Jaundice - final

Question 1

what are three classic symptoms of jaundice

Answer 1

yellow skin
yellow eyes
yellow urine

Question 2

characteristics of yang jaundice

Answer 2

bright yellow complexion
inhibited urination
general heat
dry mouth
heart vexation
glomus
blocked stool
red tongue, yellow coat
soggy, rapid pulse
chronic

Question 3

characteristics of yin jaundice

Answer 3

dark/dull yellow complexion
aversion to cold
no heat effusion
sloppy stool
pale tongue, white coat
sunken, slow pulse
acute

Question 4

what are possible jaundice patterns

Answer 4

damp heat with heat greater than dampness
damp heat with damp greater than heat
damp heat with exterior symptoms
liver and gallbladder stagnant heat
toxic heat
cold damp
spleen qi and blood deficiency
blood stagnation

Question 5

what are general points for jaundice

Answer 5

UB 19, GB 34, SP 9, DU 9, SI 4

Question 6

biomedically, what causes the yellowing of jaundice?

Answer 6

build up of bilirubin

Question 7

what are some biomedical causes of jaundice

Answer 7

hepatitis, cirrhosis, alcoholic liver disease, cholecystitis, gallstones, systemic lupus erythematosus, sickle cell anemia, hemolytic anemia

Question 8

how is bilirubin supposed to exit the body

Answer 8

through the bowels

Question 9

when bilirubin isn’t in the bile, how does it leave the body?

Answer 9

through the urine (this leads to dark urine and pale stool)

Question 10

what are the biomedical causes of ascites

Answer 10

any severe liver disease

Question 11

what are biomedical complications of ascites

Answer 11

hepatic portal hypertension and esophageal varices

Question 12

what are possible ascites patterns

Answer 12

qi and damp stagnation
cold damp
damp heat
blood stagnation
spleen and kidney yang deficiency
*liver and kidney yin deficiency

Question 13

what are some characteristics of ascites

Answer 13

swollen abdomen (soft in early stages, harder in latter stages), sallow or yellow complexion, emaciation, jaundice, blue veins on abdomen, spider naevi

Question 14

what are some general points for qi stagnation/damp heat ascites

Answer 14

LV 13,14; UB 18,19; GB 34; REN 9

Question 15

what are some general points for deficiency cases of ascites

Answer 15

UB 20, REN 9, UB 23, SP 9, REN 4

Question 16

what 4 labs would be helpful in liver disorders

Answer 16

• bilirubin (blood or urine) - testing to see if there is too little or too much bilirubin in the blood or urine
• gamma glutamyl transferase (GGT) - enzyme that acts as a transport molecule for drugs and other toxins
• alanine aminotransferase (ALT) - where jaundice is coming from; higher when there is long term damage
• aspertate aminotransferase (AST) - levels increase between 6-10 hours after someone uses excess drugs/alcohol. levels remain high for ~ 4 days; checks for short-term damage