Guest guest Posted July 15, 2007 Report Share Posted July 15, 2007 Hi Twyla, When did the fever start? What about Triple Heater? Artemis - Twyla Chinese Traditional Medicine Sunday, July 15, 2007 12:09 AM fever and back pain Hi Y'all I have a 21 y/o patient with severe back pain. Pain began about six hours after she hoisted a heavy water bottle unto a cooler. L4, L5, S1 intense pain and pressure with pain referring to right hip and pelvic area bilaterally. Sciatic involved, GB channel taut at all trigger points. Tongue: slightly purple, moist. Pulse extremely rapid and rolling at heart, sp. Hands and feet cold, almost clammy and complained of severe occipital and right temple headache. BP 130/70, Temp 102.6 degrees Farenheit. I recommended she go to the nearest hospital ER due to the fever as I wanted to rule out kidney infection, meningitis, tumor, ectopic pregnancy etc. The hospital ran the usual tests: urinalysis, blood work, CT scan, X-rays, even pelvic exam. Nothing. Nada. No diagnosis. Not pregnant. Everything normal, including sedimentation rate and WBC (a tad low). Today her temp is hovering at 99 degrees Farenheit inspite of rx for pain and fever, Pulse 88, rolling, KI a bit thready. Back pain reduced by AP tx using microcurrent. She is not currently taking any medications, or other drugs and has no history of thyroid or other endocrine problems. Occasional smoker. No street drugs or alcohol history. What am I missing regarding this persistence in the elevated temperature? Thanks for all your generous help. Stumped th Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2007 Report Share Posted July 15, 2007 Hi Artemis She only became aware of the fever on Friday, the day after she injured her back as I recall. I will review her symptoms re: triple burner. Thx, th Artemis Papert <artemis.artemis wrote: Hi Twyla, When did the fever start? What about Triple Heater? Artemis - Twyla Chinese Traditional Medicine Sunday, July 15, 2007 12:09 AM fever and back pain Hi Y'all I have a 21 y/o patient with severe back pain. Pain began about six hours after she hoisted a heavy water bottle unto a cooler. L4, L5, S1 intense pain and pressure with pain referring to right hip and pelvic area bilaterally. Sciatic involved, GB channel taut at all trigger points. Tongue: slightly purple, moist. Pulse extremely rapid and rolling at heart, sp. Hands and feet cold, almost clammy and complained of severe occipital and right temple headache. BP 130/70, Temp 102.6 degrees Farenheit. I recommended she go to the nearest hospital ER due to the fever as I wanted to rule out kidney infection, meningitis, tumor, ectopic pregnancy etc. The hospital ran the usual tests: urinalysis, blood work, CT scan, X-rays, even pelvic exam. Nothing. Nada. No diagnosis. Not pregnant. Everything normal, including sedimentation rate and WBC (a tad low). Today her temp is hovering at 99 degrees Farenheit inspite of rx for pain and fever, Pulse 88, rolling, KI a bit thready. Back pain reduced by AP tx using microcurrent. She is not currently taking any medications, or other drugs and has no history of thyroid or other endocrine problems. Occasional smoker. No street drugs or alcohol history. What am I missing regarding this persistence in the elevated temperature? Thanks for all your generous help. Stumped th Take the Internet to Go: Go puts the Internet in your pocket: mail, news, photos & more. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2007 Report Share Posted July 15, 2007 Chinese Medicine , Twyla <twylahoodah wrote: > > Hi Y'all > > I have a 21 y/o patient with severe back pain. Pain began about six hours after she hoisted a heavy water bottle unto a cooler. L4, L5, S1 intense pain and pressure with pain referring to right hip and pelvic area bilaterally. Sciatic involved, GB channel taut at all trigger points. > > Tongue: slightly purple, moist. > Pulse extremely rapid and rolling at heart, sp. > > Hands and feet cold, almost clammy and complained of severe occipital and right temple headache. BP 130/70, Temp 102.6 degrees Farenheit. I recommended she go to the nearest hospital ER due to the fever as I wanted to rule out kidney infection, meningitis, tumor, ectopic pregnancy etc. The hospital ran the usual tests: urinalysis, blood work, CT scan, X-rays, even pelvic exam. Nothing. Nada. No diagnosis. Not pregnant. Everything normal, including sedimentation rate and WBC (a tad low). > > Today her temp is hovering at 99 degrees Farenheit inspite of rx for pain and fever, Pulse 88, rolling, KI a bit thready. Back pain reduced by AP tx using microcurrent. She is not currently taking any medications, or other drugs and has no history of thyroid or other endocrine problems. Occasional smoker. No street drugs or alcohol history. > > What am I missing regarding this persistence in the elevated temperature? Thanks for all your generous help. > > Stumped > th > > > > " Thus the sage rules by stilling minds and opening hearts, by filling bellies and strengthening bones... " > > www.SpiritcareAcupuncture.org > Now that's room service! Choose from over 150,000 hotels > in 45,000 destinations on Travel to find your fit. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2007 Report Share Posted July 15, 2007 A slight temp increase can happen with injury. I am a bit concerned with some sx of shock as well as the head pain. Do you use abdominal palpation and if so have you considered releasing the area around the umbilicus as it is related to the adrenal/kidney and can be hyperactive with trauma?Mike W. Bowser, L Ac : artemis.artemis: Sun, 15 Jul 2007 02:39:46 +0100Re: TCM - fever and back pain Hi Twyla,When did the fever start?What about Triple Heater?Artemis----- Original Message ----- Twyla: Sunday, July 15, 2007 12:09 AMfever and back painHi Y'allI have a 21 y/o patient with severe back pain. Pain began about six hours after she hoisted a heavy water bottle unto a cooler. L4, L5, S1 intense pain and pressure with pain referring to right hip and pelvic area bilaterally. Sciatic involved, GB channel taut at all trigger points.Tongue: slightly purple, moist.Pulse extremely rapid and rolling at heart, sp.Hands and feet cold, almost clammy and complained of severe occipital and right temple headache. BP 130/70, Temp 102.6 degrees Farenheit. I recommended she go to the nearest hospital ER due to the fever as I wanted to rule out kidney infection, meningitis, tumor, ectopic pregnancy etc. The hospital ran the usual tests: urinalysis, blood work, CT scan, X-rays, even pelvic exam. Nothing. Nada. No diagnosis. Not pregnant. Everything normal, including sedimentation rate and WBC (a tad low).Today her temp is hovering at 99 degrees Farenheit inspite of rx for pain and fever, Pulse 88, rolling, KI a bit thready. Back pain reduced by AP tx using microcurrent. She is not currently taking any medications, or other drugs and has no history of thyroid or other endocrine problems. Occasional smoker. No street drugs or alcohol history.What am I missing regarding this persistence in the elevated temperature? Thanks for all your generous help.Stumpedth _______________ Local listings, incredible imagery, and driving directions - all in one place! Find it! http://maps.live.com/?wip=69 & FORM=MGAC01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2007 Report Share Posted July 18, 2007 Hi Twyla, There has to be more to it than that: Ask her about any history of trauma, either emotional or physical. I suspect that lifting the bottle may have pushed a button, so to speak. Also, after the first session of acupuncture, besides the fever dropping, were her tongue and pulses different? Also, find out more about her lifestyle:does she drink coffee? sleep, eating, and sexual habits? Young people like that tend to burn the candle at both ends, she may be severely depleted and lifting the bottle may just have been the straw that broke the camels back. BTW, if she drinks a lot of coffee, it is a clue that she might be severely depleted. All the best, Yehuda Twyla <twylahoodah wrote: Hi Y'all I have a 21 y/o patient with severe back pain. Pain began about six hours after she hoisted a heavy water bottle unto a cooler. L4, L5, S1 intense pain and pressure with pain referring to right hip and pelvic area bilaterally. Sciatic involved, GB channel taut at all trigger points. Tongue: slightly purple, moist. Pulse extremely rapid and rolling at heart, sp. Hands and feet cold, almost clammy and complained of severe occipital and right temple headache. BP 130/70, Temp 102.6 degrees Farenheit. I recommended she go to the nearest hospital ER due to the fever as I wanted to rule out kidney infection, meningitis, tumor, ectopic pregnancy etc. The hospital ran the usual tests: urinalysis, blood work, CT scan, X-rays, even pelvic exam. Nothing. Nada. No diagnosis. Not pregnant. Everything normal, including sedimentation rate and WBC (a tad low). Today her temp is hovering at 99 degrees Farenheit inspite of rx for pain and fever, Pulse 88, rolling, KI a bit thready. Back pain reduced by AP tx using microcurrent. She is not currently taking any medications, or other drugs and has no history of thyroid or other endocrine problems. Occasional smoker. No street drugs or alcohol history. What am I missing regarding this persistence in the elevated temperature? Thanks for all your generous help. Stumped th " Thus the sage rules by stilling minds and opening hearts, by filling bellies and strengthening bones... " www.SpiritcareAcupuncture.org Now that's room service! Choose from over 150,000 hotels in 45,000 destinations on Travel to find your fit. Quote Link to comment Share on other sites More sharing options...
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