The pathogenesis is not very clear. Most scholars believe that the lesion is located in the hypothalamus. The hypothalamus regulates autonomic nerve activity and is closely related to the various areas of the cerebral cortex, the reticular structure of the brainstem, and the autonomic nerve center of the spinal cord. "
"Abnormal electroencephalogram is the most important diagnostic basis for this disease. We'll know if it's true after we do an EEG later, "Zheng Ren said.
Zhou Litao cried silently in his heart.
How could he think of doing an electroencephalogram when he had a stomachache!
For so many years, the patient had been treated in all kinds of Class Three Grade A hospitals, but he had never done an EEG even once.
In some county-level Three Grade A Hospitals, EEG was just for show. No one knew how to do it. Even if he followed the instruction manual, no one would read it.
"The machine is on." Su Yun turned off the phone, made a gesture, and said, "Boss, it's up to you in a while!"
"It's just an EEG. What's so interesting about it?" Zheng Ren replied calmly.
"There are no characteristic changes such as sharp waves, spike waves, sharp slow waves, sharp slow waves, or rhythmic high-frequency discharges. It must mean that you don't know how to do an EEG," Su Yun said. "Didn't you say it just now? It's considered to be abdominal epilepsy."
"Consider? I don't know what that means," Zheng Ren said. "The probability is 90%, right?"
"Boss, do you think you're explaining the patient's condition? Can you not speak in such a tone? "Su Yun was very dissatisfied with Zheng Ren's tone.
"Well, then I won't do it. It must be abdominal epilepsy. Prescribe phenobarbital, lamotrigine, and mecobalamin to her regularly. She'll be fine in two weeks, "Zheng Ren said.
"You're just a f * cking bar spirit." Su Yun said disdainfully, "If it wasn't for the fact that I can't beat you, I would have slapped you long ago."
"You don't believe me even if I tell you. 90% of the consideration is too low. You're so hard to please," Zheng Ren retorted.
"Boss Zheng, Brother Yun, why are you considering abdominal epilepsy?" Zhou Litao saw that the two of them were chatting meaninglessly. He guessed that they were waiting for the female patient to come back, so he quickly stopped and wanted to ask for some useful information.
"Director Zhou, I think you still don't have enough experience." Su Yun smiled and said, "Find an opportunity with the medical administration division … I wonder if Chief Lin has finished eating. Suggest to Chief Lin that you continue working as a chief resident for another year to gain more experience. "
His words accurately hit Zhou Litao's knee.
"Brother Yun …"
"Don't listen to his nonsense." Zheng Ren said, "Abdominal epilepsy should be considered in the following clinical conditions: first, gastrointestinal discomfort that cannot be explained by other reasons; second, or accompanied by symptoms of central nervous system dysfunction; third, antiepileptic drug treatment is effective."
"Uh …"
"Don't listen to him. One, two, three, four, five, it's all bullshit. If you can't find the reason, just ask directly. Family history, past history, history of drug allergies, have you ever been exposed to heavy metals, and most importantly, there's one more thing! "
Su Yun finally made a gesture of affirmation.
"What?" Zhou Litao was dumbfounded.
"You need to have a friend in the Department of Rheumatology and Immunology. If you don't understand anything, go to the Department of Rheumatology and Immunology!"
"…" Zhou Litao was speechless.
"Director Zhou, let me tell you, the Department of Rheumatology and Immunology is born to be the scapegoat. There are many diseases that you can't figure out no matter how you look for it. Don't hesitate and immediately seek rheumatology consultation! "Su Yun shared his experience.
Zheng Ren thought about it and felt that it made sense.
Rheumatoid immunity. This department in many places specialized in rheumatoid and rheumatoid diseases. However, it was different in 912. These four words meant difficult and complicated diseases.
Just now, Zheng Ren had also considered a few rheumatology and immunology diseases. However, when Su Yun was chatting with the patient on the rooftop, he had asked about her past and family history.
Coupled with the diagnosis on the System's panel, it should be abdominal epilepsy.
Next, he would do an EEG to confirm it and then prescribe medicine to the patient. It would not take long for her 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 about to be made. He could not afford to have any more problems at this juncture.
The female patient walked back naturally. There was no problem at all.
As long as the pain in her abdomen passed, she would be like a normal person. However, once the illness acted up, it would be so painful that she would rather die.
"Let's go for a checkup." When Su Yun saw her return, he immediately jumped down from under Cui Lao's desk.
"Brother Yun, can you diagnose it?" The girl was a little timid.
After all, she had gone to the hospital countless times. Most of the money that should have been spent on cosmetics and jewelry had been handed over to the hospital. This was the pain of her life. Even with Su Yun's looks, it could not stop the suspicion that was engraved in her bones.
"Don't worry, my boss will personally do an EEG for you," Su Yun said with a smile. "Now, your mother's epilepsy has probably been inherited from you."
"Uh …" The girl was a little desperate.
"What's with that expression?!" Su Yun scolded. "It's just a stomachache. You won't roll your eyes and lie on the ground foaming at the mouth. It's because your psychological trauma is too heavy that you've been suffering from abdominal epilepsy since you were 10 years old. "
"Abdominal epilepsy?" The girl was puzzled.
"10 years old?" Zheng Ren frowned and looked at Su Yun.
"Yes, when she was 10 years old, she saw her mother suffer from epilepsy once. The next day, she started to have a stomachache." Su Yun nodded. This was the medical history that he had deliberately asked about when they were chatting on the rooftop.
It was indeed a skill to ask for medical history.
Su Yun relied on his good looks and was almost always successful.
Zheng Ren nodded. This time, he should be almost 100% sure that it was abdominal epilepsy.
An EEG was a graph obtained by amplifying the brain's spontaneous biological potential from the scalp through a sophisticated electronic instrument. It was a spontaneous, rhythmic electrical activity of brain cells recorded through electrodes.
The girl lay on the bed with her hair spread out. It was as if she was taking a personal portrait, posing beautifully.
At least her hair was like that.
However, the line above her head began to connect, and the style changed. It became the female protagonist of Resident Evil in the laboratory.
Zheng Ren sat at the side and began to do an EEG for her.
Sure enough, he soon discovered the irregular spinal slow wave in the temporal region.
The moment they saw the irregular spinal slow wave, Zheng Ren and Su Yun both heaved a sigh of relief.
Zhou Litao could not understand EEG.
Hospitals were becoming more specialized, and there were very few doctors who were proficient in all aspects. Zhou Litao could not be blamed for this.
"Alright," Zheng Ren said with a smile. "Based on the comprehensive physical examination and EEG, it is indeed flexural epilepsy."
Zheng Ren asked Zhou Litao for a pen and paper and wrote the three drugs phenobarbital, lamotrigine, and mecobalamin on it.
"Take it orally according to the instructions. It will be fine in two weeks," Zheng Ren said. "It won't happen again."
…
…
Note: I have a friend who saw his mother suffer from epilepsy occasionally. Later, it healed. Psychological problems were actually quite important.
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