CHAPTER ONE
1.1 BRIEF INTRODUCTION OF CLIENT.
Madam “N” is a wife of Mr. Selbar from the family of Selbar Nimlyat a 40 year old middle age woman.
 She is about 6.5metres tall and slim she is black in complexion and was brought to the comprehensive health Jos University Teaching Hospital (JUTH) Zamko branch Langtang North LGA Plateau state. The woman was brought to the hospital with the history of snake bite by her husband Mr. Selbar on the 12th August 2017 at about 4.30 pm, with the following signs and symptoms:-blood from the site of the bite,
Swollen legs, pains and tenderness, headache, fever and fangs mark of the snake (two punctured wounds).
1.2 HEALTH CONDITION OF THE CLIENT.
In the consulting room during history taking, the patient was made to understand that she was bitten by a snake, a carpet viper venomous snake (poisonous snake type.) while returning home from the farm at about 3.30pm.
1.3 DIAGNOSIS
After the history taking she was admitted for observation and a laboratory investigation was conducted to determine whether the venom have been circulated to the blood or not. The lab test conducted is called” clotting time” which is usually observed for 20minutes.
1.4 FIRST CONTACT WITH THE CLIENT.
My first contact with the client was when she was brought to the hospital’s emergency room with the history of snake bite on the 12th August 2017 that I picked interest in the case after the Doctors’ consultation and declaration of snake bite which the snake was killed and brought alongside with the patient.
1.5 CASE STUDY BACKGROUND.
Madam N’ was the first born of her family before gotten married to Mr. Selbar , she was borne grew up in Jimakwi village of Mikang LGA of plateau state Nigeria. She married in the same village
1.6 IMMUNIZATION HISTORY.
The history of immunization of Mrs. N” was not certain at that time that she was borne, but she was vaccinated against cerebrospinal meningitis vaccine and measles vaccine during the measles out braked that time without any updated records.
1.7 HISTORY OF PREVIOUS ILLNESS.
According to madam N” explanation, she was once admitted in the General Hospital Langtang North sometime in 2014 for chronic typhoid and malaria fever after laboratory investigation.
1.8 HISTORY OF THE PRESENT HEALTH CONDITION.
The present medical history of madam N” is accorded to snake bite in the farm as the client was working in the farmland of maize and yam. She did not wear any protected farming gadget like rain and hand gloves. The history also shows that the client had finished working in the farm and was about to go home when incident occurred.
On Examination, there was swelling, fang mark seen at the right leg. (R)leg fever and headache was also present.
1.9 FAMILY SOCIAL HISTORY.
The husband’s name is as follow:
Sure name:        Nimlyat
Other names:      Selbar Nanjing
Religion:          Christianity
Occupation:      Driver
Sex:              Male
 Address:          Before Baptist church Jimakwi (Mikang LGA Plateau state)
CLIENT DATA:
Sure name:         Selbar
Other names:     Mrs. “N” Nanjing.
Occupation:      Farming
Sex:                  Female.
Address:           Before Baptist Church Jimakwi Mikang LGA