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Low-Back Weakness and Night Sweating: Pattern

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

Low-Back Weakness and Night Sweating: Pattern
Stem

A 36-year-old man has had sore low back and knees for eight months. Dry throat is worse in the afternoon and evening, with night sweating during sleep and occasional tinnitus. He feels heat in the palms and soles. Tongue is red with scant coat. Pulse is thin and rapid. What is the most likely pattern?

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