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Poisoning and Toxicology Emergency Case

Poisoning and Toxicology Emergency Case. 65/ FEMALE BROUGHT BY POLICE NO RELATIVES; TRIBAL LADY NO HOMOEOPATHIC ORIENTATION. APPEARED INTOXICATED, NOT IN HER SENSES AND FLACCID AND WEAK. WAS TRAVELING IN A TRAIN WHEN THIS SITUATION DEVELOPED. Poisoning and Toxicology Emergency Case.

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Poisoning and Toxicology Emergency Case

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  1. Poisoning and Toxicology Emergency Case 65/ FEMALE BROUGHT BY POLICE NO RELATIVES; TRIBAL LADY NO HOMOEOPATHIC ORIENTATION APPEARED INTOXICATED, NOT IN HER SENSES AND FLACCID AND WEAK. WAS TRAVELING IN A TRAIN WHEN THIS SITUATION DEVELOPED

  2. Poisoning and Toxicology Emergency Case History: Condition in Casualty Appearing like drunken, unable to stand by her own, altered sensorium, flaccid, hypotonic, Speaking in Hindi, repetitive talk . A tribal Marathi speaking not acquainted with Hindi She was given coconut water by stranger She took it like “PRASAD” No memory thereafter. Unconsciousness for few hours Found herself robbed. Found and taken to police station.

  3. Poisoning and Toxicology Emergency Case Examination General condition: Fair, Intoxicated Temp: 97OF Pulse: 100/Min. B.P: 100/70 mm of hg R.S & C.V.S: Normal CNS: Responding to oral commands Not oriented to person, time and place Loss of memory for the episode Delirious, Repetitive talk, Talking in the Hindi language Suspicion of being of poisoned Hypotonic, Flaccidity. Reflexes – Normal Pupils- dilated

  4. Poisoning and Toxicology Emergency Case ‘Dhatura’ Toxicology Most commonly used for poisoning as it grows in waste places all Over the India. Alkaloid of Dhatura powerfully stimulate the higher centers of the brain and exercise a paralyzing action on various nerves. Initial stimulation of various centers is followed by depression. ROAD POISON Grows on its own so easily accessible and cheap It can be mixed with food and drink It does not change the odor or taste Used mainly to dope travelers and people at pilgrimage for the purpose of robbery Patient is generally found in police station

  5. Poisoning and Toxicology Emergency Case TOTALITY OF CHARACTERISTICS – • A/F ? Dhatura poisoning • Speaks in a foreign language Brain – Sensorium & Nerves; Intoxication Hyper-excitability of Higher centre Paralysis of nerves Speak in foreign language. Repetitive talk

  6. Poisoning and Toxicology Emergency Case Patient as a Person • Strong belief in God since childhood inculcated by mother • “God will help you in your life” • Mother used to tell her “you will find money if you pray at a desired spot”. This was experienced by the patient on several occasions. Hence, developed strong belief in God. • Always used prayers as a means to solve all problems in life • Attachment and sentimentality towards persons • Fearful – Fear of crossing streets. • Sleep disturbance due to anxiety about trifles. Patient is chilly

  7. Poisoning and Toxicology Emergency Case Rubric from Complete mind

  8. Poisoning and Toxicology Emergency Case

  9. Poisoning and Toxicology Emergency Case FOLLOW UP Time: within 90 min Alertness improved Flaccidity better and sensorium improved Still intermittently speaking in Hindi Stramonium High potency cautious repetitions Asymptomatic Conscious oriented to time and space flaccidity improved Time: 4 hours Calc. carb 200C single dose as constitutional remedy

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