Case Taking

Case Taking –

Define Case Taking • Describe in outline of CT of A disease , special precautions we observe during a case taking of one sided disease .

Definition • Case taking is an unique art of getting into conversation , observation & collecting information from pt as well as from bystanders to define the pt as a Person & the disease .

Outline for taking a case

1. The patient's story

2. Modalities as applied in foll. order • Cause • Prodrome , onset , pace , sequence , duration • Character , location , laterality , extension , & radiation of pain or sensation . • Concomitant & alternations • Agg & amelioration a) Time b) Temp & weather c) Bathing , local applications d) Rest & motion e) Position f) External stimuli g) Eating h) Thirst (frequency , quan , hot , cold , iced) i) Sleep j) menses k) sweat l) other discharges : Bleeding , coryza , vomitus , urine etc m) coition , masturbation n) Emotions o) Strange , rare & peculiar Symp

3. The patient as a whole • mental Generals • Physical Generals

Mental Generals • Will : love , hate , sensations • understanding : Delusions , delirium , hallucina • Intellect : memory , concentration , speaking • Quick review & condition of every system & organ • Past history of patient • Family history • Physical examination & lab test .

Physical Generals • Constitutional type of patient • Ailment from • menses , date of establishment , regularity • other disge , caused , colour , consistency • sleep , before or worse from , position in • Restlessness , weakness , trembling , chill • agg & amelioration

Objective Symptoms • Pathology & applies to the pt as a whole .

Special Precautions during CT of One Sided Disease • One sided diseases are those chronic dises & present with only one or two principal Symptoms , obscuring almost all others . • One should note that sometimes due to lack of observation on the part of the physician & as well as the pt , the dised is made one - sided . • Therefore , only after a careful examination of the pt this term may be applied with full discretion . • When a dises actually presents with few symp , the available Symp are to be taken into account for the selection of a remedy . • The changes after administration of this remedy should be observed carefully & in the subsequent visits of the pt if a further medicine should be selected based on the available totality . • In one sided case , the case taking does not end at one sitting but it requires detailed inquiry at each subsequent visit . • These successive re-examinations of the pt & successive administration of most Suitable Homeopathic remedies are to be continued till health is restored completely . • In fact , it is observed in practice that the individualized system of examination of pt suggested by Hahnemann is the most suitable method for knowing the constitution of a person with his miasmatic background . • In one-sided cases , treatment can be started with anti-miasmatic or constitutional medicines .