NAME:XYZ

AGE: 46years/male

DOC: Dr Mohit A. Nanani

REF.BY: ----

 

Key Words: Schizophrenia, epilepsy, stiffness, exhaustion

Salient features	Further exploration/clarification/ Additional data required	Unclear points

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• CHIEF COMPLAINTS:

 

Complaint/sensation	Modalities	Concomittant/Associated s/s	Location
calf muscles	<walking down stairs++	Debility++++	Extremities-legs-calves-calcaneal tendon
Crampy stiffness+++	> pressure+	Exhaustion++
		Masturbation Habit

 

 

• ASSOCIATED COMPLAINTS:

 

Location	Sensation	Modalities	Concomittant
Nose	Itching+ Running nose++	<cold air > Open air	Debility

 

• Phx:  K/c/o- Schizophrenia, Hypothyroidism, Epilepsy 

 

 

 

 

 

• Fhx: Not Available

 

 

 

• APPETITE:

 

	Altered	Dispositional
#Hunger	At night increased, occasionally	---
#Craving:	Sweet+	---
#Aversion	--	---
#</>	--	---

 

 

• THIRST:

 

	Altered	Dispositional
#Thirstless
#Thirsty		Thirst 8-10 glass/day

 

 

 

• THERMALS:

	Altered	Dispositional
#General Tolerance		Hot
#Summer/Winter/Monsoon		Winter
#Bath: Cold/Hot/Seasonal		Hot
#Fan/AC		fan
#Closed spaces/Open air		Open air
#Sun exposure		---
#Covering need		--
#Perspiration: Character, Location		Profuse on chest

 

 

 

• MENSES:-----

 

 

 

• DRUG HX:

 

• VERBATIM INTERVIEW: I am feeling from severe exhaustion and fatigue. I am tired of life. Sometimes I get suicidal thoughts, negative thoughts. I always use to hear auditory hallucinations like someone is constantly talking about me. Everyone does not likes me. I get panic that police is going to seize me I don’t know why but many times I get a fear of police. I had a habit of masturbation daily and often. I also have a complain of stiffnessof cramps and stiffnes of calf muscles of both legs and tendons. Difficulty in walking sometimes but I cant use stairs to move down, its very difficult. I am tired of my life. In oast, I was left from my parents and family because of family issues and my schizophrenic behaviour and state. I was left alone and that was very bad. I felt forsaken and lack of love and care. Dy by day I am getting exhausted and now how I will manage everything alone. No one is there to take care of me. What will happen I wont able to live on my own??. That’s why I get negative and suicidal thoughts sometimes, just help me for this doctor.

 

 

Disposition : MILD, QUIET.

 

 

• CASE ANALYSIS/REPERTORIAL & MM REFERENCES:

 

ALTERED STATE	Debility, exhaustion, forsaken feeling, auditory hallucinations, crampy stiffness of calf, delusion police will going to seize him, Coryza, Masturbation habit
PAST HISTORY	Schizophrenia, Hypothyroidism, Epilepsy
FAMILY HISTORY	Not specific
DISPOSITIONAL FEATURES	Thirsty, perspiration profuse chest, back, sweet desire, hot patient

 

Rx- Cuprum Aceticum 1M

 

• Delusion as if, police is going to come and seize him- cup-acet+ ( Complete repertory)
• Extremities- leg-calf-cramps
• General-prostration; exhaustion

 

By-

 

Dr Mohit A. Nanani 

PG Scholar, Department of practice of medicine

Rajkot Homeopathic medical college

Parul university

Share this :