Acute Pancreatitis in a Woman of 22

 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.

▪ Diet: Mixed; Appetite: Good.

▪ Thirst: Half Litre Per day but increased since 3 days.

▪ Craving: Spicy food 2+; Aversion: vegetables2+

▪ Bowel habits: once/ day. Bladder habit: 4- 5times/day, 2times at night, no difficulty. Perspiration: Generalised

▪ Sleep: Good. Dreams: unremembered

▪ 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;

1. IRIS TENAX 6 (1 packet /Q4H)
2. MAG PHOS 6X for pain

13/06/19 at 8pm

• C/o 2 episodes of vomiting after food
• Nausea present
• Pain abdomen persisting

Rx

1. IVF –RL 1 POINT 75 ml/hr
2. 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

1. IRIS TENAX 6 ( 1 packet /Q4H)
2. 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/1^st 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

1. IRIS TENAX 6 (1 packet /Q4H)
2. MAG PHOS 6X for pain
3. Advised SERUM AMYLASE

15-06-2019

Serum Amylase : 80 IU/L

15-06-2019 : Patient discharged with following medications and diet

Rx;

1. 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;9^th edition;Jaypee Brothers Medical Publishers (P) Ltd.

2.N.D Robin murphy;Homoeopathic Medical Repertory;3^rd Revised

Edition; B-Jain large print (P) Ltd.