AUTISM CASE 1

NAME- JASNOOR SINGH

AGE- 8 YEARS
C/C-
BEHAVIOR PROBLEMS- AUTISM
VERY RESTLESS, CHEWS CLOTHES, CANT
CONCENTRATE, DOES NOT RESPOND TO HIS NAME.

SPEECH—ONLY WORDS, UNCLEAR SPEECH.

SLEEP- DOES NOT SLEEP IN NIGHT, DURING DAY SLEEPS

FOR FEW HOURS. SLEEP IS DISTURBED SINCE START.
• C/C-
RECURRENT THROAT AFFECTIONS. AGG BY COLD
DRINKS. PAIN IN THROAT EATING WHILE.

RECURRENT GASTRIC DERRANGMENT. VOMIT

GENERALY AT NIGHT.
ANEMIA . HB 9 GM

ALL MILESTONES WERE DELAYED .

TOILET MANNER’S ARE THERE.

 PAST HISTORY
• HIGH FEVER AT THE AGE OF 8 MONTHS. HAS TO
HOSPITALIZED FOR 5 DAYS.

• CONSTANT COLD AND COUGH SINCE FIRST

MONTH
 PHYSICAL
THERMAL – HOT
THIRST- THIRSTLESS
APPETITE- LOW. EAT ONCE A DAY . LIKES WARM
FOOD TO EAT.
SLEEP- LOW. SLEEP DURING DAY A LITTLE. NEVER
SLEEP AT NIGHT.
PERSPIRATION- NS.
URINE- OFFENSIVE.
STOOL- CONSTIPATION. HARD STOOL.
 SENSTIVITY
• SUN- NS
• RIDDING- NS
• CLOTHING- GETS IRRITATED WITH TIGHT CLOTHS
SPECIALLY AROUND ABDOMEN.
• TOUCH- NS
• SMELL- NS
 MENTAL GENERALS AND FAMILY HISTORY
• PATIENT HAS A TWIN SISTER . WHO IS NORMAL
AND HEALTHY.
• RESTLESS CHILD , CANNOT SIT ON ONE PLACE.
CONSTANT ACTIVITY.
• KEEPS ON PLAYING WITH HIMSELF.
• SMILING AND AFFECTIONATE CHILD. SMILES WHEN
KISSED OR SHOWN AFFECTION.
• OBSTINATE . GETS IRRITABLE WHEN
CONTRADICTED. BUT WHEN SCOLDED GETS QUITE.
• GENERALY CALM ONLY HITS HER SISTER. NEVER HIT
ANYONE ELSE.
 ONSET OF DISEASE

AFTER THE BIRTH OF TWINS MOTHERS HEALTH GOT

AFFECTED. SHE WAS GETTING SICK ON AND OFF. SO
PATIENT WAS CARED BY HIS GRANDPARENTS AND USE
TO SLEEP IN THERE ROOM .
WHEREAS HER SISTER SLEEPS WITH PARENTS.
 OBSERVATION
• CUNNING EYES
• ACTIONS QUICK
 PRESCRIBED
LACH 200 ONE DOSE ON 6/5/ 2018
 FOLLOW UP
• ON 7/8/2018- HB – 11GM , APPETITE NORMAL,
TRIES TO REPEAT WORDS, EYE CONTACT BETTER,
RESTLESSNESS DECREASED, SKIN ERUPTIONS. SLEEP
LITTLE BETTER.

• ON 18/11/2018- SLEEP NORMAL, OBSTINACY

INCREASED, UNDERSTANDING BETTER. SHOWS HIS
AFFECTION. SPEECH IMPROVED. ERUPTION
BETTER, COUGH ON AND OFF. REACTS TO HIS
NAME.
 FOLLOW UP
• ON 8/11/ 2019- STUDYING IN LKG IN NORMAL
SCHOOL, WRITING HAS IMPROVED, SPEECH IS
BETTER. UNDERSTANDING IS BETTER.
CONCENTRATION BETTER.
AUTISM CASE 2
 NAME- RANVEER SINGH
AGE- 3 YEAR
• C/C- BEHAVIOUR PROBLEM- LOW EYE CONTACT, VERY
RESTLESS, REPETITIVE ACTIVITY, REGRESSION OF
SPEECH. HITTING HIMSELF IN ANGER . RESPONSE IS
LESS SINCE ONE YEAR.WAS BETTER TILL THE AGE OFF 2.
BEHAVIOUR PROBLEM DEVELOPED IN PAST 8 MONTHS.
MOTHER AND FATHER WERE NOT ACCEPTING HIM TO BE
A PATIENT OF AUTISM.
RECCURENT LOOSE MOTION- ANTIBIOTIC IS PRESCRIBED
IN EVERY EPISODE.
RECCURENT COLD AND COUGH.
 PAST HISTORY
• EPISODE OF JAUNDICE AT THE AGE OF 5 MONTH.
HAS BEEN GIVEN MEDICATION FOR A MONTH.

• HISTORY OF HEAD INJURY TWICE AT THE AGE OF 9

MONTH.
 BIRTH HISTORY

• PROLONGED LABOUR, VACUUM EXTRACTION.

 PHYSICAL GENERALS
• THERMAL-NS.
• THIRST- THIRSTY. DRINKS FULL CUP OF WATER.
• APP- LOW. HAS TO BE FORCED TO EAT. ASK FOR
FOOD SOMETIME BUT WHEN SERVED FEELS AVERSE
TO EAT.
• DESIRE- NS
• PERSPIRATION- NORMAL. GENERALLY ON HEAD AND
FACE.
• URINE- NS
• STOOL- RECCURENT LOOSE MOTIONS. STOOL
OFFENSIVE.
 SENSTIVITY
• SUN- NS
• CLOTHING- DOES NOT LIKE TO WEAR PANTS OR
SOCKS. LIKES TO WEAR ONLY THIN AND SOFT T-
SHIRT.
• TOUCH- NS
• RIDDING- NS
 MENTAL GENERALS AND FAMILY
ENVIORMENT.
• CHILD LIKE TO SOLVE PUZZLES. GENERALLY PLAYS
WITH HIMSELF.
• ANGER FROM SLIGHTEST CONTRADICTION. STARTIS
HITTING HIMSELF.
• HASN’T BEEN CONNECTING WITH FATHER FROM
PAST 6 MONTHS AS FATHER HAD SCOLDED HIM
ONCE FOR BREAKING HIS TOYS. HATRED
• ONLY INTRACTS WITH MOTHER BUT IT HAS ALSO
BEEN REDUCED FROM PAST 4 MONTHS.
 MENTAL GENERALS AND FAMILY
ENVIORMENT
• BIRTH OF SIBBLING A YEAR BACK . DUE TO WHICH
HE WAS BEING HANDLED BY CARE TAKER. HE
BECAME OBSTINATE DURING THAT TIME AND HAS
BEEN SCOLDED FOR THAT BEHAVIOUR. THAN FOUR
MONTHS BACK THEY SHIFTED TO PARIS FROM INDIA
AND THERE HE BECAME WORSE. HE BECAME
MORE IRRITABLE AND STOPPED CONNECTING WITH
ANYONE. AVOIDS HIS SIBBLING.
• NOW HE IS ON SPEECH THEREAPY BUT IS NOT
RESPONDING MUCH.
 OBSERVATION

• HITTING HIMSELF AND OTHERS HARD

HOW TO PROCEED?
 Nat-m
Crot-c

Nit-ac
Nux-v

Caust
Sulph

Kali-c

Lac-c
Am-c
Phos

Merc
Kali-i

Lach

Agar
Calc

Puls
Hep
Lyc

Ign

Op
Weighted
5 7 5 5 3 5 3 5 3 2 2 2 4 5 2 5 3 3 2 3 2
Rubrics covered
3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
Rubric grades
5 7 5 5 3 5 3 5 3 2 2 2 4 5 2 5 3 3 2 3 2
HATRED 1 3 1 1 1 2 1 1 1 1 2 2 1 3 2 2 1 1 1
CLOTHING intolerance of 3 3 2 1 2 3 2 3 2 1 1 1 2 3 1 2 1 1 1 2 1
APPETITE wanting food sight of, at 1 1 2 3 1 2
 PRESCRIPTION
• HE IS PRESCRIBED NUX-VOM 200 ONE DOSE ON
1ST MARCH 2019.
 FOLLOW UP
• 8TH JUNE 2019- STRINKING REDUCED, EYE CONTACT
IS BETTER. EPISODE OF LOOSE MOTION IS ABSENT.
APP IS BETTER.

• 17TH SEP 2019- STARTED SHOWING AFFECTION AND

STARTED REACTING TO AFFECTION. RESTLESSNESS
DECREASED. APP IS BETTER.

• 14TH NOVEMBER 2019- STARTED COMMUNICATING

WITH FATHER AND BROTHER. SPEECH IMPROVED .
CASE-3
 BABY JASKIRAN
• AGE – 7 YRS
• SEX- FEMALE
• C/C- AUTISM , TOE WALKING, THUMB SUCKING,
COMPREHENSION LOW, NO TOILET MANNERS, EYE
CONTACT POOR.
 Lyc
Ars
Bry
Weighted
5 3 3
Rubrics covered
2 2 2
Rubric grades
5 3 3
AFFECTIONATE 2 1 1
FOOD and drinks warm food desires 3 2 2
PRESCRIBED- LYCO 200 SINGLE DOSE ON
26/1/ 22
FOLLOW UP OF AUTISM
 DEVELOPMENT
• THE DEVELOPMENT IS DIVIDED IN TWO PARTS

1. UNDERSTANDING THE STIMULOUS OR

ENVIORMENT .
2. REACTION TO STIMULOUS.
• EYE CONTACT.
• SOCIAL SMILE.
• DECREASED VIOLENT BEHAVIOUR AND
RESTLESSNESS.
• INCREASE IN OBSERVATION FOR SORROUNDING.
• COMMAND FOLLOWING.
• ENHANCEMENT OF SOCIAL BEHAVIOUR LIKE
PARTICIPATION IN GROUP ACTIVITIES, GREETING,
PLAYING WITH OTHER.
• NEW IDEAS.
• LEARNING.
• SPEAKING.