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1.4.2.1 CASE 1 MR B.Z. 50 YEARS OLD SUBACUTE GRANULOMATOUS THYROIDITIS DE QUERVAIN
ОглавлениеCASETAKING: Mr Z*. has always been healthy. He comes to see us due to a decline in his sporting performance. His current illness began six weeks ago with transitory pain in the right side of the neck, lasting a few days. Since then he has suffered from palpitations and outbreaks of sweating as well as an intractable, dry cough. He was forced to drop out of the Bern Grand Prix, a city run, which greatly upset him.
CLINICAL FINDINGS: General condition reduced, BMI 22.3 kg/m2 (rather thin), dark rings round the eyes. Blood pressure 130/80, pulse 72/min. Neck and throat normal, early mesosytolic click on cardiac auscultation, lung examination negative, abdominal wall soft, no hepatosplenomegaly, flow murmur in right lower abdomen. Peripheral pulse normal, cursory neurological status normal.
With the help of the Checklist for Acute Illness: Airways (see chapter 7.2) we identified the following symptoms:
• Warmth: worse p**
• Desire for open air p
• Heat with inclination to uncover p
• Quick pulse p
• Pressure external: worse p
• Tenderness to pressure of neck, right p
The repertorisation can proceed if the case has a minimum of five polar symptoms, since these together with the modalities constitute the distinctive and characteristic quality of the complaints, and are at the same time the most reliable symptoms for determining the remedy (see table 2). In this case we used the English version of the software Boenninghausen’s PB, edition 2000.8
Table 4: Repertorisation Demonstration Case 1, Patient B. Z.