online clinic telecast 3rd december 9pm case of delayed milestone

[Dr.Naval Kumar]

Dear group first online case for study.
this patient u can see today 9 pm indian time.
Age 12 years
Sex: female
Address: G-2, Shamnagar
new delhi,india.

Presenting complaints:
-Slow learner- learnt to sit at the age of 3 years
-Obstinate/cries
-Anger-she bites, hits/strikes everyone
-Wants to play, playful
-Likes to arrange her things
-Unable to wear her clothes
-Never makes eye to eye contanct/ always talks or listens with her head low
or tilted to one or the other side

Past history
Rh incompatibility is there in her parents. Though the mother was given an
injection to antidote Rh incompatablity, yet the child developed jaundice
(very high bilirubin levels) leading to kernicterus.
Pneumonia 2 days after birth, was kept in an incubator for 15 days and was
given allopathic medication.

Family history: She has 2 elder sisters. Both are normal.

Menstrual history: Menses not yet started

Personal history:
Desires- not particular. Eats everything.
Aversion: none
Appetite: normal
Thirst: normal
Sleep: normal
Urine- normal
Stool- normal
Perspiration: Absent. Body always remains cold.

Mind: Loves good music , dances on certain tunes. Anger when refused
anything she likes. She hits/ strikes/ bites. Throws things at others. She
is very obstinate and headstrong.

After case study , the patient was given single dose of a remedy followed
by sac lac.
Changes after seven days of the remedy:
1. Her mental agitation reduced to some extent.
2. While crying, she never produced tears. This week for the first time in
12 years, she had tears in her eyes.
3. The child never had any kind of discharge either from her nose or her
mouth. Again, for the first time in her life, she produced profuse
quantities of yellowish discharge from her nose.
4. She has become playful. Likes to play badminton/ bat and ball.
Still on placebo for 15 days.

Questions
1. What remedy would you prescribe for the above case?
2. What is your assessment of the changes after the first prescription?
3. What will be your follow up?

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