CuNICO-S0AAL CASE 9TUDY

e dumeanaphiu
poyds:-
Wame Kannan Ruluguor Aundu
Aanctal Meus Haswud
Agd qundun 46 ) Ma
uraluo No
Aeldubs: tupalayam
toulauon plema an Aurlbgunuun Rauon a n d A PL
Dupaun ypvvnmunt impoy
Jmcem: Z 35, 00o

Ahuy Aomplaurds
X 5 days
paun
odermunvab

co
Co
do
w i n orridurg

palputahon 4durgrus

-
llrts
llrnes

AVrusnling
Asou
o u 77
Nsoy noumal
nouma
wab Appanuly
Ih pauunt an tpuode
Ahun h dewlopd h
DR
ang ay ano
u
Munmi
i nn
u ss
&

hradach onat
Lpitatuon,
apilatuon
wheh was
t h e h was
sudden
Raddun n

and nyn oo auuadirg

nd
at non. Ne
hb s ie
wth Dlunnuirg pAunb&
uuww
d on
cuvald
uluvng sactos chuck up shourad
ruarly hapiutal auagnma
aagngRa
a kyputrua
a s yputnsu
and
a n a
Mias
6

Alood pusin his ondilon

his
ondilion and
uatd Ao
sneea)Ahrn
hu ws

(mid
muoicalun A phurulud uv Awhueh
was dustbang Ahu
yeliewing
h palint a knoun ab adaheuim

opas6 20yaws
dvlopd avdormina
5 days ago
Vonilin9, Pain wOs
pau along wilh

onmb and pogrussir i naw

Suddn in
nd gddurisswas alo p u r t
Valpelaton admdhd
te ho
whch
hu w r
ellwwrig namnalon loedpus
hosputal. On
Jh
was womdrd as 178/93
mm
hg
d s aggnavaa
g g n a a d

palpudatuon
and ddenuss
mudicaiion ara
his
whan hu Myjps
on kakng
Aosb 3 merhs
Peluwd about l4 kg
n kast
Aoss o
H/o
Ho ught
No H/o Suzuw
tnbn
HJo udder lpss A
shust duscomol
Wa HWo
pan
0 adupeuty while
Me H/o
valiing
 a Ic/o hypodurern past 7yan
Tast hstoy - A

Me HJo diabds, tubweulenb, sthma

ant pulpy
We

Jneatmunb husdouy
NC 7yaus.
Aakn
uduonlivm was

one iaktb a day

Amledupuine 5mg

nsenal ustoy
uniodus wth nomal appelb
+laddoo halwit
Novmat lont
Necmal Mup palen
No H/o mokung
pas 2opars
4eoholumm
K/e/o mhs s a
KeJo buypevtenuon tdialels
melubus
aturb'
Family huslony
us
Aub-unid dub
Cookung daly lgas sio)
oekung prais-
alb
Aduipa
Jyp
6alb nd
MMd oundrub P
A) p u

tuatw-s
6bWashung
ashu gtall undh flawving
un o n d Vsm
Moekurg
CA
 Pun sapida salk Mevuumplon 66am/ puor- da
Pu kapda s t onaunglin 26:66mu/ pvson/day

amuy
lannan.
Namu e t h huad y
dhu
Jamly: o
6
Mumbu amuly mumlus:
among 4amly mumlu : no.
H/o oangh
mumls-

Qctupahon nCem
Rilauon Age/ Mavilal Fdu-
Namu aus Cakion
HOE
guoumuT35000
mawuid DCE Vlemplaye
IMo Kannan HoF

manwucl 5SLC hulou Z10000

Mala
W
unmawuob
3
Kulkk
Zuyduso 14F
unmama 7 a
uss Duugnla F
upka

Hothu b/F widowr

kuppama
 amely
amuy Jn

hahe Msthu

w
dWaughlu

Aaughtu

Ancème h , 45,Ooo
Jota manthly
aiay
Po tapvto cerm 7 . 9, 40o
las awondng
lou : Uppu
* o c o - wenemui Bo Phasad Male

O yv 15km om
GHAtupalayam
aedulin
Nualtn aru Aus'hdnu
iPHER h
km em
Nusrdncu, NIL
pa 1 ya-
Vdal un un samily
6ocia panuupalen
tnwoonmunt utoy 4 amayy
Marno Annenmunt

hem
Mtupalayam (aH 15km frem

Mrs nmpnmini

Aouwr
1 Hou plor
kut back puknt
Mousl
Jupo
wnn
Dunatien Bdine 1ya

dthathed / dollachd

ild
Roe Memtutu

Wall m n b blocks

Consuuucluon house pwa

Awmdouws. 6
Wo
doors 5
No P
 ghlir Adgua
oss urdullaluon:PhuRnt

nooms 3
Wumber wg
Aoern
2
Wumbue e puonspu
vwurnudirng : AsAnb
Oomsbi hayads NJL

Kctchun
rpaa

TAatzourm pnnt
Amekhs
Juui
outit unb
& mo prt
udunal
* Washung
ana 4ou

Potumunt towwo
puushaulu tlms
-

Stonag
f hem-puushalls tem - tovnuo
2) dkoag
3 Coota 0od stenago
Pausrd
Kikchun gnden :
dposal:punt

ulago
wauw
Aunuipab

Rugulanudy Regulan
twato: 0vohuad dank.
Coluehon 4 loragt
nauney tolluctuin: Augu
watw lond

aduon
4
watee
-
puwcalum
A o u

W r a w n g
s h o l d

s a u x e
ontunu - y
o n f a u n v s

S a n lS
t toon
nd a n y laburu :puunt
L o h o l Aatun.

Aabuny
0 p n sula dtaatiernAunt.
p9 Anb

wasto -Nlectuon tdisposal

)War Morag: du
A uss b
lb rn
n .

ggauen pant

wastb dusp.osal kyday

Ah
rem
Fuaun} disposa
j00 m
Ausudencu
Locakon t Aan Jublng,
emusb pnmal i tho hu unt

* Catl shud
Vucto's odun uant

M DFT.
Aortuol e Aodnts /Vuckov:
Muthod Jo

Asdoy
Payeho -Aerial
Kannan
halthy a n o
mardans a
wth the jamly
emburs,
mbnA,
amiai ulaonuhup A
A i
iss n
u nl
il
wdn his nughlbaui .

Aelatus and and

idvna nwonmun
nuuonminkand

Adapduww
to the m tarnan
platus. a r n a n
latus.
4 socwal
social
ooaP'ythelegtal
vustars n hw o k plate
pmcis
svuss 4 4prueuh

ubuwra hubaoy
and pantiopals
Aundu ly ulugin
actusitis whuch a
wneh
tultural
all
Mtbunly n
VAld
envnal znamunauon

Hugn:b1 cm
Nught 70 k
DHI 25 I7

Tallon: ne pailoAgns
dimdownaluon

Jcknus : ylowsh
e pnos

Ayano
ne cubng
cuburg
e dymphadnepalhy

ymphadnepalhy
Looma
d uma
adima:
ne prdal
Trdal

Vrtals Maminauon

Jhmpuauw nu.
Pulbe91beats)mun
Respvalo:ABuaths)
BRood prssu 12s/94 mm min.
Ratu
ead Ae& maminaon

okun h o m a l

Wauls moolh wrlhouub pes ep

To Aepans nemal

uuphiual pulus: nowma

 M a m i n n t u o n

m
muwunwr

ne
hrand
CVs S, S2 Aasa
Ounds
malh
vsuculan
Womal
&RS
Myanemignaly
non-emdu nO
eyt,
wologcas Ayub
CNS: ne ecal

anagnoA
unuca
an
a nd
d clinucat
unucal
histoy
Ahu Auov
Hom nown
a la oe
khum tan
patent
Mamunatron
Ah
w
wnhucch
h uneonbuellol,
unentneii
a n i 7uans &ut wth poo
MypvutnsLvn
i s undu mdialon o m p

Aomplirabuon
t i e a t i -mda
n - m l

has a ko
t o
has i a
whuch
Aonptuan

uolcosocial dagnors;

old mal om
Kannan 5 ya
an puta hon elongs
kengs
ttupalayam udng
p p o s C a s s accoidung o moadyue bo Prasad
erddlalun
Aousu Aas ainguatu
Kcale, A s Hoss
Jacciik wlh ne udng
grlung unceniaotid hyputirun as
A kneunRas o
SuekL

o 20 yrais i t h muln
mulal
uith
ana alesholie
7 yeans
And hu i s An mocation uuth P 1 5 . e m

Momplucaluon Hos putas

is

upalalam yovunmunt
Complian.
ous
 weis phuuunduom

PAumany piluon Jauliob

alps
tntwn

Srcondany Pphahaimelogucal

- Kiguint y a n V prvunt
papnbm
Jorany MMaminaluon NCU
ont i n
hypotersu Hanopathy

dnán
dhu d na
Asmunt e KAP Zouands

Attdudu PAaruiv
Pastutulatk Kneudg
Nor phaluteng
Auar d good wling
Salt-Aiiaks
Mollow
Rustsucen
nowudou

wuung ko not pradcng

eohol nkake lor

kneurublg
knowtudg

Physnal
wlung le
jellowy
qod hruwuodgu PAaclucen

ummany
Kannan 45 a n eld malu usding
A a
ornmunt
A tupalayam wenkang a
Ampioyw elongs ko upp lass y Hoduio
Paasad
Aasadsal amu wilh Cha omplanc
pain takneun tas
platon d ahdanuál eontusllio
no
alcoholurm e 20 a n s not undvo
7 4pans, h
hypvdunsubn wth o0
dompuant
wheh

g u l a n mdralubn
Complucauon
-muld strotl
hds ud to

Jaonagumint
eilow puwpu mudutalton

Jollouw DASH dit

*dstyl medyuaten

agular physna louly

dueld aleeho
Pradit Hudtaliin 4yog

Adut

d t Indwndual leunt

Vaun9 puepu mmoutalon gulary

-5gm pu pUUon pu olay
&KeduL salt Aritok
(1-thspobn) bespo
Awd aharvl
hrus a l e |day
Phuscas aduy 3o mus
Biaj ay
Rrdues oil lonsumpuen2 kaluspon P
morths
#Follouw up wmyl
namnndom 1yran
Dphthalmi y
Pradiu Huddobion 4 o a
dt samuly Awl

fou hyputLnsLpn

him to
Tak pupus duit
Motuwrtung hurn
nurn
accompony
dnáluvn and
and tumuly
ouung thutk ups d
m odyaton
modusatuon
his lyo seylu
Suppot whilo Jamdy duwuny
Pavduepauon h o
invue tAualknA
Commundy w
Ndymalum
Adurakren ualytu
ealh
Aanw
health tamps
pUuodw health
Aamps
* B nung *
ualmint
And ad
+ O
chumus
pmogrammis
halln
Naduonal
rulahs te hoAan
Puwriupn and
pMoqrLamme sor
Watuenal
an natrts Manduastulas
Aonuet
C NP6DCS)
s r a And BTneRe