, Parathas
AVERSIONS: Sweets
THIRST: 1 ˝ Liters per day
STOOL: 1-2/day
TONGUE: Wet, saliva drooling
URINE: N
SKIN: Allergic to milk and milk products
SWEAT: Only when playing
WARMTH/HEAT: Palms and Soles
BATH: Lukewarm water
THERMALS: Hot. Summer <, Fan likes. Winter likes
SLEEP: 10-12 hrs. Lazy in the morning
MIND: Anger when scolded, > Consolation. Fears dark, alone, sudden noise. Company likes.
Contradiction aggravates

MOTHER’S OBSTETRICS HISTORY
OEDEMA: Feet last month
BP: Last month of pregnancy
MIND: Loneliness and Boredom LABOUR: Forceps Delivery
LACTATION: 4 months


DEVELOPMENTAL LANDMARKS
BIRTH WEIGHT: 3.55 kg
DENTITION: 15 months
WALKING: 15 months
TOILET HABITS: Well developed

LIFE SPACE AND INVESTIGATION He is the only child of his parents. He was born I 1998 in Mumbai. His mother is South Indian while the father is from MP. Father is an actor, lyricist and creative artist. He has busy schedule and has no fixed working hours. Father dots on his son and never raises his hands on him while the mother who is a housewife is a strict disciplinarian. He has been studying in pre-school and picks up things very fast. He learns music also. Wants to do everything on his own. He is friendly in nature and mixes with everyone. Angry when scolded. Cries occ hits mother or sulks > consolation. He follows a group and becomes popular very easily.

REPERTORIAL TOTALITY

  1. Affectionate
  2. Extrovert
  3. Intelligent
  4. Restless
  5. Hurried, movement in
  6. Fear dark
  7. Fear alone
  8. Obstinate/li>
  9. Company ameliorates
  10. Food, milk aggravates
  11. Allergic bronchitis

TREATMENT & FOLLOW-UP Nat-s 30 1st dose NIH pills 3-3/7days

DATE SYMPTOM REMEDY
06/05/04 Cough 50% >. Now only < in morning. Evening and night.
Cold0, Expectoration0. Inhaler OD
1st week
Nat-s 30 3P
NIH pills 3-3/7days
2nd week
Bacil 200 3rd dilution
NIH pills 3-3/7days
3rd week
NIH 200 3P
NIH pills 3-3/7days
SOS Nat-s 30 3P
03/06/04 Pt went to Chennai >3. Sneezing L0. Cold L5. Cough <
monsoon and night ++. Allergic to milk L5/month. Fear
dark and alone +. No inhaler since 1month.
1st week
Nat-s 200 1st dose
NIH pills 3-3/7days
2nd week
NIH 200 3P
NIH pills 3-3/7days
17/06/04 Cough dry < morning, Expectoration 0, Colds L0/month,
Itching back and boils L0. Appetite disturbed
1st week
Bacil 200 3rd dilution
NIH pills 3-3/7days
2nd week
Nat-s 200 2nd dose
NIH pills 3-3/7days
05/07/04 Cough L3, Cold0, Slow eating, Fear alone, dark L0. Cough,
wheezing and use of inhaler 0/2weeks
1st week
Nat-s 200 3rd dose
NIH pills 3-3/7days
2nd week
Pla 200 3P
NIH pills 3-3/7days
26/07/04 Cough < laughing, talking, morning, playing
Sneezing A/F Change of weather, thirst, Wt, 22.6kg, Ht
126cm. Uvula elongated. Bites pencil. Embarrassed when
mother complements
Bacil 200 3rd dilution
NIH pills 3-3/7days
2nd week
Nat-s 200 3rd dose
NIH pills 3-3/7days
3rd week
Calc-p 6X 2-2-2/7days
30/08/04 >3+. Cold L0, Bites pencil, Craves Pica, sand. 1st week
Tub-b1M 1st dose
Nit-ac 200 1st dose
NIH pills 3-3/7days
2nd week
Pla 200 3P
NIH pills 3-3/7days
07/10/04 Cold 0. Sneezing occ. Back itching > 60%. Had Rash 1-2
days after eating Curd. Use of inhaler 0.
1st week
Tub-b1M 2nd dose
NIH pills 3-3/7days
2nd week
Nit-ac 200 2nd dose
NIH pills 3-3/7days
3rd week
Pla 200 3P
NIH pills 3-3/7days
4th week
Puls 30 3P; 1P=2
Kali-s 6X 1-1-1/7days
18/11/04 Sneezing, cold, cough, wheezing L0 since 1month. Had
eaten curd which had delayed reaction.
1st week
Tub-b1M 3rd dose
Nat-s 200 4th dose
NIH pills 3-3/7days
2nd week
Nat-s 200 5th dose
NIH pills 3-3/7days
3rd week
Nat-s 200 6th dose
NIH pills 3-3/7days
4th week
Nat-s 200 7th dose
NIH pills 3-3/7days
06/01/05 >. All the complaints are at Level 0. Pt had Gulab jamun 3
days back but no allergy. Wt 24.9kg. No sand or pica.
1st week
Tub-b1M 4th dose
NIH pills 3-3/7days
2nd week
Nat-s 200 8th dose
NIH pills 3-3/7days
3rd week
Pla 200 3P
NIH pills 3-3/7days
4th week
Nat-s 200 9th dose
NIH pills 3-3/7days
27/01/05 >3+. 1st week
Pla 200 3P
NIH pills 3-3/7days
2nd week
Pla 200 3P
NIH pills 3-3/7days
3rd week
Pla 200 3P
NIH pills 3-3/7days
4th week
Pla 200 3P
NIH pills 3-3/7days

Child told to report SOS ie whenever ill. Does this about 1-2 a year. The last was in 2011 May.

Dr Vishpala Parthasarathy

Case 111: The cough abates in 24 hrs

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