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Point Prep > epigastric pain, puke > Flashcards

epigastric pain, puke Flashcards

1
Q

Pt has distending pain in the epigastrium that is aggravated on pressure or after meals. She is belching w/a fetid odor T: thick, sticky coating P: deep, forceful, rolling
dx?

a) Retention of food
b) Attack of the ST by LV Qi
c) Xu of the ST w/cold stagnation
d) Hypofunction of the SP and ST

A

a) Retention of food

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2
Q 
Pt has distending pain in the epigastrium that is aggravated on pressure or after meals. She is belching w/a fetid odor T: thick, sticky coating P: deep, forceful, rolling.
Points:
a) LV 14, CV 12, PC 6, ST 36, LV 3
b) CV 12, ST 36, CV 6, PC 6, SP 4, BL 20
c) CV 12, PC 6, ST 36, inner-neiting
A

c) CV 12, PC 6, ST 36, inner-neiting

dx = Retention of food

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3
Q

What are the 4 points for retention of food?

A

PC 6, CV 12, ST 36, inner-neiting

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4
Q 
Pt has paroxysmal pain in the epigastrium, radiating to the hypochondriac regions, freq belching accompanied by nausea, vomiting, acid regurgitation, abd distension, anorexia. T: Thin, white coat P: Deep, string-taut
Points?
a) LV 14, CV 12, PC 6, ST 36, LV 3
b) CV 12, ST 36, CV 6, PC 6, SP 4, BL 20
c) CV 12, PC 6, ST 36, inner-neiting
A

a) LV 14, CV 12, PC 6, ST 36, LV 3

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5
Q

Pt has paroxysmal pain in the epigastrium, radiating to the hypochondriac regions, freq belching accompanied by nausea, vomiting, acid regurgitation, abd distension, anorexia. T: Thin, white coat P: Deep, string-taut
dx?

a) Retention of food
b) Attack of the ST by LV Qi
c) Xu of the ST w/cold stagnation
d) Hypofunction of the SP and ST

A

b) Attack of the ST by LV Qi

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6
Q

What are the 5 points for Attack of the ST by LV Qi?

A

LV 3, LV 14, PC 6, CV 12, ST 36

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7
Q 
Pt has dull pain in the epigastrium which is relieved by pressure and warmth. He has lassitude, and is regurgitating thin fluid. T: thin, white coat P: Deep, slow
Dx?
a) Retention of food
b) Attack of the ST by LV Qi
c) Xu of the ST w/cold stagnation
d) Hypofunction of the SP and ST
A

c) Xu of the ST w/cold stagnation

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8
Q

What are the 6 points for xu of the ST w/cold stagnation?

A

CV 12, ST 36, CV 6, PC 6, SP 4, BL 20, and indirect moxa w/ginger on CV 6

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9
Q

Pt has dull pain in the epigastrium which is relieved by pressure and warmth. He has lassitude, and is regurgitating thin fluid. T: thin, white coat P: Deep, slow

a) LV 14, CV 12, PC 6, ST 36, LV 3
b) CV 12, ST 36, CV 6, PC 6, SP 4, BL 20
c) CV 12, PC 6, ST 36, inner-neiting

A

b) CV 12, ST 36, CV 6, PC 6, SP 4, BL 20

dx = xu of the ST w/stagnation of cold

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10
Q

Pt has acid fermented vomit, epigastric and abd distension, belching, anorexia, loose stools or constipation T: thick, granular P: Rolling, forceful
dx?

a) retention of food - vomiting
b) attack of the ST by LV Qi - vomiting
c) Hypofunction of the SP and ST - vomiting

A

a) retention of food - vomiting

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11
Q 
Pt has acid fermented vomit, epigastric and abd distension, belching, anorexia, loose stools or constipation T: thick, granular P: Rolling, forceful
Points?
a) LV 14, CV 12, PC 6, ST 36, LV 3
b) CV 12, ST 36, PC 6, SP 4, CV 10
c) CV 12, PC 6, ST 36, inner-neiting
A

b) CV 12, ST 36, PC 6, SP 4, CV 10

dx = retention of food - vomiting

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12
Q

What are the 5 points for retention of food - vomiting

A

SP 4, PC 6, CV 10, CV 12, ST 36

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13
Q

Pt is vomiting, has acid regurgitation w/freq. belching, distending pain in the chest and hypochondrium. Is irritable and has an oppressed feeling. Dx?

a) retention of food - vomiting
b) attack of the ST by LV Qi - vomiting
c) Hypofunction of the SP and ST - vomiting

A

b) attack of the ST by LV Qi - vomiting

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14
Q

Pt is vomiting, has acid regurgitation w/freq. belching, distending pain in the chest and hypochondrium. Is irritable and has an oppressed feeling. Points?

a) CV 12, ST 36, PC 6, SP 4, LV 3
b) CV 12, ST 36, PC 6, SP 4, CV 10
c) CV 12, ST 36, PC 6, SP 4, BL 20

A

a) CV 12, ST 36, PC 6, SP 4, LV 3

Dx = Attack of the ST by LV Qi

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15
Q

What are the 5 points for attack of the ST by LV Qi - vomiting?

A

CV 12, ST 36, PC 6, SP 4, LV 3

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16
Q

Pt enters your clinic w/a sallow complexion, vomiting after a big meal, loss of appetite, lassitude, weakness, and slightly loose stools. T: Pale w/thin white coat
P: Thready forceless Dx?

a) retention of food - vomiting
b) attack of the ST by LV Qi - vomiting
c) Hypofunction of the SP and ST - vomiting

A

c) Hypofunction of the SP and ST - vomiting

17
Q

Pt enters your clinic w/a sallow complexion, vomiting after a big meal, loss of appetite, lassitude, weakness, and slightly loose stools. T: Pale w/thin white coat
P: Thready forceless Points:

a) CV 12, ST 36, PC 6, SP 4, LV 3
b) CV 12, ST 36, PC 6, SP 4, CV 10
c) CV 12, ST 36, PC 6, SP 4, BL 20

A

c) CV 12, ST 36, PC 6, SP 4, BL 20

Dx = Hypofunction of the SP and ST

18
Q

What are the 5 points for Hypofunction of the SP and ST - vomiting

A

CV 12, ST 36, PC 6, SP 4, BL 20

Point Prep (72 decks)

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