heel pain...1. Age,sex,weight,body and face appearance, country, occupation.
26 yr, Male, 70 kg, India, Armed forces
2. Main complaints and other associated troubles.
a)Where is the trouble; The exact locality of the complaint like hands,legs etc; duration of trouble.
ANS. Lower soul of both legs specialy heel
b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
ANS. Burn pain
c)What are the factors that causes this trouble according to you.
ANS. Concerned with doctor noticed increse in uric acid in body
d)Condition under which the complaint is reduced or you feel better like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS. Seveare pain jst aftr woke up at morning pain remains for 5 to 10 mins..aftr that pain reduces bt remains at minor portion
e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
f)Any other complaint any where in the body.
g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
ANS. 1 yr ago...X ray was done to eridicate dout of calcarius spur..report found normal.further uric acid level found increase...1st blood check carried in the month of Mar 17..it found 5.9..than 2nd blood check in Apr 17 it was 6.4
h)Treatment method adopted and its result.
Approched to family doctor..started tabular course of Tab Furic 40 mg and Tab Etric for one month..shown positive reselt..and uric acid level maintained..bt that subject to tblts only...bcz aftr complition of 1 month tabular course i again strtd pain in soul..so i continued with same tblt.now i m taking these tblts since last 2 n half month..
3. History of diseases in family.
4. Personal History.
c)Any major incidents in life and the effect of it on life.
d)How you are satisfied with your sex life, friends, family members, company etc.
ANS. Stl unmarried..all ok
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
ANS. No addiction..no smoking no drinking
b)Masturbation and frequency.
6. How is your Appetite and Thirst.
7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold s food-drink Ice Ice cream Chocolates Tea Coffee.
ANS. Milk curd spicy food
b)Anything else about like and dislike of any activity with you or surrounding.
8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
b)Any discomforts associated with stool.
a)Frequency, nature, volume.
b)Any discomfort before, during or after urination/odour
10. For men.
a)Any difference in erection/want of erection/weak erection/Ejaculation early/late.
b)Any other trouble in sex.
11. For Females.
a)Menses, Regular, Irregular,Early, Late.
b)Duration of menses.
c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking,
need for cover over various parts of the body,
whether the window must be open or closed etc.
common dreams, peculiar sounds or gestures during sleep, etc.
ANS. Everything normal
a)How much, what parts, staining, Odour.
ANS. not perticularly
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
15. Mental Status
a)The quality of the patient's life in relationship to loved ones, family, friends and colleagues. Overall quality of energy available to function in daily life, and under various circumstances.
b)Any mental/emotional shocks occurring in the patient's life-grief, major financial losses separation from loved ones, death, identity crisis and other stress in life.
c)Memory,ability to concentrate/comprehend.
ANS. its quite ok
d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
e)Are you anxious about anything: if yes, give details.
f)Are you impatient.
g)Are you doubtful or suspicious.
h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
ANS. yes sometimes
i)Does your pride get hurt easily.
j)Are you depressed, if so, reason/circumstances.
k)Do you like to share your problems.
ANS. Dont have such types of problems
l)Effect of consolation.
m)Do you ever become suicidal when? How.
n)Memory- quality if poor, for what ( eg. Names, places, people, what you read).
o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
p)Are you easily irritated. What makes you angry, how do you express it.
q)Are you destructive.
r)How good are you in making decisions.
ANS. i feel i can take decision effectively
s)Do you like company or like to remain alone.
ANS. With company
t)How seriously are you affected by disorder and uncleanness in your surroundings.
u)How does failure appear to you?
ANS. It boost me to perform more next time
v)Are there any matters that you deeply dislike?
w)What activities you deeply like? How does it affect your mood?
ANS. Reading n musics
x)Are you affectionate? How does others sorrow affect you?
y)Any present fears in your life or future.
z)Any present life or future life desires.
ANS. Many more
NOTE-- if proper reporting will not be done by you, then i will close the case, you can take advice from others.
pgajraj on 2017-09-14
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