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Homem, 28 anos, Empresário
Queixa Principal: Gastralgias que agravam com tensão emocional e irradiam para a direita, há 3 meses
Sintomas: Iniciou um trabalho novo, há 5 meses, mas tem sentido muita pressão para cumprir objectivos e prazos. Sente-se frustrado e irritado, com frequência. Quando se enerva, após as refeições, sente dor de estômago distensiva e irradiante, acompanhada de vómitos e eructações. Não vê bem há alguns meses. Sente cãibras e dores musculares, mais agravadas sem esforço.
Antes do início destes episódios, já sentia e ainda sente, facilmente, perda de apetite. Considera-se uma pessoa gulosa, mas tenta controlar a vontade de comer doces. Tem habitualmente fezes pouco consistentes. Sofre de dilatação abdominal e refere que faz hematomas com facilidade.
Sinais: Cara pálida, língua pálida, arroxeada, um pouco inchada, com fissura central, com varicosidades sublinguais arroxeadas. Pulso tenso e fino
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