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84/min
BP:
150/100
RS:
Clear
CVS:
PA:
S1S2
Normal
NAD
Higher
Functions,
Cranial
Nerves:
Normal
No Palliloedema
Motor
Sensory
Right
Left
Tone: UL
Normal
Increased ++
Tone : LL
Normal
Increased ++
Muscle Power: UL
Normal
Proximal
Muscles:
Power
1/5
Distal
Muscles: Power 4/5
Muscle Power: LL
Normal
Complete
power: 0/5
Reflexes: UL
Normal
Hypertonic ++
Reflexes: LL
Normal
Hypertonic ++
Normal
loss
of
Hb : 15.2
T.L.C.: 7800 N 68 E 0 B 0 L 26 M2
RBS : 65.2
B .U. N. :9.0
S. CHOLESTROL : 300.2
S . TRIGLYCERIDES : 254
S. CREAT : 1.0
Ailments
From
FRIGHT
FEAR
<
HEAD
ANXIETY
PAIN
STUPEFACTION,
LAUGHING
MORNING
AS
IF
10
INTOXICATED,
TENDENCY,
PARALYSIS,
PARALYSIS,
PARALYSIS ONE SIDED LEFT
NUMBNESS
a.
m.
HEADACHE
<
DURING,
IMMODERATELY
WITH,
PAINLESS
These were the rubrics chosen. Our next step was to consider
which repertorization approach was appropriate to this case
given the characteristic picture. Since there was characteristic
sensation, modalities, concomitants, and causation, we chose
the Boenninghausans approach for repertorization.
The
remedies
that
came
up
were: Nux
Moschata, Gelsemium, Opium, Rhus tox,Causticum.
Furthur discussion was required to decide on the appropriate
remedy.
Along with this
the Susceptiblity:
we
also
made
an
assessment
of
10 a.m. <
SLOW PROGRESS
CONFUSION
INTOXICATED FEELING
IMMODERATE LAUGHTER
STIFFNESS
HYPERLIPDAEMIA
No headache, no giddiness,
Mild nuchal pain.
TINGLING NUMBNESS > 50%O/E:
BP- 140/90
Lt:
UPPER
Hypertonia++
Power
left
knee & ankle 0/5
Plan:
LIMB
left
Continue
&
shoulder
hip
Gelsemium
LOWER
4/5
LIMB
>
30
++
3/5
QDS
23/08/05:
No TINGLING NUMBNESS.
Sensation of tightness in left upper and lower limbs > 75%
POWER: SAME
QDS
26/08/05:
NO SUBJECTIVE COMPLAINTS
APPETITE, SLEEP NORMAL
POWER: SAME
The patient is now able to walk with support. But this support too is less that what he
required earlier.
ANXIOUS
INDUSTRIOUS
SYMPATHETIC
SENTIMENTAL
AVERSION SWEETS
CHILLY
No headache
No Tingling Numbness
Power Improved:
Medicine Part II