Ch. 10: Other Diagnostic Systems Flashcards
Enuk is a 13yo, NM Husky/Malamute mix that presents after a history of “not doing well” after an intestinal obstruction surgery 6mo prior. The O reports that he has always been very sensitive to recovering from anesthetics. The hair on his abdomen still has not grown back since the surgery, and he seems weak, collapsing on even short walks. He has always howled with the sound of sirens but now when he does so, his voice is weak and he doesn’t howl as long. Despite having an excellent appetite he has a poor body condition (since the sx). No vomiting is seen and stools are normal. He’s always been a very dominant dog and is still so. He prefers his bed but lays on tile after walks. TCVM examination shows weak and deep pulses, weaker on the R, and his tongue is pale/wet. Temp is normal and slightly cool near BH region.
What is Enuk’s most dominant personality type?
Wood
Enuk is a 13yo, NM Husky/Malamute mix that presents after a history of “not doing well” after an intestinal obstruction surgery 6mo prior. The O reports that he has always been very sensitive to recovering from anesthetics. The hair on his abdomen still has not grown back since the surgery, and he seems weak, collapsing on even short walks. He has always howled with the sound of sirens but now when he does so, his voice is weak and he doesn’t howl as long. Despite having an excellent appetite he has a poor body condition (since the sx). No vomiting is seen and stools are normal. He’s always been a very dominant dog and is still so. He prefers his bed but lays on tile after walks. TCVM examination shows weak and deep pulses, weaker on the R, and his tongue is pale/wet. Temp is normal and slightly cool near BH region.
Using a diagnostic system that would simplify Enuk’s TCVM diagnosis into 1 problem, what would that diagnosis be?
Qi deficiency
Enuk is a 13yo, NM Husky/Malamute mix that presents after a history of “not doing well” after an intestinal obstruction surgery 6mo prior. The O reports that he has always been very sensitive to recovering from anesthetics. The hair on his abdomen still has not grown back since the surgery, and he seems weak, collapsing on even short walks. He has always howled with the sound of sirens but now when he does so, his voice is weak and he doesn’t howl as long. Despite having an excellent appetite he has a poor body condition (since the sx). No vomiting is seen and stools are normal. He’s always been a very dominant dog and is still so. He prefers his bed but lays on tile after walks. TCVM examination shows weak and deep pulses, weaker on the R, and his tongue is pale/wet. Temp is normal and slightly cool near BH region.
What is the most likely reason that accelerated the development of this pattern in Enuk?
Having had major surgery, being sensitive to anesthetics, and his advanced age, further compounds and accelerates the loss of Qi in this dog
Rajah is a 6yo FS GSD who presents after a 2d history of vomiting, explosive diarrhea, and inappetence. The O is unsure if she got into anything, but she does have a history of eating animal feces when on a walk. TCVM examination shows slippery, rapid pulses and a red tongue with a yellow foam. She is not febrile, but does have the tendency to run hot, pants a lot, and tends to be cool-seeking. The vomiting has improved, but the diarrhea is still very liquid and extremely malodorous.
What is the most likely TCVM diagnosis based on a diagnostic system discussed in Ch. 10?
Damp heat in the middle Jiao
Rajah is a 6yo FS GSD who presents after a 2d history of vomiting, explosive diarrhea, and inappetence. The O is unsure if she got into anything, but she does have a history of eating animal feces when on a walk. TCVM examination shows slippery, rapid pulses and a red tongue with a yellow foam. She is not febrile, but does have the tendency to run hot, pants a lot, and tends to be cool-seeking. The vomiting has improved, but the diarrhea is still very liquid and extremely malodorous.
What would be the most likely Zang-Fu pattern diagnosis for Rajah?
Invasion of damp heat into spleen
Bandit is a 10yo Arabian gelding that presents with a high fever after returning from a horse show, several hundred miles from home, a few days prior. The O reports that since returning he has had profuse sweating and has been drinking a lot of water. TCVM examination indicates a large, bounding, rapid pulse, and cherry-red tongue. He has yellow mucoid discharge from his eyes and nostrils. His respiratory rate and pulses are both elevated. His fever has continued to increase. The caretaker is unsure if Bandit has any temperature preferences or signs of chills.
If Bandit were a person, who had the same condition as Bandit, this patient would likely report:
A few days post the initial infection, where the chills have diminished, and the fever has spiked, she or he sweats profusely and feels thirsty all the time.
Bandit is a 10yo Arabian gelding that presents with a high fever after returning from a horse show, several hundred miles from home, a few days prior. The O reports that since returning he has had profuse sweating and has been drinking a lot of water. TCVM examination indicates a large, bounding, rapid pulse, and cherry-red tongue. He has yellow mucoid discharge from his eyes and nostrils. His respiratory rate and pulses are both elevated. His fever has continued to increase. The caretaker is unsure if Bandit has any temperature preferences or signs of chills.
What is the most likely TCVM diagnosis for Bandit?
Yang-Ming channel pattern
What diagnostic system was originally developed to hekp explain the progression and severity of heat-induced pathologies, associated with outbreaks of infectious diseases common at the time?
The four stages (Wei, Qi, Ying, Xue)
An 8wk old foal becomes contaminated with hemorrhagic strain of E. coli, becomes febrile, obtunded, and develops hematuria, hematochezia, bruising and petechiae all over its body. What stage or phase has this pathogen reached?
Qi
An 8wk old foal becomes contaminated with hemorrhagic strain of E. coli, becomes febrile, obtunded, and develops hematuria, hematochezia, bruising and petechiae all over its body.
What would be the most likely TCVM diagnosis for this foal?
Blood heat
Mac B was a 10yo MN Dalmation who presented with a history of severe chronic progressive hepatic cirrhosis. He had severe muscle wasting and a pendulous abdomen. Histopathology of the liver revealed degeneration and inflammation of hepatic tissue. Seven liters of ascitic fluid drained in the prior week. He tired very easily. His tongue was pale and wet, and his pulse was deep and weak. He was currently on 5 medications from his vet.
Based on Qi Blood and Body Fluid Patterns, what is Mac B’s diagnosis?
Qi deficiency with retained fluids
