Prolapsed Rectum Flashcards Preview

External medicine > Prolapsed Rectum > Flashcards

Flashcards in Prolapsed Rectum Deck (16):
1

What are the local SX?

1) bearing down sensation around anus
2) itching (bc of mucous)
3) frequent urination

2

what are the psychological SX?

1) kids with prolapse have developmental problems
2) neurothenia/schizophrenia

3

Differentiation: (1/2/3 degree)

1st degree: mild= mucous layer (3-5cm), not easily bled, easy to go back
2nd degree: moderate= muscle layer (5-10cm), could have some bleeding, will need to put back
3rd degree: severe= whole rectum/zygmoid (10cm+), needs help putting them back, happens easily and frequently

4

Patterns:

1) Qi/blood xu
2) D-H

5

Acute dysentary, inflamed hemorrhoids, with bearing down sensation around anus, tenesmus, red swollen anus with burning pain and itching

D-H

6

D-H T/P:

T- red, yellow greasy coat
P- soft, slippery

7

D-H points:

Li-11, SP-9, UB-39

8

Slow onset, start with distending and draggling sensation of rectum during defecation, and returning to normal after the bowel movement. It is sustained without proper Tx, recurrence may happen by overstrain and the prolapsed rectum fails to return spontaneously without the aid of hand, sallow complexion, fatigue, SOB, palpitations, dizziness

Qi/blood Def

9

Qi/blood Def T/P

T- pale, thin white coat
P- soft, thin

10

Qi/blood Def points

ST-36, RN-6, UB-20, UB-23

11

Basic points

DU-20, DU-1, UB-25, UB-57

12

ALT remedies:

moxa (Du-20, RN-6, ST-36) 5-10 min

13

EDU

1) prevent chronic diarrhea
2) tx cough/asthma to reduce ab pressure
3) exercise ab muscles during remission
4) kiegal exercises 20x/day

14

when is the best stage for TX?

TX as early as possible

15

is acupuncture effective?

works well for 1/2 degree
3 degree needs herbs

16

DX:

1) abnormal bowel movement= diarrhea/constipation (50-70%)
2) ab pain (left side)= bearing down/distension, may radiate to back
3) local SX
4) psychological SX