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mdpathyqa Latest Questions

Asked: 1 year agoIn: Case taking, Disease, Homoeopathic philosophy, Homoeopathy, Miasma, Organon, Pathology, Repertory

What type of symptoms are more important to select medicine ?

Dr Beauty Akther
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 1 year ago

    In homeopathy not all symptoms carry equal weight when choosing the simillimum. The classic hierarchy is: 1. Mental & Emotional Symptoms • Changes in thought, mood, behavior, fears or delusions. • Highest‐grade data—“the mind is the highest form of cellular activity” so shifts here most reliablyRead more

    In homeopathy not all symptoms carry equal weight when choosing the simillimum. The classic hierarchy is:

    1. Mental & Emotional Symptoms
    • Changes in thought, mood, behavior, fears or delusions.
    • Highest‐grade data—“the mind is the highest form of cellular activity” so shifts here most reliably individualize a case.

    2. Strange, Rare & Peculiar (Characteristic) Symptoms
    • Uncommon modalities or sensations (e.g. “must lie on right side,” “desires eggs crushed”) that set the patient apart from every textbook picture.
    • “The more striking, singular, uncommon and peculiar … are chiefly and most solely to be kept in view” when selecting a remedy.

    3. Modalities
    • What makes symptoms better or worse—temperature, position, time of day, motion vs. rest.
    • These general reactions to environment narrow the field to remedies with matching sensitivity patterns.

    4. Concomitants & Associated Features
    • Other symptoms that always accompany the chief complaint—e.g. sweating with headache, nausea with rash.
    • Their presence in the remedy picture reinforces your choice.

    5. Location & Sensation (Ubi & Quid)
    • Exact anatomical seat (“behind right eye”), plus the quality of discomfort (“stabbing,” “burning,” “constricting”).

    6. General Symptoms
    • Constitutional features such as cravings/aversions, thirst, sleep patterns, sweat, appetite.
    • Valuable once the more individualizing layers have been matched.

    7. Common or Clinical (‘Pathological’) Symptoms
    • Fever, cough, inflammation, lab findings.
    • Lowest weight—too general and shared by many remedies to be decisive.

    By prioritizing in this order you ensure the remedy you pick resonates with the patient’s unique “totality” rather than a generic disease label.

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Asked: 1 year agoIn: Case taking, Miasma, Organon

What should be observed by the Physician himself on a patient?

Dr Beauty Akther
Dr Beauty AktherPundit

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 1 year ago

    In homeopathic case‐taking data come from three sources—what the patient tells you, what attendants report, and what you yourself observe. The last category (“objective phenomena”) is strictly limited to anything the physician can perceive directly with the five senses. Key items include: 1. GeneralRead more

    In homeopathic case‐taking data come from three sources—what the patient tells you, what attendants report, and what you yourself observe. The last category (“objective phenomena”) is strictly limited to anything the physician can perceive directly with the five senses. Key items include:

    1. General constitution & appearance
    • Body build (ectomorphic/mesomorphic/endomorphic), posture, gait and bearing
    • Muscle tone (flaccid, tense) and involuntary movements (tremors, tics)
    • Facial expressions (animated, dull, anxious) and eye contact (avoidant, staring)

    2. Speech & behaviour
    • Rate, volume, fluency, coherence of speech
    • Gestures, automatisms, psychomotor agitation or retardation
    • Level of interaction (maintains conversation vs. mute or monosyllabic)

    3. Skin, nails & appendages
    • Complexion (pallor, cyanosis, jaundice), turgor, moisture or dryness
    • Rashes, eruptions, bruises or scars—exact location and character
    • Nail texture (brittle, spoon‐shaped), hair loss or distribution

    4. Eyes, mouth & orifices
    • Conjunctival injection, pupil size and reaction to light
    • Tongue coating, color, moisture and tremor
    • Nasal or aural discharges—quantity, color, odor

    5. Secretions & excretions
    • Perspiration (odorous, profuse, scant), body odor
    • Urine (color, turbidity), stool (consistency, odor), sputum, vaginal or urethral discharges

    6. Vital signs & basic vitals
    • Temperature (local or general—chill vs. flush), pulse (rate, rhythm, volume)
    • Respiration (rate, depth, any noticeable effort)
    • Blood pressure, if equipment is available

    7. Appetite, thirst & digestion
    • Actual behaviour at the interview: does the patient sip water, nibble a snack?
    • Visible signs of anorexia or polyphagia (e.g. food wrappers, drink bottles)

    8. Sleep & circadian features
    • Demeanor on waking—alert or disoriented
    • Signs of insomnia (dark circles, yawning) or hypersomnia (snores, drools)

    Why this matters
    • These are unfiltered “rubrics” of your case—no one else can reliably report them.
    • They form the objective half of your totality and must precisely match the remedy’s provings.
    • Subtle, characteristic observations (e.g. “patient rubs ear repeatedly” or “speaks with rising inflection”) often tip the balance when two remedies seem similar.

    By systematically noting every perceptible sign—without interpretation or leading questions—you build the most accurate, full‐bodied symptom picture for selecting the true simillimum.

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Asked: 1 year agoIn: Case taking, Forensic Medicine, Repertory, Surgery

Describe lacerated wound.

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 1 year ago

    A laceration is a tear or jagged rupture of the soft tissues—usually skin and subcutaneous layers—caused by blunt trauma that crushes or shears rather than cleanly slices. Key characteristics are: - Irregular, ragged wound edges often with crushed or contused tissue margins and “bridging” strands ofRead more

    A laceration is a tear or jagged rupture of the soft tissues—usually skin and subcutaneous layers—caused by blunt trauma that crushes or shears rather than cleanly slices. Key characteristics are:
    – Irregular, ragged wound edges often with crushed or contused tissue margins and “bridging” strands of subcutaneous fat or muscle.
    – Variable depth: may involve only the dermis or extend through subcutis into muscle, nerves, vessels or even bone, making some lacerations “complex.”
    – High likelihood of contamination with dirt, foreign bodies or devitalized tissue because of the tearing mechanism.
    – Bleeding can range from minor oozing to significant hemorrhage if deeper structures are involved.

    Unlike incised (clean‐cut) wounds, lacerations seldom have neatly opposed edges and heal poorly without proper debridement. Clinically they’re classified as:
    • Simple lacerations (superficial, clean, low‐risk)
    • Complicated lacerations (involving nerves, vessels, joints or bone)
    • Contaminated or infected lacerations (embedded debris or devitalized tissue).

    Management hinges on thorough irrigation, debridement of nonviable tissue, hemostasis, and then appropriate closure—primary, delayed primary or healing by secondary intention—depending on depth, contamination and location.

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Asked: 1 year agoIn: Forensic Medicine

Discuss the characteristics of grevious hert.

Dr Beauty Akther
Dr Beauty AktherBegginer

Sorry it's a private question.

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Asked: 1 year agoIn: Case taking, Disease, Materia Medica, Miasma, Obstetrics, Pathology, Repertory, Surgery

What is Albuminous urine?

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 1 year ago

    Albuminous urine (albuminuria or proteinuria) means that albumin—a plasma protein normally retained by healthy kidneys—appears in the urine. In a healthy individual, the glomerular filter blocks virtually all albumin, so urine albumin excretion is 300 mg albumin/day (uACR >300 mg/g)—indicates morRead more

    Albuminous urine (albuminuria or proteinuria) means that albumin—a plasma protein normally retained by healthy kidneys—appears in the urine. In a healthy individual, the glomerular filter blocks virtually all albumin, so urine albumin excretion is 300 mg albumin/day (uACR >300 mg/g)—indicates more advanced glomerular damage.
    Detection is by a urine dipstick (qualitative) followed by quantitative measurement of albumin-to-creatinine ratio (uACR) or 24-hour urine collection.

    Clinically, albuminuria:
    • Often asymptomatic—foamy urine and peripheral edema may occur as levels rise.
    • Serves as both a marker of kidney disease progression and an independent risk factor for cardiovascular events.
    • Guides therapy—ACE inhibitors or ARBs are first-line to reduce albuminuria and slow kidney damage.

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Asked: 1 year agoIn: Psychology

What do you mean by Schizophrenia? Classify it.

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 1 year ago

    Definition of Schizophrenia Schizophrenia is a chronic mental health disorder marked by profound disruptions in perception of reality, thinking, emotion and behaviour. It typically presents with positive symptoms (hallucinations, delusions, disorganized speech), negative symptoms (flattened affect,Read more

    Definition of Schizophrenia
    Schizophrenia is a chronic mental health disorder marked by profound disruptions in perception of reality, thinking, emotion and behaviour. It typically presents with positive symptoms (hallucinations, delusions, disorganized speech), negative symptoms (flattened affect, social withdrawal, diminished motivation) and cognitive impairments (poor attention, memory, executive function), causing significant functional decline across personal, social and occupational domains.

    Classification of Schizophrenia

    1. Classical Subtypes (no longer distinct DSM-5 diagnoses but still useful as treatment specifiers):
    – Paranoid: Predominant delusions of persecution or grandeur, auditory hallucinations.
    – Disorganized (Hebephrenic): Fragmented thought and speech, inappropriate affect, disorganized behaviour.
    – Catatonic: Motoric immobility or excessive purposeless activity, mutism, posturing.
    – Undifferentiated: Symptoms spanning more than one subtype without a dominant clinical picture.
    – Residual: History of at least one acute episode, with current predominance of negative or mild residual symptoms.

    2. DSM-5 Specifiers (subtype labels removed in 2013 due to overlap and low diagnostic validity; instead clinicians add specifiers to describe current features):
    – With catatonia
    – First-episode, currently in acute episode/partial remission/full remission
    – Continuous
    – With a good/fair/poor prognostic features
    – With prominent negative symptoms.

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Asked: 1 year agoIn: Case taking, Psychology

What is antisocial disorder? Give the clinical feature and management in short.

Dr Beauty Akther
Dr Beauty AktherPundit

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 1 year ago

    Antisocial personality disorder (ASPD) is a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and persists into adulthood. Individuals with ASPD often engage in deceitful, impulsive, and aggressive behaviors, show reckless disregRead more

    Antisocial personality disorder (ASPD) is a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and persists into adulthood. Individuals with ASPD often engage in deceitful, impulsive, and aggressive behaviors, show reckless disregard for safety, fail to sustain consistent work or financial responsibilities, and lack remorse after harming others.

    Clinical features (DSM-5 criteria—three or more since age 15):
    • Failure to conform to social norms with respect to lawful behaviors (grounds for arrest)
    • Deceitfulness (lying, aliases, conning others)
    • Impulsivity or failure to plan ahead
    • Irritability and aggressiveness (repeated physical fights)
    • Reckless disregard for safety of self or others
    • Consistent irresponsibility (work, financial)
    • Lack of remorse (indifference or rationalization of having hurt others)
    Additional requirements: at least 18 years old, evidence of conduct disorder onset before age 15, and exclusion of schizophrenia or bipolar disorder as the primary cause.

    Management (short):
    1. Psychosocial interventions
    – Structured, cognitive-behavioral group or individual therapy to address impulsivity, anger and interpersonal skills
    – Psychoeducation for patient and family on risk factors, boundaries and relapse prevention
    – Social and vocational rehabilitation to improve functioning
    2. Pharmacotherapy (no FDA-approved “anti-ASPD” drug; symptomatic use)
    – Low-dose mood stabilizers or atypical antipsychotics for aggression/impulsivity
    – SSRIs for comorbid anxiety, depression or obsessive features
    3. Comorbid and risk management (per NICE guidelines)
    – Concurrent treatment of substance misuse or other mental disorders.
    – Coordination with criminal justice and social services for risk assessment, monitoring and support.

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Asked: 1 year agoIn: Homoeopathic pharmacy

What is rules of Homoeopathic Pharmacy?

Dr Beauty Akther
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 1 year ago

    Here’s a concise rundown of the fundamental “rules of pharmacy” in homeopathy—i.e. the do’s and don’ts that ensure your medicines are potent, pure, stable and safe from preparation all the way to dispensing: 1. Material-Purity and Identification • Use only pharmacopeial-grade raw substances (plants,Read more

    Here’s a concise rundown of the fundamental “rules of pharmacy” in homeopathy—i.e. the do’s and don’ts that ensure your medicines are potent, pure, stable and safe from preparation all the way to dispensing:

    1. Material-Purity and Identification
    • Use only pharmacopeial-grade raw substances (plants, minerals, nosodes, etc.) whose identity, source and batch have been verified.
    • Keep a strict “first-in, first-out” record so nothing goes past its expiry or gets mis-identified.

    2. Accuracy of Proportions
    • For triturations, always weigh powders on a calibrated balance—never eyeball it. Typical ratios are 1:9 for D triturations, 1:99 for C triturations.
    • When making liquid dilutions (centesimal or decimal), measure vehicle (alcohol, glycerin or water) with graduated glassware to ±2% accuracy.

    3. Succussion and Trituration Technique
    • Triturations: use a clean, dry porcelain mortar & pestle; wipe surfaces between compounds to avoid cross-contamination.
    • Succussion: each potency step must receive the prescribed number of vigorous strokes (e.g. 10 “hard knocks” for D-potencies, 100 for C-potencies) against a leather pad.

    4. Equipment and Environment
    • Work in a dust-free, odor-free space; keep windows closed and avoid perfumes, smoking or strong chemicals nearby.
    • Glass bottles and stoppers only—metal can catalyze reactions; always label bottles before adding remedy.

    5. Single-Remedy Principle
    • Prepare and dispense one remedy per container. Never premix different potencies or different remedia in the same bottle.
    • If multiple remedies are needed (e.g. alternation), keep them strictly segregated.

    6. Labeling and Documentation
    • Every container must show: remedy name, potency, date of preparation, manufacturer/pharmacist name, and shelf-life.
    • Maintain a logbook (or electronic record) of every batch, including raw-material lot numbers and processing details.

    7. Storage and Stability
    • Store finished remedies in dark, airtight bottles, upright, at room temperature (15–25 °C), away from direct sunlight, heat sources, strong odors and magnetic fields.
    • Follow pharmacopeial shelf-life (usually 2 years for dilutions, 5 years for dry triturations) and discard any past that date.

    8. Hygiene and Cross-Contamination Prevention
    • Wash hands and change gloves between handling different substances.
    • Clean all glassware and equipment immediately after use with mild detergent and hot water—never leave residues.

    9. Quality-Control Checks
    • Periodically test intermediate dilutions for clarity, odor or precipitates—for C-potencies, the tincture should remain limpid.
    • If a preparation shows turbidity, color change or precipitate, quarantine and investigate before release.

    10. Patient-Facing Dispensing Rules
    • Use fresh, labelled medicine vials for each prescription.
    • Teach the patient how to store, dose (e.g. number of pellets, number of succussions), and when to discard the bottle.

    Adhering to these rules guarantees that every homeopathic remedy you prepare or dispense faithfully carries the exact dynamis Hahnemann intended—pure, precise and ready to act.

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Asked: 1 year agoIn: Case taking, Language, Psychology, Repertory

What are the meaning of "good humon"?

Dr Beauty Akther
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 1 year ago

    "Good humor" refers to a cheerful, positive mood or disposition. Here’s a detailed breakdown of its meanings: 1. A Cheerful Mood: At its core, "good humor" describes an overall feeling of cheerfulness and well-being. When someone is in good humor, they are happy, upbeat, and generally in a positiveRead more

    “Good humor” refers to a cheerful, positive mood or disposition. Here’s a detailed breakdown of its meanings:

    1. A Cheerful Mood:
    At its core, “good humor” describes an overall feeling of cheerfulness and well-being. When someone is in good humor, they are happy, upbeat, and generally in a positive state of mind. This mood can be seen in their laughter, smiles, and relaxed attitude, making interactions more pleasant and engaging.

    2. An Amicable Demeanor:
    Beyond just mood, “good humor” also connotes the ability to take things lightly or even laugh at a situation, even when it might be challenging. In conversations, a person with good humor can often defuse tension with a well-timed joke or a light-hearted remark. This quality is especially celebrated in social settings, where it can bring people together and create an atmosphere of warmth and openness.

    3. The Art of Not Taking Things Too Seriously:
    Often, the term is used in phrases like “take it in good humor” or “in good humor.” This expresses the idea of approaching life’s ups and downs with a relaxed attitude, where one doesn’t dwell excessively on negatives. It’s an acknowledgement that sometimes a witty or playful reaction is the best way to deal with minor setbacks or stressful moments.

    Historically, while the term “humor” had its roots in the ancient theory of bodily humors—implying that a well-balanced state of these fluids led to a better temperament—the modern usage has shifted more to embodying a positive, lighthearted, and resilient attitude towards life.

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Asked: 1 year agoIn: Case taking, Language, Psychology, Repertory

Can you compare between "contentions" & "quarrelsome"?

Dr Beauty Akther
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 1 year ago

    Let's break down the comparison between contentions and quarrelsome by examining their nature, usage, and connotations: 1. Lexical Category and Basic Meaning - Contentions: "Contentions" is the plural form of "contention." As a noun, it refers to points of disagreement or claims made during a debateRead more

    Let’s break down the comparison between contentions and quarrelsome by examining their nature, usage, and connotations:

    1. Lexical Category and Basic Meaning

    – Contentions:
    “Contentions” is the plural form of “contention.” As a noun, it refers to points of disagreement or claims made during a debate or discussion. For example, in an academic debate, different contentions might be put forward to support or oppose a theory. It can also denote overall disputes or controversies—the substantive parts of an argument.

    – Quarrelsome:
    “Quarrelsome” is an adjective used to describe a person or behavior that is prone to engaging in arguments or disputes. When you call someone quarrelsome, you’re characterizing them as habitually argumentative or combative in nature.

    2. Scope and Context in Communication

    – Contentions:
    Since it refers to ideas, claims, or points of disagreement, “contentions” primarily deals with the substance of an argument. They can be well-founded, researched assertions in a formal debate, or more informal points of contention in everyday conversation. The term is neutral in tone—it doesn’t inherently carry a negative judgment about the people involved but highlights the presence of differing opinions.

    – Quarrelsome:
    This term specifically paints a picture of behavior. It’s about a person’s disposition or manner—someone who is likely to provoke or engage in disputes, even over minor or trivial matters. Being quarrelsome carries a more negative connotation, suggesting that the person may often create friction and conflict through their tendency to argue.

    3. Interplay and Effects

    – Contentions as Disputes:
    In any debate or conflict, multiple contentions might arise. These are essentially the different sides or arguments related to a topic. A robust discussion is built on the presentation and examination of various contentions. People can exchange contentions in a respectful, constructive manner.

    – Quarrelsomeness in Interaction:
    In contrast, if someone is quarrelsome, they are more likely to generate or escalate disputes regardless of the merits of the contentions. Their behavior might transform even neutral disagreements into personal conflicts. For example, two individuals might have different contentions about a topic without any issue, but if one is exceedingly quarrelsome, that differences can quickly become a heated or hostile argument.

    4. Examples in Use

    – Contentions Example:
    “During the debate, the speaker laid out several contentions that challenged the prevailing theory.”
    This sentence shows contentions as the points or claims being argued about, without implying that the debate was personally conflictual.

    – Quarrelsome Example:
    “He had a quarrelsome attitude that made even simple disagreements escalate into full-blown disputes.”
    Here, the focus is on the personality trait that causes continuous unnecessary conflict, highlighting a negative behavioral pattern.

    In Summary

    – Nature:
    – Contentions are the arguments, points, or topics that can create disagreements.
    – Quarrelsome describes the behavior or disposition of a person who almost always tends toward arguments.

    – Usage:
    – Use contentions when referring to the substance of debate or the issues that are in dispute.
    – Use quarrelsome when describing someone who is habitually argumentative or when characterizing conflicts driven by personal conflict rather than healthy debate.

    – Connotation:
    – Contentions are neutral descriptors of differences in opinion.
    – Quarrelsome carries a judgment about a person’s combative nature, often implying negativity.

    By understanding these differences, we see that while contentions focus on the “what” of disagreements (the arguments themselves), quarrelsome focuses on the “who” and “how” (the behavior of those involved) in creating disputes.

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Dr Beauty Akther

Dr Beauty Akther

Dhaka, Bangladesh

Homeopath; B H M S; MPH
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Last update: 04/08/26

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