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הרקמ תגצה

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by

lior paz

on 19 January 2014

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Transcript of הרקמ תגצה

Bariatric surgery complication
HPI:
SHx:
Etiology
Chinese Etiology
Inner Look
phys
Spiritual
Social
Me?
33 y/o female with g6pd.

C.C: weakness and parasthesia in the lower
and upper limbs.

CC began 2 wks ago after 2 month of incessant vomiting which occurs after eating very small portions. Underwent a "sleeve" bariatric surgery 5 months prior to that. ptx began to feel tingling in her foot which then progressed into a "drop foot".
-
MRI
ruled out CNS involvement.
-
EMG
: local (knee) nerve damage.
-
Vitamine deficiency:

lost 33kg!!!
Married
at age 19. mother of 3.
grew up in a family of 6. Lost a brother in drowning accident before she was born.

Lives in
לטיבא בשומ

Work:
םיינרופצ תיינב

Smokes 1/2 pack cigarettes x day.

Never tried any kind of "Integrative Medicine"
Weakness in the St channel- leads to a "Drop foot"
"Heart burn" since childhood.
Before vomiting- sensation of simmering and then heat wave and sweat.
After- cold sensation and shivering.
Period-
stools-
Sleep-
Tongue-
Pulse-
Foot-
Acts like everything is alright

Moves around a lot.

Says the surgery was a mistake- but on the other hand she is very proud of her weight loss.
Very tired

limitted mobility

Hard to handle the children
Can't go out to restaurants

can't eat at a family dinner/ friends

Cold contact with her family

Husband and kids are supportive
Diagnosis
ST Qi rebelling d/t ST yin deficiency
with underlying SP Qi+ Blood deficiency
Diff' DX- ST fire rising d/t LIV Qi stagnation
Earth is deeply involved- deficiency created lack of blood that didn't enrich the yang ming
her- me


early wedding
Full transcript