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Case Tonsilitis
Case Tonsilitis
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Chief Complaints
Pain in throat 10-15 days
Fever with chill 10-15 days
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History of Chief Complaints
Pain in throat 10-15 days
Onset: Sudden
Duration: 10-15 days
Progress: Rapid
Throat constriction
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Fever with chill 10-15 days
Onset: Sudden
Duration: 10-15 days
Progress: Rapid
part
Heat, sudden rise of temperature
especially afternoon
No sweating.
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Past History
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Family History
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Personal History
Food habit: Mixed
Appetite: Decreased due to c/o because he was not
able to eat.
Swallowing is difficult otherwise appetite is normal
In morning takes tea
At Lunch 4-5 Chapatis and sabji
At Dinner 2-3 Chapatis and sabji + Dal + Chawal
Desire – For sweets, at the time of meal he desires
for sweets ++
Aversion: Butter
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Food habit: Mixed
Appetite: Decreased due to c/o because he was not
able to eat.
Swallowing is difficult otherwise appetite is normal
In morning takes tea
At Lunch 4-5 Chapatis and sabji
At Dinner 2-3 Chapatis and sabji+Dal+Chawal
Desire – For sweets, at the time of meal he desires
for sweets ++
Aversion: Butter
Thirst: Decreased due to c/o otherwise 6-7
glasses/day
Bowel: Once a day, stool yellow, semisolid, not
bloody
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Micturition: 5-6 times/day
Sleep: Disturbed due to c/o
Dreams: Not remembered
Thermals:
Food: Hot food
Open Air/cold/air: In open air, he feels better
Season: Not specific
In general no any special seasonal aggravation
Summer Winter
Bathing Warm water Hot Chilly
Fanning ++ No Patient
Covering Single Double
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Mentals/LSI
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Physical Examination
Built: Average, fair complexion and tall
Weight: 50 kg
Height: 5’6”
Pulse: 86/min
BP: 120/80 mm of Hg
RR: 16/min
Pallor: Absent
Temperature: 99.20 F
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Cyanosis: Absent
Icterus: Absent
Oedema: Absent
Lymphadenopathy: Absent
Tongue: Pink and Moist
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Local Examination
Inspection: Redness and congestion in the
throat
Palpation: No lymph node is palpable.
Tonsils are enlarged and palpable.
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Differential Diagnosis
Viral fever
Tonsillitis
URTI
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Investigations
PS for MP
PBS
ESR
CBP
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Nosological Diagnosis
Tonsillitis
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Miasmatic Diagnosis
Psora
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Case Processing
Analysis of Symptoms according to Kent:
Angry during illness (MG)
Became very violent and throws things (MG)
Muttering during heat stage (MG)
Appetite decreased since complaints (C)
Sleep disturbed due to complaints (C)
Thirst also decreased due to complaints (C)
Desire for sweets (PG)
Aversion to butter (PG)
Thermally chilly patient (PG)
Pain in throat (C)
Fever with chill (PG)
Burning in throat with dryness < swallowing > cold drinks (CP)
Sensation as if throat is tied with rope (CP)
Constriction in throat (CP)
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Evaluation of Symptoms according to Kent:
Generals
MENTALS
Angry during illness
Became very violent and throws things
Muttering during heat stage
PHYSICAL
Desire for sweets
Aversion to butter
Thermally chilly patient.
Fever with chill
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Common
Pain in throat
Appetite decreased since complaints
Particular
Burning in throat with dryness < swallowing > cold
drinks
Sensation as if throat is tied with rope
Constriction in throat
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Synthesis with the totality of symptoms by
considering conceptual image and portrait
building:
Acute phase of disease
Psora miasm
Diagnosis tonsillitis
Thermally chilly patient
Angry during illness
Became very violent and throws things
Muttering during heat stage
Desire for sweets
Aversion to butter
Fever with chill
Burning in throat with dryness < swallowing > cold drinks
Sensation as if throat is tied with rope
Constriction in throat
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Conceptual Image – Repertorial
Totality
= Potential Differential field (PDF)
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Repertorial Totality PDF
Angry during illness Acute phase of disease
Became very violent and Psora miasm
throws things
Muttering during heat stage Diagnosis tonsillitis
Desire for sweets Thermally chilly patient
Aversion to butter
Constriction in throat
Sensation as if throat is
tied with a rope www.similima.com 26
Selection of Repertory
Kent
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Repertorial Analysis
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Sr. Symptom Section Sub/ Page Differentiati
No Sub rubric No. on
1 Anger Mind Anger 2
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Spectrum of Remedies
Sr . No Drug RV Sr . No Drug RV Sr . No Drug RV
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Differentiation
Symptom Aconite Belladonna Chamomilla
Sensation as if
throat is tied
with a rope
Sphere of action
Rubrics not
covered by the
remedy
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Selection of Final Remedy
Belladonna
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Administration of Remedy
Belladonna 30 TDS for 3 days
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General Management
1. Avoid cold drinks
2. Avoid wetting in rain
3. Avoid direct contact with fan
4. Maintain good hygiene
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Follow up
Date Complaints Prescription
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Remedy Response
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Second Prescription
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