Poisoning and Toxicology Emergency Case

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Poisoning and Toxicology Emergency Case
65/ FEMALE BROUGHT BY POLICE NO RELATIVES
TRIBAL LADY NO HOMOEOPATHIC ORIENTATION
APPEARED INTOXICATED, NOT IN HER SENSES AND
FLACCID AND WEAK. WAS TRAVELING IN A TRAIN WHEN
THIS SITUATION DEVELOPED
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Poisoning and Toxicology Emergency Case
History
Condition in Casualty Appearing like drunken,
unable to stand by her own, altered sensorium,
flaccid, hypotonic, Speaking in Hindi, repetitive
talk
. A tribal Marathi speaking not acquainted with
Hindi She was given coconut water by stranger
She took it like PRASAD
No memory thereafter.
Unconsciousness for few hours Found
herself robbed. Found and taken
to police station.
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Poisoning and Toxicology Emergency Case
Examination
General condition Fair, Intoxicated Temp
97OF Pulse 100/Min. B.P 100/70 mm of hg R.S
C.V.S Normal
CNS Responding to oral commands
Not oriented to person, time and
place Loss of memory for the episode
Delirious, Repetitive talk, Talking in the
Hindi language Suspicion of being of
poisoned Hypotonic, Flaccidity.
Reflexes Normal Pupils-
dilated
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Poisoning and Toxicology Emergency Case
Dhatura Toxicology
Most commonly used for poisoning as it grows in
waste places all Over the India. Alkaloid of
Dhatura powerfully stimulate the higher centers
of the brain and exercise a paralyzing action on
various nerves. Initial stimulation of various
centers is followed by depression.
ROAD POISON Grows on its own so easily accessible
and cheap It can be mixed with food and drink It
does not change the odor or taste Used mainly to
dope travelers and people at pilgrimage for the
purpose of robbery Patient is generally found in
police station
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Poisoning and Toxicology Emergency Case
TOTALITY OF CHARACTERISTICS

• A/F ? Dhatura poisoning
• Speaks in a foreign language

Brain Sensorium Nerves Intoxication
Hyper-excitability of Higher centre Paralysis of
nerves
Speak in foreign language. Repetitive talk
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Poisoning and Toxicology Emergency Case
Patient as a Person

• Strong belief in God since childhood inculcated
  by mother
• God will help you in your life
• Mother used to tell her you will find money if
  you pray at a desired spot. This was experienced
  by the patient on several occasions. Hence,
  developed strong belief in God.
• Always used prayers as a means to solve all
  problems in life
• Attachment and sentimentality towards persons
• Fearful Fear of crossing streets.
• Sleep disturbance due to anxiety about trifles.

Patient is chilly
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Poisoning and Toxicology Emergency Case
Rubric from Complete mind
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Poisoning and Toxicology Emergency Case
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Poisoning and Toxicology Emergency Case
FOLLOW UP
Alertness improved Flaccidity better and
sensorium improved Still intermittently speaking
in Hindi
Time within 90 min
Stramonium High potency cautious repetitions
Asymptomatic Conscious oriented to time and space
flaccidity improved
Time 4 hours
Calc. carb 200C single dose as constitutional
remedy