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E&P III > Abdominal Masses > Flashcards

Flashcards in Abdominal Masses Deck (17):
1

Describe qi stagnation masses

Qi stagnation masses come and go, movable upon palpation and change location.

2

Describe blood stagnation masses

Blood stasis masses are fixed in location, not movable upon palpation and feel quite hard. If pain: fixed and stabbing

Firm or hard, immobile; no change with prolonged pressure; well defined with clear but irregular edges or an area of increased tissue density
Often painful with pressure; fixed always found in same spot
Blood stasis masses tend to grow within organ or muscle tissue
May appear quite dense and irregularly shaped with ultrasound

3

Describe phlegm masses

Phlegm masses feel soft on palpation and have a fixed location, usually no pain.

Well defined, smooth, soft or rubbery, rounded; fixed but may be moved slightly over basement tissue
Not usually painful or tender upon palpation; may impinge on other pain producing structures;
Masses may grow on the surface of organs or in between tissue layers
Laparoscopy: surface of mass may be shiny and pearl-like or opaque

4

What's the difference between Heat masses and Cold masses?

Heat
Mass feels warmer than surrounding tissue, usually soft and squishy;
Tender upon palpation
May appear regular in shape with imaging

Cold
Soft mass under tissue that feels cooler than surrounding tissue; abdominal wall usually cool, pale and lax
Generally not tender, or mild, upon palpation depending on degree of blood stasis and/or Kidney Yang deficiency

5

What's the early stage treatment strategy for masses?

EARLY Stage: resolve pathogenic factor, move Qi, invigorate blood, resolve phlegm; Pathogen is weak, Qi is strong

6

What's the middle stage treatment strategy for masses?

MIDDLE Stage: resolve pathogenic factor and tonify Qi; Pathogen stronger, Qi weakening

7

What's the late stage treatment strategy for masses?

LATE Stage: tonify Qi, resolve the pathogenic factor; Pathogen strong, Qi weak

8

Movable abdominal masses which come and go, abdominal distention and pain which come and go with the masses, a feeling of discomfort in the hypochondrium, depression, moodiness, irritability, alternation of constipation an diarrhea
T: normal or slight Red on sides, thick root coat
P: Wiry

Liver Qi Stagnation

9

Soft abdominal masses, which may be strip-like in shape, abdominal distention, constipation or diarrhea, poor appetite, nausea and a feeling of fullness
T: Swollen, sticky coating thicker on root
P: Slippery

Retention of Food and Phlegm

10

Hard and immovable abdominal masses, abdominal distention and pain, late periods
T: Purple
P: Wiry

Qi & Blood Stagnation

11

Hard, immovable and painful masses in the abdomen, dark and withered complexion, dry skin, feeling cold, amenorrhea, painful periods, late periods. A condition of severe and chronic blood stasis.
T: Purple
P: Choppy

Blood Stasis Knotted in the Interior

12

Hard, painful masses, sallow complexion, loss of weight, loss of appetite, exhaustion
T: Purple
P: Fine and Choppy

Deficiency of Upright Qi & Stasis of Blood

13

What is a myoma?

Myoma, a solid well defined benign growth in the myometrium. Most common tumors of the uterus, 20% of all women over 35 affected.

Not a fibroid, comprised of smooth muscle tissue
Excessive uterine bleeding is a consequence

Not usually painful. Large myomas may press on the bladder: increased frequency, dysuria.

14

Does Endometriosis cause a abdominal masses?

Endometriosis does not usually cause an abdominal mass, only when there is an accumulation of scar tissue and displacement of the uterus.

15

Tell me a little about PCOS

* PCOS Polycystic Ovary Syndrome
* Common hyperandrogenic endocrine abnormality of unknown etiology
* Strong genetic basis
* Environmental factors: modern dietary patterns, sedentary lifestyle that promote obesity can initiate or exacerbate symptoms
* Constitutional Kidney deficiency is the basic etiology
* May be the Western cause of No Periods, Scanty Periods or Infertility
* Kidney Yang deficiency, fluids not metabolized
* Phlegm and/or Dampness accumulate; blood stasis often present
* Damp/Phlegm causes cysts; Yang def. causes amenorrhea or infertility
* Numerous small cystic follicles varying in size, less than 0.5 cm in diameter
* Failure of the ovarian enzyme systems necessary for estrogen production; obesity, amenorrhea, infertility and hirsutism


16

No periods, history of infertility, scanty periods, obesity, hirsutism, feeling of oppression of chest, feeling of heaviness of the abdomen, excessive vaginal discharge
T: Pale, swollen with sticky white coat
P: Weak, slightly slippery

KIDNEY YANG DEF. with DAMP/PHLEGM

17

No periods, history of infertility, scanty periods, obesity, hirsutism, feeling of oppression of chest, feeling of heaviness of the abdomen, excessive vaginal discharge, abdominal pain
T: Pale, purple or bluish purple, swollen, sticky white coating
P: Weak, slightly slippery

KIDNEY YANG DEF. + BLOOD STASIS