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com - Dr SATHEESH KUMAR

03/13/10 1
M.D
 Rubrics
• MIND – IDIOCY – 53 (Kent)
• MIND – IDIOCY – 52 (Knerr)
• MIND – IDIOCY – 204 (Boger)
• MIND & DISPOSITION – IDIOCY- Vol – I 65 (Gentry)
• MIND – IDIOCY – 153 (Synthesis)
• CHILDREN – IDIOCY – 283 (Murphy)
• MIND – IDIOCY – 134 (Murphy)

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03/13/10 2
M.D
• MIND – IMBECILITY – 53 (Knerr)
• INTELLECT – IMBECILITY – 21 (TPB)
• MIND – IMBECILITY – 53 (Kent)
• MIND AND DISPOSITION – Imbecitity (68) Vol-I
• MIND – IMBECILITY – 207 (Boger)
• MIND – IMBECILITY – 153 (Synthesis)
• MIND – IMBECILITY – 1349 (Murphy)

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03/13/10 3
M.D
• MIND – MEMORY (WEAK) – 65 (Knerr)
• MIND – MEMORY, Weakness of – 64 (Kent)
• MIND & DISPOSITION –MEMORY Weakness of
– Vol –I 87
• MIND – MEMORY, Weakness of – 1371
(Murphy)
• MIND – MEMORY, Weakness of – 1371
(Murphy)
• MIND – MEMORY, Poor, weak, forgetful etc –
211 (Boger)
• MIND – INTELLECT – Memory weak – 22 TPB
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03/13/10 4
M.D
• MIND – Learning to speak – late in – 210 (Boger)
• MIND – Talking – slow- learning to talk – 247 (Synthes)
• CHILDREN – learning – Disabilities – 257 (Murphy)
•  
• EXTREMITIES – WALK late Learning to 1221 (Kent)
• LOWER EXTREMITIES – Walking learning slow in – 873
(Boger)
• MIND – Walking – Slowly and dignified, walks – 261
(Synthesis)
• Generals – Walking – Late learning to walk, children (801)
(Murphy)
• EXTREMITIES – Walking learning child will not stand, loses
flesh – 1668 (Knerr)
• EXTREMITIES – Walking – Learning – Difficult (668) Knerr

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03/13/10 5
M.D
• HEAD – OPEN Fontanelles – 132 (Kent)
• HEAD – Fontanelles – Open 298 (Synthesis)
• HEAD – Fontanelles – Sunken 298 (Synthesis)
• HEAD – EXTERNAL – Fontanells – Open 301
(Boger)
• CHILDREN – FONTENELLS – Open – 205 (Murphy)
• Head and scalp – Fontanelles – Lange open, head
large 200 (Gently)
• Head and scalp – Fontanelles – Open, in children
– 200 (Gentry)
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03/13/10 6
M.D
• TEETH – DENTITION, Difficult – 431 (Kent)
• TEETH – DENTITION, slow- 431 (Kent)
• TEETH – DENTITION, slow, diff etc. (BBCR) 420
• TEETH – DENTITION, Difficult – 552 (Knerr)
• TEETH – DENTITION, Slow – 553 (Knerr)
• TEETH – DENTITION, Diff teething – 1795
(Murphy)
• TEETH – DENTITION, slow - 680 (Synthesis)
•  

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03/13/10 7
M.D
• TEETH – Crawling – 419 (BBCR)
• MIND – Crawling on floor – 1296 (Murphy)
• CHILDREN – Crawles, Children crawles into corner house cries – 282
(Murphy)
• MIND – CRAWLING on floor – 17 (Kent)

• HEAD – Hold head up unable to -888 (Murphy)

• HEAD – Hold study unable to – 888 (Murphy)
• HEAD – Hold study unable to -309 (Synthesis)
• HEAD – Hold, up head unable to hold – 309 (Synthesis)
• HEAD & SCALP – Hold, inability to hold head erect Vol –I 215 Gentry
• HEAD – HOLD up head unable to – 127 (Kent)
• GENERALS – SITTING, inability to sit, erect – 789 (Murphy)
 
• GENERALS – STANDING, impossible – 791 – (Murphy)
• GENERALS – STANDING, impossible – 1874 (Synthesis)

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03/13/10 8
M.D
 CASES

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03/13/10 9
M.D
 www.similima.com - Dr SATHEESH KUMAR
03/13/10 10
M.D
Name of patient: Prasanth Age : 10 yrs Sex : Male

Final Diagnosis: M.R. Severe

PATIENT’S NARRATION PHYSICIANS OBSERVATION

Involuntary urination drop by drop Restlessness while sitting
while setting but during sleep and
walking no problem. He push other
and made them fall. He desire to
watch TV and listening music.
Itching at night ear followed by
discharge from Rt ear no offensive
sneezing with itch in nose

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03/13/10 11
M.D
PRESENTING COMPLAINTS

LOCATION SENSATION & MODALITIES =, <, > ACCOMPANIMENTS

( System, Organ, PATHOLOGY
Extension
Nose since 2 days Sneezing with < morning
watery coryza < 6 am – 7am

Urinary system Itching

since 6 years Involuntary
Urine passes drop < while sitting
by drop

Push other and

Mind made them fall
Stooping head
while walking

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03/13/10 12
M.D
HISTORY OF PRESENT ILLNESS
At 41 days ofter birth he had an attack of fever with
febrile convulsion. Now he had involuntary urination.
Took allopathic treatment
PERSONAL HISTORY
DEVELOPEMENTAL MILESTONES
Fontaellae closure : LateHead holding : Late
Crawling : Late teething : Late
Sitting : Late Standing: Late walking : Late
Talking : Late
Condition of mother during pregnancy : mental tension
(husband gone away from her)
Birth: Normal

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03/13/10 13
M.D
LIFE SPACE INVESTIGATION
This patient is the only child of his mother. His mother was
married at the age of 29 years. At that time her father age is 40
year. At 3rd month of pregnancy husband was separated from the
family. Mother was severely mentally tensed during the period of
pregnancy.
All his mile stones are deloayed. Only at the age of 3 yrs he
start to sit, stand and walk
At 41 day after birth he had febrile convulsion followed by
he had frequent attack of fever up to 5 years. He had itching in
right ear and discharge from the Rt ear.
Always walking and stooping.
PSYCHIC FEATURES
Easily angered. When angry he beet often and throws all the
things away

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03/13/10 14
M.D
Reactions to
Desire consolation, music, watching TV.
Generals
Urine involuntary drop by drop
Sweat profuse in head
PHYSICAL FEATURES
Aversion., cold food vegetables and sweets
.,covering., desires spicy food, fish, meat,
warm food.
Thermal ambi

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03/13/10 15
M.D
Evaluation of symptoms:
Push others
Desire music
Desire consolation
Easily angered and throws thing away
Desire fish
Desire spicy food
Aversion cold food
Aversion sweets
Profuse perspiration in head
Urine passes drop by drop <sitting>
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03/13/10 16
M.D
 Medicinal management:

Rx CALCAREA CARBONICUM 1M/1DOSE.

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03/13/10 17
M.D
 SINU 1.m p4

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03/13/10 18
M.D
 SINU 2.m p4

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03/13/10 19
M.D
 Name of the patient : Sinu Age : 33 Sex: Female
PRESENTING COMPLAINTS

LOCATION SENAION & MODALITIES ACCOMPANIMENTS

(system. Organ, PATHOLOGY =,<,>
extension)

General Fever Appetite decreased

Since 2 days Cough

Personal history
DEVELOPMENTAL MILESTONES:
Fontanellae closure :late Head holding : Late
Crawling : Late Teething: Late
Sitting : Late Standing : Late
Walking: Late Talking: late

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03/13/10 20
M.D
LIFE SPACE INVESTIGATION
Wants caring
Emaciation of body – while eating well
Date of Birth : 17-1-1974
Father & mother – died

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03/13/10 21
M.D
 PSYCHIC FEATURES
Desire Magnetised
GENERALS
Appetite: decreased
PHYSICAL FEATURES
Posture Round ‘C’ shape while lying and
sitting
Constant twisting & turning of body even
when she was alone
Laughing face
Grinning movement of face
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03/13/10 22
M.D
 Final Diagnosis: M.R. Severe

Medicinal management:

Rx AGARICUS MUSCARIUS 200/1DOSE.

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03/13/10 23
M.D
 Name: Aswini Age: 8 years Sex: Female child
Diagnosis: Delayed milestone with right side migraine
Presenting complaints:

Location Sensation Modalities Accompaniments

Head right side Pain <while coughing

Abdomen Pain <while coughing

<while vomiting

Past history:
15 days after birth – operation was done
2years – operation – V-P shunt on left side.

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03/13/10 24
M.D
 Developmental milestones:

Events Early Normal Late

Fontanellae closure
Late

Head holding Late after 1 ½ yrs

Crawling Late

Teething Late after 1 ½ yrs

Sitting Late

Standing Late

Walking Late

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03/13/10 25
M.D
• Mind: Affectionate, always wants to carry,
weeping when she is alone.
• Regionals: Sweat increase on forehead

Systemic examination:
• Central nervous system:
• Speech slightly altered, hearing normal, touch
normal, taste normal, orientation normal.
Reaction too: Desires milk, aversion meat.
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03/13/10 26
M.D
 Medicinal management:
Rx CALCAREA CARBONICUM 1M/1DOSE.
Basis of selection:
• Head pain on coughing
• Hydrocephalus,
• Delayed milestone development.

16/08/2007
• Walking slightly better,
• Upper extremities hand is active, before medicine her hand was not used.
• Rx Calcarea Carbonicum 1M/1Dose
15/04/2008
• Walking with support of others, stammering speech better
• Rx Calcarea Carbonicum 10M/1Dose
11/08/2008
• Trying to walk with support, raising from bed without support
• Rx Calcarea Carbonicum 50M/1Dose

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03/13/10 27
M.D
 Name: Amikson Age: 2 ½years Sex: male child
Diagnosis: Delayed milestone
Presenting complaints:

Location Sensation Modalities Accompaniments

Memory weak,
General not able to walk or
stand. He wants
support to stand.
Only repeat what
others saying

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03/13/10 28
M.D
 Events Early Normal Late
Fontanellae
closure Late

Head holding Late 8 months

Crawling Late

Teething Late

Sitting Late

Standing Late

Walking Late

Talking Late

Smiling
03/13/10
www.similima.com - Dr SATHEESH KUMAR 5 months 29
M.D
Behavioral activities: slow, not able to answer,
affectionate.
Reaction too:
• Desire air, egg. Aversion covering.
 
23/08/2007
Rx Calcarea Carbonicum 1M/1Dose
14/11/2007
• Learning difficult, irritability, head sweat profuse
• Rx Calcarea Carbonicum 1M/1Dose.
11/12/2007
• Complaints became better.
• Rx Calcarea Carbonicum 1M/1Dose.
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03/13/10 30
M.D
 Thank you
The journey continues.....
03/13/10
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M.D
31