Chapter 1762 I Can't Understand, Looking for Rheumatism Immunity (Monthly Ticket 1500 Plus More × 3)

"The pathogenesis is not yet very clear, and most scholars believe that the lesions are mostly located in the hypothalamus. The hypothalamus regulates the activity of autonomic nerves and is closely related to various regions of the cerebral cortex, the reticular structure of the brainstem, and the autonomic nerve center of the spinal cord."

"An abnormal EEG is the most important basis for the diagnosis of this disease. After a while, an EEG will be done, and then it will be clear whether it is true or not." Zheng Ren said.

Zhou Litao cried silently in his heart.

A stomachache, how can I think of doing an EEG!

For so many years, the patient has seen patients in tertiary hospitals at all levels, and has never had a single EEG.

Some county-level tertiary hospitals are just decorations, and no one can do them at all. Even if it is done according to the manual, no one will read it.

"The machine is on." Su Yun turned off the phone, made a gesture, and said, "Boss, I'll see you later!"

"Being an EEG, what's so nice." Zheng Ren replied flatly.

"Without characteristic changes such as sharp waves, spike waves, sharp-slow waves, combined spike-slow waves, or rhythmic high-frequency discharges, you must be incapable of doing EEG." Su Yundao, "Did you say that just now, it is considered an abdominal type. epilepsy."

"Consider, I don't know what it means?" Zheng Ren said, "Is there a high probability, 90%?"

"Boss, are you talking about the patient's condition? Can you not speak in this tone?" Su Yun was very dissatisfied with Zheng Ren's tone.

"Well, then don't do it. It must be abdominal epilepsy. You give her phenobarbital, lamotrigine, and mecobalamin, which will be taken orally. It will be fine in two weeks." Zheng Rendao.

"You're such a badass." Su Yun said contemptuously, "If I hadn't been able to beat you, I would have slapped you with a big mouth."

"You don't believe it if you say it, 90% of your consideration is too low, you say how difficult it is for you to serve." Zheng Ren snorted back.

"Boss Zheng, Brother Yun, why do you think it's abdominal epilepsy?" Zhou Litao saw that the two were chatting with meaningless words. He was probably waiting for the female patient to come back, so he stopped quickly and wanted to ask for some dry goods.

"Mr. Zhou, I think your experience is not rich enough." Su Yun smiled and said, "Look for a chance to talk to the medical department... I don't know if Director Lin has finished eating. Suggest to Director Lin, you should Continue to work for a year of hospitalization and total experience.”

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

"Brother Yun..."

"Don't listen to his nonsense." Zheng Ren said, "abdominal epilepsy should be considered when the following clinical conditions occur: first, gastrointestinal discomfort that cannot be explained by other reasons; second, or symptoms accompanied by central nervous system dysfunction; Third, antiepileptic drug therapy is effective."

"Uh……"

"Don't listen to him, one, two, three, four and five are bullshit. If you can't find the reason, just ask directly, family history, past history, history of drug allergies, whether you have been exposed to heavy metals, yes, the most important thing is a little!"

Su Yun finally made an affirmative gesture.

"What?" Zhou Litao was dumbfounded.

"You need to have a friend in the rheumatology and immunization department. If you can't understand it, look for rheumatism immunization!"

"..." Zhou Litao was speechless.

"Mr. Zhou, let me tell you that the rheumatism and immunization department is a natural bearer. There are many diseases, when you don't know why, no matter how you look for them, don't hesitate to seek a rheumatism immunization consultation right away!" Su Yun said of his own experience.

Zheng Ren thought about it, and there is indeed a little bit of truth.

Rheumatism immunity, this department in many places specializes in rheumatism and rheumatoid disease. But in 912, it is different. These four words mean intractable diseases.

Just now, Zheng Ren himself also considered several rheumatology and immunology diseases. It's just that when Su Yun chatted with the patient on the rooftop, he asked about his past history and family history.

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

Next, do an EEG to confirm, and then prescribe medication to the patient, and it will take a long time to get better.

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

He deliberately went to the corridor to wait, the diagnosis was coming soon, and there must be no more problems at this stall.

The female patient came back naturally without any problem.

As long as she gets past the pain in her stomach, she looks like a normal person. But when you get sick, it really hurts.

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

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

After all, I went to the hospital countless times, and most of the money that should have been bought for cosmetics and jewelry was handed over to the hospital. This is the pain in her life, even with Su Yun's good looks, she can't stop the doubt etched in her bones.

"Don't worry, my boss will do an EEG for you." Su Yun smiled and said, "It is estimated that your mother's epilepsy has been inherited from you."

"Uh..." The girl was a little desperate.

"What kind of expression do you have!" Su Yun scolded, "It's just a stomach ache, you can't roll your eyes, lie on the ground and foam at your mouth. You are just too heavy psychological shadow, which led to the crime from the age of 10. Abdominal epilepsy."

"Abdominal epilepsy?" The girl wondered.

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

"Well, when she was 10 years old, she saw her mother suffered from epilepsy, and the next day she started to have a stomachache." Su Yun nodded. This was a medical history that was deliberately asked while chatting on the rooftop.

To talk about medical history, it is indeed a skill.

With his high appearance, Su Yun is almost always disadvantaged.

Zheng Ren nodded, this time it should be almost 100% sure about abdominal epilepsy.

EEG is a graph obtained by amplifying and recording the spontaneous biopotentials of the brain from the scalp through sophisticated 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 photo, posing a beautiful pose.

At least the hair is.

But the top of the head began to connect, and the style changed, and it became the appearance of the Resident Evil heroine in the laboratory.

Zheng Ren sat on the side and started doing an EEG for her.

Sure enough, the temporal irregular spike-slow complex wave was soon discovered.

The moment they saw the irregular thorns and slow synthesis waves, Zheng Ren and Su Yun both let out a sigh of relief.

Zhou Litao couldn't read the EEG.

In an increasingly specialized hospital, there are few doctors who are proficient in all aspects. Zhou Litao cannot be blamed for this.

"Okay." Zheng Ren smiled and said, "Judging from the comprehensive physical examination and EEG, it is undoubtedly flexible epilepsy."

Zheng Ren asked Zhou Litao for a pen and paper on which he wrote three drugs: phenobarbital, lamotrigine, and mecobalamin.

"Oral it according to the instructions, and it will be fine in two weeks." Zheng Ren said, "I won't do it again."

...

...

Note: I have a friend who only occasionally suffers from epilepsy after seeing his mother suffer from epilepsy. Later healed. Psychological problems are actually quite important.