Oct 2013|Vol 10|Iss10

   
 
Case
 
   
A Case of Pleural Effusion
 

 

Dr.S.Ilango, MD(hom)
Siva Homoeo Clinic
No.1143, East Main Street
Kalyani Complex, Thanjavur-613001.
Email- sivaclinic@yahoo.com

 
 
 

A male aged 55 years presented the following present complaints
• Pain in the left side of chest since 20 days
• Pain < on exertion, if cough or if take long breathe.
• Pain comes and goes suddenly
• Pain < lying on left side.

       Initially appetite was reduced before this pain starts. Initially suspected Jaundice and took siddha treatment. I advised to check serum bilirubin, found normal.

Meanwhile had Giddiness and fallen down once, had palpitation and nausea. Routine examination revealed pleural effusion

Past history

At 27yrs – mumps both side>trad treatment
At 54yrs – from that recurrent cold attacks> treatment

Family history

Father – died when I was 3 months old
Mother – 12 yrs back
Siblings – 1 elder brother and 2 elder sister
Married at the age of 27 yrs. Having 1 son and 1 daughter
First son 28yrs old got married agriculture work
Second son 26yrs old married settled in seerkali.

Physical Generals

Thermal
       Needs thin bed sheet in winter
       Aversion to fan in winter
       In rain I can’t bear shivering - CHILLY

Appetite – reduced can’t able to bear hunger
Thirst – around 500ml once summer 4-5 times /day
Winter – 2-3times/day - THIRST LESS
Craving – spicy foods, non veg, Now desire warm food

Eliminations
Stool – Regular
Urine – Regular
Perspiration – head, occipit, back. Sweat – moderate. Not offensive

Sleep
       Sound sleep from 10pm – 4am. After waking feels freshness.
       Position – lying on right side

Sensitivity
       He could not go in crowd Since two years , feel increased sweating increased palpitation

Memory
       He forgets often the key

Mind
       Illiterate didn’t go to school itself. My father died in my 3 months itself then family situation I can’t able to continue my studies. No one encouraged for studies. My mother only taken care of us from 10yrs started to go for work I did field work earned and give to mother. My brothers also like that only we use to give money to my mother only she use to manage all. With all our earnings did sister’s marriage.

       Basically I won’t talk much to others. I use to be silent only what is there to talk to others. I won’t go for fight or quarrel. I use to do my work between brothers there won’t be any problem. After marriage all settled separately earned and bought lands my mother with me only.

       My wife use to take care of all financial matters. She use to scold me that I am spending lavishly like that I use to spend lavishly always if others ask I can’t say no for anyone to all I use to help for others if they didn’t give back also I don’t compel and ask that. If I didn’t have I use to ask from others and do that help.

       I worried for my sister’s death last 1 month she suffered from illness I worried about her. Now I feel more that I might get any major illness like that. If go to any long distance nowadays fear I am getting giddy if go in crowd so I try to avoid going out if needed call anyone with me and go out.

Wife’s history

       Though well or not he use to go to field regularly. He is not too fast in his activities. He won’t expect others should do his work like that he himself use to do all work now also going for work regularly.

       After marriage nuclear family from starting. Mother in law with me only I use to decide all in home. He won’t interfere in all those things. If I say he uses to accept that and go.

       After marriage I am taking care of the family before his parents taken care of the family. He don’t know anything much, don’t go near anywhere if any function nearby I use to go with him.

       He won’t talk much with others go to field then come back even don’t show much interest in T.V also money he use to spend lavishly. So only problem now he has more fear about health if major illness what I can do no one is taking care of him like that he use to say often.

On examination

Anemia - not pallor
Clubbing - no clubbing
Jaundice – not icteric
Cyanosis – no cyanosis
Lymphadenopathy – nil
Edema – nil
Pulse -74/ min, BP – 130/86, body weight-66.4kg

Totality of symptoms

From 10yrs started to go for work I did field work earned and give to mother.


CONSCIENTIOUS
Though he is well or not he use to go to field regularly. Now also he uses to go for work regularly.

DILIGENT
Basically I won’t talk much to others. I use to be silent only what is there to talk to others.

INTROVERTED
I use to spend lavishly always if others ask I can’t say no for anyone to all I use to help for others if they didn’t give back also I don’t compel and ask that. If I didn’t have I use to ask from others and do that help.


BENEVOLENCE
Now I feel more that I might get any major illness like that. If go to any long distance nowadays fear I am getting giddy if go in crowd so I try to avoid going out if needed call anyone with me and go out.


ANTICIPATION
He don’t know anything much, don’t go near anywhere if any function nearby I use to go with him.

TIMIDITY
- Pain comes and goes suddenly.
During giddy increased palpitation and nausea++


VERTIGO NAUSEA WITH
Forgets where I kept things often forgets the key, I use to keep things in the field and come home often.


MEMORY WEAKNESS WHAT HE HAD DONE JUST FOR
During giddy increased palpitation and nausea++

VERTIGO NAUSEA WITH


       CHILLY

                 THIRST LESS

First prescription                                   17.6.2013

R/x

       Silicea 200/1dose/3 Spoons

FOLLOW UP1                                          21.6.2013

Cough dry, Chest pain >++
Heaviness in chest left side mild
Giddiness>++
Appetite – good
Stool – regular: sleep – good
RX SL

Follow Up 2                                          2.7.2013

Heaviness in chest>++ No giddiness
Chest pain>++ Cough>
Appetite – improved
RX SL

Follow Up 3                                          9.7.2013

Appetite – improved
No chest pain
Stool – regular
RX SL