Académique Documents
Professionnel Documents
Culture Documents
4 brief case
histories
1
Case 1 M56/63 fv 1981
REASON FOR VISIT
• He wanted to immigrate to Australia
to be with his sons but feared that he
would not manage the travel
actually, he could not manage the hour’s train
journey to London
4
OUTCOME
• Between his first and second visits he
had taken a course of antibiotics which
improved his symptoms greatly.
• He continued to improve rapidly
following dietary changes and
concurrent herbal medicine. He had
regained his confidence about going
out.
• Within 6 months he wrote to say that he
was shortly on his way to Australia.
5
Case 2 F36
REASON FOR VISIT
7
PAST HISTORY
NOT breast–fed. Inconsolable baby.
By 15 anorexic. Aspirin overdose @
16.
Benign Parotid tumour removed age
31 but also Radiotherapy
8
FAMILY
3rd of 3 maternal of 2 paternal
M “strapping”
F alcohol & tobacco in xs. Died of
stomach cancer following chronic peptic
ulceration.
15
PROGRESS 3
• March 2005 Relapse following
family discord.
• Appendicectomy following Crohns
stricture.
• swift return to health which she
ascribes to post–surgical herbal
medicine.
16
Case 4 M24
REASON FOR VISIT
• wanted to reduce griping pain
(especially at ileostomy site) and to
retard Stricture / Granuloma formation
for which he was awaiting surgery.
Frequent blockage by stricture.
17
HISTORY OF COMPLAINT
• Crohn’s diagnosed @ 13yo when his
weight dropped to 3 stone 10lbs
treated with predsol enemas, Methasalazine,
Azathioprine (no benefit), Metronidazole (aggravated
condition), Prednisolone 60mg; Fed with elemental by
naso–gastric tube.
•
GENERAL HEALTH
• Seasonal rhinitis June & July
Adult height 5’6’’
musculo-skeletal: “worried that he
might break”.