This is my case details

This is my case details

Case Presentation: Chronic Cough

Vital Signs

Blood Pressure: 123/78 mmHg (normal range)

Heart Rate: 61 beats per minute (normal range)

Tongue Examination

Appearance: Pale, swollen, and scalloped

Coating: Thin white coating

Pulse Examination

Pulse Quality: Weak and fine

Clinical Significance: Indicates Qi deficiency according to Traditional Chinese Medicine (TCM)

Asking (Patient History)

Primary Complaint: Persistent, non-productive cough lasting approximately five years

Exacerbating Factors: Cold environments and physical exertion; particularly troublesome in the early morning

Associated Symptoms: Sensation of cold in the throat, requiring neck coverage for relief

Medical History: Chronic headaches, current episode of fatigue

Sleep Patterns: Nine hours of sleep per night, with a routine of hot water showers before bedtime

Lifestyle Factors: No significant smoking history or known allergies

Looking (Observation)

General Appearance: Pale, with visible discomfort related to cough and cold sensation

Physical Examination: Notable for a sensation of tightness in the chest associated with the cough

Palpating (Physical Examination)

Abdominal Palpation: Loose stools and pale urine, suggesting Spleen Qi deficiency

Neck and Respiratory Examination: Weakness in neck muscles contributing to posture issues and additional strain

Diagnosis

Primary Diagnosis: Qi deficiency

Supporting Features/ (evidence)

Fatigue and Weakness: Worsening cough with fatigue and exertion, aligning with Qi deficiency.

Non-Productive Cough: Diffuse and poorly localized, typical of Qi deficiency.

Cold Sensation: Need to cover neck and throat indicates Qi deficiency with Cold.

Tongue and Pulse Characteristics: Pale, swollen, scalloped tongue with thin white coating and a weak, fine pulse.

Digestive Symptoms: Loose stools and pale urine reflect Spleen Qi deficiency.

Treatment Principle

Strengthen the Lungs and Spleen: Enhance Qi production and improve the bodys defense against pathogens.

Intensify Qi: Boost overall energy levels and resilience against cough triggers.

Raise Yang Qi: Address cold sensation and support respiratory function.

Alleviate Cough: Target underlying Qi deficiency to reduce persistent coughing.

This assessment contributes 50% of the total marks for this course. Learning Outcome assessed by this assignment are: 1 Compare selected biomedical disorders and diseases within the context of TCM, making TCM diagnosis, differentiating the pattern and setting the treatment plan Assessment Topic Selected biomedical disorders and diseases within the context of Traditional Chinese Medicine Disease can be understood as pathoanatomical changes measurable through tests and investigations. The term 'disorder' can be understood as disturbance to the body and its normal functioning that is not measurable through western medical assessment. This oral assessment asks you to select two biomedical disorders or diseases that have been treated with acupuncture in your clinical practice. You are asked to first submit two cases (non-musculoskeletal) you have treated this semester as deidentified Clinic notes. These need to be submitted through Moodle before the due date. You will then be given a time for your oral assessment. You are expected to come prepared with notes to discuss these conditions within the context of Traditional Chinese Medicine (TCM) and how any concurrent medical management influenced your treatment decisions. This discussion should involve a detailed comparison and contrast of medical management and your TCM diagnosis, pattern differentiation, and treatment plan. Your responses to the questions posed during the assessment should demonstrate a comprehensive understanding of both the Western medical approach to these conditions and the insights provided by TCM, along with a report and reflection on your treatment outcomes. . Please also note that these cases need to be clients that have not used as part of your diagnostic or case history assignments

Marking Rubric

1.: Submission of two sets of clients notes

Incompleate submission of two sets of client notes or notes not de identified

Submitted notes but not as expected to meet CMC standards

Submitted notes are adequate to meet CMC standards but have some areas that are incomplete/require improvemen

Submitted notes that are clear and appropriate and meet CMC standards

Submitted notes that meet CMC standards to high standard. (mark 10)

2. Response to Oral questions: Selected biomedical disorder/ diseases within the context of Traditional Chinese Medicine

Very confusing and unclear answers to questions that do not demonstrate adequate understanding of case submitted Unclear responses to questions unable to explain response in their own words. Responss simplistic/ incomplete/ limited relevance to topic/ not consistently relevant Clear and adequate answers that demonstrate understanding of their clients treatment Clear and relevant answers that demonstrate thorough understanding of clients treatment. Excellent clear and coherent answers that demonstrate a very detailed understanding of clients treatment (mark 30)

3. Response to Oral questions: Discussion of first selected biomedical disorder/ diseases with medical management

Very confusing and unclear answers to questions that do not demonstrate adequate understanding of case submitted Unclear responses to questions unable to explain response in their own words. Responss simplistic/ incomplete/ limited relevance to topic/ not consistently relevant Clear and adequate answers that demonstrate understanding of their clients treatment Clear and relevant answers that demonstrate thorough understanding of clients treatment. Excellent clear and coherent answers that demonstrate a very detailed understanding of clients treatment (mark 30)

4. Response to Oral questions: Discussion of second selected biomedical disorder/ diseases with medical management

Very confusing and unclear answers to questions that do not demonstrate adequate understanding of case submitted Unclear responses to questions unable to explain response in their own words. Responss simplistic/ incomplete/ limited relevance to topic/ not consistently relevant Clear and adequate answers that demonstrate understanding of their clients treatment Clear and relevant answers that demonstrate thorough understanding of clients treatment. Excellent clear and coherent answers that demonstrate a very detailed understanding of clients treatment. (mark 30)

Resources Required Guest presenter Handouts Maciocia, Giovanni. 2005. The Practice of Chinese Medicine: The Treatment of Diseases with Acupuncture and Chinese Herbs. 2nd ed. Edinburgh: Churchill Livingstone. Recommended Betts, D. (2006). The Essential Guide to Acupuncture in Pregnancy and Childbirth. The Journal of Chinese Medicine. Maclean, Will., and Jane. Lyttleton. 1998. Clinical Handbook of Internal Medicine. The Treatment of Disease with Traditional Chinese Medicine. Volume 1: Lung Kidney Liver Heart. Campbelltown, Australia: University of Western Sydney. Maclean, Will. 2002. Clinical Handbook of Internal Medicine: the Treatment of Disease with Traditional Chinese Medicine. Volume 2; Spleen and Stomach. Campbelltown, NSW, Australia: University of Western Sydne