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A Case of Acute Appendicitis

appendicitisA

AVAILABLE HISTORY:

On 18thJanuary 2012, an 18 year old boy comes to the Hospital with the following complaints:

In the morning, he had severe pain in abdomen around naval slowly increasing in intensity and then used to stop suddenly. 2nd time also, pain had started gradually and subsided immediately. Pain from epigastric region goes to Rt. Iliac region.

Complaints start after 1½ hours after breakfast < lying down, > walking.

LIFE SPACE:

He was born in 1993, had happy and healthy childhood with no responsibility. He was the only male child with four sisters. So overall, it was good. His parents are farmers with no health issues.

 

PAST HISTORY:

MIND :

Anger: Easily & Violently (+3)

I easily get angry and can even hit the other person when situation arises. I have made many quarrels in my school and therefore, my father kept me in a hostel for study far away from my home as I was really a mischievous child.

I get angry on certain things such as when someone lies to me or when somebody disturbs me when I am engaged in work. Usually, I cannot suppress my anger and in extremes it is getting expressed with even violence! I had hit few colleagues in my class and therefore, nobody usually take my name as I am known as “don of the class”.

I am an emotional person. I trust people easily & usually nobody has cheated me except the one with whom I had affair. I was in a serious love affair with a girl who actually ditched me in a relationship and I was very angry on her and hit her out of frustration. Unfortunately, that girl went my home and told everything to my family and I became a target of severe anger from my father and my family. They hit me badly and I was really disturbed due to my love failure coupled with suppression of my anger as I could not react towards my parents as I was at fault. This event had occurred four days back only!

PERSONAL HISTORY:

Appetite: Complete Loss of appetite since morning

Thirst: Decrease since morning

Desire: Sour Food D +2

Aversion: Sweet +2, Milk +2, Coriender +4 (even smell causes sensation of vomiting)

Thermals: HOT +2

Sleep Position: ABDOMEN +3

Urine/Stool: NAD

FAMILY HISTORY:-

FATHER : Farmar, NAD

MONTER : Housewife, NAD

PAST HISTORY:- At the age of 10 and 13th history of typhoid

INVESTIGATION USG REORT: ACUTE APPENDICITIS [1]

 

 

REPERTORIZATION CHART: –

[2]

PRESCRIPTION: Colocynth 1M every half hourly.

 

FOLLOW UP -1

Feel better. Less Pain.

FOLLOW UP -3

Feel better. Much Less Pain.

[3]

FOLLOW UP – 6

Feel better. Much Less Pain.

[4]

FOLLOW UP – 9

APPENDICITIS IS CURED AS PER THE LAST USG REPORT.

[5] [6]