PHYSICIAN: DR.MANDEEPSINH ATALIYA                                                   
NAME: xyz                              
AGE: 53 yr                                                          SEX: FEMALE                   EDUCATION: 7 TH STD
OCCUPATION: HOUSEWIFE                                STATUS: MARRIED         RELIGIONE: MUSLIM
DIET: VEG/N.VEG/EGG                                       BROTHER: 2                     SISTER: 1
SPOUSE ( husband)    AGE: 38          
CHILDREN: DAUGHTER: 2

CHIEF COMPLAINT: PATIENT CAME IN OPD WITH COMPLAINT OF DIFFICULTY IN BREATHING SINCE 8-9 YEARS ESPECIALLY IN WINTER AND COLD WEATHER.

(* DETAILED LSMC OF CASE IS GIVEN BELOW IN IMAGE)

 

 

PHYSICAL CHARACTERISTICS:
APPEARANCE: MEDIUM BUILT, FAIR COMPLEXION
PERSPIRATION: GENERAL: PROFUSE              PARTIAL: FORHEAD+3                                
DIGESTION: APP- NORMAL                               THIRST-NORMAL 
ELIMINATION: STOOL- NORMAL                      URINE – NORMAL
CR- PUNGENT+2, CHICKEN+2, SWEET+2
SLEEP   DURATION: 6-8 HOURS        POSITION: SUPINE            DISTURBED: LIGHT AND NOISE

REACTIONS - PHYSICAL FACTORS: 
  MOTION & POSITION: NAD
  METEOROLOGICAL:  NAD

Thermal:  C3H2 (CHILLY PT)

PHYSICAL EXAMINATION: 
 Pulse: 74/min      Blood Pressure: 130/90mmhg       Weight: 60kg           Nose:
 Nails: Pink        Conjunctiva: pink                            Skin:                          Tongue: pink

SYSTEMIC EXAMINATION: RS: Whistling sound,
                                                      Upper and lower (rt>lt)    
                                                 CVS: S1S2____NORMAL
                                                 PER ABDOMEN: SOFT.                    
FAMILY HISTORY: nil
PAST HISTORY: nil
DIAGNOSIS: BRONCHIAL ASTHMA

LIFE SPACE: 
CHILDHOOD: pt was born at amod, at her maternal home. Family consist of mo, fa, 4 elder bro, 1 elder sis. Her fa was doing govt.jo and mo was house wife. Financial condition was average, but pt’s fa fulfils all the demands of her. He is calm by nature but sometime getting angry on children when someone lie or did some mischief. Pt’s mo was also cool and calm by nature, pt is more attach with her mother. She had good ipr with all siblings.
SCHOOL LIFE: she took admission at 6 yr of age. She was average in study. She was not interested in study, she left studies after 7th studying school she likes to take part in extracurricular activates. She had good ipr with friends. she is easily mixable by nature but easily getting angry while scolded without her fault , she gave answerback in anger but never compromise or never tolerate wrong allegations  on hereafter left study, she did only house work till she get married.
MARRIGE LIFE: she get married at the age of 18 yr.inlaws family consist of fil, mil, sil, bil.mil was good by nature but after few yrs of marriage they started quarrels each other but this tie pt suppressed her emotions and remain silent. Fil is good by nature. Pt’s husband is also good and understanding by nature. After mil’s death pt’s sil started quarrels regular day by day. Pt mostly ignore this type of fights, whenever this type of matter occurs she went in her room and looked she and cry. Pt said that”mara thi same ladva nai javay, bdha su vichare”.pt said all incidence to her husband and cries in front of him. Pt’s husband is supportive but never interfere in fight.pt have 2 children both girls 13 and 10 yr old
PT AS PERSON: now days pt live sapretly. Even she lives sapretly. She takes care of her fil and every day prepares lunch and dinner for him and provides him.pt is sympathetic in nature. Have anxiety about her children. Now days all things are going according her. She lived with her Hus and 2 daughters happily. She likes to listen songs and loves travelling.

PRESCRIPTION: NAT MUR 30 3P HS
                             SL 1P HS/1 WK

 

CASE PRESENTED BY,  DR MANDEEPSINH ATALIYA

P.G SCHOLAR,

RAJKOT HOMOEOPATHIC MEDICAL COLLAGE,

PARUL UNIVERSITY.

                     

 

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