Archive for the ‘Gynecological’ Category
Chief Complaint: menstrual pain
Western Diagnosis: dysmenorrhoea
Medical History: This 35 year old lady has been complaining of pain and cramping after onset of period for past six months,and passing large clots with menstrual flow.She also reports extreme moodiness premenstrually.
Pain and cramping is relieved by pressure.She tends to feel hot but gets cold after eating.Her digestion is normal and bowels regular.Urination is normal with no nocturia. Sleeps well but wakes up feeling fatigued.
She has a history of Yang Ming headaches due to sinus congestion and was treated for post nasal drip due to allergies.
Chief Complaint: Period pain
Western Diagnosis: dysmenorrhea
Medical History: Patient was a young woman of healthy appearance. She is a student and works at a gym as a personal trainer. She is VERY active, and tries to eat healthily – mainly raw foods. She drinks eight glasses of water a day. The pain began about six months after starting her job at the gym. She also has considerable strain put on her through her studies, and her eating and sleeping can become erratic.
Chief Complaint: Early morning diarrhea which is worse just before and during menses.
Medical History: Generally nervous person, tends to internalize stress. Too much cold and sweet food. Exercises daily. Drinks wine several times per week. Previous antibiotic use with subsequent yeast infections.
Questioning exam: Symptoms worse with period.
Symptoms worse in the winter.
Symptoms worse with stress.
Chief Complaint: sporadic menstrual cycles
Western Diagnosis: amenorrhea
Medical History: 27 year old female triathlete. Runs, bikes, skis. Menstrual cycles sporadic since age 16. Diet fairly balanced, except red meat and iron rich foods lower than needed. Until recently patient worked three jobs.
Questioning exam: 1-2 menstrual cycles a year presenting with low back cramping, onset with brown blood, duration 3-4 days, ending with brown blood. Flow remains light throughout cycle. Fatigue during cycle. especially. Low grade anxiety, cold hands and feet, slight constipation, occasional floaters, and sometimes hard to fall asleep, especially prior to onset of cycle. Patient also complains of “coming down with every cold that comes along”.
Chief Complaint: severe lower abdominal pain, uterine hemorrhage
Western Diagnosis: uterine fibroids, ovarian cyst
Medical History: 47 y.o. female with a history of heavy menses with clots and cramping and increasing in frequency. Occasional hot flashes but after two 2-year courses of estrogen supplementation didn’t want to continue hormone replacement. Frequent bladder infections following intercourse. History of narcotic and alcohol addiction (past) and high blood pressure triggered by anxiety.
Pulse exam: Liver small and not descending to Kidney.
Chief Complaint: Uterine pain
Western Diagnosis: Fibroids
Medical History: Asian female,age 40 presents with uterine fibroids for 14 years. Asthma since age 6, medicated with steroids for many years; during acute attacks her brother (physician) would intravenously inject her with a steroid cocktail; at age 25 she began daily use of ventolin spray; allergies to pollen, cats and coconut; whole family history of skin or lung problems (eczema, vitiligo, lung infections)
Chief Complaint: painful distension,fullness in chest and abdomen; constipation or tenesmus; emotional disturbance
Western Diagnosis: Dysmenorrhea
Medical History: age 40, has spasmodic pain in the lower abdomen,painful distension radiating in both flanks, severe and persistent low back pain some times accompanied with premenstrual tension, nausea, vomiting, headache and emotional disturbance before menstrual period for about 18 years.
Questioning exam: painful distension,fullness in chest and abdomen; constipation and tenesmus; emotional disturbance; lower abdomen reluctant to pressure; menstrual blood is dark in color, purple and lumpy. yellow urine.
Chief Complaint: pain and discomfort before and during menstrual period
Western Diagnosis: dysmenorrhea
Medical History: always worried,easy to be angry, lack of exercise,eat mostly out doors.
Questioning exam: A women aged 32,spasmodic pain in the lower abdomen, painful distension radiating in both flanks, severe and persistent low back pain accompanied by premenstrual tension, nausea, vomiting,headache and emotional disturbance for about 16 years.
Chief Complaint: 1- Excessive menstrual flow
Western Diagnosis: The patient was diagnosed with fibroids by a M.D
Medical History: Female, 46 years old
Secondary complaint, recurrent sinus infections
Questioning exam: 1-Her symptoms consist of a lack of a menses for 2-3 months, followed by a heavy flow for 2-3 weeks. The flow is dark and has clots. She feels her abdomen is tight while menstruating, and finds that moving and stretching relieves it.
Chief Complaint: sinus headaches, PMS, irregular cycles
Medical History: Airline flight attendant, ie. irregular sleep and dietary habits
Questioning exam: eyes-itchy,runny,red,-wind and heat
H/A- temples, worse w/ stress and pms–liver related
H/A- sinus allergies,worse w/ odors and pollution- damp and phlegm
cycle- irregular, short- heat
cycle-starts dark w/ clots- blood stagnation—-by end 6 days looks pale and ashen- blood deficiency