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Child 14 months old, Master Sunder, was brought to me for delayed
development.
The main complaints were of poor weight gain [5.5 kg]. Mental development
was very slow and there was no teething / talking.
When I saw the patient for the first time, he looked like a baby
monkey. His face, expressions and movements were like that of a
small baby monkey. He had plenty of hair all over his body +10.
He had bushy eyebrows, long eyelashes, a small nose and thin drawn
up legs - features evident of Hirsutism ++.
Life situation:
The child's mother had a lot of tensions and worries during the
pregnancy of this child. The reason being that the mother came from
a community where a girl has to be given a heavy dowry, and so the
mother of this child wanted a male child. She would always be worried
whether she would get a boy or girl. Her sleep was disturbed 3+
and she had severe complaints of acidity 3+ and vomiting 3+ during
this period. She would often get up worried at night and would dream
that someone was harming her. She felt neglected during pregnancy
as there was not much cooperation from her husband.
(In the past, she had gotten an amniocentesis done and went in for
an abortion as it was a female child)
Personal history
Appetite - Less
Craving
- Sweets +3
Aversion - Nil
Bowel - Constipated, passes stool every alternate
day.
Feels better after burping; otherwise
vomits.
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Sweat - +++ fan is
must, likes air conditioning
Urine
- Nil
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Sleep
- Gets up with a startle; when patted goes
back to sleep.
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Thermal modality – Hot
Bath
- Tepid
Cover
- Aversion
Weather -
Comfortable in winter
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Past history
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Birth weight 2.2 Kg.
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P/H/O. Bronchitis, cold, cough, constipation frequently
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Cleft palate - operated 3 months back.
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Tongue tie - operated
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F/H
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Mother -
Cold++ MGF - Diabetes
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Clinical examination
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O/E Flat head, fontanelles open
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Hair +10-
face, back and all over body, Eyebrows bushy
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Hirsutism
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Undescended
testes ++ bilateral
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