PRELIMINARY DATA
Name: Mrs. F A
Age: 22 Years
Sex: Female
Education: PUC Occupation: House wife Religion: Islam
Marital Status: Married
Date and Time of admission: 13-06-2019 at 6:15PM
CHIEF COMPLAINT : Patient presented with the complaints of abdominal pain and vomiting for the last three days
Past Treatment History: allopathic medication for the same.
Past Surgical History: appendectomy 5 years ago.
Family History: Mother: Type II DM And Hypertensive 7/29/2020.
Medical History: Chickenpox 15 years of age.
â–ª Diet: Mixed; Appetite: Good.
â–ª Thirst: Half Litre Per day but increased since 3 days.
â–ª Craving: Spicy food 2+; Aversion: vegetables2+
â–ª Bowel habits: once/ day. Bladder habit: 4- 5times/day, 2times at night, no difficulty. Perspiration: Generalised
â–ª Sleep: Good. Dreams: unremembered
â–ª Thermal: Hot patient
Menstrual History
- FMP: 12 years; LMP: 27/5/2019 (Regular cycle, 6 days flow, 2pads/day).
Obstetrical History: G0 P0 L0 A0 D0
General Physical Examination
- Well oriented with time, place and person.
- Moderately built and nourished.
- No signs of pallor, cyanosis, clubbing, icterus, oedema and lymphadenopathy.
Vital-signs
- Temperature: Afebrile at the time of examination
- P: 110/80 mm Hg
- Pulse: 90/minute
- SpO2 : 99%
- Weight :48kg
Per abdominal Examination
- Inspection: Surgical scar marks present over the right iliac area.
- Palpation: Tenderness over the epigastrium, umbilical, left lumbar, hypogastrium, right and left iliac regions.
- Muscle guarding present
INVESTIGATIONS DONE ON 13-06-2019
Total Leukocyte Count: 19.24*10^3/μL
Neutrophil: 75.6%
Lymphocyte: 16.4%
USG- Abdomen: Partially distended gall bladder.
- Impression: No sonological abnormality detected.
Urine analysis: Normal
Serum Amylase : 140 IU/L
SPECIFIC MANAGEMENT
Robin Murphy- Homoeopathic medical repertory
- CHAPTER:
                  GLANDS / CLINICAL
- RUBRIC:
                  PANCREATITIS
- SUB RUBRIC :
                ACUTE
 REMEDIES:
            Bell, con,  iris 2
REPERTORIAL RESULT
13/06/19 at 6 pm – Medicine Prescribed
Rx;
- IRIS TENAX 6 (1 packet /Q4H)
- MAG PHOS 6X for pain
13/06/19 at 8pm
- C/o 2 episodes of vomiting after food
- Nausea present
- Pain abdomen persisting
Rx
- IVF –RL 1 POINT 75 ml/hr
- Continue the same treatment.
14/06/19 at 8:45 AM
- c/o Abdominal pain better
- c/o Weakness better
- c/o Nausea better; No new episodes of vomiting
- Appetite: good
- Thirst: good
- Bowels and bladder habits: Good
- Sleep: Good
- O/E : P/A : – Tenderness and guarding reduced
- Investigations CBC advised
Rx
- IRIS TENAX 6 ( 1 packet /Q4H)
- MAG PHOS 6X for pain
14-06-2019
- COMPLETE BLOOD COUNT
- HB:12.2 G%
- Total Count : 9800/cmm
- Neutrophils : 68%
- Lymphocytes: 27%
- ESR : 50 mm/1st Hour
15/06/19 at 8:45 AM
- C/o Pain abdomen reduced
- C/o Weakness reduced
- No nausea; No new episodes of vomiting
- Appetite: good
- Thirst: good
- Bowels and bladder habits: Good
- Sleep: Refreshed
- O/E –No Tenderness over abdomen
Rx
- IRIS TENAX 6 (1 packet /Q4H)
- MAG PHOS 6X for pain
- Advised SERUM AMYLASE
15-06-2019
Serum Amylase : 80 IU/L
15-06-2019 : Patient discharged with following medications and diet
Rx;
- IRIS TENAX 6 (1-1-1) for 1 week
2..MAG PHOS 6X for pain
3.Avoid Non veg and oily foods.
4.Review on 24-06-2019 on Medicine OPD.
FOLLOW UP ON 24-06-2019
- C/o Pain abdomen reduced
- C/o Weakness reduced
- No nausea; No new episodes of vomiting
- Appetite: good
- Thirst: good
- Bowels and bladder habits: Good
- Sleep: Refreshed
- O/E –No Tenderness over abdomen
No fresh complaints. Generally Good.
Rx,
1.Mag phos 6x – 2 tablets (S.O.S for pain)  for 1 week.
2.Avoid oily and fatty foods.
CONCLUSION
This is a case of a 22 year old female who presented with acute abdomen diagnosed as acute pancreatitis and specific remedy was Iris Tenax 6.
REFERENCE
1.Y.P Munjal;API Text Book of Medicine;Page no: 813;9th edition;Jaypee Brothers Medical Publishers (P) Ltd.
2.N.D Robin murphy;Homoeopathic Medical Repertory;3rd Revised
Edition; B-Jain large print (P) Ltd.
A well presented case but the rubric u have taken is for Iris Versicolor and not Iris Tenax. Then on what basis did u select tenax