Case No. 3 Medical Emergency

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Case No. 3 Medical Emergency
25 YEAR / MALE RESIDING IN AN INDUSTRIAL
TOWN REPORTED IN THE OPD WITH PARENTS
BREATHLESSNESS SINCE ONE MONTH WITH SUDDEN
INCREASE SINCE 2 -3 DAYS WITH GIDDINESS, BLACKOUT
AND OCCIPITAL HEADACHE TAKEN ALLOPATHIC TREATMENT
WITH INHALERS BUT NOT BETTER - HENCE REPORTING
FOR HOMOEOPATHIC TREATMENT
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Case No. 3 Medical Emergency
History Sudden breathless since 2 days.
Breathlessness even at rest with orthopnoea.
Severe bouts of cough, with post tussive
Dyspnoea. Occipital headache, giddiness and black
outs. C/O started all of sudden 1 month back when
he was playing cricket. He experienced sudden
Dyspnoea which has been progressively increasing.
There are also long bouts of cough lt night with
occipital headache, giddiness and blackout.
Cough lt lying down, has to sit up. There is
scanty thick yellow expectoration with stickiness
in mouth.
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Case No. 3 Medical Emergency
O/E Patient tachypnoeic while talking Pulse
80/min BP 110/70 mm of hg. RR 56/ min Short
shallow respiration No pallor / cyanosis /
clubbing CVS S1, S2 Normal RS Generalized air
entry poor with crepitation Bilateral basal
crepitation with fine wheeze. suprasternal
notching Flapping of alae nasi Accessory
muscles of respiration prominent P/A LoSo
SPO2 85
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Case No. 3 Medical Emergency
Investigation
Hb 14.4 TC 16,800 N 22 L 13 E 63 M
2 ESR 28
X-Ray chest Bilateral interstitial shadows
ECG within normal limit
Diagnosis Hypersensitive allergic interstitial
alveolitis
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Case No. 3 Medical Emergency
Totality
Occipital headache lt cough during Giddiness lt
Dyspnoea during / cough during Dyspnoea lt lying
down Sit up must cough during Cough long
bouts Expectoration yellow sticky / scanty
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Case No. 3 Medical Emergency
Chronic totality
Sentimental never breaks relations Attachment to
family Responsible Image conscious Sincere Dreams
of death of relatives Death of self
PHYSICAL CH4 lt Hunger Craving sweets Wound
healing delayed
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Case No. 3 Medical Emergency
Susceptibility
Pace Moderate to Fast Pathology Structural
changes but reversible Sensitivity Moderate
to High Characteristic Present Correspondence
Adequate Dominant Miasm Tubercular
Prescription Kali. Bi 200 cautious repetition
followed by frequent repetition
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Case No. 3 Medical Emergency
Criteria

• Sleep / Stickiness in mouth
• Giddiness / Weakness
• Imbalance while walking
• Dyspnoea while talking
• Dyspnoea on walking / Orthopnoea
• Cough bouts I / F
• Headache during cough
• Chest pain during cough / Sputum
• O/E RR
• Chest examination
• SPO2

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Case No. 3 Medical Emergency
Kali. Bi 200
Kali Bi. 1M
Tub
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Case No. 3 Medical Emergency
After 24 hrs Subjective distress better SPO2
91 After 48 hrs Patient able to walk SPO2
94 After 4 days Patient able to climb up and
down stairs without Dyspnoea SPO2
97 After 10 days SPO2 99