urination - disturbance/retention

Question 1

Pt has the presence of calculi in her urine. It is dark yellow and turbid. Sometimes she experiences a sudden interruption of urination w/an unbearable pricking pain while urinating. She has pain of the lumbus and abdomen, and blood in the urine/ T: normal coat P: none noted. Dx?

a) dysuria caused by calculi
b) dysuria caused by qi disfunction
c) painful urination w/blood
d) dysuria w/milky urine
e) dysuria d/t overstrain

Answer 1

a) dysuria caused by calculi

Question 2

Pt has difficult and hesitant urination w/fullness and pain of the lower abd. T: Thin, white coat P: Deep, string taut

a) dysuria caused by calculi
b) dysuria caused by qi disfunction
c) painful urination w/blood
d) dysuria w/milky urine
e) dysuria d/t overstrain

Answer 2

b) dysuria caused by qi disfunction

Question 3

Pt has hematuria w/pain and iurgency of micturition. He has a burning sensation and and pricking pain while urinating. T: Thin, yellow, coat P: rapid, forceful

a) dysuria caused by calculi
b) dysuria caused by qi disfunction
c) painful urination w/blood
d) dysuria w/milky urine
e) dysuria d/t overstrain

Answer 3

c) painful urination w/blood

Question 4

Pt complains of cloudy urine w/a milky/creamy appearance. She has urethral burning pain while urinating. T: Red w/sticky coat P: Thready, rapid Dx?

a) dysuria caused by calculi
b) dysuria caused by qi disfunction
c) painful urination w/blood
d) dysuria w/milky urine
e) dysuria d/t overstrain

Answer 4

d) dysuria w/milky urine

Question 5

Patient has been working long hours w/no time off. He recently noticed he is dribbling urine off and on, and is exacerbated when he works these long hours. T: none noted P: weak Dx?

a) dysuria caused by calculi
b) dysuria caused by qi disfunction
c) painful urination w/blood
d) dysuria w/milky urine
e) dysuria d/t overstrain

Answer 5

e) dysuria d/t overstrain

Question 6

Pt has the presence of calculi in her urine. It is dark yellow and turbid. Sometimes she experiences a sudden interruption of urination w/an unbearable pricking pain while urinating. She has pain of the lumbus and abdomen, and blood in the urine/ T: normal coat P: none noted. Points?

a) BL 28, CV 3, SP 9, BL 39
b) BL 28, CV 3, SP 9, LV 2
c) BL 28, CV 3, SP 9, SP 10, SP 6
d) BL 28, CV 3, SP 9, BL 23, KD 6
e) BL 28, CV 3, SP 9, DU 20, ST 36, CV 6

Answer 6

a) BL 28, CV 3, SP 9, BL 39

dx = dysuria caused by calculi (damp heat)

Question 7

Pt has difficult and hesitant urination w/fullness and pain of the lower abd. T: Thin, white coat P: Deep, string taut

a) BL 28, CV 3, SP 9, BL 39
b) BL 28, CV 3, SP 9, LV 2
c) BL 28, CV 3, SP 9, SP 10, SP 6
d) BL 28, CV 3, SP 9, BL 23, KD 6
e) BL 28, CV 3, SP 9, DU 20, ST 36, CV 6

Answer 7

b) BL 28, CV 3, SP 9, LV 2

dx = dysuria caused by qi dysfunction (emotions - lv qi stagnation or qi stagnation in BL)

Question 8

Pt has hematuria w/pain and iurgency of micturition. He has a burning sensation and and pricking pain while urinating. T: Thin, yellow, coat P: rapid, forceful

a) BL 28, CV 3, SP 9, BL 39
b) BL 28, CV 3, SP 9, LV 2
c) BL 28, CV 3, SP 9, SP 10, SP 6
d) BL 28, CV 3, SP 9, BL 23, KD 6
e) BL 28, CV 3, SP 9, DU 20, ST 36, CV 6

Answer 8

c) BL 28, CV 3, SP 9, SP 10, SP 6

dx = painful urination w/blood

Question 9

Pt complains of cloudy urine w/a milky/creamy appearance. She has urethral burning pain while urinating. T: Red w/sticky coat P: Thready, rapid Points?

a) BL 28, CV 3, SP 9, BL 39
b) BL 28, CV 3, SP 9, LV 2
c) BL 28, CV 3, SP 9, SP 10, SP 6
d) BL 28, CV 3, SP 9, BL 23, KD 6
e) BL 28, CV 3, SP 9, DU 20, ST 36, CV 6

Answer 9

d) BL 28, CV 3, SP 9, BL 23, KD 6

dx = dysuria w/milky urine (damp heat in the BL)

Question 10

Patient has been working long hours w/no time off. He recently noticed he is dribbling urine off and on, and is exacerbated when he works these long hours. T: none noted P: weak Points?

a) BL 28, CV 3, SP 9, BL 39
b) BL 28, CV 3, SP 9, LV 2
c) BL 28, CV 3, SP 9, SP 10, SP 6
d) BL 28, CV 3, SP 9, BL 23, KD 6
e) BL 28, CV 3, SP 9, DU 20, ST 36, CV 6

Answer 10

e) BL 28, CV 3, SP 9, DU 20, ST 36, CV 6

dx = dysuria d/t overstrain

Question 11

Pt complains of scanty hot urine and retention. He feels distended and full in his lower abd. He knows he’s thirsty but has no desire to drink. He has also noted that he is constipated. T: Red w/yellow coat P: Rapid Points?

a) BL 28, CV 3, SP 6, BL 39
b) DU 4, DU 20, CV 4, TW 4, BL 23
c) CV 3, SP 6, ST 28, KD 5

Answer 11

a) BL 28, CV 3, SP 6, BL 39

Question 12

Pt has dribbling urination, pallor, listlessness, chilliness below the lumbus, weakness of the loins and knees

a) BL 28, CV 3, SP 6, BL 39
b) DU 4, DU 20, CV 4, TW 4, BL 23
c) CV 3, SP 6, ST 28, KD 5

Answer 12

b) DU 4, DU 20, CV 4, TW 4, BL 23

Question 13

Pt has dribbling urination or retention and feels distended w/dull pain in the lower abd. T: Purplish spots P: Hesitant, rapid

a) BL 28, CV 3, SP 6, BL 39
b) DU 4, DU 20, CV 4, TW 4, BL 23
c) CV 3, SP 6, ST 28, KD 5

Answer 13

c) CV 3, SP 6, ST 28, KD 5

Question 14

Pt complains of scanty hot urine and retention. He feels distended and full in his lower abd. He knows he’s thirsty but has no desire to drink. He has also noted that he is constipated. T: Red w/yellow coat P: Rapid Dx?

a) Accumulation of Heat in the BL
b) Decline of Mingmen Fire
c) Damage of the Qi of the Meridian

Answer 14

a) Accumulation of Heat in the BL

Question 15

Pt has dribbling urination, pallor, listlessness, chilliness below the lumbus, weakness of the loins and knees

a) Accumulation of Heat in the BL
b) Decline of Mingmen Fire
c) Damage of the Qi of the Meridian

Answer 15

b) Decline of Mingmen Fire

Question 16

Pt has dribbling urination or retention and feels distended w/dull pain in the lower abd. T: Purplish spots P: Hesitant, rapid

a) Accumulation of Heat in the BL
b) Decline of Mingmen Fire
c) Dameage of the Qi of the Meridian

Answer 16

c) Damage of the Qi of the Meridian