Chapter 1763

"The pathogenesis is not very clear. Most scholars believe that the lesions are mostly located in the lower part of the hypothalamus. The lower part of the hypothalamus regulates autonomic nerve activity and is closely related to various areas of the cerebral cortex, the reticular structure of the brain stem and the autonomic nerve center of the spinal cord."

"Abnormal EEG is the most important diagnostic basis for this disease. Go and have an EEG later, and then you'll know whether it's right or not." Zheng Rendao.

Zhou Litao cried silently in his heart.

A stomachache, how can you think of doing EEG!

For so many years, patients have been treated in class III hospitals at all levels and have never had an EEG.

Some of the third class hospitals at the county and municipal level have only a display of EEG, and no one can do it at all. Even if it is done according to the instructions, no one will read it.

"The machine is on." Su Yun turned off his cell phone, made a gesture and said, "boss, it's up to you in a minute!"

"Do an EEG. What's good?" Zheng Ren answered flatly.

"Without characteristic changes such as sharp wave, spike wave, sharp slow wave, spike slow complex wave or rhythmic high-frequency discharge, it is certain that you can't do EEG." Su Yun said, "what did you say just now? Consider abdominal epilepsy."

"Consider, don't know what it means?" Zheng Ren said, "about 90%?"

"Boss, when you are talking to the patient about your condition? Can you speak without this tone?" Su Yun was not satisfied with Zheng Ren's tone.

"Well, then don't do it. It must be abdominal epilepsy. Give her phenobarbital, lamotrigine and Mecobalamin. Take them orally regularly and they'll be fine in two weeks." Zheng Rendao.

"You're so good." Su Yun said contemptuously, "if I hadn't failed to beat you, my big mouth would have slapped you."

"You don't believe it. 90% of the consideration is too low. You say how difficult you are to serve." Zheng renui went back.

"Boss Zheng, Brother Yun, why do you consider abdominal epilepsy?" Zhou Litao saw that they were talking nonsense. It was estimated that when the female patient came back, he stopped and wanted to ask for some dry goods.

"President Zhou, I don't think you have enough experience." Su Yun smiled and said, "look for an opportunity to talk to the medical department... I don't know whether director Lin has finished eating. I suggest with Director Lin that you should continue to work for a year. It's the general experience of hospitalization."

In a word, hit Zhou Litao's knee accurately.

"Brother Yun..."

"Don't listen to his nonsense." Zheng Rendao: "abdominal epilepsy should be considered when there are the following clinical situations: first, gastrointestinal discomfort that cannot be explained by other reasons; second, or symptoms accompanied by central nervous system dysfunction; third, antiepileptic drugs are effective."

"Er..."

"Don't listen to him. One, two, three, four, five are bullshit. If you can't find the reason, ask directly. Family history, past history, drug allergy history, whether you have been exposed to heavy metals. By the way, the most important thing is one more point!"

Su Yun finally made a positive gesture.

"What?" Zhou Litao was stupid.

"You want to have a friend in the rheumatic Immunology Department. If you can't understand, look for rheumatic immunology!"

"...." Zhou Litao said nothing.

"Mr. Zhou, I tell you that the rheumatic Immunology Department is a natural back pot man. When you don't know why to find many diseases, don't hesitate to find rheumatic immunology consultation immediately!" Su Yun said about his experience.

Zheng Ren thought for a while, and there is really a little truth.

Rheumatism immunity, this department in many places specializes in rheumatism and rheumatoid. But it's different in 912. These four words mean difficult and miscellaneous diseases.

Just now, Zheng Ren himself also considered several rheumatic immune diseases. Only when Su Yun chatted with the patient on the roof, he asked about his past history and family history.

With the diagnosis of the system panel, it should be that abdominal epilepsy did not run away.

Next, make EEG confirmation, and then prescribe medicine to the patient. It won't take long to get better.

After waiting for a few minutes, Zhou Litao received a wechat that the female patient had come out.

He specially went to the corridor to wait. The diagnosis is coming soon. Don't have any more problems at this stall.

The female patient came back naturally without any problem.

As long as she gets past the pain in her abdomen, she looks like a normal person. But once you get sick, it's really painful.

"Let's go and have a check." Seeing her coming back, Su Yun immediately jumped down from old Cui's desk.

"Brother Yun, can you diagnose it?" The girl is a little timid.

After all, I went to the hospital countless times. Most of the money I should have bought cosmetics and jewelry was handed over to the hospital. This is the pain of her life. Even with Su Yun's appearance, she can't stop the doubt engraved in her bones.

"Don't worry, my boss did EEG for you." Su Yun said with a smile, "now it's estimated that your mother's epilepsy has been inherited from you."

"Er..." the girl was a little desperate.

"What's your expression!" Su Yun scolded, "it's just a stomachache. You won't turn your eyes white and spit white foam on the ground. You have too much psychological shadow, which leads to abdominal epilepsy at the age of 10."

"Abdominal epilepsy?" The girl didn't understand.

"10 years old?" Zheng Ren frowned and looked at Su Yun and asked.

"Well, when she was 10 years old, she saw her mother had an epilepsy and began to have a stomachache the next day." Su Yun nodded, which was deliberately asked when chatting on the roof.

It's really a skill to ask about the medical history.

Su Yun's goods are almost unfavourable because of their high appearance.

Zheng Ren nodded. This time, he should be able to determine abdominal epilepsy almost 100%.

EEG is a graph obtained by amplifying and recording the spontaneous biological potential of the brain from the scalp through precise electronic instruments. It is the spontaneous and rhythmic electrical activity of brain cell groups recorded by electrodes.

The girl lay on the bed, her hair spread out, like taking a personal portrait, and put on a beautiful posture.

At least hair.

But the head began to connect. As soon as the style changed, it became the appearance of the biochemical crisis woman in the laboratory.

Zheng Ren sat aside and began to give her an EEG.

Sure enough, we soon found the temporal irregular spine slow complex wave.

At the moment of seeing the irregular spike and slow composite wave, Zheng Ren and Su Yun breathed a sigh.

Zhou Litao can't understand EEG.

In increasingly specialized hospitals, there are few doctors who are proficient in all aspects, which can't be blamed by Zhou Litao.

"All right." Zheng Ren said with a smile: "judging by comprehensive physical examination and EEG, it is undoubtedly flexible epilepsy."

Zheng Ren asked Zhou Litao for a pen and paper, on which he wrote phenobarbital, lamotrigine and Mecobalamin.

"Take it orally according to the instructions and it will take two weeks." Zheng Ren said, "I won't do it again."

……

……

Note: a friend only occasionally commits epilepsy when he sees his mother have epilepsy. Then he healed himself. Psychological problems are actually quite important.