Newly married young lady

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Newly married young lady
History
Severe loss of appetite Persistent severe
vomiting Inability to retain solids and liquids
even for few minutes Pain abdomen especially
epigastria worse eating and better by cold
drinks Distention of abdomen worse after
eating. Not passed stools for 20 days.
History of having consumed hydrochloric acid in
bid to commit suicide.
Lean cache tic pale Wt. 23 kgs Wt loss,
Dehydration and exhaustion
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Investigations
Hb 6 mg. Urine Routine Ketone
negative X-Ray Barium meal shows multiple
erosion in gastric mucucosa with stricture
pylorus and antral part of stomach.
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Case 4
Structure
Stomach mucosa Ulceration Fibrosis/Stenosis
Form
Function
Storage Stomach emptying Digestion Absorption
Peristalsis reversed
Continuous vomiting A/F HCI acid
poisoning Distention of Abd. lt eating Epigastric
Pain lt eating , gt Cold drinks Vomiting of
both Solids Liquids Stool not passed for 20
days
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Totality A/F Burns Pain Stomach better by cold
drink. Pathology Contractures and strictures in
mucus membrane
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27 yr/ Male/ Plumber
Suffered from electric Shock, while working
During the contact with live wire suffered from
multiple jerks was Later separated by father
with a wooden stick. Fell down on the ground with
a dazed look Suffered severe burns on Lt.
Shoulder and Rt. Foot C/O. severe body ache,
muscular soreness and low grade fever.
No H/O. of convulsions, Fractures, head injury
and loss of consciousness
O/E ECG Normal S. Electrolytes Normal
Within 12 hrs started C/O. severe burning at
points of injury with Livid redness of the
injured site with serosanguinous oozing
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Electric shock
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Poisoning and Toxicology Emergency Case 2

• Reasons
• Patient brought during the phase when poison was
  having primary action
• Hence use of High potency in infrequent
  repetitions
• Constitutional Medicine used in order to avoid /
  minimize secondary effect of the poison.

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Poisoning and Toxicology Emergency
Concept of Learning
Importance of causation non miasmatic
illness Knowledge of toxicology Primary and
secondary action of the drug. Medico Legal
considerations in a case Assessment of remedy
reaction in clearly defining role of various
forces (acute, chronic and phase remedies) in
managing poisonings