State the accepted pathomechanism

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Reference no: EM134006134

Question

A 68-year-old male presents with a chief complaint of chronic constipation. He had a stroke 9 years ago, and has been bed ridden ever since. He has a bowel movement only once every 3-5 days. Even when he had an urgent need to defecate, it required great exertion to do so. He was listless, short of breath on exertion, had weakness of the limbs, and sweated spontaneously. His face, lips and fingernails were pale. The tongue was pale, moist with a white coat. The pulse was submerged, thin, slow and without strength.

1. Identify the 8 principles of the case (Interior/Exterior, Excess/Deficient, Hot/Cold, Yin/Yang)

2. List all possible zang fu (organ) patterns for this chief complaint.

3. State your working diagnosis for this case study. Support your choice with at least three elements from the case.

4. State the accepted pathomechanism for the chief complaint.

5. Which channels are likely affected in this case? (Remember to consider luo channels, tendino-muscular channels, divergent channels and extraordinary channels, in addition to main meridians)

6. State your treatment principle (both for zang fu diagnosis and channel diagnosis)

7. Which acupuncture points would you use? (No more than six, and consider the type of needle stimulation indicated)

8. What is the representative herbal formula for the zang fu pattern? Should this formula be modified to better address the chief complaint?

9. What lifestyle advice would you give this patient? Please be specific.

10. Identify the differential diagnosis list for this chief complaint from a biomedical perspective (usually 2-4 diagnoses).

11. Please state the most likely biomedical diagnosis & the ICD code.

12. Which physical exams would be appropriate for this case?

13. Which labs would be appropriate for this case?

14. State the red flags for this chief complaint.

15. State the prognosis for this case.

Reference no: EM134006134

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