case study on osteoarthritis

1. z
FACULTY OF HOMOEOPATHIC SCIENCE
CASE PRESENATION ON
OSTEOARTHRITIS
JAYOTI VIDYAPEETH
WOMEN'S UNIVERSITY
PRESENTED BY- PRIYANSHI SHARMA

2. z
PERSONAL DATA
NAME OF THE PATIENT: PQRS AGE/SEX: 20/F
RELIGION: HINDU NATIONALITY: INDIAN
MARITAL STATUS: UNMARRIED OCCUPATION: STUDENT
ADDRESS: JVWU TELEPHONE NO: 8945523645

3. z
PRESENTING COMPLAINTS-
PAIN IN LUMBAR REGION SINCE 1 YEAR
LOCATION: LUMBAR REGION
DURATION: 1YEAR
SENSATION: THROBBING TYPE OF PAIN
MODALITIES: < AFTER EXERCISE, SITTING, BENDING FORWARD
> SATNDING, MOTION

4. zPRESENTING COMPLAINT
(IN CHRONOLOGICAL ORDER WITH
DURATION)
 PAIN IN LUMBAR REGION SINCE 1YEAR.
 PAIN IN KNEE JOINT SINCE 2-3YEAR AGO.
 VERTIGO SINCE 5YEAR.

5. zLOCATION,
EXTENSION,
DURATION,
FREQUENCY
SENSATION
(INCLUDING
PATOLOGY)
MODALITIES CONCOMITANT
• LOCATION:
LUMBAR REGION
• DURATION:
SINCE 1YRS
• THROBBING
PAIN
• < AFTER
EXERCISE,
SITTING, BENDING
FORWARD
• > STANDING,
MOTION
-
• LOCATION: KNEE
JOINT( BOTH SIDE)
• DURATION:
SINCE 2-3YRS AGO
• SWELLING
PRESENT IN
KNEE JOINT
• CRACKLING
SOUND DURING
MOTION
• < STANDING,
MOTION
• > SITTING
-
• LOCATION: HEAD
• DURATION:
SINCE 5YRS
• VERTIGO
• DARKNESS IN
FRONT OF THE
EYES
• < AWAKE, AFTER
EATING SPICY
FOOD
-

6. z
HISTORY OF PRESENT ILLNESS-
 A FEMALE PATIENT AGE OF 20 YRS CAME TO THE OPD WITH COMPLAINT OF
PAIN IN LUMBAR REGION, HER PAIN STARTED AFTER EXERCISE SINCE 1YRS,
SHE USED TO TAKE ALLOPATHIC TREATMENT AND USED TO HAVE OINTMENT
WITH IT, SHE GET TEMPRORY RELIEF, THROBBING TYPE OF PAIN AND HER
PAIN < AFTER EXERCISE, SITTING, BENDING FORWAR, > SATNDING, MOTION.
 SHE HAVE COMPLAINT OF PAIN IN KNEE JOINT. PAIN START 9YRS AGO IN
WINTER SEASON, WHENEVER PATIENT STAND FOR LONG TIME SWELLING
ARISES IN KNEE JOINT, WHEN SHE DOES MOTION CRACKLING SOUND
APPEARS, SHE TOOK AYURVEDIC TREATMENT AFTER SHE GET TEMPRORY
RELIEF. PAIN REAPPEARS 2-3 YRS AGO, PAIN IS SEVER SWELLING PRESENT
IN AFFECTED SIDE, PAIN IS AGGRAVATED BY STANDING, MOTION AND
AMELIORATED BY SITTING.
 SHE ALSO HAVE COMPLAINT OF VERTIGO SINCE 5YRS , AGGRAVATED BY
AWAKE, EATING SPICY FOOD.

7. z
PAST HISTORY-
DISEASE /
OPERATION /
INJURY ETC.
AGE / YAER TREATMENT
TAKEN
OUTCOME
PNEUMONIA 18YRS OF AGE ALLOPATHIC RELIEF
OPERATION: EYE 3YRS OF AGE RELIEF

8. z
FAMILY HISTORY-
RELATION ALIVE / DEAD (WITH AGE) SUFFERING FROM
FATHER ALIVE HEALTHY
MOTHER ALIVE HYPERTENSION
BROTHER 1 BROTHER (ALIVE) HEALTHY
SISTER - -
GRANDFATHER ALIVE B.P. LOW
GRANDMOTHER ALIVE HEALTHY
CHILDREN - -

9. z
PERSONAL HISTORY-
 DIET AND FOOD HABITS: VEG. REGULAR
 HOBBIES: PAINTING
 VACCINATION HISTORY: ALL DONE AT PROPER TIME
 CHILDHOOD HISTORY: N/S
 EDUCATION: Bsc Bed
 RELIGIOUS HISTORY: N/S
 TRAVEL HISTORY: N/S

10. z
GYNAECOLOGICAL HISTORY-
 AGE OF MENARCHE: 12YRS OF AGE
 LAST MENSTRUAL PERIOD: 19 AUG. 2019
REGULARITY QUANTITY CONSISTE
NCY
COLOR ODOR CHARACT
ER
COMPLAIN
T BEFORE,
AFTER, &
DURING
REGULAR NORMAL CLOTTED BRIGHT
RED
NO ODOR BLAND TWO
WEEKS
BEFORE
PAIN IN
LOWER
ABDOMEN
DETAIL OF MENSTRUAL CYCLE-

11. z
ABNORMAL DISCHARGE PER VAGINA-
QUANTITY
&
CONSISTE
NCY
COLOR &
STAIN
ODOR ACRID /
BLAND
RELATION
WITH
MENSES
MODALITIE
S
CONCOMIT
ANT
PROFUSE WHITE &
NO STAIN
NO ODOR BLAND BEFORE
MENSES
< AFTER
MENSES

12. z
PHYSICAL GENERAL-
 CONSTITUTION: TALL, FAIR COMPLEXION
 APPETITE: 2TIME/DAY, CHAPATI- 3, VEG- 1BOWL
 THIRST: 1LIT/DAY, TAKEN IN SIP, COLD WATER PREFER
 FOOD:
AILMENTS FROM- N/S
AGGRAVATION- ARBHI
AMELIORATION- N/S
AVERSION- BITTER GOURD
CRAVING- SWEET

13. z
CONTINUE...
 STOOL: ONCE/DAY, REGULAR, UNSATISFACTORY, SOFT,
STRAINING
 URINE: NO BURNING, NO ODOR, DAY-3-4TIME, NIGHT-1TIME
 SWEAT: FOREHEAD, AXILLA, OFFENSIVE, NO YELLOW STAIN
 SLEEP: 8HRS/DAY, REFRESHED
 DREAMS: OF DEATH, DREAMS CAME WHEN PT. LYING ON
BACK
 THERMAL REACTION: HOT

14. z
MENTAL GENERALS-
 DOES NOT SHOW ANGER AND SUPPRESSES IT
 DURING ANGER HURT HER SELF
 HAVE NO PATIENCE FOR ANYTHING
 FEAR OF LOOSING NEAR ONE
 SHE TELLS HER TALES OPENLY TO ANYONE
 SHE IS CONSCIOUS FOR HER OWN IMAGE

15. z
PHYSICAL EXAMINATION:
A. GENERAL EXAMINATION-
CONSCIOUS / UNCONSCIOUS:
CONSCIOUS
HEIGHT: 5'7" WEIGHT: 68 KG
ANAEMIA: NOT PRESENT JAUNDICE: NOT FOUND
CYNOSIS: NOT FOUND OEDEMA: NOT FOUND
SKIN: HEALTHY NAILS: NO CLUBBING
GAIT: STEADY LYMPHADENOPATHY: NOT PALPABLE
BLOOD PRESSURE: 120/80 mm of Hg PULSE: 72/MIN
TEMPERATURE: 94.6 DEGREE
FAHRENHEIT
RESPIRATORY RATE: 16/MIN

16. z
B. SYSTEMIC EXAMINATION
LOCOMOTOR SYSTEM-
• INSPECTION: SWELLING PRESENT IN KNEE JOINT.
• PALPATION: PAIN SLIGHT ON BACK AND KNEE JOINT.
• PATIENT HAVE PROBLEM IN BACK WHILE BENDING
FORWARD, SITTING, AND RELIEVED BY MOTION, STANDING.
• ALSO HAVE PROBLEM IN KNEE JOINT WHILE MOTION,
STANDING AND RELIEVED BY SITTING.
• THERE IS CRCKLING SOUND DURING FLEXION AND
EXTENSION.

17. z
LABORATORY INVESTIGATION AND
FINDING-
ADVICE FOR: X-RAY OF BOTH KNEE JAOINT AP OR LATERAL
VIEW.
PROVISIONAL DIAGNOSIS: OSTEOARTHRITIS

18. z
ANALYSIS OF SYMPTOMS-
MENTAL GENERALS PHYSICAL GENERALS PARTICULAR
• DOES NOT SHOW ANGER
AND SUPPRESSES IT
• DURING ANGER HURT HER
SELF
• HAVE NO PATIENCE FOR
ANYTHING
• FEAR OF LOOSING NEAR
ONE
• SHE TELLS HER TALES
OPENLY TO ANYONE
• SHE IS CONSCIOUS FOR HER
OWN IMAGE
• THIRST: 1LIT/DAY, TAKE IN SIP
• AGGRAVATION: ARBHI
• AVERSION: BITTER GOURD
• CRAVING: SWEET
• DREAMS: OF DEATH, DREAMS
CAME WHEN PATIENT LYING
ON BACK
• PAIN IN LUMBAR
REGION SINCE 1YRS
THROBBING TYPE OF PAIN
< AFTER EXERCISE, SITTING,
BENDING FORWARD
> STANDING, MOTION
• PAIN IN KNEE JOINT
(BOTH SIDE) SINCE 9YRS
SWELLING IN KNEE JOINT
CRACKLING SOUND DURING
MOTION
< MOTION, STANDING
> SITTING
• VERTIGO SINCE 7YRS
DARKNESS IN FRONT OF EYES
< AWAKE, SPICY FOOD

19. z
EVALUATION OF SYMPTOMS-
 DOES NOT SHOW ANGER AND SUPPRESSES IT.
 HAVE NO PATIENCE FOR ANYTHING
 THIRST: 1LIT/DAY, TAKE IN SIP
 CRAVING: SWEET
 DREAMS: OF DEATH
 PAIN IN LUMBAR REGION SINCE 1YRS
THROBBING TYPE OF PAIN
< AFTER EXERCISE, SITTING, BENDING FORWARD
> STANDING, MOTION

20. z
CONTINUE...
 PAIN IN KNEE JOINT(BOTH SIDE) SINCE 9YRS
SWELLING IN KNEE JOINT
CRACKLING SOUND DURING MOTION
< MOTION, STANDING
> SITTING
 VERTIGO SINCE 7YRS
DARKNESS IN FRONT OF EYES
< AWAKE, SPICY FOOD

21. z
REPERTORIZATION
 ACCORDING TO J.T. KENT'S REPERTORY

22. z
RUBRIC HUNTING-
 MIND-ANGER-SUPPRESSED-2
 MIND-IMPATIENCE-53
 STOMACH-DESIRE-SWEET-486
 STOMACH-THIRSTLESS-530
 BACK-PAIN-LUMBAR REGION, BENDING FORWARD-906
 BACK-PAIN-LUMBAR REGION- MOTION AMEL.-907
 EXTREMITIES-SWELLING-KNEE,PAINFUL-1200
 VERTIGO-MORNING-RISING ON-96

23. z
PROBABLE REMEDIES-
SEP-10/6
SULPHUR-10/5
LYC-12/5
PULS-12/5
RHUS-TOX-12/5

24. z
SELECTION OF MEDICINE-
RHUS TOX
SELECTION OF POTENCY AND DOSAGE-
200/STAT
PRESCRIPTION-
Rx
RHUS TOX 200/STAT