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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 95: My Wife Remarried

Dr Yogita Bhanushali
Assistant Dr Vishpala Parthasarathy

Mr RV 29 yrs old Married Hindu, Non-Veg came on 12/10/01 with the following complaints

CHIEF COMPLAINT

LOCATION SENSATION MODALITIES CONCOMITANTS
RESPIRATORY TRACT
Since 1999 OD
Nose block
Epistaxis
Yellowish-green discharge
Dyspnoea
A/F Bangalore
< Morning
< Winter
< Wetting head
< Dust
Feverish at 5-6pm
Cigarettes 5/day
Thirst ++
Tongue thick yellow coated
SKIN
Since Aug’01
Back → Chest → Arms
White hypo pigmented spots
Itching ++
< Evening
> Warm
 

PATIENT AS A PERSON
WEIGHT: 48 kg
APPETITE: ↓ ↓
DESIRES: Spicy3+
AVERSION: Sour, Sweets, Milk
THIRST: 2 lit/day
GUMS: Bleeding
STOOL: N
URINE: N
PERSPIRATION: Scanty
THERMAL: C2H3. Likes winter
SLEEP: 7 hrs
MIND: Suppresses Anger, Occ weeps.

LIFE SPACE INVESTIGATION: The pt was born in UP in 1972. Fa was a farmer. Pt is the eldest among 5siblings. He did not go to school as the teacher hits him. At the age of 12 yrs came to Mumbai along with a villager and worked for Mrs K. Goes to his native place once a year for 1 month. He got an arranged marriage in the year 1995. Wife is very arrogant and is educated upto 10th Std. He had informed them about his illiteracy. Fa is egoistic and angry while Mo is cool. 1999 his son was born. In the year W got separated though not divorced. She got remarried though living with her in laws. When this was no more a secret she left the home. The son stays his grandparents in native place.

TREATMENT

FOLLOW-UP

DATE SYMPTOM REMEDY
28/12/01   Puls 200 3P 1P=3
Ferr-p 6X 2-2/7days
04/12/01 > 10%. Nose block L0. Appetite↓
Yellow discharge L0, Fever L0. Skin L5.
Tub-b 1M 1st dose
Nat-p 200 1st dose
Pla pills 200 3-3/7days
11/12/01 Cough >. Nose block L0, Breathlessness L0. Skin L5, ↓App L0. NIH 200 3P
Pla pills 200 3-3/7days
18/12/01 >3+. Nose block L0/3weeks. Rest better 1st week, Nat-p 200
2nd dose Pla pills 200 3-3/7days
2nd week,NIH 200 3P
Pla pills 200 3-3/7days
08/01/02 >3+. White spots >. 1st week, Baccil 200 1st dose
Pla pills 200 3-3/7days
2nd week, NIH 200 3P
Pla pills 200 3-3/7days
22/01/02 Nose block, breathlessness L0 since 2 months. White spots not seen Nat-p 200 3rd dose
Pla pills 200 3-3/7days

Dr Vishpala Parthasarathy

Case 94: When Reflux Oesophagitis Mimics Cough

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