CLINICO-SOCIAL CASE STUDY

1
CLINICO-SOCIAL CASE STUDY
Conducted by Somnath Das Somnath S Kumar Sonia
Abraham Soumia S Sreedev T S Sreekanth R
2
I. PERSONAL HISTORY

• Name Bismi
• Age 1 yrs
• Sex Female
• Religion Muslim
• House No 317
• Ward No IV
• Panchayat Sreekaryam

3
II. FAMILY HISTORY
Type of family Extended
NAME AGE RELATION WITH HEAD OCCUPATION INCOME
Thampykunje 71 Head Retired Lab Asst 4000
Fathima 55 Wife Housewife -
Babu Khan 40 Son Mechanic (Gulf) 7000
Nasia 28 Daughter-in-law Housewife -
Khanu 10 Grandson Student -
Bismi 1 Grand Daughter - -
Total family income per month Rs 13000
/- Economic Status Upper class
4
III. MEDICAL HISTORY

• Antenatal period
• Regular antenatal check up
• Mild hypertension during 3rd trimester diet
  control

5

• Birth
• Delivery- CS section at 39 wks and 3 day.
• Indication meconium stained liquor
• Place of delivery Pvt. Hospital, Pongumoodu.
• No congenital deformity or any complications
• Birth weight 2.9 kg
• Length 47cm Head circumference34cm.
• Apgar score 9 at 1 9 at 5
• Breast feeding started after 4 hrs.
• Discharged after 4 days.

6
Post natal period

• Weight
• 1 ½ months 4.9 kg
• 3 ½ months 7 kg
• 6 months 8.5 kg
• 1 year 10 kg
• Mile stones

7

• Immunisation
• Fully immunised for age.
• Weaning
• Started at 5th month using ragi, raw banana
  powder
• History of past illness
• 2-3 episodes of ARI during the first year.
• No h/o of any hospitalisation

8
DIET
1. BREAKFAST
ITEM FOOD GRP. DRY WT. ENERGY(kCal) PROTIEN (gm)
Puttu Rice 20 gm 69 1.2
Puttu Coconut 2 gm 8.8 0.09
Curry Pulse 15 gm 54 9
Total Total Total 131.8 4.29
2. SNACK AT 1030 AM
ITEM FOOD GRP. DRY WT. ENERGY(kCal) PROTIEN (gm)
Milk Milk 75ml 52.5 2.4
Milk sugar 5 gm 20 -
Biscuit 12.5 gm 55.75 0.89
Total Total Total 128.25 3.29
9
3. LUNCH
ITEM FOOD GRP. DRY WT. ENERGY (kCal) PROTIEN (gm)
Rice Rice 45gm 155.25 2.7
Parippu curry Bengal gram 10 gm 36.5 1.7
Ghee Ghee 5 ml 45 -
Fish fry Fish 20 gm 20 4.325
Total Total Total 256.75 8.725
10
4. SNACK AT 400 PM
ITEM FOOD GRP. DRY WT. ENERGY (kCal) PROTIEN (gm)
Vada Black gram 20 gm 69.4 4.8
Vada Oil 2 ml 18 -
Tea Milk 25 ml 17.5 0.8
Tea Sugar 8 gm 32 -
Total Total Total 136.9 5.6
11
5 .DINNER
ITEM FOOD GRP. DRY WT. ENERGY(kCal) PROTIEN (gm)
Rice Rice 45 gm 155.25 2.7
Cabbage thoran Cabbage 10 gm 2.6 0.18
Cabbage thoran Coconut 2 gm 8.8 0.09
Mooru Curd 20 gm 12 0.62
Total Total Total 178.65 3.59
6. BED TIME AT 10 PM
ITEM FOOD GRP. DRY WT. ENERGY (kCal) PROTIEN (gm)
Ragi Ragi 30 gm 103.5 2.04
Ragi Milk 20 ml 14 0.64
Total Total Total 117.5 2.68
12
7. BREAST FEEDING
ITEM FOOD GRP. DRY WT. ENERGY (kCal) PROTIEN (gm)
Breast milk Human milk 300ml 210 3.6
Total Total Total 201 3.6
Total Energy 1159. 85 Kcal Total Protein 31.8
gm
Daily requirement at this age Energy 1240
Kcal Protein 21 gm
13
IV. MEDICAL EXAMINATION

• Ht 77cms
• Wt 10kg
• MAC 14.5cm
• HC 46cm
• Systemic examination NAD
• Personal hygiene

14
V. GENERAL

• Well aware of health facilities.
• Grand mother diabetic and hypertensive for more
  than 20 yrs.

15
VI. SANITARY ASSESSMENT

• 3 bedroom pakka house with proper ventilation and
  lighting
• Adequate cleanliness
• Transport facility accessible
• No overcrowding
• Sanitary latrines present

16

• Kitchen
• Pakka flooring
• Fuel cooking gas and firewood
• Smoke outlet present
• Water source well
• Environmental sanitation adequate
• Waste disposal by dumping

17
Thank You