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Week 9 Quiz: Pattern Differentiation
Terms in this set (10)
Elia has been suffering from profuse, thick white vaginal discharge for the past month. There is no odor but she does feel more tired than usual. Her bowel movements fluctuate between being soft and being more like diarrhea. Her complexion is lusterless and she often feels cold. What is the tongue and pulse for this case?
Pale, sticky white coat; slow, slippery, weak
Jennifer has suffered from amenorrhea for the past 6 months yet she feels a strange pressure and distension in her lower abdomen. Sometimes she might feel hard lumps around her ovaries. Her complexion looks dark. What would you expect her tongue and pulse to be in this case?
Purple with purple spots on the sides; stringtaut, hesitant, deep
Chris went camping at the end of October, before the winter set in. They woke up on their last day to a very stiff and achy back. They have limited extension and flexion of the back, and the pain radiates down the buttocks to the lower limbs. Their lower back feels cold to the touch and they report feeling heaviness in the area. What would you expect their tongue and pulse to be?
White, sticky; deep, slow
Cara is 37 and she has been under a lot of stress of late. Last week she was complaining of headaches and she thinks they are migraines, which she attributes to her stress levels. She has also been constipated and has had burning pain on urination. Her urine has drops of blood in it, and she is nowhere close to her menstrual period. She has tongue ulcers, palpitations, and is feeling manic. What would you expect her tongue and pulse to be?
Red esp at tip and sides, excess in front L, stringtaut in middle L, rapid in both rear positions
Susan has been suffering from headaches and vertigo since giving birth to her first child a year ago. The doctors can't find anything causing those symptoms on examination, or in her bloodwork. She was anemic right after birth but after a month of iron supplemen-tation her labs returned to acceptable levels. As you interview her you find out she has also been dealing with hypochondriac pain, poor memory, dry skin, and tinnitus. She is often tired. What is your diagnosis for this case?
Liver Qi Stagnation with Blood Deficiency
Your patient James was recently diagnosed with type 2 diabetes. He is coming to see you because he has chronic low back pain. He reports it is a dull ache that is worse in the winter, and better in the summer although it never really goes fully away. He has gotten monthly massages but doesn't report much improvement. As you interview him you learn his appetite is pretty low, although he often feels his stomach is bloated. He reports his bowel movements are often loose and most usually worse in this regard in the morning. He does not report feeling heaviness in his body, but you can observe edema build up on his abdomen and on his legs and feet. He also says he is frequently cold, and when you palpate his lower back it is cold to the touch
Spleen and Kidney Yang Deficiency
Your patient Greg is 32 years old and has had a rash which suddenly appeared several days ago. It started out as a patch of redness on his torso that burned and felt hot to the touch. Now the area of the rash has doubled in size and is bright red. There are pus-filled blisters that are cropping up on the rash. There is shooting pain. He also has a fever, and then chills, headache, irritability, and thirst, and his appetite is low. What would be the tongue and pulse you expect to see?
Red, yellow coat; excess, rapid
Fran suffers from rheumatoid arthritis. It is worse in both of her thumbs and third fingers, also worse when it is cold outside. The pain can be severe, as if someone is sticking pins into her fingers. There is no redness in the area that you can identify. You try moxa, and her pain levels improve. What would you expect her tongue and pulse to be?
Pale, white coat (not thin or thick); wiry, tense
Your patient Lily carried her first child to full term at age 47 and gave birth 5 days ago. She is now trying to breastfeed but her milk is not coming in. Her breasts seem distended but there is no milk. She feels sad and finds herself crying and frustrated because she is unable to nurse her baby. You ask if she is taking in enough nourishment and she tells you that she does not have much of an appetite. She looks very pale and her skin is dry. What would you expect the tongue and pulse to be for this case?
Pale, twc; wiry in the middle L, deficient in the middle R
Gerald has had a fever that fluctuates between 100.9 to 97.5 degrees F for over three months. The fever sets in around 8 or 9 in the morning and then disappears around 5-6 pm. Sometimes if he works out in the evenings it will come back. His other symptoms are spontaneous sweating, shortness of breath, and chronic loose stools. What would you expect his tongue and pulse to be?
Pale, twc; overflowing, deficient especially in the middle position on the right
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