"The pathogenesis is not yet clear. Most scholars believe that the lesions are mostly located in the hypothalamus. The hypothalamus regulates autonomic nerve activity and is closely related to various areas of the cerebral cortex, brainstem reticular structure, and spinal cord autonomic nerve center."
"Abnormal electroencephalogram is the most important diagnostic basis for this disease. After a while, we will do an electroencephalogram, and then we will know whether it is the problem or not." Zheng Rendao.
Zhou Litao cried silently in his heart.
How could I think of doing an EEG when I had a stomachache
Over the years, the patient has been treated in tertiary hospitals at all levels, but has never had an EEG performed even once.
In some tertiary hospitals at the county and city levels, EEG is just a decoration and no one knows how to do it. Even if you follow the instructions, no one will read it.
"The machine is on." Su Yun turned off the phone, made a gesture, and said: "Boss, I'll look at you soon!"
"Do an EEG, what's there to see?" Zheng Renping replied calmly.
"If there are no characteristic changes such as sharp waves, spike waves, sharp slow waves, spike-slow complex waves or rhythmic high-frequency discharges, it must be that you don't know how to do EEG." Su Yundao said, "Did you just say that it is an abdominal type? epilepsy."
"Consider, what do you mean by not knowing?" Zheng Ren said, "High probability, 90%?"
"Boss, are you explaining the condition to the patient? Can you not speak in this tone?" Su Yun was very dissatisfied with Zheng Ren's tone.
"Well, let's not do it. It must be abdominal epilepsy. Prescribe her phenobarbital, lamotrigine, and methylcobalamin. Take it orally regularly and she will be fine in two weeks." Zheng Ren said.
"You are such a good guy." Su Yun said scornfully, "If I couldn't beat you, I would have slapped you long ago."
"I told you but you don't believe it. 90% of the considerations are too low. You said you are difficult to take care of." Zheng Ren retorted.
"Boss Zheng, Brother Yun, why do you think it's abdominal epilepsy?" Zhou Litao saw the two of them chatting meaninglessly, probably waiting for the female patient to come back, so he stopped quickly and wanted to ask some useful information.
"Mr. Zhou, I think your experience is not rich enough." Su Yun smiled and said: "Look for an opportunity to talk to the Medical Department... I don't know if Director Lin has finished eating. I suggest you continue with this." Doing a one-year residency is the only way to gain experience.”
In one sentence, it accurately hit Zhou Litao's knee.
"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, it may be accompanied by symptoms of central nervous system dysfunction; Third, anti-epileptic drug treatment is effective.”
"Well… "
"Don't listen to him. 1, 2, 3, 4, 5 are all bullshit. If you can't find the reason, just ask directly. Family history, past medical history, drug allergy history, whether you have been exposed to heavy metals, by the way, and the most important thing is a little!"
Su Yun made a final gesture of affirmation.
"What?" Zhou Litao was dumbfounded.
"You need to have a friend in the rheumatology and immunology department. If you don't understand, go to rheumatology and immunology!"
"..." Zhou Litao was speechless.
"Mr. Zhou, let me tell you, the Department of Rheumatology and Immunology is born to take the blame. For many diseases, if you don't know the cause no matter how hard you look for them, don't hesitate and seek a rheumatology and immunology consultation immediately!" Su Yun said about his own experience.
Zheng Ren thought about it and found that there was indeed a little bit of truth to it.
Rheumatology and immunity. In many places, this department specializes in treating rheumatism and rheumatoid disease. But it's different in 912. These four words mean difficult and complicated diseases.
Just now, Zheng Ren himself also considered several rheumatology and immunology diseases. But when Su Yun was chatting with the patient on the rooftop, he asked about his past and family history.
Coupled with the diagnosis on the system panel, it should be that abdominal epilepsy is gone.
Next, an electroencephalogram will be done to confirm, and then the patient will be prescribed medicine. It will not take long for the patient 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 would be available soon. Don't let any more problems occur at this stall.
The female patient walked back naturally without any problems.
As long as she got over the abdominal pain, she seemed like a normal person. But once you get sick, it's really painful.
"Let's go for a check-up." When Su Yun saw her coming back, he immediately jumped down from Mr. Cui's desk.
"Brother Yun, can you diagnose me?" The girl was a little timid.
After all, I went to the hospital countless times, and most of the money I should have spent on cosmetics and jewelry was given to the hospital. This was the pain of her life. Even with Su Yun's good looks, she could not stop the suspicion that was engraved in her bones.
"Don't worry, my boss will do the EEG for you personally." Su Yun said with a smile: "Now I guess you have inherited a little bit of your mother's epilepsy."
"Uh..." The girl was a little desperate.
"What kind of expression do you have!" Su Yun scolded, "It's just a stomach ache, your eyes won't turn white, and you'll be lying on the ground frothing at the mouth. You just have a heavy psychological shadow, which is why you started to commit crimes when you were 10 years old. Abdominal epilepsy.”
"Abdominal epilepsy?" The girl was puzzled.
"10 years old?" Zheng Ren frowned and looked at Su Yun and asked.
"Well, when she was 10 years old, she saw her mother having an epilepsy, and she started having stomachaches the next day." Su Yun nodded. This was a medical history that was intentionally asked during a chat on the rooftop.
Asking for medical history is indeed a skill.
With his good looks, Su Yun can do almost anything.
Zheng Ren nodded. This response should be almost 100% sure of abdominal epilepsy.
Electroencephalogram is a pattern obtained by amplifying and recording the brain's spontaneous biopotentials from the scalp through sophisticated electronic instruments. It is the spontaneous and rhythmic electrical activity of brain cell groups recorded through electrodes.
The girl lay on the bed, her hair spread out, and she posed in a beautiful pose as if taking a personal photo.
At least the hair does.
But the top of the head started to connect, and the style changed, and it turned into the appearance of the Resident Evil heroine in the laboratory.
Zheng Ren sat aside and started to do an electroencephalogram on her.
Sure enough, irregular temporal spike-and-slow complexes were soon discovered.
The moment they saw the irregular spikes and slow complex waves, both Zheng Ren and Su Yun let out a sigh of relief.
Zhou Litao couldn't understand EEG.
Hospitals that are becoming more and more specialized rarely have doctors who are proficient in all aspects. Zhou Litao cannot blame him for this.
"Okay." Zheng Ren said with a smile: "Judging from the comprehensive physical examination and electroencephalogram, it is indeed flexible epilepsy."
Zheng Ren asked Zhou Litao for a pen and paper, and wrote three drugs: phenobarbital, lamotrigine, and methylcobalamin on them.
"Follow the instructions and take it orally, and you'll 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 watching his mother suffer from epilepsy. Later he recovered. Psychological issues are actually quite important.