New case on wikispaces

[Nader Moradi]

Hi,

we have new case in our free course on wikispaces.

you can join us through this link:

http://shahrdarcases.wikispaces.com/
The case is :

The patient is a 54 year old man with the complaint of frequent urination at night and terminal dribbling (after urination). Experiences this problem since 4 years ago; gradually increasing in intensity. Sonography of prostate shows hypertrophy of prostate. PSA is within normal limits. FBS and GTT are normal. He is recently diagnosed with hypertension and is taking Atenolol since2 months ago. Seems to be a reserved type of person during consultation (confirmed by his wife). A taciturn person who rarely gets angry. Nothing else is found in his mental aspects. He is a chilly type of person with medium weight. No specific medical history. Multiple warts are seen on fingers of both hands. Asking about them, he says that they recur after local treatments. He has them since studying at school coming and going. They are worse since about 3 years ago.
Dr. ArdavanShahrdar © 2011

For those who participate in discussions, Software of Repertorium Virosum will
be gifted for free.
You can get more information on Repertorium Virosum through this address:
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Kind Regards,
Dr Nader Moradi

[nm0021]

Hi,

we have new case in our free course on wikispaces.

you can join us through this link:

http://shahrdarcases.wikispaces.com/
The case is :

•The patient is a known case of epilepsy. A 32 year old man suffering from epileptic attacks since about 20 years ago. The epilepsy is resistant to anti-epileptic treatments and has never been fully controlled. The last medication which is being taken since 5 years ago is Depakene (Sodium Valporate) and has partially controlled the symptoms. The first attack happened when he was in school and with no apparent trigger, his head fell backward and then a generalized seizure happened. Then there was a severe opisthotonos, lockjaw, involuntary defecation and then unconsciousness after the attack. This pattern happened 1-2 times per week in the first years. By the first medications like Phenytoin (Dilantin), the severity and duration of the symptoms was reduced but the symptoms of opisthotonos, lockjaw and involuntary stool still persist.
•Although the severity of some symptoms is decreased in the recent years, a number of new symptoms are strengthening. A generalized trembling is seen in the patient. Hand trembles when he write. He feels weak and suffers from occasional blank-outs, problems in concentration and sometimes diplopia. MRI study of CNS reveals no pathological changes. EEG has been altered since first studies at the commencement of the problem. He is a depressed type of person. Rarely attends public communities. He could not finish his high school studies due low intellectual abilities. Recent blood tests are in normal range except showing a mild increase in liver enzymes (SGOP and SGPT).. They are worse since about 3 years ago.

Dr. ArdavanShahrdar © 2011

For those who participate in discussions, Software of Repertorium Virosum will
be gifted for free.
You can get more information on Repertorium Virosum through this address:
http://www.repertoriumvirosum.com/about.htm

Kind Regards,
Dr Nader Moradi

[drnadermoradi]

Hi,

we have new case in our free course on wikispaces.

you can join us through this link:

http://shahrdarcases.wikispaces.com/
The case is :

•The patient is a 22 year old woman in emergency room admitted to the hospital as she has ingested an known number of Chlordiazpoxide (Librium) tablets to commit suicide. She in a hysterical mental state, shouting and resisting treatment. Weeps and laughs alternatively. For some moments stares silently and then suddenly screams and enters the agitated mood. It seems that gradually she is getting sleepy. Her hands are trembling. It seems that she has vertigo and focus on motion, pulse is slow and getting slower. On eye examination nystagmus is observed. The medical treatments for gastric washing and critical care is going to begin. Her family members report recent death of her boyfriend.

Dr. Ardavan Shahrdar © 2011

For those who participate in discussions software of Repertorium Virosum will be gifted for free.
Kind Regards,
Dr Nader Moradi

[sanjay gupta]

in my opinion IGNATIA should b given

[Parvaneh Bagheri]

I think ign 1M can be match with the case,because of 2 reasons
first ailments from grief,and the second is resisting against treatment.

[drnadermoradi]

Hi,

we have new case in our free course on wikispaces.

you can join us through this link:

http://shahrdarcases.wikispaces.com/
The case is :

Case 22
•The patient is a 26 year old woman with diagnosis of Obsessive Compulsive Disorder (OCD). She suffers from mental obsessions like sexual fantasies which leads to a deep anxiety of conscience. Alongside the obsessions she has frequent amorous dreams which again leads to the same kind of anxiety. When anxiety is increased, she is compelled to repeatedly wash her hands and bathe for more than two hours. She is having this problem since 10 years ago. Asking about what happened prior to the onset of OCD, she reports a catastrophic event in her life; being deceived by a man and sexually abused. Asking about the type of emotions involved, she reports senses of being deceived, mortified and still expresses deep anger regarding the event.
She could not tell anyone about what happened as she felt humiliated and there was a deep feeling of guilt. While talking about her anger, she trembles. Asking about this apparent trembling she says that she has had it since the event. The onset of OCD symptoms was about 4-5 months after this psychological trauma. Clomipramine (Anafranil) failed to help her and at the time being she is under no medication.

Dr. Ardavan Shahrdar © 2011

For those who participate in discussions software of Repertorium Virosum will be gifted for free.
Kind Regards,
Dr Nader Moradi

[nm0021]

Hi,

we have new case in our free course on wikispaces.

you can join us through this link:

http://shahrdarcases.wikispaces.com/
The case is :

Case 23

•The patient is a 39 year old man with the complaint of episodes of generalized urticaria. Triggers sometimes seem to be some types of food like eggplants, spices and eggs and sometimes with no known specific factor. When it comes, first there are scattered regions but soon is seen all over the body. The duration of each attack is about 4-5 days and it happens 2-3 times per month. No specific sensation or modality is noted. The only valuable concomitant symptom is slight redness and burning of eyes (mild conjunctivitis) coming with most of urticaria attacks. The patient has no more specific mental or physical symptoms. Lab tests
are normal. Behaves normally and seems to be in subjectively and objectively mental health. He is a warm-blooded type of person.
Dr. ArdavanShahrdar © 2011

For those who participate in discussions software of Repertorium Virosum will be gifted for free.

Kind Regards,
Dr Nader Moradi

[Jeff Tikari gmail]

Cases like this are very often mentally induced/stress ?
Check the mental health - the remedy should lie there.
Dr. Jeff Tikari

[Nader Maradi]

Dear Jeff,

Why do you think that mental stree is responsible?

Rgds,
Nader
Sent from my iPad

[Jeff Tikari gmail]

In my experience I have found non-specific symptoms are often triggered by
mental stress. A lady patient I had who suffered from non related and random
ills was finally diagnosed with stress from her young child, of a previous
marriage, being bullied by other children in the joint family and she not being
able to defend him adequately because of her husband's attitude towards an
outside child. Staph given with long intervals resolved the case.
Dr. J Tikari