case

1
case
2
Preliminary data

• Name VR
• gender-female
• Age-7 years,education-2 std convent school
• South indian brahmin 

3
complaints
4
Physical generals

• Hunger-1130am hungry, has lunch
• Cr-sweets,eggs,ice,ice cream
• Av-spicy
• Perspiration- palms, soles, all over
• Foot sweat offensive,itching
• Thermals chilly patient
• Milestones-normal
• Vaccinations-uneventful
• Nails-white spots
• Bowels-suppresses the urge to pass stools
• Bladder-occ burning, occ itching.
• Sleep-talking,salivation, weeps, laugh

5
Mentals

• A 7 yr old wheatish complexioned, plump female
  the only child of her physically challenged
  parents.
• she is very attached to Mother. She does not have
  the initiative of her own to do anything even a
  bath. Needs a constant push from mother ,say she
  wishes to be a captain in school or get a rank in
  exams if it is coupled by moms encouragement she
  succeeds in same.
• She is obedient to mothers instructions. Father
  is a pessimistic doesn't give her the
  encouragement she needs.
• She is dominating,tries to get her work done
  from Friends. Has clashes with friends due to
  difference with their Ideologies. Never cries in
  front of her friends ,though argues with them,
  will come home if she feels her terms are not met

6

• she keeps to her promises and is strong willed,
  say she decides to be captain of her class or
  promises mom to get a rank she will get it .
• She has this sudden exuberance of increased
  confidence oscillating with sudden loss of
  confidence.
• In school she heads her class as Captain. Has
  anxiety before stage performance though able to
  deliver the performance ok.
• Is a ranker in class ,gets Scholarship. She is
  smart, judges the situation before making a first
  move thus never the first one when knows
  plausibility of scolding. Loves traveling,
  shopping .likes dressing up and Cosmetics. She is
  messy with her food.

7

• she gets angry when someone teases her about her
  parents.when angry sits quietly and wont make the
  initiative to talk,but anger short lasting.she
  takes her own time to mix with strangers,say
  about half a day

8
Mother

• Mother was already under treatment and better,
  because of which she started treatment for her
  daughter.
• Mother is physically challenged(rt hand,
  congenital deformity) and under treatment for
  diabetes mellitus, thyroid, vitiligo ( since age
  3).
• Mother has high self esteem, contemptous and
  haughty, and dominates her husband.

9
Totality

• Obedient, sincere
• Image conscious
• Assertive
• Want of support
• Cr-sweets,eggs,ice,ice cream
• Av-spicy
• Perspiration-palms, soles, all over
• Foot sweat offensive,itching
• Thermals chilly patient
• Nails-white spots
• Bowels-suppresses the urge to pass stools
• Stools-initial part hard (strain), receding
  stools
• Sleep-talking,salivation, weeps, laugh

10
Follow up

• Patient was better
• Itching and peeling palms reduced
• Stools-constipation better