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Thursday, April 10, 2014
Tuesday, February 18, 2014
A CASE OF KIDNEY STONE IN A SMALL GIRL
BABY S, AGE 3 YRS,
PRESENTED WITH KIDNEY STONE.
ON 21-9-2013.
USG REPORT DATED 7-9-13 SAYS-
4.3 MM STONE IN RIGHT KIDNEY AT UPPER POLE.
URINE REPORT-RBCs FULL FIELD/HPF, PUS CELLS 4-6/HPF
THERE ARE FREQUENT EPISODES OF FEVER WITH URINE INFECTION.
ALSO COMPLAINED OF CONSTIPATION -HARD STOOL, USE TO MISS DAYS IN WEEK WITHOUT PASSING STOOL.
REC COLD-
GRAND FATHER(P) ALSO SUFFERED FROM KIDNEY STONES.
FIRST PRESCRIPTION-ON 21-9-13
===1 MONTH TREAT MENT PLAN==
NEXT PRESCRIPTION-ON 23-10-13
HAD COLD COUGH-SOME ALLOPATHIC MEDICINES GIVEN FOR 2 DAYS.
MEDICINES REPEATED ===1 MONTH TREAT MENT PLAN==
NEXT PRESCRIPTION-ON 29-11-13
NO FEEDBACK
MEDICINES REPEATED ===1 MONTH TREAT MENT PLAN==
NEXT PRESCRIPTION-ON 24-12-13
FEEDBACK-STOOL REGULAR FOR LAST 2 MONTHS.
USG REPORT -DATED 22-12-13
NO KIDNEY STONES.
===1 MONTH TREAT MENT PLAN==
AND ASKED TO WAIT AND WATCH AFTER THIS COURSE.
PRESENTED WITH KIDNEY STONE.
ON 21-9-2013.
USG REPORT DATED 7-9-13 SAYS-
4.3 MM STONE IN RIGHT KIDNEY AT UPPER POLE.
URINE REPORT-RBCs FULL FIELD/HPF, PUS CELLS 4-6/HPF
THERE ARE FREQUENT EPISODES OF FEVER WITH URINE INFECTION.
ALSO COMPLAINED OF CONSTIPATION -HARD STOOL, USE TO MISS DAYS IN WEEK WITHOUT PASSING STOOL.
REC COLD-
GRAND FATHER(P) ALSO SUFFERED FROM KIDNEY STONES.
FIRST PRESCRIPTION-ON 21-9-13
===1 MONTH TREAT
NEXT PRESCRIPTION-ON 23-10-13
HAD COLD COUGH-SOME ALLOPATHIC MEDICINES GIVEN FOR 2 DAYS.
MEDICINES REPEATED ===1 MONTH TREAT
NEXT PRESCRIPTION-ON 29-11-13
NO FEEDBACK
MEDICINES REPEATED ===1 MONTH TREAT
NEXT PRESCRIPTION-ON 24-12-13
FEEDBACK-STOOL REGULAR FOR LAST 2 MONTHS.
USG REPORT -DATED 22-12-13
NO KIDNEY STONES.
===1 MONTH TREAT
AND ASKED TO WAIT AND WATCH AFTER THIS COURSE.
TREATMENT STOPPED AND ADVISED FOR A USG IN JUNE 2014
Saturday, February 15, 2014
A CASE OF ALLERGIC SPASMODIC COUGH WITH CHOKING
A FRIEND REFFERED HIS COUSIN ---DOCTOR(----) WORKING IN A REPUTED HOSPITAL.
DOCTOR(...) PRESENTED WITH----
FIRST VISIT-- 30-9-2013
DRY SPASMODIC (CONSRICTIVE AT THROAT) COUGH, DEVELOPED IN LAST 6 WEEKS. ANYTHING HOT AND SPICY CAUSING CHOKING
NON SMOKER.
FREQUENT HAWKING AND HEMMING.
TENSION INCREASES COUGH.
NO BREATHING DISTRESS BUT CHOKING SENSATION IS +++
FEELING WEEKNESS, TIRED.
PREFERS SALTY OVER SWEETS.
CBC-CT SCAN, ENDOSCOPY-NORMAL.
===1 MONTH TREATMENT PLAN== WAS PRESCRIBED.
SECOND VISIT--1-10-2013
FREQUENCY AND INTENSITY OF CHOKING HAS REDUCED.
===1 MONTH TREATMENT PLAN== REPEATED.
THIRD VISIT--4-11-2013
SYMPTOMS WORSENED AT DIWALI TIME(LOT OF SMOKE AND FUME).
OVERALL IMPROVEMENT 50%
MILD NASAL DISCHARGE.
WEAKNESS GONE.
===1 MONTH TREATMENT PLAN== REPEATED.
NEXT VISIT--2-1-2014.
OVERALL IMPROVEMENT 70-80 %
COLD 3-4 DAYS WITH MILD SORE THROAT. YELLOW MUCUS.
NO WEAKNESS.
ABLE TO TOLERATE HOT AND SPICY FOOD WITHOUT MUCH CHOKING.
===1 MONTH TREATMENT PLAN== REPEATED.
NEXT VISIT--15-2-2014.
OVERALL IMPROVEMENT 90 %
NO WEAKNESS.
NO SPASMODIC COUGH-NO CHOKING FEELING.
ABLE TO TOLERATE HOT AND SPICY FOOD WITHOUT MUCH CHOKING.
OCC MILD COUGH.
NO HAWKING AND HEMMING.
===1 MONTH TREATMENT PLAN== REPEATED.
DOCTOR(...) PRESENTED WITH----
FIRST VISIT-- 30-9-2013
DRY SPASMODIC (CONSRICTIVE AT THROAT) COUGH, DEVELOPED IN LAST 6 WEEKS. ANYTHING HOT AND SPICY CAUSING CHOKING
NON SMOKER.
FREQUENT HAWKING AND HEMMING.
TENSION INCREASES COUGH.
NO BREATHING DISTRESS BUT CHOKING SENSATION IS +++
FEELING WEEKNESS, TIRED.
PREFERS SALTY OVER SWEETS.
CBC-CT SCAN, ENDOSCOPY-NORMAL.
===1 MONTH TREATMENT PLAN== WAS PRESCRIBED.
SECOND VISIT--1-10-2013
FREQUENCY AND INTENSITY OF CHOKING HAS REDUCED.
===1 MONTH TREATMENT PLAN== REPEATED.
THIRD VISIT--4-11-2013
SYMPTOMS WORSENED AT DIWALI TIME(LOT OF SMOKE AND FUME).
OVERALL IMPROVEMENT 50%
MILD NASAL DISCHARGE.
WEAKNESS GONE.
===1 MONTH TREATMENT PLAN== REPEATED.
NEXT VISIT--2-1-2014.
OVERALL IMPROVEMENT 70-80 %
COLD 3-4 DAYS WITH MILD SORE THROAT. YELLOW MUCUS.
NO WEAKNESS.
ABLE TO TOLERATE HOT AND SPICY FOOD WITHOUT MUCH CHOKING.
===1 MONTH TREATMENT PLAN== REPEATED.
NEXT VISIT--15-2-2014.
OVERALL IMPROVEMENT 90 %
NO WEAKNESS.
NO SPASMODIC COUGH-NO CHOKING FEELING.
ABLE TO TOLERATE HOT AND SPICY FOOD WITHOUT MUCH CHOKING.
OCC MILD COUGH.
NO HAWKING AND HEMMING.
===1 MONTH TREATMENT PLAN== REPEATED.
Friday, February 7, 2014
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