A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

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A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar

Transcript of A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

Page 1: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

A  Case Of  Recurrent URTI &

Fever(Sebia)

Dr. Gajanan V. Dhanipkar

Page 2: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

The Case:

A girl of 3 yr 5 months

Complaint – Fever with

recurrent URTI

Page 3: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

During fever, her mother says that

“She is extremely

irritable and dull,

always lying in bed” 

Page 4: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

She can’t tolerate anybody coming near her or even touching her.

Page 5: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

She gets extremely angry if you ask

anything to her.

 She shrieks and kicks

if anybody approaches her or

calls her. 

Page 6: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

She wants many things.

She throws things when offered to

her.

She moans during fever.

Page 7: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

She wants her mother

to carry her and

walk in the room.

Page 8: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

Understanding of the Case

Page 9: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

What happens to her when she has fever?

She can’t tolerate anybody coming near her or even touching her.

She shrieks and kicks if anybody approaches her or even looks at her.

Page 10: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

The perception of the child:

as if being touched as if being hurt

Her reaction is to:

Kick back Yell

Abuse Shriek

Page 11: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

The patient is capricious till the time she finds relief.

The typical symptom which the mother tells is that

she is relieved only after

being carried and moving in the room

(carried, desires to be, very fast- KENT)

Page 12: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

Carried: desires to be: relief, yet it gives no (Complete)

Page 13: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

An infant wants the parent to carry him/her and walk very fast.

They accomplish this by non stop crying.

Page 14: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

This suggests

Typhoid Miasm It is reflected

in the intense struggle with the

desire to be carried or to

reach a position of total peace

or recovery.

Page 15: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

In elder children, the same state is reflected as crying, kicking and shrieking

continuously.

The perception of the child is that he will be injured if somebody approaches or

touches him.

Page 16: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

So she continues to shout, kick, shriek in an attempt to keep away the injury so that

she can get peace.

This struggle indicates Typhoid Miasm in elder

children and also in the above case.

Page 17: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.

So combining the theme of the

Compositae family

with

Typhoid Miasm indicates-

Chamomilla

which relieved the child.

Page 18: A Case Of Recurrent URTI & Fever (Sebia) Dr. Gajanan V. Dhanipkar.