A 9-year-old girl came to me on 20th April 2019 with complaint of eruption on right pre-auricular area. She had this for the last 1.5 months. On observation it was bright red and two in number. The part was very sensitive and painful to touch. Bleeding occurred after scratching that part in sleep.
Physical general:
Appetite: Poor since 15 days, no specific reason found, can tolerate hunger,
prefers cold food more than warm. No history of PICA
Desire: Ice-cream+++, ice-cube++, chocolate, sweet, sour
Aversion: Milk
Thirst: Takes little at a time (1-2 sips) water at every 10-15 min
Stool: NAD
Urine: NAD
Sleep: Refreshing, sound sleep 7-8 hrs/ night, position: left side
Milestones: NAD
Past history: NAD
Mother’s history during pregnancy: initially morning sickness and poor appetite, after that no complaint. FTND
Family history:
Father: A/H
P. Grand mother: A/H
P. Grand father: A/H
Mother: A/H
M. Grand mother: Hypothyroidism/ A
M. Grand mother: Heart issues/ A
Life history:
Given by Father, she is very good in study. Always gets A+ grades. She likes to dance, to read poems. Very talkative, mixes easily, many friends in school and she is a favorite student of the teacher. Everyone likes to talk with her.
On observation: Very restless child, curious (“aisa kyon hota hai?…aap sab kyon likh rahe ho?…sab likhne se kya hoga?”) Every time gives me compliments.
Totality of symptoms
- Communicative
- Talkative
- Curious
- Restless
- Desire for ice-cream+++, ice-cube++, chocolate, sweet, sour
- Aversion to milk
- Thirsty, little quantity at short interval
REPERTORIAL TOTALITY:
- Mind; loquacity; children, in
- Mind; inquisitive
- Mind; restlessness, nervousness
- Generalities; food and drinks; ice-cream; desires
- Generalities; food and drink; ice; desires
- Generalities; food and drinks; chocolate; desires
- Generalities; food and drinks; sweets; desires
- Generalities; food and drinks; sour, acid; desires
- Generalities; food and drinks; milk, milk products, aversion
- Stomach; thirst; small quantities, for, frequent, often
Rx: Phos 1M 1 dose in water
S.L 3 Pills OD in morning for 1 month
FOLLOW UP:
26-May-2019
Size of hemangioma reduced
Slight pain occurs on touching that part
Rx,
S.L 3 Pills OD in morning for 1 month
14-July-2019
Size of hemangioma as it was.
Color changed to dark brown
No pain
Rx,
S.L 3 Pills OD in morning for 4 months, as patient was going out of city
17-November-2019
Size of hemangioma reduced. Color changed to light brown.
No pain
Rx,
S.L 3 Pills OD in morning for 2 months
5-JANUARY-2020
Size of hemangioma reduced
Color change to light brown
No pain
Rx,
S.L 3 Pills OD in morning for 2 months
8-March-2020
No pain
Size reduced, only 1 eruption present
Rx,
S.L 3 Pills OD in morning for 2 months
Hello.What means S.L. 3 pills OD?Thank you
Nadica, S.L. means placebo was given. Literal translation: milk sugar. I’m not sure what OD means other than it’s a common usage for Over-dose; as in, “He OD’d on tranquilizers.”
I think it means One Dose. She gave Sac Lac One Dose.
Placebo given to the patient once in a day