Saturday, May 28, 2011

Cannot walk and स्टैंड

Name: Mast Raj
Age: 2yrs male.
Date of interview-22.4.08
c/c:
1) Cannot walk and stand on his own.
Needs support always.
Crawling –frog jump at 1 ½ yrs of age.
When made to stand outward turning of feet,
All other milestones normal.
Talking- early 6 months of age.
Mentally sharp no complaints.
BIRTH HISTORY: FT LSCS, breech presentation, didn’t cry immediately after birth.
Neonatal jaundice- Day 3. Phototheraphy for 2 days.
There was minor bleeding after 4 days when umbilical cord got detached.
All vaccines given , no complaints.
2-3 months of age- cold and cough.
Sticky, slimy mucus while vomiting. Taken syrups for it.
7-8 months of age- nappy rash. External applications.
14 months of age: loose motions, and vomiting, given antibiotics.
Mother’s history during pregnancy:
Lot of mental stress during pregnancy and after delivery.
Used to feel alone and lonely, was very sensitive at that time and would weep a lot. Would share her feelings and talk with her child when he was in her womb, had become negative and very depressed ‘ What will happen of my child.....Anticipation.
PHYSICAL GENERALS:
HOT+ THIRSTY.
App: hunger can tolerate.
Craving : fruits+++, dry fruits, cheese.
Urine: NAD.
Stool: occasionally straining and hard stools.
Sleep: 9-10 hrs refreshing.
Sensitivity:
• noise- could not tolerate earlier.
• Sun- cannot tolerate rays of sun on face.
F/H: Grandparents- depression.
Life situation:
Stays with parents and grandparents. Only child.
Gets scared easily if he hears loud noise. Would get scared earlier and start crying even if anyone would scold him.
Can play alone. Shares his things with others. Mixes easily with others. Loves company. Loves animals , likes to dance.
On his annual day function, he was not allowed to dance and was made a fruit vendor who just had to sit whole time on stage. He was very angry at that time, he didn’t speak or eat as he had practised the whole dance, and he was not allowed to perform.
When he performed in front of his family, he was satisfied. Started feeling inferior to his friends now.
Fear of falling.
Memory- sharp. Very intelligent, quick grasping. Good with numbers and alphabets.
Possessive about family, wants attention always.
Attachment- mother.
Loves to hug, kiss parents, small children. When ill cries a lot and wants mothers constantly besides with. Consolation aggravation.
Left handed person.
Investigation:MRI-28.11.07
Mild dilatation of ventricles.
Diagnosis -weakness and relaxation of lower part of muscles.
Lower part has suddenly stopped developing at age of 6-7 months. Invertion giving rise to distortion.
Analysis:
Psora- A/F anticipation
Sycosis-as she would talk and shares feelings with her child when he was in womb.
Pathology-sycosis-less of elasticity
Syphilis-distortion
Remedy given- nat mur 200-1
Rubrics- 1. Relaxation of lower limbs
2. Delusion neglected he is
Other points covered-
Sensitive to rays of sun
Hot + thirsty
Sensitive
Timid
Consolation agg
Attachment-mother
Brooder
Follow up-
2.5.08
Fever 102-103. Yellowish expectoration. Dullness with weakness. Standing is better
Sl
16.9.08
Can stand on his own for 50 counts.gastric problem better.
Sl
8.12.08
Started walking with support. Fears increased-fear of water,fear of falling,fear of heights.
Sl
13.4.09
Fear better. Gets up from sitting position.walking better.
Sl
19.5.09
Started walking few steps without support. Little bending of knee. Generals better.
Sl
7.9.09
Walks from 1 room to other without support. Knee bending,keeps right leg in outward position.
Sl
26.4.11
Enthusiastic in walking but had taken physiotherapy because of which legs are better but back muscles weak.
Nat mur 50 m-1p