Слайд 3CASE
Trigeminal neuralgia
25/M
Слайд 4Presenting complaints
Trigeminal Neuralgia -Right side
Starts from- Right mandibular joint, with pain in
all over the head
Head temple pain is a lot since many years
Pain : Throbbing, pulsating
Agg: stress, cold, before thunderstorms
Amel: pressure, warm, rubbing
Слайд 5Ailments from
It was there always but after falling on floor it
had increased a lot
After that the pain is becoming unbearable
Слайд 6State of mind
Anger:
if someone doesn't listen to me
If people don't ask
me before doing anything
I get angry
I get headache, neuralgia when angry
Fear:
of alone
I feel very bad
I feel I am stuck from every where I feel suffocated
I want to get free
I am unable to breathe when alone
I have no one
Слайд 7Sensitive : if someone scolds or shout at me
Even if someone show
me eyes I become sensitive.
If someone doesn't like my things what I do
I have broken many things in past
I cannot take it if people become over to me I am little egoistic about my things
Слайд 8Dreams: of animal attacking me
Feeling: I am not able to shout I
am screaming but no one hearse
I didn't know what will happens
I feel guilty and keep blaming that it's
all because of my mistakes
I feel poor for myself
I feel helpless but I keep things to me
Wakes up with startle
Слайд 9Stressful situation
I was very attached to my father he left me
since childhood
He was everything for me but he never cared about me
He went to stay with someone else so I was very hurt
He didn't accept me ,he neglected me
I Feel very angry about it
Sometimes I Feel like doing Some things but I Didn't Do anything
Слайд 10Another stressful situations was when people at work didn't allow me to
wear the dress I Wanted to wear it hurt me so badly I felt crying but I didn't
It's still there in my mind I Will show them when time comes I Kept within myself
But generals I don't it hurt me a lot it was Like disrespect and Insult for me..
Слайд 11Childhood nature
introverted
Aggressive many times
Doesn't like to express
Used to stay within herself
Very egoistic
used to not go to anyone for anything
Hardly used to Talk to anyone
Слайд 12Physical generals
Thirstless
Desire: salty, ice cream,
Perspiration: Armpits
Thermals: chilly
Sleep: Refreshing
Position: abdomen, right side
Stool:
N
Urine: N
Слайд 15Follow up
Head pain 98% better
Feeling mentally very stable then before
Trigeminal neuralgia
pain is almost gone no single Episode of pain
state of mind
No old thoughts
Feeling much better
Stopped reacting to everything
Слайд 16Follow up after 45 days
No head pain
No neuralgic pain
Happy
Much better
Could do her
regular work
Can stay focused without pain
Слайд 17Present complaint
Presently there is itching on Palms
Eruptions
Itching ++
Agg: heat
Amel : when
occupied
State of mind
Good
Much better than before
Слайд 18Stress: Nothing now focused on work
Dreams: Nothing
P/g
Thirst : N
Sleep : Refreshing
Position: sidewise
Stool:
N
Urine: N
Thermals: Hot
Perspiration: Armpit, non offensive, not staining