Patient: ABC
Age: 43
Weight: 59kg
Complexion: sallow
c/o: continuous nausea, diarrhea, metallic taste in the mouth, general weakness and fatigue, extreme sensitivity to cold, sometimes left hand gets paralyzed, cannot concentrate, blurred vision, vertigo even when in bed.
Birth (1970):
Staphiloccocus aureus outbreak in hospital, both her and her mom got infected, mother got antibiotics so she could not breastfeed for a while, baby got the blisters cut open and dabbed with some tincture.
Childhood:
Got measles.
Recurrent tonsillitis (sensitive throat up to today).
10 years old (1980):
Poisoning with Datura seeds (she reckons this affected the immune system). Expelled from organism only next day in the morning.
11 years old (1981):
Apendectomy.
Fractures both hands and one leg, left leg more swollen and sensitive till today. Left foot fallen metatarsal arch, with recurrent pains and cramps in foot (due to this she is afraid to drive).
12 years old (1982):
Viral hepatitis (special diet for about 9 years).
14 years old (1984):
Menarche. Profuse menses.
18 years old (1988):
In heavy winter, profuse menses, almost non-stop (would stop for 2-3 days, the start again), clots. Weight went down to 40kg. After 3 months got Venostate and Vitamine K and it stopped.
19 years old (1989):
Diagnosed with active chronic hepatitis, treated with Elthes teas (very famous Romanian doctors who found a herbal treatment for liver problems). Then ok.
20 years old (1990):
Infantile uterus, hardly detectable by palpation.
Recurrent pilonidal cyst (coccyx), always in May and September.
21 years old (1991):
First thyroid nodule appears, diagnosed with hyperthyroidism due to stress (work environment). Between 21 and 23 years of age she went down to 39kg.
23 years old (1993):
Excision of pilonidal cyst, never came back.
25 years old (1995):
Treated with autovaccine for Staph. Aureus.
36 years old (2006):
Risk pregnancy, due to infantile retroverted uterus, hormonal imbalance caused multiple mammary cysts and bilateral mammary dysplasia (which disappeared after delivery). Nausea throughout pregnancy.
Week 18: placenta praevia. Delivery with epiziothomy and epidural, since when she has now and then migraines.
39 years old (2009):
More thyroid nodules appeared, diagnosed with autoimmune thyroidism (Hashimoto’s).
40 years old (2010):
Since January on Euthyrox 75mcg, TSH was 100.
Toxic pregnancy (foetus died at 7 weeks, she only noticed at 9 weeks). On antibiotics to avoid septicemia.
41 years old (2011):
Laparoscopic colecystectomy (nausea and intolerance of fatty foods).
Dermoid cyst on right calf (from a dog bite 10 years before).
42 years old (2012):
In November TSH 3,99.
At beginning of December and between Christmas and New Year, nausea and vomiting (from cheese).
4.01.2013 Went to the Emergency Hospital with nausea, vomiting, pain on right side, stomac cramps. Blood and urine tests done, misdiagnosed UTI. Put on antibiotics (ciprafloxacine 500mg), took only one day, started vomiting again.
6.01.2013 Changed ciprofloxacine with norfloxacine 400mg, second day started vomiting green/brown matter.
8.01.2013
Echography, found excess peritoneal fluid, hardened area.
9.01.2013
CT scan, found tumour on colon.
10.01.2013
Tumor removed, malignant but non-aggressive (G1). Since then on chemo (perfusions and citostatics).
Intubated during surgery and after for 2 days, developed a nodule on left side of throat, which becomes very cold even on drinking water at room temperature, since she started chemotherapy.
Dislikes: fats, fried foods, gravy thickened with flour, white beans, cooked onion; cloudy weather, high barometric pressure, feels like suffocating.
Likes: garlic; sun, heat, autumn.
>Lying in bed
>Eating lunch
Thirst: Not thirsty, drinks a bit more in the evening.
Sweat: not much, only sometimes after taking Euthyrox (heat waves) and when in big hurry.
Stools: about 5 per day (sometimes 7), all mostly in the morning, after she takes her medication, watery with soft bits floating in, yellow/brown and very offensive, like something rotten. Painful diarrhea, she has to hold right side where the surgery took place but she has pain also on the left side.
Age: 43
Weight: 59kg
Complexion: sallow
c/o: continuous nausea, diarrhea, metallic taste in the mouth, general weakness and fatigue, extreme sensitivity to cold, sometimes left hand gets paralyzed, cannot concentrate, blurred vision, vertigo even when in bed.
Birth (1970):
Staphiloccocus aureus outbreak in hospital, both her and her mom got infected, mother got antibiotics so she could not breastfeed for a while, baby got the blisters cut open and dabbed with some tincture.
Childhood:
Got measles.
Recurrent tonsillitis (sensitive throat up to today).
10 years old (1980):
Poisoning with Datura seeds (she reckons this affected the immune system). Expelled from organism only next day in the morning.
11 years old (1981):
Apendectomy.
Fractures both hands and one leg, left leg more swollen and sensitive till today. Left foot fallen metatarsal arch, with recurrent pains and cramps in foot (due to this she is afraid to drive).
12 years old (1982):
Viral hepatitis (special diet for about 9 years).
14 years old (1984):
Menarche. Profuse menses.
18 years old (1988):
In heavy winter, profuse menses, almost non-stop (would stop for 2-3 days, the start again), clots. Weight went down to 40kg. After 3 months got Venostate and Vitamine K and it stopped.
19 years old (1989):
Diagnosed with active chronic hepatitis, treated with Elthes teas (very famous Romanian doctors who found a herbal treatment for liver problems). Then ok.
20 years old (1990):
Infantile uterus, hardly detectable by palpation.
Recurrent pilonidal cyst (coccyx), always in May and September.
21 years old (1991):
First thyroid nodule appears, diagnosed with hyperthyroidism due to stress (work environment). Between 21 and 23 years of age she went down to 39kg.
23 years old (1993):
Excision of pilonidal cyst, never came back.
25 years old (1995):
Treated with autovaccine for Staph. Aureus.
36 years old (2006):
Risk pregnancy, due to infantile retroverted uterus, hormonal imbalance caused multiple mammary cysts and bilateral mammary dysplasia (which disappeared after delivery). Nausea throughout pregnancy.
Week 18: placenta praevia. Delivery with epiziothomy and epidural, since when she has now and then migraines.
39 years old (2009):
More thyroid nodules appeared, diagnosed with autoimmune thyroidism (Hashimoto’s).
40 years old (2010):
Since January on Euthyrox 75mcg, TSH was 100.
Toxic pregnancy (foetus died at 7 weeks, she only noticed at 9 weeks). On antibiotics to avoid septicemia.
41 years old (2011):
Laparoscopic colecystectomy (nausea and intolerance of fatty foods).
Dermoid cyst on right calf (from a dog bite 10 years before).
42 years old (2012):
In November TSH 3,99.
At beginning of December and between Christmas and New Year, nausea and vomiting (from cheese).
4.01.2013 Went to the Emergency Hospital with nausea, vomiting, pain on right side, stomac cramps. Blood and urine tests done, misdiagnosed UTI. Put on antibiotics (ciprafloxacine 500mg), took only one day, started vomiting again.
6.01.2013 Changed ciprofloxacine with norfloxacine 400mg, second day started vomiting green/brown matter.
8.01.2013
Echography, found excess peritoneal fluid, hardened area.
9.01.2013
CT scan, found tumour on colon.
10.01.2013
Tumor removed, malignant but non-aggressive (G1). Since then on chemo (perfusions and citostatics).
Intubated during surgery and after for 2 days, developed a nodule on left side of throat, which becomes very cold even on drinking water at room temperature, since she started chemotherapy.
Dislikes: fats, fried foods, gravy thickened with flour, white beans, cooked onion; cloudy weather, high barometric pressure, feels like suffocating.
Likes: garlic; sun, heat, autumn.
>Lying in bed
>Eating lunch
Thirst: Not thirsty, drinks a bit more in the evening.
Sweat: not much, only sometimes after taking Euthyrox (heat waves) and when in big hurry.
Stools: about 5 per day (sometimes 7), all mostly in the morning, after she takes her medication, watery with soft bits floating in, yellow/brown and very offensive, like something rotten. Painful diarrhea, she has to hold right side where the surgery took place but she has pain also on the left side.
