CM Spiral

DR.
HAHNEMANN HOMOEOPATHY MEDICAL COLLEGE &

RESEARCH CENTRE, RASIPURAM.
NAMAKKAL DISTRICT.
DEPARTMENT OF COMMUNITY MEDICINE

CRRI 2018-2019 BATCH
COMMUNITY MEDICINE
RECORD
SUBMITTED BY
MISS.N.PE.SOUNDHARRYA,
CRRI
DATE OF POSTING: 31-3-19 TO 29-4-19

Dr.HAHNEMANN HOMOEOPATHY MEDICAL COLLEGE &
NAMAKKAL DIST. - 637408.
(AFFILIATED TO THE TAMILNADU DR.M.G.R.MEDICAL UNIVERSITY, CHENNAI)
COMMUNITY MEDICINE TRAINING PROGRAMME
As per the Central Council of Homoeopathy, New Delhi
Notification 24 Sep 2003 page 147.2.(111) (d) one month posting in the
Community Medicine ( Including PHC / CHC ) Training in association
with Integrated Child Development Service Scheme – III (ICDS)
Training on Health Education, Family Welfare, Nutritional
Programmers’, Maternal & Child Health (MCH) Antenatal care
(ANC),Control & Prevention of Communicable Diseases including
AIDS done by Miss.N.Pe.Soundharrya, CRRI
From: 31-3-19 to 29-4-19
Dept. of Community Medicine

CRRI POSTING ORDER
TO,
PHYSICIAN IN CHARGE,
KALAPPANAYAKANPATTY PERIPHERAL UNIT,
DR.HAHNEMANN HOMOEOPATHY MEDICAL COLLEGE HOSPITAL
& RESEARCH CENTRE, RASIPURAM, NAMAKKAL DISTRICT.
THIS IS TO INFORM MR / MISS/ MRS…………………………….CRRI

HAS BEEN POSTED FOR A PERIOD OF ONE MONTH AT …….……………….
FROM ………………….. TO ……………… FOR COMMUNITY MEDICNE
TRAINING.
BY ORDER
DATE : HEAD OF THE DEPARTMENT
STATION :
CRRI POSTING ORDER
TO,
…………………………. PERIPHERAL UNIT,

HAS BEEN POSTED FOR A PERIOD OF ONE WEEK AT …….……………….
TRAINING.
BY ORDER
STATION :
CRRI POSTING ORDER
TO,

TRAINING.
BY ORDER
STATION :
CRRI POSTING ORDER
TO,

TRAINING.
BY ORDER
STATION :
SUMMARY
OF WORK DONE
SUMMARY
I was posted at, PUTHUPATTI, NAMAGIRIPETTAI, PATTANAM, MALAYAMPATTI

, the Peripheral Centre for community medicine duty, for the partial fulfillment of
CRRI dated from 31-3-19 to 29-4-19. worked for one month under the guidance of
physician in-charge Dr.DEEPALAKSHMI,BHMS
I learnt about the functions and activities of the Peripheral Centre. I like to
highlight some of the principle duties performed in the centre and about that part of
the knowledge which I have gained from this posting in brief.
I conducted health education for the 25 children in each village and also
performed a health check up for them. I have made school health visit at nearby
village. Depending upon the health state, I gave advice to them. Children whom were
in need of medicinal treatment were referred to the Govt. hospital, Rasipuram or to
the primary health centre, as per the person’s convenience.
I did antenatal check up for 5 pregnant women in each village.. I advised about the
food habits, personal hygiene, problems & diseases during pregnancy, and given a
psychological counselling for the delivery of the baby to the antenatal women. I
motivated permanent family planning methods for the multiparous women and
temporary contraceptive methods to all primiparous women, explaining the
necessity.
I conducted health educational programme to about 30 people including children.

I exhibited nutritional food materials and explained in detail about the need. I
clarified the doubts of the people after the exhibition. Anthropometric measurements
for the 25 were recorded and verification of the growth of children with a growth
chart was made.
I have photo evidence for all the works done by me.

INTRODUCTION
INTRODUCTION
As a part of Internship programme (CRRI) for community medicine, I was

posted in the Peripheral Centre at PUTHUPATTI, NAMAGIRIPETTAI, PATTANAM,
MALAYAMPATTI, NAMAKKAL District to learn about the health and applied nutrition
for overall child development (perinatal), with the aim and objectives for planning,
designing and implementation of health programmes and activities.
AIM:
Educating women who are married, pregnant and having children below the
age of 8 years for healthy children free from diseases .
OBJECTIVES:
1. To improve the nutritional and health status of children in the under nourished
and malnutrition categories in the age group of 0 – 6 years.
2. To lay the foundation for the proper psychological, physical and social
development of the child.
3. To reduce the mortality, morbidity, malnutrition and drop out of school.
4. To achieve effective co-ordination of policy and implementation among the
various department to promote child development.
5. To enhance the capability of the mother to look after the health and nutritional
needs of her children through proper nutrition and health education and care
during pregnancy and up to 5 years of age of her children.
SERVICES PROVIDED:
To fulfil these objectives, the following services have been provided:
1. Supplementary nutrition
2. Prophylaxis
3. Health check up & medical referral services.
4. Nutrition and health education
5. Non formal education
6. Antenatal care
STATISTICS
STATISTICS
PERIPHERAL CENTRE: PUTHUPATTI
PHYSICIAN-IN-CHARGE: DR.M. DEEPALAKSHMI, BHMS
DONE BY: N.PE.SOUNDHARRYA, CRRI
S.NO DETAILS MALE FEMALE TOTAL

01 Population 990 1000 1,990
02 0-5 months children 10 14 24
07 60 months < 30 28 58
08 Children getting supplementary food 49
N
STAGE MALE FEMALE TOTAL
o
A. Normal 13 14 17
B. 1st stage 10 8 18
C. 2nd stage 09 09 18
D. 3rd stage 08 05 13
09 Pubertal age group girls 109
10 Pregnant women {ANC} 29
11 Postnatal women {PNC} 11
12 Breast feeding mother 19
13 Total no. of births 05
14 Total no. of deaths -
15 Infant deaths -
16 Maternal deaths -
WEEKLY
ROUTINE
WORK DONE
SCHEDULE
WEEKLY ROUTINE WORK DONE SCHEDULE
The physician health centre has routine work schedule everyday starting from
morning 7-am to 4-pm. all throughout the week.
S.NO DAY WORK DONE
Supplementary feeding
01 Monday
House visit
02 Tuesday
Education for children
03 Wednesday House visit
Health education for children
04 Thursday
Health education meeting for young girls
House visit
05 Friday
Health education meeting for pregnant women &
feeding mothers
06 Saturday
Health education
07 Sunday
Education & games for children
ANTHROPOMETRIC
MEASUREMENTS
ANTHROPOMETRIC MEASUREMENTS
INTRODUCTION:
In Anthropometric Measurement, we are mainly concerned about growth

maintaining.
Growth maintaining is weighing the child periodically at monthly intervals,
during the first year every two months during second year and every three months up
to the age of 5–6 years.
The child’s weight is plotted on the growth chart against his/her age. It is given
as growth curve. This will help the health worker to identify the growth retardation.
Health worker will check the common causes of growth retardation like, failure
of breast feeding, inadequate nutrition, intestinal parasites and other important
infections.
CONCLUSION:
Anthropometric measurements were done for all the 30 children of PATTANAM

Peripheral Centre. Every month the results were assessed from the previous
measurements taken, and then the following things were noted. There is an order of
growth development in all the 25 children, which is compared with the previous
measurement. In that there is no child malnourished and lagging behind. So the
supplementary food provided in the peripheral health centre is vital in uplifting the
nutritional status of the identified malnourished children.
ANTHROPOMETRIC MEASUREMENTS
PERIPHERAL CENTRE: PATTANAM DATE : 4-4-19
PHYSICIAN INCHARGE: Dr.M.DEEPALAKSHMI, BHMS DONE BY: N.PE.SOUNDHARRYA. CRRI
Age in
Sl. WEIGHT- previous WEIGHT- present
Name Months / REMARKS
No month (Kg) month (Kg)
Sex
Weight increased due to
1. Satheesh. D 25/M 14.000 14.100
supplementary food
Weight almost static to the

2. Ajayan 20/M 19.100 19.150
supplementary food

3. Priya 24/M 14.100 14.150
supplementary food

4. Krishnan. R 21/M 12.100 12.150
supplementary food

5. Maneesh 31/F 13.100 13.150
supplementary food

6. Priyadharsini.A 29/F 14.100 14.250
supple-mentary food
7. Harina 17/M 15.100 15.250
supple-mentary food

8. Anjana 28/F 10.700 10.750
supplementary food

9. Karthikeyan. R 31/M 14.000 14.100
supple-mentary food

10. Sanjeev.R 29/M 14.500 14.650
supple-mentary food

11. Sumitha. S 30/F 14.000 14.100
supple-mentary food

12. Mathan. S 31/M 16.700 16.850
supple-mentary food

13. Maari. B 30/F 18.400 18.550
supple-mentary food

14. Nakul 35/M 15.000 15.100
supplementary food

15. Nandhu. S 29/F 10.000 10.100
supple-mentary food
16. Prem. C 30/M 11.100 11.150
supplementary food
17. Rahmath. P 28/F 18.600 18.670
supple-mentary food

18. Subasri.K.R 24/F 19.100 19.220
supple-mentary food

19. John. S 17/M 12.000 12.000
supplementary food

20. Dhanya.M 28/F 16.000 16.100
supple-mentary food
21. Sanjeev Kumar.B 23/M 19.200 19.350 supple-mentary food
22. Ragav. M 30/M 18.500 18.550 supple-mentary food

23. Saranya. K 33/F 19.450 19.550 supple-mentary food
24. Arun 27/M 19.500 19.750 supple-mentary food
25. Ramya. M 17/F 19.600 19.700 supple-mentary food

26. Sandhya.v 25/F 19.200 19.290 supplementary food

27. Rajeesh.K 30/M 19.600 19.700 supple-mentary food

28. Arun.C.R 33/M 18.500 18.850 supple-mentary food

29. Ranjani.U 18/F 19.100 19.250 supple-mentary food

30. Swathi 19/F 18.500 18.650 supple-mentary food
NUTRITIONAL
FEEDING DETAILS
NUTRITIONAL FEEDING DETAILS
Composition of supplementary food:
IN 100G OF WEANING FOOD AMOUNT

Wheat/maize/barley 52g
Sprouted Ragi 5g
Bengal gram/dhal flour 12g
Vitamins and minerals 1g
Jaggery powder 30g
Total calories 350
Under Peripheral Centre this supplementary food is prepared for under

nourished, pregnant women and also breast feeding mothers.
Supplementary food Schedule:
FOR UNDER WEIGHT CHILDREN WHOM REQUIRE SUPPLEMENTARY FOOD:
AGE GROUP STAGE I STAGE II STAGE III & IV

6-24 months 50g 50g 100g
25-36 months 100g 100g 150g
For pregnant & lactating women: 100g/day
STATISTICAL DATA:
For Children:
NUTRITIONAL NO. OF NO. OF CHILDREN GETTING

LEVELS CHILDREN SUPPLEMENTARY FOOD
Normal 32 05
Stage I 03 03
Stage II 0 0
Stage III & IV 01 -
For Female Population:
FEMALE TOTAL NO. UTILISING

NUTRITIONAL LEVELS
POPULATION SUPPLEMENTARY FOOD
Adolescent girls 50 00
Pregnant women 05 04
Breast feeding mothers O1 01
ANTENATAL CARE
INTRODUCTION:
Antenatal care is the care given to the mother and foetus from the date
of conception to the date of delivery. Antenatal care of pregnant women
along with the technological advances in diagnosis and management of high-
risk cases has brought about remarkable improvement; this maternal and
perinatal mortality has been reduced.
OBJECTIVES OF ANTENATAL CARE:

1. Health education for mother about personal hygiene, nutritional
feeding
2. Periodical Antenatal check up
3. Immunisation
4. Psychological counselling for the pregnant women
5. Diagnosis and care of high risk pregnancies
6. Motivation about contraception
7. Education about breast feeding
8. Teaching the management of common ailments in newborn
9. Emphasising the deliverance of baby in hospitals.
CONCLUSION:
I conducted the Antenatal checkup to 5 antenatal women coming under
Peripheral Centre. It revealed that all antenatal women were properly
nourished and having an almost normal pregnancy. Clinically there was no
evidence of any disorder complicating the pregnancy except Anemia.
Necessary instructions were given to the regarding referral units.
ANTENATAL CASE-1
IDENTIFICATION:
Name : Mrs.Kokila Date:24.03.19
Age : 23 yrs.
Religion : Hindu.
Address : 1/14A- Sarathi nagar,
Puthupatti
SOCIAL HISTORY:
Marital status: Married.
Socio-economic status: Low income group.
Occupational status: Weaver .
PRESENTING COMPLAINTS:
Absence of menses since 8 months.
HISTORY OF PRESENTING COMPLAINTS:

- Absence of menses since 8 months.
PAST HISTORY:
Medical: No H/o of major illness like DM, HTN, CHD, Infectious diseases
Surgical: No H/o of any surgery.
Drug history: No H/o drug allergy.
FAMILY HISTORY:
No H/o of TB, DM, HTN, Multiple pregnancy, Malignancy in family
PERSONAL HISTORY:
Diet: Adequate and nutritious
Habit: No habit of smoking, drinking, tobacco chewing.
TT-I dose:14.12.17
TT-II dose:17.2.18
PHYSICAL GENERALS:
Appetite: good
Thirst: good, satisfied.
Bowel habit: good, regular and satisfied.
Micturition habit: good and satisfied.
Sleep: Good, satisfied and refreshing.
Aversions: Strong smelling scents
Desire: Nothing specific
Thermal: Chilly.
MARITAL HISTORY:
Married at age of 20 yrs
Duration of marriage: 2 yrs
Non -consanguineous marriage.
MENSTRUAL HISTORY:
Age of Menarche: 13 yrs.
Menstrual cycle: Regular, 4/30 days cycle
Flow: 5 days, profuse, Dark coloured, no clots, not offensive
Associated with pain: no pain
Other associated symptoms: no.
LMP: 12-9-2018
OBSTETRIC HISTORY:
LMP: 12-9-2018
EDD: 19-06-2019
Gravida:1 Para: 0 No. of still birth- 0 Abortion- 0
Complica- Compl
No Duration Method Sex &
tion ication Breast
of Year of of Puerperium Weight
during during feeding
child pregnancy delivery of baby
pregnancy labour
- - - - - - - - -
CONTRACEPTIVE HISTORY:
No H/o use of OCP/IUCD.
PHYSICAL EXAMINATION:
General examination:
Height (cm): 153cm Weight (kg): 54 kg.
Febrile: Afebrile. Anaemia: Not anaemic
Cyanosis: No. Clubbing: No
Pedal odema: No. Jaundice: No
Lymphadenopathy: No.
Vital signs:
Pulse: 74/min. B.P: 120/80mm Hg Resp rate: 18/min. Temp: 98.0F
Systemic examination:
CVS : Normal S1, S2 heard over all 4 cardiac areas. No murmurs.
R.S : Normal vesicular breath sounds heard all over the lung field.
No added sounds.
OBSTETRICAL EXAMINATIONS:
Breast: Enlarged, nipples darkly pigmented
Inspection: No signs of inflammation, secondary areola seen.
Palpation: No mass or tenderness.
Per abdomen:
Inspection: Normal skin color.
Longitudinally distended abdomen
Umbilicus everted.
Stretch marks seen
Palpation: Height of the uterus corresponds to the 28 weeks of pregnancy.
Fundal grip: Nodules are felt
Lateral grip: curved mass felt.
I-pelvic grip: - Hard Mass felt
II- Pelvic grip: - No engagement of head.
Auscultation: Foetal heart sound is heard on left side just below and lateral to
umbilicus.
Per vagina: No pathological lesion found.
Per speculum: no inflammatory signs or lesions seen.
Digital examination: membrane intact
Bimanual examination: membrane intact
LAB INVESTIGATION:
Blood: Hb%: 10.2 g% Grouping: ‘B’ Rh type: + ve
HIV test: Non-reactive. Partner test: Non-reactive
Urine: Sugar: nil. Albumin: nil
Radiological examination
Ultra Sonography :- Shows single viable foetus at the gestational age of 28 – 29
weeks of Pregnancy . Placenta situated on the posterior wall of the uterus.
CASE SUMMARY:
It is a case of 32 Weeks of Pregnancy, Primi, Cephalic presentation
without any complications.
MANAGEMENT:
- Advised to take nutritious & iron containing foods.
- Advised to undergo regular health checkups.
- Wear loose, clean clothes & maintain hygiene over the genitals.
- Advised for temporary contraceptive methods
ANTENATAL CASE-2
IDENTIFICATION:
Name : Mrs. Vani Date:24.03.19
Age : 20 yrs.
Religion : Hindu.
Address : 2/76, sullur,
Puthupatti
SOCIAL HISTORY:
Occupational status: House wife.
- Absence of menses since 7 months

PAST HISTORY:
Medical: No H/o of major illness like DM, HTN, CHD, Infectious diseases
FAMILY HISTORY:
No H/o of TB, DM, HTN, or Malignancy in the family members.
PERSONAL HISTORY:
Diet: Mixed diet, adequate nutritious food.
TT-I dose: 4. 4.18

TT-II dose: 10.6.18
Mental generals:-
Physical generals:
Appetite: good,
Bowel habit: Regular and satisfied.
Sleep: good and refreshing.
MARITAL HISTORY:
Duration of marriage:1 yr.
Non – consanguineous marriage.
MENSTRUAL HISTORY :
Menstrual cycle: regular, 5/28 days cycle.
Flow: 5 days, normal flow, bright red colour, sometimes clotted, not offensive
LMP: 11-9-2019
OBSTETRIC HISTORY:
LMP:11-9-2018
EDD: 18-6-2019
Gravida: 1 Para: 0 No. of still birth- 0 Abortion- 0
Complica- Compl
tion ication Breast
of Year of of Puerperium Weight
during during feeding
child pregnancy delivery of baby
pregnancy labour
- - - - - - - - -
Height (cm): 153 cm Weight (kg): 60 kg.
Febrile: afebrile. Anemia: no.
Cyanosis: no. Clubbing: no.
Pedal edema: no. Jaundice: no.
Lymphadenopathy: no.
Vital signs:
Pulse: 80/min. B.P: 124/82 mm Hg Resp rate: 18/min.
CVS: Normal S1,S2 heard over all 4 cardiac areas. No murmurs.
R.S: Normal vesicular breath sounds heard all over the lung field. No
addedsounds.
Breast:
Per abdomen:
Umbilicus everted.
Stretch marks seen
Fundal grip: round soft mass felt
Lateral grip: foetal parts felt.
I-pelvic grip: - Hard mass felt
II- Pelvic grip: head not engaged
Auscultation: Foetal heart sound is heard on right side just below and lateral to
umbilicus.
Per vagina: no pathological lesion found.
Per speculum: not done
Bimanual examination: membrane intact
LAB INVESTIGATION:
Blood: Hb%:10. g% Grouping: ‘B’ Rh. type: + ve
HIV: Non-reactive. Partner test: Non-reactive
Urine:Sugar: nil. Albumin: nil
CASE SUMMARY:
It is a case of 28-29 weeks of pregnancy, primi, cephalic presentation without any
complications.
MANAGEMENT:
- Advised to take nutritious & iron containing foods
- Wear loose & clean clothes.
- Maintain hygiene over the genitals.
- Advised for permanent family planning method.
ANTENATAL CASE - 3
IDENTIFICATION:
Name : Mrs. S. Kavya Date:24.03.19
Age : 21 yrs.
Sex : Female
Religion : Hindu.
Address : W/o Kumaran
18, West street,
Puthupatti
SOCIAL HISTORY:
Occupational status: House wife.

PAST HISTORY:
Medical: No H/o major illness like DM, HTN, CHD, Infectious diseases.
Surgical: No H/o any surgery.
FAMILY HISTORY:
No H/o TB, DM, HTN, Malignancy in the family members.
PERSONAL HISTORY:
Diet: Adequate and nutritious.
TT-I dose: 15.2.18
TT-II dose:20.5.18
Physical generals:
Appetite: Good
Thirst: Good, satisfied.
Micturition habit: Good and satisfied.
Sleep: Good, refreshing.
Aversions: vegetables
Desire: Spicy food, egg, meat.
MARITAL HISTORY:
Duration of marriage is 1yr.
Non – consanguineous marriage.
MENSTRUAL HISTORY:
Flow: 3 days, profuse, dark, no clots, not offensive
LMP: 11-7-2018
OBSTETRIC HISTORY:
LMP: 11-7-2018
EDD: 18-04-2019
Complica- Compl Sex &

No Duration Method
tion ication Puerperiu Weigh Breast
of Year of of
during during m tof feeding
child pregnancy delivery
pregnancy labor baby
- - - - - - - - -
Height (cm): 155 cm Weight (kg): 53 kg.
Febrile: afebrile. Anemia: Anemic++
Cyanosis: no. Clubbing: no
Vital signs:
CVS: Normal S1,S2 heard over all 4 cardiac areas. No murmurs.
R.S: Normal vesicular breathing ,sounds heard all over lung field.
No added sounds.
Breast:
Per abdomen:
Umbilicus everted.
Stretch marks seen
Palpation: Height of the uterus corresponds to 36 weeks of pregnancy.
Lateral grip: Right side-limbs buds felt.
Left side-curved mass felt.
I-pelvic grip: -Head mobile
II- Pelvic grip: - No engagemaent of head
Auscultation: Foetal heart sound is heard on left side just below and lateral to
umbilicus.
Per vagina: no pathological lesions.
Digital examination: membrane intact.
Bimanual examination: membrane intact.
LAB INVESTIGATION:
Blood:Hb%: 9.2 g% Grouping: ‘A’. Rh type: + ve
CASE SUMMARY:
It is a case of 32 weeks of high risk pregnancy, Primi, Cephalic presentation
with Anaemia complicating pregnancy.
MANAGEMENT:
- Advised to take nutritious & iron containing foods
- Do not take tea, coffee and colas with meals.
- Avoid physical, mental stress.
- Advised for regular exercises & adequate rest.
- Advised for permanent family planning method.
ANTENATAL CASE-4
IDENTIFICATION:
Name : Mrs.Usharani Date:24.03.19
Age : 20yrs.
Religion : Hindu
Address : 15/3B, nesavar Colony,
Puthupatti
SOCIAL HISTORY:
Occupational status: House wife

PAST HISTORY:
Medical: No H/o of major illness likes DM, HTN, CHD, and Infectious diseases.
FAMILY HISTORY:
PERSONAL HISTORY:
Diet: adequate and nutritious
TT-I dose: 24.3.18
TT II Dose- 20. 5.18
Mental generals:-
Physical generals:
Appetite: Good.
Sleep: good, satisfied and refreshing.
Aversions: Fat.
Desire: eggs, meat.
MARITAL HISTORY:
Married at age of 19 yrs.
Duration of marriage: 1 year.
MENSTRUAL HISTORY :
Flow: 5 days, profuse, bright red, no clots, not offensive
LMP: 20-8-2018
OBSTETRIC HISTORY:
LMP: 20-8-2018
EDD: 27-05-2019
Gravida: 1 Para:0 No. of still birth- 0 Abortion- 0
Complica- Compl Sex &

No Duration Method
tion ication Puerperiu Weigh Breast
of year of of
during during m tof feeding
child pregnancy delivery
pregnancy labor baby
- - - - - - - - -
Height (cm): 158 cm Weight (kg): 60kg.
Febrile: Afebrile. Anemia: no
Cyanosis: no. Clubbing: no
Vital signs:
CVS: Normal S1, S2 heard over all 4 cardiac areas. No murmurs.
R.S: Normal vesicular breath sounds heard all over lung field. No added
sounds.
Breast:
Per abdomen:
Umbilicus everted
Stretch marks seen
Lateral grip: Right side-limbs buds felt.
Left side-curved mass felt.
I-pelvic grip: - Head mobile
II- Pelvic grip: - No engagement of head.
Auscultation: FHS heard on left side just below and lateral to umbilicus.
Per vagina: no pathological lesions.

Digital examination: membrane intact.
LAB INVESTIGATION:
Blood: Hb%: 10.4 g% Grouping: ‘A’ Rh type: +ve
CASE SUMMARY:
It is a case of 23 - 24 weeks of pregnancy, Primi, Cephalic presentation without
any complications.
MANAGEMENT:
- Advised for regular exercises & adequate rest
- Advised temporary contraceptive methods
ANTENATAL CASE - 5
IDENTIFICATION:
Name : Mrs.Priya Date:24.03.19
Age : 20 yrs.
Religion : Hindu.
Address : W/o Ramesh
135, sagar nagar, Puthupatti.
SOCIAL HISTORY:
Occupational status: Weaver
Absence of menses since 7 months

PAST HISTORY:
Medical: No H/o of major illness like DM, HTN, CHD, Infectious diseases.
FAMILY HISTORY:
PERSONAL HISTORY:
Diet: adequate nutritious food.
TT-I dose: 10.3.18
TT-II dose: 3. 5.18
Mental generals:
Physical generals:
Appetite: good.
Bowel habit: good, regular and satisfied.
Sleep: good, satisfied and refreshing.
Aversions: sweets.
Desire: sour food.
Thermal: chilly.
MARITAL HISTORY:
Married at age of 19 yrs.
Duration of marriage: 1 yrs.
MENSTRUAL HISTORY:
Flow: 3-5days, profuse, bright red, no clots, no odour.
LMP: 14-8-2018
OBSTETRIC HISTORY:
LMP: 14-8-2018
EDD: 21-05-2019
Complica- Compl
tion ication Puerperi Breast
of Year of of Weighto
during during um feeding
child pregnancy delivery f baby
pregnancy labour
- - - - - - - - -
Height (cm): 152cm Weight (kg): 52 kg.
Febrile / afebrile: afebrile. Anemia: no
Cyanosis: no. Jaundice: no
Clubbing: . Pedal edema: no.
Vital signs:
CVS: Heart sounds: Normal S1,S2 heard over all 4 cardiac areas. No murmurs.
R.S: Normal vesicular breathing sound heard all over lung field. No added
sounds.
Breast:
Per abdomen:
Longitudinally distended abdomen.
Falling forward seen.
Umbilicus everted.
Stretch marks seen.
Lateral grip: Left side-limbs buds felt.
Right side curved mass felt.
I-pelvic grip: head engaged.
II- Pelvic grip: round hard mass felt in pelvic area.
Auscultation: Fetal heart sound is heard on right side just below and lateral to
umbilicus.
Per vagina: No pathological lesions.
Digital examination: membrane intact, head intact.
LAB INVESTIGATION:
Blood: Hb%: 10.8 g% Grouping: ‘A’ Rh type: + ve
Urine: Sugar: nil. Albumin: nil
CASE SUMMARY:
It is a case of 28-29 weeks of pregnancy, Primi with Cephalic
presentation without any complications.
MANAGEMENT:
- Advised for regular exercises & adequate rest
- Advised for permanent contraceptive method.
FIELD SURVEY
FIELD SURVEY
INTRODUCTION:
Field survey monitors the health status of people in the particular area.
It mainly concentrates on the nutritional status, environmental status,
diseases which prevail in that area.
AIMS AND OBJECTIVES:

1. To improve the health status of people.
2. To improve the environmental condition such as sanitation, water
supply and avoiding vector breeding etc.
3. To eradicate the diseases in the particular area.
4. To prevent the occurrence of seasonal diseases, epidemics that may
occur in that area due to various causes.
5. To do remedial measures in case of epidemic diseases this may occur.
AVAILABLE RESOURCES:

 Site  Windows  Bathing &
 Floor  Lighting Washing
 Walls  Kitchen  Water supply
 Roof  Privy
CONCLUSION:
I examined 5 families, but in each family the number of members
varied. There was no gross nutritional deficiency, major diseases or any
congenital disorders.
In the field survey, we came to know about the nutritional status,
environmental status and diseases prevalent in that area. So I advised
regarding the personal hygiene, environmental sanitation, sanitary disposal
of excreta and refuse and preventive methods for the vector breeding.
Nutritional advices were only the remedial measures for their
complaints. Environmental sanitary measures were followed after my advice
for an environmental non-polluting living environment.
CHILDREN HEALTH CHECKUP
INTRODUCTION:
Children health check up is an important sector in the community

medicine. Children health service is an economical and powerful means of
raising the community health and more important for the future citizens of
India.
COMMON HEALTH PROBLEMS IN SCHOOL GOING CHILDREN:
 Malnutrition
 Intestinal Parasites
 Diseases of skin, Eyes & Ears
 Dental caries
 Infectious diseases
AIMS & OBJECTIVES OF HEALTH SERVICES:
 To promote positive health of children

 To prevent diseases
 Early diagnosis, treatment & follow up
 To awaken the health consciousness in children
 Provision of healthy environment
CONCLUSION:
I have conducted the health check up for 25 children each of

PATTANAM. Most of the children were affected. Some had anaemia and
vitamin deficiency, worm infestations, upper respiratory tract infection, nasal
polyp and a few with dental caries. All the children were properly guided for
their further treatment and also the necessary dietary regimens.
HEALTH CAMP
PLACE : PATTANAM
CONDUCTED BY: NIVEDHA K CRRI. DATE: 27.03.19
S.NO NAME AGE SEX DIAGNOSIS
1. S.ABINAYA 7yrs F URTI

2. R.VISHNUPRIYA 7yrs F WORM INFESTATION
3. M.PAVAI 7yrs F NAD
4. P.GOKULAKRISHNAN 7yrs M URTI
5. V.KESHAVAN 7yrs M ANAEMIA
6. S.K.KAVINKUMAR 7yrs M NAD
7. R.ADITHYA 7yrs M PUO
8. S.RAJU 7yrs M NAD
9. K.BALAMURUGAN 7yrs M PUO
10. S.MONIKA 7yrs F URTI
11. K.DEEPIKA 7yrs F URTI
12. N.NALINA 7yrs F CARIES TOOTH
13. G.GHANDHISELVAN 7yrs M PSORIATIC ARTHRITIS
14. M.THILAK 7yrs M PUO
15. J.KESIKA 7yrs F MYOPIA
16. G.DURGADEVI 7yrs F PUO
17. S.AMUDHA 8yrs F MYOPIA
18. K.ARUL 8yrs M URTI
19. T.MANOJ 8yrs M MYOPIA
20. T.SATHYA PRABHA 8yrs F DENTAL CARIES
21. T.YAZHINI 8yrs F NAD
22. R.KARUNAKARAN 7yrs M URTI
23. K.KISHORE 8yrs M URTI
24. R.GOWTHAM 8yrs M URTI
25. V.VIJAYAN 8yrs M TONSILITIS
26. U.LOGESHWARAN 8yrs M NAD
27. R.LOSHINI 8yrs F NAD
28. F.KOWSIKA 8yrs F NAD
29. S.POOVARASAN 8yrs M TONSILITIS
30. S.BHARATH 8yrs M DENTAL CARIES
31. K.NITHISH 8yrs M NAD
32. R.SHIVARANJANI 8yrs F NAD
33. N.HARINI 8yrs F URTI
34. C.VIMAL 8yrs M NAD
35. R.SURENDHAR 8yrs M ANAEMIA
36. J.RAJKUMAR 8yrs M ANAEMIA
37. A.AKALYA 8yrs F NAD
38. M.MALATHI 8yrs F URTI
39. A.PRIYADHARSHANI 8yrs F NAD
40. K.SENDIL 8yrs M NASAL POLYP
41. M.DEEPAK 8 yrs F URTI
42. M.R.MAHESH 8 yrs F NAD
43. S.ARUN 9 yrs M NASAL POLYP
44. M.MOHAN 9 yrs M URTI
45. V.KARTHIKA 9 yrs F URTI
46. R.RAKSHANA 9 yrs F TONSILITIS
47. N.R.GOKUL 9 yrs M NAD
48. R.VENKATESH 9 yrs M NAD
49. A.DEEPAN 9 yrs M WORM INFESTATION
50. J.MOHAN KUMAR 9 yrs M DENTAL CARIES
51. K.HARIPRIYA 9 yrs F NASAL POLYP
52. U.ANITHA 9 yrs F ANAEMIA
53. L.ANBAN 9 yrs M NAD
54. M.LINGAM 9 yrs M TONSILITIS
55. E.PRASATH 9 yrs M NAD
56. O.NAVEEN 9 yrs M NAD
57. R.VELMURUGAM 9 yrs M DENTAL CARIES
58. V.V.SRIRANJANI 9yrs F NAD
59. G.PREETHA 9yrs F NAD
60. S.PAVITHA 9yrs F NAD
61. R.ANITHA 9yrs F DENTAL CARIES
62. K.SHANMUGAPRIYA 9yrs F NAD
63. B.ILAYARAJA 9yrs M ANAEMIA
64. T.NAVEENKUMAR 9yrs M NAD
65. G.CHANDRAN 9yrs M NAD
66. A.ELAYAMATHI 9yrs F URTI
67. M.JAYASURIYA 9yrs M NASAL POLYP
68. G.RANJITH 9yrs M WORM INFESTATION
69. G.KAVIPRIYA 9yrs F URTI
70. K.NITHIYA 9yrs F NAD
71. G.NIVETHA 9yrs F APTHOUS ULCER
72. B.DHIVYA 9yrs F DENTAL CARIES
73. G.SRUTHI 9yrs F NAD
74. M.KISHORE 9yrs M CSOM
75. K.JEEVITHA 9yrs M NAD
76. E.BALAJI 10yrs M WORM INFESTATION
77. S.RESHMI 10 yrs F WORM INFESTATION
78. R.KAILASH 10 yrs M WORM INFESTATION
79. L.SUBASH 10 yrs M URTI
80. R.BALAJI 10 yrs M URTI
81. S.K.ABIRAMI 10 yrs F TONSILITIS
82. S.NEELAVENI 10 yrs F NAD
83. T.NEVEDITHA 10 yrs F NAD
84. S.RENUKA 10 yrs F TONSILITIS
85. G.MENAKA 10 yrs F NAD
86. S.KALAMEGAM 10 yrs F TONSILITIS
87. P.KADHIRAVAN 10 yrs M URTI
88. K.ILAMMATHI 10 yrs M URTI
89. G.STALIN 10 yrs M URTI
90. K.EZHILARASI 10 yrs F NAD
91. S.YAZHINI 10yrs F NAD
92. R.KARTHIKA 10yrs F NAD
93. M.LAVANYA 10yrs F TONSILITIS
94. E.USHARANI 10yrs F ANAEMIA
95. P.G. PRAVEEN 10yrs M URTI
96. R.RAMAKRISHNAN 10yrs M URTI
97. M.NARESH 10 yrs M URTI
98. P.DEIVANAI 10 yrs F APTHOUS ULCER
99. M.SATHYA 10 yrs F NAD
100. R.TAMILARASI 10 yrs F NAD
101. P.S.PRIYADARSHINI 10 yrs F PUO
102. A.KALAIPRIYA 10 yrs F DENTAL CARIES
103. R.SANJAYKUMAR 10 yrs M NAD
104. R.PARTHIBAN 10 yrs M NAD
105. C.JEEVANANTHAN 10 yrs M URTI
106. M.SELVANATHAN 10 yrs M NAD
107. N.PRADEEPA 10 yrs F NAD
108. G.SHANTHI 10 yrs F URTI
109. D.M. SWETHA 10 yrs M NAD
110. K.MADHUMITHA 10 yrs F URTI
111. S.KAVIN 10 yrs M WORM INFESTATION
112. D.SURESH 10 yrs M WORM INFESTATION
113. P.MUTHU 10 yrs M ANAEMIC
114. V.VANAJA 10 yrs F WORM INFESTATION
115. M.SRIPRIYA 10 yrs M NAD
116. R.RUPA 10 yrs F URTI
117. S.MUNIRAJ 10 yrs F URTI
118. S.KISHORE 10 yrs M URTI
119. D.GOPINATH 10 yrs M URTI
120. K.SASIKUMAR 10 yrs M URTI
121. K.GOKUL 10 yrs M NAD
122. P.HARIPRIYA 10 yrs M URTI
123. T.AKSHAYA 10 yrs M TONSILITIS
124. P.MADHUMITHA 10 yrs F TONSILITIS
125. S.VIJAYA KUMAR 10 yrs M WORM INFESTATION
126. S.RAMESH 10 yrs M NAD
127. V.KARTHIK 10 yrs M NASAL POLYP
128. S.ARUL 10 yrs M TONSILITIS
129. R.GOVINDH 10 yrs M WORM INFESTATION
130. R.SATHEESH 10 yrs M NASAL POLYP
131 M.MURALI 10 yrs M NAD
132 K.GANESH 10 yrs M TONSILITIS
TOTAL NUMBER OF STUDENTS: 132 NO. OF CHILDREN HAVING

COMPLAINTS - 89
WORM INFESTATION : 11
NASAL POLYP : 06
TONSILITIS : 12
URTI : 32
ANAEMIA :5
APTHOUS ULCER : 03
HEADACHE :0
PUO :4
CSOM :2
ALBINISM :0
MYOPIA :3
DENTAL CARIES :16
OTOMYCOSIS :1
PSORIATIC ARTHRITIS :1
CHILDREN
UNDER 3 YEARS
HEALTH
CHECK UP
CHILDREN UNDER 3 YEARS HEALTH CHECKUP
INTRODUCTION:
Similarly, health check up in the children below 3 years of age is an
important sector in the community medicine. There were 25 children in the
area.
AIMS & OBJECTIVES OF SCHOOL HEALTH SERVICES:

1 To promote positive health of children
2 To prevent diseases
3 Early diagnosis, treatment & follow up
4 To awaken the health consciousness in children
5 Provision of healthy environment
CONCLUSION:
I have conducted the health check up for 25 children each of Peripheral
Centre – PATTANAM. Most of the children were clinically normal. Some had
anaemia & vitamin deficiency. Some had worm infestations and a few had
dental caries. All were properly guided for their further treatment through
the necessary dietary regimens to their parents.
PERIPHERAL CENTRE – PATTANAM
Investigator: NIVEDHA K, CRRI. DATE :27.03.19
SL.NO NAME OF THE CHILDREN AGE IN MONTHS / SEX WEIGHT (KG)

1. Anandan. D 25/M 13.000
2. Avinash. G 20/M 19.100
3. Dinesh. N 24/M 13.100
4. Gokul. R 21/M 12.100
5. Gowri. G 31/F 13.100
6. Harini priya.A 29/F 14.100
7. Harsha. S 17/M 15.100
8. Janaki. S 28/F 10.700
9. Karthick. R 31/M 14.000
10. Kousik.R 29/M 14.500
11. Keerthana. S 30/F 14.000
12. Lavanya. S 31/M 16.800
13. Madhu. B 30/F 18.500
14. Mukilan. M 35/M 15.000
15. Nandini. S 29/F 10.000
16. Paramasivam. C 30/M 11.100
17. Poorani. P 28/F 18.600
18. Rani. K 24/F 19.100
19. Rohan. S 17/M 12.000
20. Sangeetha.M 28/F 16.000
21. Sanjeev Kumar.B 23/M 19.200
22. Siddharth. M 30/M 18.500
23. Saranya. K 33/F 19.500
24. Thilak. G 27/M 19.500
25. Vijaya. M 17/F 19.600
No. of children examined : 25

Total no of healthy children : 9
No of children having complaints : 16
Disease statistics:
Healthy : 09
Anaemia : 02
Acute Rhinitis : 04
Tonsillitis : 02
Dental caries : 03
Worm Infestations : 03
Vit B. Deficiency : 02
HEALTH
EDUCATION
HEALTH EDUCATION
Aims and Objectives:

 To improve the health status of the people
 To improve the environmental condition such as sanitation, water
supply, avoiding vector breeding etc
 To educate the people of the diseases of the particular area
 To prevent the occurrence of seasonal diseases, epidemics that may
occur in that area due to various causes
 To do remedial measures in case of epidemic diseases that may occur
Contents of Health Education:

 Human Biology
 Nutrition
 Hygiene
 Family Health
 Prevention of Accidents
Conclusion:
It is obviously known to everyone, that a good quality of balanced and
mixed diet is essential to meet up the daily requirements. Though, it is
necessary to educate about the nutritional value of the food materials in day
to day use. In order to fulfill the educational programme various food
materials were explained with a live exhibition of food substances. I have
conducted health educational programme to about 24 people, vice male -3,
children – 5, women- 16, out of which ANC mother-2, Lactating Mother-2,
pubertal girls-4,old women-8.
PHOTO
EVIDENCES
PHOTO EVIDENCES
HEALTH EDUCATION

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DR.

HAHNEMANN HOMOEOPATHY MEDICAL COLLEGE &

DEPARTMENT OF COMMUNITY MEDICINE

DATE OF POSTING: 31-3-19 TO 29-4-19

COMMUNITY MEDICINE TRAINING PROGRAMME

As per the Central Council of Homoeopathy, New Delhi

Community Medicine ( Including PHC / CHC ) Training in association

with Integrated Child Development Service Scheme – III (ICDS)

Training on Health Education, Family Welfare, Nutritional

Programmers’, Maternal & Child Health (MCH) Antenatal care

(ANC),Control & Prevention of Communicable Diseases including

AIDS done by Miss.N.Pe.Soundharrya, CRRI

From: 31-3-19 to 29-4-19

Dept. of Community Medicine

DEPARTMENT OF COMMUNITY MEDICINE

CRRI POSTING ORDER

THIS IS TO INFORM MR / MISS/ MRS…………………………….CRRI

DATE : HEAD OF THE DEPARTMENT

DEPARTMENT OF COMMUNITY MEDICINE

CRRI POSTING ORDER

THIS IS TO INFORM MR / MISS/ MRS…………………………….CRRI

DATE : HEAD OF THE DEPARTMENT

DEPARTMENT OF COMMUNITY MEDICINE

CRRI POSTING ORDER

THIS IS TO INFORM MR / MISS/ MRS…………………………….CRRI

DATE : HEAD OF THE DEPARTMENT

DEPARTMENT OF COMMUNITY MEDICINE

CRRI POSTING ORDER

THIS IS TO INFORM MR / MISS/ MRS…………………………….CRRI

DATE : HEAD OF THE DEPARTMENT

I was posted at, PUTHUPATTI, NAMAGIRIPETTAI, PATTANAM, MALAYAMPATTI

I conducted health educational programme to about 30 people including children.

I have photo evidence for all the works done by me.

As a part of Internship programme (CRRI) for community medicine, I was

DONE BY: N.PE.SOUNDHARRYA, CRRI

S.NO DETAILS MALE FEMALE TOTAL

S.NO DAY WORK DONE

In Anthropometric Measurement, we are mainly concerned about growth

Anthropometric measurements were done for all the 30 children of PATTANAM

Weight almost static to the

Weight almost static to the

Weight almost static to the

Weight almost static to the

Weight increased due to

Weight almost static to the

Weight increased due to

Weight increased due to

Weight increased due to

Weight increased due to

Weight increased due to

Weight almost static to the

Weight increased due to

Weight increased due to

Weight almost static to the

Weight increased due to

Weight increased due to

Weight almost static to the

Weight increased due to

Weight increased due to

Weight increased due to

Weight increased due to

Composition of supplementary food:

IN 100G OF WEANING FOOD AMOUNT