PRELIMINARY INFORMATION

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PRELIMINARY INFORMATION
Name R.C.N. Age 25 yrs Sex male
Religion Hindu Maratha Education
student D.O.A 8th September2004 Treating
team Department of Medicine, R.H.H.PALGHAR.
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25 yrs old male reported on 8/9/04
C
M
S
L
Chilliness with fever Fever in range of 104 F ?
105 F Chilliness
A/F- Had lot of Ice-cream 2 days back
Taste bitter App ?3 Thirst- ?3 Headache
Since 2 days
BLOOD RES
SUDDEN
Body ache
Intense restless3 due to intense soreness of body
Unable to lie in one position even for a minute
but finds it difficult to move due to intense
weakness

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H/O- Having traveled to Chandrapur 2 days
ago On Examination- key findings Toxic
look T- 105 0F Tonsils Enlarged
,Congested
Pus pocket
Liver not palpable Spleen 2 cm
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CLINICAL THINKING
Tonsillitis - Ailments from ice cream.
- Fever - Tonsils
enlarged,congested and
with pus pockets.
Malaria - High grade fever with chilliness.
- Malaise and headache. -
Spleen 2 cm.
Dengue - H/o visit to Dengue endemic area.
- Abrupt onset of fever. - Malaise,
headache, backache. - Spleen 2 cm.
- Toxic look.
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INVESTIGATIONS
08/09/04
Hb- 15 SGOT- 16.6 TLC-
4,800/cmm. SGPT- 44.7 N-66, L-27, E-04,
M-03 S. Bil. 0.58 Platelet- adequate Direct-
0.39 Malarial Parasite Not Detected
Widal -O- 130 H 1 30
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Evaluation and analysis of symptoms
1) Ailment from ice cream. 2)
Restlessness due to intense soreness
and aching of body parts lied upon 3) Feel too
weak to move in bed. 4) Fever with rapid
prostration. 5) Thirst decreased during
fever. 6) High-grade fever with toxic state.
7) Painless inflammation of tonsils.
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REMEDY DIFFERENTIATION
BAPTISIA 12/7
GELSEMIUM 8/4
P Q R S
ARNICA 8/ 5
ARSENIC ALBUM 10/6
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BAPTISIA TINCT 200 c
Key notes
Restlessness due to intense soreness and aching
of body parts lied upon
PAINLESS THROAT
TOXICITY
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POSOLOGY

• Susceptibility high
• sudden ,abrupt onset.
• rapid pace.
• functional changes.
• characteristic symptoms.
• Sensitivity high
• characteristic symptoms.
• Potency 200
• Repetition 3 doses

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FOLLOW UP
08/09/04
DOSE 1
DOSE 2
DOSE 3
Soreness decreased? Feeling better. Fever
range 104 F 103 F
Body ache Decreased Fever range Same.
Weakness Body ache Restlessness Fever 102 F
99 F.
?
?
?
?
ON 09/9/04 10/9/04
Pt was asymptomatic
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Progress chart
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CLASSIC DENGUE FEVER.
Biphasic-saddleback
ABRUPT ONSET
No Sequele
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Progress chart
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IMPACT OF TREATMENT

• NATURAL COURSE
• Abrupt onset
• 3-4 days duration of first phase
• Biphasic-saddleback pattern 2 to several weeks
• Sequele with distress
• Complications- shock, death.

• OUR CASE
• Abrupt onset
• First phase duration of 1 day.
• Biphasic saddleback pattern aborted
• No Sequele.
• No complications.

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Discussion of case

• 1)Diagnosis in this case was inconclusive for
  first 3 days, though had suspicion of Dengue and
  Malaria ,but because prescribing characteristics
  were present in the case homoeopathic treatment
  could be started even before conclusive diagnosis
  was arrived at.
• 2)This is advantage of using homoeopathy in early
  stage of diseases, even before classical
  pathological symptoms develops because
  homoeopathic treatment is patient specific and
  not disease specific.

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• 3)However this doesnt undermine importance of
  diagnosis for homoeopathic physician.
• Diagnosis helped us
• To do follow up investigations
• To anticipate complications
• To understand natural course of disease
  visa vies course of disease in this
  specific case after homoeopathic treatment.
  

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CONCLUSIONS

• HOMOEOPATHIC TREATMENT HELPED IN
• Cutting short the clinical course of disease.
• Reduction of distress of patient.
• Prevention of complications of Sequele.
• Cutting short the convalescence.

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KEY CONCEPTS
1. Importance of DIAGNOSIS .
2. Importance of INVESTIGATIONS .
3.Clinicopathological correlations.
4. Prescribing on KEY NOTES.
5. KENTS 12 OBSERVATIONS.