CASE STUDIES

Vijay Laxmi Sharma
Age 24

A 24 years old female presented with complaints of 2.5 months Amenorrheaalong with severe pain abdomen, on 27/12/19.

Pain abdomen < standing.

Pain abdomen > lying on abdomen

>warm application some time

Pain abdomen > by pressure of hands & bending forward.

Cough – Dry, always comes in 2 paroxysm.

H/O Menstruation frequent & irregular, profuse for 6 months before conception, lasting for 3-4 days.

Leucorrhoea – N/S

Obstetric History – G2P3A0, 2 normal delivery January 2017 & August 2018

Past History – N/S

Family history – N/S

Mind-

Shy, while conversation not making eye to eye contact.

Weeping disposition, cried while narrating symptom of pain.

Stress of family

Lack of confidence

Generals-

Appetite – Decreased since conception

Thirst – Decreased

Stool – N/S

Urine –N/S

Desire – Salt, Sweet

Aversion – N/S

Sleep – Sound, refreshed.

Dreams – N/S

Thermal reaction – Hot

Perspiration – Profuse

Investigations-

USG – dated 27/12/19

Investigations-

USG – dated 27/12/19

S/O Single intrauterine embryo of approx. 11.2 weeks of gestational age in mobile position.

A well-defined cyst 44*39 mm seen in left side of uterus, no internal echo / septa seen.

Prescription –

Ist Visit – 27/12/2019

1.Pulsatilla 200 – 2 doses

2.PL – TDS

3.Rubrum 30 – BD

IInd Visit – 12/01/2020

Patient felt better

Pain abdomen relieved

No Cough

1.Placebo – 2 doses

2.PL – TDS

3.Rubrum 30 – BD

IIIrd Visit – 21/01/2020

Patient came withacute severe pain, same like earlier she had, she was crying due to pain modalities were same as in earlier episodes but she was feeling nausea too.

SoPulsatilla200 – 2 stat dose were given.

No relief were there after around one hour, so symptomatically indicated acute medicine was prescribed.

1. Colocynth 30 – 2 doses

2.Rubrum 30 –in every 10 minutes.

Pain totally went away within 30 minutes after 2^nd medication and was advised to continue previousmedication.

IV Visit – 27/01/2020

Patient felt better

Pain abdomen relieved.

No Cough

1. Placebo – 2 doses

2. PL – TDS

3. Rubrum 30 – BD

V Visit – 16/02/2020

Patient felt better

Pain abdomen relieved, no episode in last 15 days.

No Cough

1.Placebo – 2 doses

2.PL – TDS

3.Rubrum 30 – BD

VI Visit – 06/03/2020

Patient felt better

No Pain abdomen

No Cough

USG – dated 06/03/2020

S/O Gravid uterus with no adnexal mass.

No medication was given.

— Recently patient normally delivered a healthy Baby Boy.