WriteUps By Dr komal vansadiya
AGE: 31
SEX: Male
RELIGION/CASTE: Hindu
MARITAL STATUS: Married
EDUCATION: 10th fail
OCCUPATION: Labour
ADDRESS: Vemar
CHIEF COMPLAINTS: Pt. came in OPD with complaint of abdominal pain and burning since 7 days.
NO.
1.
LOCATION
GIT
Abdomen
Epigastrium
O: 7 days
D: continue
F: On/Off SENSATION
Stitching pain+2 burning
No nausea
No vomiting
MODALITIES
<+2 morning
<+empty stomach
<+2rising from bed
<+2 pressure
>+2allo Rx
>+2after eating
CONCOMITANTS
App - ed
Thirst - N
Urine – N
Stool – N
PERSONAL HISTORY:-
P/H:- NIL F/H:- NIL
PHYSICAL CHARACTERISTICS:
APPETITE- ed THIRST- N STOOL- N URINE-N
PHYSICAL EXAMINATION:-
PULSE:72/min B.P: 140/90mmhg CONJUNCTIVA: Pink
NAILS: pink TONGUE: pink moist
SYSTEMIC EXAMINATION:
GIT: P/A- soft
INVESTIGATIONS: NOT AVAILABLE
PROVISIONAL DIAGNOSIS:
NUAPD - Pain in epigastrium, heart burn, nausea, excessive belching, stool normal
DIFFERENTIAL DIAGNOSIS:
Acute Gastroenteritis - Colicky pain, nausea, vomiting, diarrhoea, dehydration, fever
TOTALITY OF SYMPTOMS:
Epigastrium pain Stitching type of pain
Burning+2
Pain<+2morning
<+2 pressure
<+2 rising from bed
<+ empty stomach
>+2 after eating
REPERTORIZATION:
Lyc-6/10
Nux.vom 200 3 pills TDS X 4 days
SL TDS X 7 days
Dietary advices: -
FOLLOWUP:
DATE FOLLOW UP DETAIL ACTION
7/10/20 Pain>+2
Gas- SQ
Acidity>+
Weakness>+ NUX VOMICA 200 X 3pills
X TDS X 4days
SL TDS X 7days
RESULT: - Better.
Dr komalben Dilipsinh Vansadiya
PG scholar
Department of practice of medicine
Rajkot Homoeopathic medical College
Parul University