Archive for the ‘Reproductive’ Category
Western-diagnosis: Unexplained Fertility
Medical-history: 27 year old female, unexplained infertility. Had been trying for four years to become pregnant. Active and fit.
Symptoms: Mild to moderate stress, depression and anxiety related to work and not getting pregnant.
No complaints of pain
No other remarkable symptoms.
Pulse & Palpation: Pulse wiry. Tender to palpation low back and SI joint. Very tight abdominal muscles from exercise routine.
Western-diagnosis: Infertility, hyperprolactinemia
Medical-history: 34 year old, female. She had taken contraceptive pills since she was 18. Stopped around June 2009 when she and her partner wanted to start a family. No pregnancy so far. Has history of cystitis. She had some tests in January 2009, which showed that she had hyperprolactinemia (PRL: 1030mu/L) and she had no ovulation.
Symptoms: Thought & worried too much, tend to catch cold, preferred warm drinks, extremely cold hands and feet, even needed to wear thick cotton socks in the summer, insomnia, had difficulty in falling asleep, severe constipation (once a week), occasional abdominal distention and acid reflux.
Chief Complaint: Constipation after childbirth 31 years ago!
Western Diagnosis: Constipation
Medical History: 58 yo female,born in Switzerland; came to America with husband (business assignment)5 years ago. Upper/lower GI endoscopy revealed negative. Hysterectomy 6/01 due to uterus prolapse. Organic food, vitamins, and perform yoga exercise daily.
Questioning exam: BM once a day in the morning; however had to wait for at least 45 minutes before defecation and required great effort to empty the bowels with complete relief. Stool is formed,in the soft side, brown color with no abnormal odor. She also complains of spontaneous sweating, and low energy (fatigue); a sensation of fullness in the stomach and lower abdomen.
Chief Complaint: Impotence
Western Diagnosis: Impotence.
Medical History: Patient is a 27 year old Caucasian male who presented with complaint of sexual dysfunction for two years duration. It is not continuous but has been steadily worsening.
Patient maintains a healthy diet, is moderately physically active and under tremendous psychological stress. maintains a monogamous relationship with a girlfriend.
He has been experiencing lumbago concurrent with the impotence since it began. He was involved in a motorcycle accident seven years prior in which, among other injuries, he shattered his left fibula and ankle. He now has decreased ROM in his left ankle and his gait is altered. This limits his physical activities and has set up mechanical imbalances in his pelvis and SI-joint.
Chief Complaint: Infertility
Medical History: 28 y/o Female with a 2 year history of not being able to conceive. Very irregular menstrual cycle. Western lifestyle and diet. Poor exercise history.
Questioning exam: Pt. complained of irregular cycle since mid 20′s. before that, was relatively normal. Also complains of fatigue during the day, bad PMS symptoms – irritable, breast tenderness, bloating, light colored menstrual flow, inconsistent sleep patterns, normal hunger and thirst, no taste in the mouth, temperature was normal, no pain,
Chief Complaint: postpartum lower abdominal pain.
Medical History: Aside from the main complaint, the patient says she is “otherwise healthy.” Normally, she eats two meals per day and snacks as she becomes hungry throughout the day—though sometimes she does not feel hungry enough to snack and simply eats two meals per day.
Food is a “low priority” in her daily schedule, particularly, she says, now after the baby’s birth. Her husband, who loves to cook, does most of the cooking. Her digestion is fine: no gas or bloating. Her stools are formed and once per day. In general, she tends towards constipation. Her urination is fine. She eats dairy, grains, vegetables and meat. She does not have a sweet tooth nor eat very much “fast food.”
Chief Complaint: Female Infertility
Medical History: Irregular menstruation, sore back, night sweats,fatigue, dizziness
Questioning exam: Irregular menstruation, sore back, constipation, malar flush, night sweats
Pulse exam: Deep, thin, particularly weak and sometimes Floating, empty, rapid
Tongue exam: Thin white coat and swollen
OM Diagnosis: KD Deficiency
Chief Complaint: Infertility
Western Diagnosis: Polycystic Ovarian Syndrome
Medical History: Central obesity. Excess high GI/sweet foods. Deficient dietary fibre. Sedentary lifestyle. No red meat. Too many cold raw foods
Questioning exam: Central obesity,acne, hirsutism, yellow leucorrhoea, abdominal bloating, irregular scanty periods, dysmenorrhoea with dark-clotted blood, lower abdominal pain, backache, dizziness, floaters, night-sweats, facial flushing,feelings of heat rising, irritability.
Chief Complaint: Low Libido
Medical History: The patient, RR is a 35-year-old male, approximately 5вЂ™10вЂќ tall and 180 lbs. His chief concern is low libido. The patient has had a normal libido for most of his adult life; however, six months ago he began having a lack of sexual desire.
RR states that he has led an active life, exercises regularly and is currently training for the Portland Marathon. He has been partnered with a woman for four years now and had a mutually satisfying sex life until six months ago. His partner is a 45-year-old female with two children from a previous relationship. The couple would like to have another due to RRвЂ™s age and lack of children. The patient is a financial adviser for an insurance company, which until this last summer was very stressful. He now enjoys less stress due to a promotion and hours that are more regular. His only other health concern is that at an annual exam two years ago his doctor found, due to a heart murmur, that he has a bicuspid valve rather than a tricuspid valve in his heart at an annual exam two years ago.
Chief Complaint: Frequent miscarriages
Medical History: This patient is a 30-year old woman with a history of frequent miscarriages. In the past year she had two miscarriages, one twelve months ago, and a second miscarriage nine months ago. Each miscarriage occurred during the first trimester of her pregnancy. Her gynecologist prescribed Progesterone and Clomid, neither of which produced a period of viable pregnancy. She has not had a period in six months, and would like to become pregnant again without miscarrying.