FAMILY AND

CASE
INDEX
REPORT
NAME: RITU KATHAIT
Roll No..: 109
MBBS BATCH- 2021
IDENTIFICATION DETAILS
■ Date of registration – 09/05/2024
■ Area : Majra
■ Family address : Ahmed House , majra (near masjid) , Dehradun
■ Name of the head of the household : Mr. Shehzan Ahmed
■ Religion : Muslim
■ Caste : OBC
■ Total no. of family members : 5
■ No. of children : 3
■ Type of family : nuclear family
■ Non-communicable disease in family : no
■ Total monthly income : 40,000
■ Health insurance card : no
 FAMI LY COMPOSI TI ON
S. NAME OF AGE SEX RELATION MARITAL EDUCATION OCCUPATION MONTH
NO. THE FAMILY (Yrs) WITH STATUS LY
MEMBER FAMILY INCOME
HEAD

1. SHEHZAN 42 MALE HEAD MARRIED GRADUATION BUSINESS 40,000

AHMED (C.S) MAN

2. SHEEBA 37 FEMALE WIFE MARRIED GRADUATION HOUSE -

(B.A.) WIFE
3. ALINA 15 FEMALE DAUGHTER UNMARRIED 10th CLASS - -

4. IBRAHIM 10 MALE SON UNMARRIED 4th CLASS - -

5. RUSHDAN 3 MALE SON UNMARRIED - - -

SOCIOECONOMIC
STATUS

TOTAL FAMI LY I NCOME = 40,000/-

PER CAPITA I NCOME = 40,000/5 = 8000
SOCIOECONOMI C STATUS = UPPER MI DDLE
CLASS
(class II)
REASON FOR SPECIAL CARE IN THE FAMILY

NAME AGE

Under 5 child Rushdan 3yrs

Adolescent Alina 15yrs

Spot Map
Cross-section of House
 HOUSIN
■ TYPE OF HOUSE – PuccaG
■ ROOF – Cement
■ WALL – Brick with plaster
■ FLOOR – Cemented
■ NO. OF ROOMS- 3
■ Total family members - 5
■ OVERCROWDI NG- Absent
■ Daylight - adequate
■ ELECTRICITY – Present
■ KITCHEN – Separate
■ SMOKE OUTLET – YES
■ FUEL USED – LPG
 HOUSIN
G
■ VENTI LATION – Inadequate
■ DAMPNESS – No
■ Cross-ventilation – inadequate
■ Setback less than 1/3rd of the total area
■ Drainage – present
■ Closed drainage
■ Toilet facility - own toilet
■ Type of latrine – water seal present
 WATER SUPPLY AND
STORAGE
■ Main source of drinking water - PIPED WATER – Piped into residence
■ STORAGE OF WATER – Overhead tank
■ WASTE DISPOSAL – Community dustbins, alternate days
 Biological Environment
■ Cattle/livestock/animals – absent
■ Pet animal – absent
■ Mosquitos – present
■ Flies – absent
■ Potential mosquito breeding places around house – present
■ General cleanliness around house – good
■ Remarks – environment is health promoting
Vital events in last 1 year
Births – No
Deaths – No
Migration – No
INDEX CASE
UNDER 5
YEARS
■ I am presenting the case of RUSHDAN ,
a 3 year old boy resident of MAJRA
belonging to a 5 membered MUSLIM
family.
GENERAL
DATA
■ NAME - Rushdan
■ AGE - 3 years
■ GENDER – Male
■ RELIGION – muslim
■ DATE OF BIRTH –
03/03/2021
■ BI RTH WEIGHT – 3 kg
■ PRESENT WEIGHT – 14 kg
■ BI RTH PLACE - Health facility
■ TYPE OF DELIVERY – Normal vaginal
■ CONDUCTED BY – Doctor
■ CONGENITAL ANOMALY – Absent
■ CRYING AFTER BI RTH – Yes
■ BREASTFEEDING SATRTED WITHIN – 2 hours
■ EXCLUSI VE BREASTFEEDI NG – YES
■ COMPLEMENTARY FEED STARTED AT – 6
months
IMMUNIZATION
■ CARD AVAILABLE – no
■ IMMUNI ZATION STATUS – Completely Immunised till age (acc. To mother)

MILESTONES – All achieved according to the age

GENERAL
EXAMINATION
■ PULSE RATE – 98pm
■ RESPI RATORY RATE –
24pm
■ PALLOR – absent
■ ICTERUS-absent
■ CYANOSIS-absent
■ CLUBBING-absent
■ LYMPHADENOPATHY-absent
■ EDEMA-absent
■ HAI R – Scanty and thin
■ EYES – Normal
■ SKI N – Normal
■ LI PS – Normal
■ TONGUE – Normal
■ TEETH – Normal
■ FACE – Normal
■ GUMS - Normal
ANTHROPOMETRY

■ WEIGHT – 14 kg
■ HEIGHT – 89 cm
■ CHEST CI RCUMFERENCE – 54 cm
■ MI D UPPER ARM CI RCUMFERENCE – 14
cm
■ Head circumference – 48 cm
 DIETARY HISTORY
FOO ENERGY PROTEIN IRON CALCIUM
D (kcal) (grams) (mg) (mg)
ITEM
MORNING
MILK 1 GLASS 160 6 0.2 240
BREAD(2 slice) 164 3.5 1.4 60
LUNCH
ROTI (2) 170 4 1.5 20
DAL (1 katori) 80 5.5 4 260
Ghee(1tsp) 45 - - -
DINNER
VEGETABLE(POT 90 1.5 10 0.7
ATO) (1 small size)
ROTI (1) 85 2 1.5 20
Ghee(1tsp) 45 - - -

Total calorie intake = 850 Kcal Total protein intake = 22.5gm

RDA = 1200 kcal RDA = 20 gm
Calorie DEFI CI T = 350 Kcal Protein EXCESS = 2.5 gm
 ADVIC
E
■ AT INDIVIDUAL LEVEL – Try to avoid junk food and have more calorie
rich foods like banana, beans and more of green leafy vegetables.
■ AT FAMILY LEVEL – Educate mother about importance of healthy
and balanced diet . Should cook food in utensils made of iron.
Deworming tablets to be taken once in six months.
THANK
YOU