Contributed by Dr.Saji
Here is a case of a Muslim Female 13 yrs. with presenting complaint as : 1. Goitre, noticed since 1 yr. 2. Generalised weakness since 1 yr. . This is an example of a case with very few symptoms.
The Complaints started with generalised weakness and bloated appearance of the face one year back. Consulted an allopathic doctor who noticed some swelling of the thyroid gland and advised Blood and Urine R/E and TFT. Everything was within normal limits except serum TSH which was raised(21.15mIU/ml on 29/07/10). see image.
Took allopathic tablets from there onwards and the TSH value was 12.34mIU/ml on 10-09-10. Even after taking allopathic medicine for about one year, the TSH value was not within normal range.(6.39mIU/ml on 22/10/11.)
They came to me to inquire about the possibility of Homoeopathic medicines. No significant points in her history of presenting illness. There is a past history of Recurrent painful oral ulcers. No considerable General Symptoms was found. Regionals : Recurrent painful oral ulcers. Investigations before treatment : 22-10-11. TSH : 6.39 mIU/ml Investigation after treatment : 05/02/12. TSH : 3.99 mIU/ml.
Repertorial Rubrics Selected :
1. Neck; goiter; puberty, in
2. Mouth; ulcers; painful
3. Face, Bloated Repertorial
Result : Calc
Remaining symptoms :
1. Generalities; weakness; children, in ( as weakness at puberty is not available ) : Calc
2. Clinical; hypothyroidism : Calc