Case 1 medical emergency

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Case 1 medical emergency
30yr/Female POOR ECONOMIC STATUS HOMOEOPATHIC
AWARENESS NIL
Brought to the casualty carried by
relatives First impression Toxic look general
condition unsatisfactory
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Case 1 medical emergency
Chief complaint
Fever since 1 month not treated because patient
had no money Fever with chills since last 3 4
days Fever has increased with severe
distress Chills start in the chest and spread to
entire body Chills lt evening lt taking
cold gt warm drinks Desire to
sit near stove Thirst increased drinking cold lt
chills Back pain during fever Passing scanty
urine since 2 days
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Case 1 medical emergency
Examination findings
General examination General condition Toxic,
unsatisfactory, nutritional status poor cold
clammy skin, extremities cold sunken
eyeballs. Dehydrated Pulse 120/min feeble low
volume. BP 80 /60 mm hg RR 22/min Pallor, no
icterus, no cyanosis
Systemic examination Per abdomen liver 2 finger
palpable tender tender
hypogastrium Cardiovascular system
Normal Nervous system normal
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Case 1 medical emergency
INVESTIGATIONS
WBC 8,200, N 59 L 34 E 5 M2 ESR
61mm/hr Widal H
1160 O 1120 Urine Routine
Pus cells 30 to 50 Albumin RBC Present
H.I.V. Negative M.P. Negative X-Ray
Chest Rt. Para cardiac Haziness
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Case 1 medical emergency

• Highlights of case taking
• On sensitive probing patient revealed the dream
  which she was getting repeatedly during this
  illness.

Dream of roaming since the fever
Diagnosis Multi systemic infection Bacterial
type Salmonella Typhosa Urinary tract
infection Pneumonia Preseptcemic shock
Untreated Virgin Susceptibility with
characteristic Mental concomitant
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Case 1 medical emergency
Homoeopathic Totality
Dreams of roaming Chilliness lt evening gt Warm
drinks Thirst increased heat during Backache
heat during Chills beginning in chest
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Case 1 medical emergency
Chronic Totality
Fearful authority Slow activity
Mild Submissive Intolerance of least
stress Clings to husband Chilly Craving Sweets
and Sour Perspiration face
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Case 1 medical emergency
Action 1 Rhus. Tox 200C one dose stat.
Follow Up
Asymptomatic 24 hrs. Discharged after 48 hrs.
Maintaining health since then till date.
Followed by Calc. Carb 200C single dose