Case History No 24 BACKACHE Past History: This is a typical case of a middle aged lady who suffered from recurrent backache whenever she did some extra exertion. Backache Backache usually refers to pain felt in the lower back. One may also have back stiffness, decreased movement of the lower back, and difficulty standing straight.  Acute back pain lasts…

Case History No 23 Diagnosis: A case of severe long standing allergy. History Patient had been having episodes of severe widespread allergic reaction all over her body. Doctors failed to pinpoint the exact cause or source of these episodes, which used to happen without any apparent reason. The patient, a middle aged lady had given up hope of…

Case History No 22 - Bronchiectasis Bronchiectasis is widening and destruction of the larger airways in our respiratory system. It is often caused by recurrent inflammation or infection of the airways. Living in dusty and smoky conditions may exacerbate the condition. Symptoms develop gradually, and may occur months or years after the event that causes the bronchiectasis. …

CASE HISTORY 20   NAME: Yamuna Date of Birth:  1955 SEX: Female COMPLAINTS & DURATION Insomnia for years. PREVIOUS TREATMENT: Different types of medication, traditional and herbal. PROGNOSIS:  POOR   DISCUSSION The salient feature of this case is: Severe and Chronic Insomnia. Insomnia is a symptom, not a disease. It is trouble falling asleep or staying asleep through the night. Most adults have experienced insomnia or sleeplessness at…

CASE HISTORY 19 NAME: Veronique Date of Birth:  1976. Aged 15 in 1991. SEX:  Female COMPLAINTS & DURATION: Rheumatic Heart Disease since the age of four. TREATMENT HISTORY: Monthly antibiotic injections (Penadur), for the past 11 years. INVESTIGATIONS: ECG Chest X-ray. Monthly Echography done at government hospital. DIAGNOSIS: Severe Rheumatic Disease with Mitral Stenosis. PROGNOSIS: The prognosis was not good because of the mitral stenosis. She had been affected at…

CASE HISTORY 18 NAME: Valie Date of Birth: 1935 SEX: Female COMPLAINTS & DURATION Feelings of loneliness, worry and depression PROGNOSIS:  Poor DISCUSSION The salient features of this case are: Loneliness Worry Depression   Loneliness Loneliness is a subjective experience. The person experiences a strong sense of emptiness and solitude resulting from inadequate levels of social relationships. Loneliness has…

CASE HISTORY 17 NAME: N. Sujun D.O.B:  06.11.1943 SEX: Male COMPLAINTS & DURATION Depression, with attacks of delusion. Alcoholism Cigarette addiction   PREVIOUS HISTORY: Teetotaler, non smoker.   TREATMENT: Under medication with private psychiatrist. PROGNOSIS: The prognosis in such cases is not favourable. Patient had some serious problem at work.  No longer able to cope with the situation he went into severe depression.  Several consultations and medication from psychiatrists brought no…

CASE HISTORY 16 NAME: Stella AGE: Early fifties at time of accident in 1992 SEX: Female COMPLAINTS & DURATION Motor vehicle accident PREVIOUS TREATMENT: Not significant PROGNOSIS: Poor. Guarded as far as future mobility was concerned. DISCUSSION The salient features of this case are: Multiple bone fractures: Fracture of right upper ramus, Fracture of right lower ramus, Fracture of left pubic bone,…

CASE HISTORY 15 Name:  Shyam DOB:      03.04.1958 Sex:       Male Occupation: Forest Officer Complaints and duration: January 1998: Numbness, inner aspect of upper limbs when performing certain movements. March 1998: Weakness at the level of both knees. Difficulty in walking.  Occasional shaking and trembling with weakness in lower limbs. May1998: Difficulty in climbing steps more while going down than climbing up.  Numbness right leg. …

CASE HISTORY 14 Name: Shobha Sex:     Female Occupation:     Clerical Officer Complaints and duration: Retention/Difficulty in passing urine, sometimes for more than 24 hours, on and off. Severe lower abdominal pain Depression Past History: Had been given some drugs or psychotropic substance by classmates at university. Hallucinations. Divorce within one year of marriage. Depression. Treatment History Consulted various doctors and psychiatrists. Prognosis The patient was in danger of getting renal…

CASE HISTORY 12 NAME: Ramila Date of Birth:  1946 SEX: Female COMPLAINTS Overweight Migraine and Headaches Pain all over Depression PREVIOUS TREATMENT: She had some medical treatment which gave her only temporary relief. PROGNOSIS: Prognosis for all complaints is poor.   DISCUSSION The salient features of this case are: Overweight. Migraine Fibromyalgia Depression   Overweight Overweight is…