A four and half year was brought by his parents for Autism. I started with a through examination as described below:MENTALhe is very affectionate, will touch and hug any womenloves dogs, sometime will scare dogs as he loves themis you ask for a hug will run up and give you a hug and kiss, he loves hugs, will trick you to pick him up to and hug, he will touch moms hairs and hugwhen he sees uncle will hug him and say uncleis like this with parents and teachers at schoolWATERlikes water mom said spontaneously he loves water, wil try to swim in bathtubhe loves water, love to drink it and play it,SPEECHwill talk out at inappropriate time, while in church,he saying randoms things, inappropriate to the time and place,he repeats all the time, anything he hears, he can repeat a whole sentence on his own, but only repeatinghe repeats a lot at schoolused to hide behind mom before when people would come to the house when he was youngerup until the 3 yohe would cover face after I asked, not so common, the hiding behind leg more commonSCARED/FEARSthings used to scare him more than they did nowhe used to be really scared of any loud noise, singing at church would cover earsjust loud noises which I think is normalnever afraid of the darkHYPERACTIVEnormally will jump up and downalways in constant motion it seemswill run from one end of the room to other8-10 times until he stops, all daycan run around in circlesSPEECHlimited speech, but knows lots of wordscan not formulate sentenceswill say I want a napkin, I want juicedoes not ask questions and does not respond to questions2-3 words at a timehas almost 1000 words, but can only put 3 words togetherhe reads proper for his ageif they ask any question he will, not respond,his receptive speech is much better, then expressive speechhe will get frustrated when forcing him, he will start hand flapping like he will fly away, the stimming picks up when he get frustratedwill not play with other childrenthe rocking is off and on all day, can be side to siderocks when trying to go to sleepMY OBSERVATIONhe rocks back and forthHOW EVERYTHING STARTEDwas a good baby, a normal babyhe knew his nameafter the MMR and maybe DTAP vaccinesafter this got really high fever; fever was 103F fever, lasted off and on, used tylenollasted 2 days the feverwas sluggish after every vaccine, for 2 daysthat is when the tip toe walking started after this, and since has been walking on tip toes still today, then stopped responded to his name,he was 14 months old when it really took hold of himover the course of a month after this, he kept regressinglast vaccine was given 2017,POTTY TRAININGhe can not be potty trainedwill sit on toilet, will clean himselfhas to take him to the bathroom every 30 minuteshe would just go in his pull up if they did not make him go to bathroom every 30 minutesDIGESTIONreally bad constipation, he usually goes every 3-4 dayssometime is hard to voidconstipationmay need suppository after 4 dayshas had this since 1 year old, started seeing this, before regressionMOUTHrecently foul order in the mouth since JANeven after brushing teeth and cleaning toungue, does not go awayalmost 2 months like thisgrandma noticed just like mom noticedPREGNANCYwas not able to eat enough black berries, ate tonnes of black berries+++and did not care for them before pregnancymother in law really stressed her out during the pregnancy, emotionally crazy time for hervery nauseous first trimester, the first 6 weeks of pregnancymom drank lots of orange juice a gallon a week++whooping cough during pregnancy, dtap vaccine was given++, 6.5 month pregnantflu shot during pregnancyTHIRST / FOOD10 glasses of water a day, lots of water,like room temp, juice has to be room temp before he drinks it, doesn’t like cold cold drinksreally likes rom temp, does not like cold cold things+++THERMALSlikes early spring and falldoes not like super cold, and really dislikes hot weatherhas to have a hat on, needs mittens on and coat on to go to the car in their winter. if they are going to leave a building. He will cry if he does not have them on.needs his mittens and gloves++, or he will cryhe grinds his teeth terribly mom said during sleep++since 2 years oldsometimes will sweat during sleep as per his momhis feet will sweat, his back sweat, the over the bridge of the nose across the nostrilacross the nose just below the eye on the check is most prominent3-4 night in 1 weekwill be beads of sweat++will need to bath him in the morning because he sweats so much sometimesSKINbirthmark on foreheadhad a really bad diaper rash at 2YO, went to ER, was given hydrocortisone cream; used for 2 weeksmom thinks he was regressing at that timethe rash was so bad at that timePRIOR TEMPhe used to be so warm, he was always warm to the touchwarm to the touch, not feverforehead was warmer,bum rashFAMILY HISTORYno cancer PREGNANCY EMOTIONAL STRESSHated mother in law, strong feelings of hate, felt like she was rejecting her child, she was not excited about becoming a grandparentlike I was not able to what I wanted for my childmaybe dominating effect after I suggestedOVERVIEW:I wanted to share the entire case taking notes as I needed to ask about every single aspect of the child along with the pregnancy of the mother. Many many times in these can of autism we see the case is very one sided with only common symptoms of autism, with no strange, rare or peculiar symptoms to guide us. Some things that stood out in the case, was the odour of the breath that recently developed and the same year and was noticed by more than just the mother. Mercurious Solubus came to mind as many times these children respond to that remedy because of NWS vaccination. But there were no other signs of this remedy present. The keys to this case were in the pregnancy and the first couple years of life for the child.The mother said she craved 4 litres (1 Gallon) of orange juice her entire pregnancy, and told me this as if it was a normal thing, Yet she never craved this before pregnancy or after the child was born. This was a characteristic of the child. Right away Medorrhinum came to my mind.I then asked about skin issues ever with the child. The child had a very severe diaper rash that lasted for over 2 weeks and required hospitalization, along with hydro-cortisone to eliminate it(suppress it really). This rash interestingly developed at the exact same time the mother noticed him starting to regress after the vaccinations.