CASE DETAILS:

A 15 YEAR OLD BOY STUDYING IN 9TH STANDARD CAME FOR CONSULTATION ON 9TH FEBRUARY 2013 FOR LONG STANDING ABDOMINAL PAIN, FLATULENCE, BURNING WHILE PASSING STOOLS AND REGURGITAION OF INGESTA. DRY COUGH SINCE 3 DAYS WHICH IS BETTER BY WARM DRINKS.

SKIN SYMPTOMS-WARTS BELOW LOWER EYE LIDS, MULTIPLE, HARD AND FIRM, NON PEDUNCULATED

GYNECOMASTIA

PT STATED THAT HE IS ON PSYCIATRIC MEDICINE TABLET CLONIL 50MG OD.

PHYSICAL GENERALS:

APPETITE-CANNOT TOLERATE HUNGER

CRAVINGS-CHOCOLATE 3+ AND CHEESE 3+

AVERSIONS: NOTHING SPECIFIC

STOOL-C/C

URINE-NAD

PERSPIRATION-ON HAIRLINES AN TEMPLES

THERMALS-DESIRES A/C,

MENTALS:

1. FEARFUL –FEAR OF GHOST, CANNOT SLEEP ALONE, FEELS AS IF DOGS ARE CRYING AND WITCH IS WALKING TOWARDS HIM.

FEAR OF BEING KIDNAPPED

FEAR OF DEATH-FEARS HIS HEART WOULD STOP,

FEAR OF DEATH OF FAMILY MEMBERS,

FEAR OF DISASTERS, TSUNAMI, EARTHQUAKES, DARK ROOMS.WHEN HE WAS IN 2ND STD. SEEN TSUNAMIS SINCE THEN FEARS IT TOO MUCH.

2. OCD-WASHES HANDS FREQUENTLY, HAVE FEELING THAT THEY CONTAIN GERMS AND BECOME DIRTHY.

FEELS AS IF FLOOR OF SCHOOL IS DIRTY SO HE DOES NOT KEEP HIS BAG ON FLOOR BUT ON BENCH.

FEELS HIS BOOKS GET DIRTYAS DESKS ARE DIRTY OF SCHOOL.

AVERSION OF BEING TOUCHED BY DIRTY HANDS

3. SENSITVE TO REPRIMANDS

4. FEAR OF FIGHTING

5. ANTICIPATORY ANXIETY DOESN’T TAKE THINGS LIGHTLY,

6. SUSPICIOUS

7. SENSITIVE TO OPINION OF OTHERS:

GETS HURT EASILY IF ANY OF GOOD FRIENDS DO NOT SAY HELLO OR HI TO HIM.SAYS 10TH STD BOYS CRACKS JOKE, LAUGH AT HIM AND TEASE HIM .THEN HE GETS ANGRY AND LOUDLY SHOUTS AT THEM

ANXIETY ABOUT COMPLETING HOMEWORK, WORRIES WHAT WOULD TEACHER SAY OR WILL SHE SHOUT ON LOOKING AT HOMEWORK, ESP SENSITIVE TO REMARKS GIVEN BY TEACHER

8. CANNOT PARTICIPATE IN RACING SAYS I ALWAYS COME LAST.

9. SLOW IN WRITING-HANDWRITING IS BAD.CHILDHOOD DYSLEXIA.SLOW LEARNING

10. CHILDISH

11. VERY CALCULATIVE ABOUT CALORIES IN FOOD ITEMS,GOOD AT REMEMBERING DATES.

FAMILY HISTORY:FATHER SCHIZOPHRENIC-ON TABLET LONAZEP 50 MG OD.

REPERTORIAL TOTALITY:

MIND - WASHING - desire to wash - hands; always washing her

MIND - FEAR - ghosts, of

MIND - ANXIETY - anticipation; from

MIND - SENSITIVE - reprimands, to

GENERALS - HUNGER - agg.

GENERALS - FOOD and DRINKS - chocolate - desire

GENERALS - FOOD and DRINKS - cheese - desire

COUGH - WARM - fluids - amel.

REMEDY SELECTION:

ARS ALB 1M SINGLE DOSE

ANTIMIASMATIC –SYPHYLINUM 1M

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