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Premenstrual Breast Distention and Hypochondriac Pain: Pattern

Type: case-pattern; difficulty: 5. Choose first, submit, then reveal the answer and explanation.

Premenstrual Breast Distention and Hypochondriac Pain: Pattern
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A 32-year-old woman has had premenstrual breast distention and hypochondriac fullness for six months. Symptoms worsen with emotional upset and she often sighs. Menses are irregular. Tongue edges are slightly red. Pulse is wiry. What is the most likely pattern?

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