PAEDIATRIC DISORDERS

CASE DETAILS:

10 YEAR OLD BOY HAVING HIGH GRADE FEVER CAME WITH MOTHER TO IN PATIENT DEPARTMENT AT SHREE MUMBADEVI HOMOEOPATHIC HOSPITAL AT 4 PM....SAYS FIRST SEVERE HEADACHE STARTED AT AROUND NOON...MORE PAIN IN FRONTAL REGION AFTER HALF HOUR MEASURED TEMPERATURE.IT WAS 100.2 F(AXILARY).THEN AT 1 PM TEMPERATURE WAS 99.8F. BUT IT ROSE AGAIN TO 100.2 AT 2:30 PM.THROAT PAIN 3+ SINCE YESTERDAY <EATING AND DRINKING...

SEVERE HEADACHE WITH INTOLERANCE OF NOISE.

STAGE WISE ANALYSIS OF CASE:

CHILL STAGE:CHILLINESS STARTS FROM SOLES TO UPWARDS AND COVERS WHOLE BODY.SAYS WHEN CHILLINESS STARTS I FEEL AS IF BATHED WITH CHILLED WATER.

HEAT STAGE:

WANTS TO COVER WHOLE BODY,SWITCHES OFF FAN.USUALLY PATIENT’S MOTHER SAYS HIS BODY BECOMES MUCH WARM IN EVENING AT 4-5 PM.ALONG WITH TEMPERATURE THERE IS BURNING IN EYES.

TONGUE –CLEAN..BITTER TASTE IN MOUTH

THIRSTLESS DURING FEVER...APPETITE DECREASED

SWEAT STAGE:ABSENT

4:15 PM TEMP WAS 101.6 F.

4:45 PM –TEMP-100.4 F

5:30 PM-TEMP-101 F

PHYSICAL GENERALS:

APPETITE-DECREASED DUE TO THROAT PAIN

LIKES:SPICY AND SWEETS2+

THIRST:DECREASED

STOOL:NAD

URINE:NAD

PERSPIRATION:N.S

THERMALS:CHILLY PATIENT

MENTAL CHARACTERISTICS:

CHILD DESCRIBES ALL SYMPTOMS METICULOUSLY...ALL DETAILS ARE DESCRIBED WITH PRECISION.VERY JOVIAL AND PLAYFUL EVEN DURING FEVER

O/E:

PULSE:92bpm

TEMP-100.6 F

RR-18/MIN

THROAT EXAMINATION:B/L RED INFLAMED TONSILS

RS-AEBE

P/A-NORMAL

INVESTIGATIONS:

CBC-

HB-12.7

WBC-17,000

RBC-4 LAKH 42 THOUSAND

MALARIAL ANTIGEN-NEGATIVE

TOTALITY OF SYMPTOMS:

CASE DETAILS:

6 months old female child arrived with complaints of high grade fever recorded as 101-102 degree F Axilla since 2 days, along with complaints of vomiting immediately after feeding. Vomitus was curd like & profuse . Child was restless, clinging to mother continuously , couldn't tolerate milk & it was vomited immediately , unable to sleep .

Investigation:

Urine routine 4-5 pus cells

WBC 13000/-

Was admitted & given Homeopathic medicines in dilution every half an hour . Child was completely better within 16 hrs.