38 years old male
C/o :-
- Dry cough since 10-12 days.
- started after night driving on bike at highway road.
- aggravates at night while going to sleep.
- chronic complain of occasional headaches which also aggravates at night. very severe headache. can not bare slightest light. need to go in dark room, and sleep by putting head under pillow with firm pressure.
- workaholic. does over work to earn more and to live happy life!
- thirsty. desire for cold water.
- desire for draft of cold air even though it aggravates!
Does these details are enough to initiate treatment?
- If NO, what should be further questions / investigations?
- If YES, what should be further management?
please, give your expert opinions through comment(s)...
- This child lost her voice after a vehicle sounded horn too close to her ear for standing in the middle of the road.
- Before the incident she had begun to talk like a normal child.
- This happened two years back. she is now four years old.
- Always hilarity like seen in the picture.
- Her teachers say she is snatching other children's things and doesn't wants to give them back.
Does these details are enough to initiate treatment?
- If NO, what should be further questions / investigations?
- If YES, what should be further management?
please, give your expert opinions through comment(s)...
44 years old married female having 3 children.
C/o:-
- Swollen painful knees along with painful left ankle bone.
- Constant headache since two days, afternoon aggravation.
- Lassitude.
- Tonsils operated 10 years back.
- Bulging in centre of chest from gas inhaling etc but not from food.
- Mild diabetes but desire sweets.
- No good sleep, only dozing & unrefreshing. sleepy at 2.30 pm.
- Hot, wants fan.
- Menses early in 27 days.
- Likes lemon pickles, but not tamarind. likes curds, averse salt.
- Wakes at 4.30 or 5 am.
- Loss of sleep aggravates headache.
- Tastelessness and poor appetite.
- Bathes warm, drinks lukewarm water.
- General aversion to move.
- Thyroid stimulating hormone tested high (7.7 against the normal range of 0.3 to 5.5)
Does these details are enough to initiate treatment?
- If NO, what should be further questions / investigations?
- If YES, what should be further management?
please, give your expert opinions through comment(s)...
19 year engineering student girl
C/o:-
- Very delicate fair complexioned skin, contract with clothes, hand or even wearing a bindi on forehead immediately causes fine crop of itchy eruptions.
- Also complains frequent infection in genital region with itching.
- Frequent attacks of burning in urethra after urination.
- Frequent urination if drinks water but poor thirst.
- Menses in 30 days.
- Likes milk, salty foods, cool water. coffee is liked but drinks only occasionally.
- Stays in PG accommodation. Uses fan in PG. covers body but except the face.
Does these details are enough to initiate treatment?
- If NO, what should be further questions / investigations?
- If YES, what should be further management?
please, give your expert opinions through comment(s)...