What diseases are characterized by simple migraine and do not have any other accompanying symptoms?

Manager Huang felt that the difficulty of the question asked by Yun Tian was indeed much more difficult than the diagnostic criteria for migraine.

Manager Huang tugged at his hair and began to reminisce desperately

What causes headaches?

Head and neck trauma?

The patient has no history of trauma and has a history of headache for more than 10 years at the age of 21, which can be ruled out.

Infectious headache, if there is no infection, can be completely ruled out.

Headaches caused by psychiatric illness, in which the patient denies a history of psychiatric illness, can be ruled out.

Headache caused by facial structural lesions can be ruled out if the patient has no corresponding condition and manifestations.

Withdrawal headaches: The patient has no history of drug addiction.

Headaches caused by vascular disease should be ruled out at such a young age.

Headache due to non-blood intracranial disorders can also be largely ruled out by history and headache presentations.

Dr. Huang thought about it for a while, but still didn't think of any illness that could not be ruled out as part of what Yun Tian said.

Yun Tian opened the examination slip, sent it to the ward and handed it to the family, and when he came back, he saw that Dr. Huang was still immersed in thinking, and he was not in a hurry to disturb him, so he took a book on neurointervention and flipped it up.

Although the system gives enough knowledge about the intervention subject, Yuntian still likes the feeling of reading books.

Every time I read a book, I will improve and consolidate the knowledge given by the system.

After all, the knowledge given by the system is more inclined to practical application, and some theoretical knowledge is not as detailed as in books.

"I thought about it for a whole circle, and then asked Du Niang, I think that the cause of both primary and secondary headaches can basically be ruled out. Dr. Huang came to his senses and came to his conclusions.

"What are the types of headaches caused by vascular disease?" Yun Tian asked with a smile as he looked at Dr. Huang's hazy eyes and his hair had been caught.

"Vascular disease?cerebral insufficiency, vasospasm, infarction, hemorrhage. But the patient's condition doesn't fit!" Dr. Huang said in distress, tugging at his hair.

Dr. Huang was completely immersed in the great panic of being admitted to the school, completely unaware that Yun Tian was still an intern who needed to use his authority to be able to handle patients.

If you want to ask what residents are most afraid of?

The answer is definitely not how complex the disease is, no matter how complex the patient's condition is, there are senior doctors to deal with it.

And what residents are most afraid of must be the examination school from the department director!

And Dr. Huang has completely fallen into a kind of panic and despair of being admitted to the school by the big guy at this time!

The way Dr. Huang pulled his hair made Yun Tian suddenly think of Dr. Shen in the outpatient clinic.

And Dr. Shen's bare head!

Pulling your hair when you think about a problem is really a bad habit!

Yun Tian really couldn't stand the way Dr. Huang pulled his hair off one by one.

"Have you considered the headache caused by vascular malformation?

Yun Tian asked.

"Headache from vascular malformation!yes, I didn't think of it at all!" Dr. Huang almost jumped.

Then a sense of shame rose in his heart, causing Dr. Huang's face to turn red instantly.

"I, I really, really didn't expect a vascular malformation. Dr. Huang stammered.

Nervousness, annoyance, shame, and sudden realizations are intertwined, and Dr. Huang has a sense of trance facing the director of the department!

"Doctor Yun, why don't I go down and see the results. Doctor Huang asked respectfully, as if he had returned to the inner god to face Director Shi's strong coercion.

It usually takes 30 minutes to 1 hour for the results to come out in the imaging department.

However, if it is an emergency, Dr. Pro can ask to go into the office to read the film, and the patient can see the results as soon as the film comes out.

Apparently, Dr. Huang had been completely aroused by Yuntian's speculation.

"There shouldn't be many people at night. The patient should be coming up soon, too. "Because from the perspective of the patient's condition, it is not an emergency, so Yuntian is not willing to trouble others too much.

"Doctor, the film is finished, can you help me take a look?" As soon as Yun Tian's voice fell, the patient's family had already taken the film and came back.

"Is your girlfriend better?" Yun Tian asked.

"Well, I took painkillers and just lay down. It's not a good idea to rely on painkillers to maintain yourself all the time. "It seems that the young man really feels sorry for the girl.

When Yuntian asked about the patient's condition, Dr. Huang had already spontaneously taken the film from the family's hand, inserted it into the reader, and turned on the light of the reader.

The patient's CT image appears clearly on the film.

"Doctor Yun, take a look, I don't think there's anything wrong with the film?" Dr. Huang asked Yun Tian for his opinion uncertainly. I didn't even realize that I was using an honorific title.

"High-density shadow on the right. ”

"But didn't the report say that there was a dense shadow on the right side?" Yun Tian and the voices of his family members sounded at the same time.

"Smack, smack!"

Dr. Huang heard a crisp beating in his face.

This face,

It's a bit hard!

Dr. Huang just felt that his face was hot.

"High-density shadow on the right?" Dr. Huang looked at his face, full of doubts, and pondered.

High-density shadows?

Where is it?

Dr. Huang's eyes were dark, and he didn't notice any high-density shadows in the morning.

Yuntian recently started to carry out interventional surgery, and he did not strive to follow him to the interventional heterogeneous laboratory every time like Zhao Lei, Yang Deming, and Zhuang Zhuyue, but has been making up for his imaging knowledge fiercely.

I know that without strong imaging knowledge, it is impossible to intervene.

Therefore, when I took the film from my family, I watched it carefully, and there was no problem at all.

But how did Dr. Yun say that there was a dense shadow on the right side?

I didn't notice it at all.

"Here it is. Yun Tian saw that Doctor Huang was confused, and he couldn't find the appearance of the lesion at all, so he stretched out and pointed to a certain place.

"Uh...... original

Come here. "The hyperdensity is not very noticeable, it is only slightly higher than other normal tissues.

"This should be an arteriovenous fistula, and it needs to be confirmed by MRI. Yuntian had already seen the problem and offered to check and confirm it again.

Dr. Huang is completely petrified.

How can the small shadow with a slightly higher density that is almost invisible be seen as an arteriovenous fistula?

"Doctor Yun, why can you tell that this is an arteriovenous fistula at such a small point?" Doctor Huang's tone became more and more respectful, without the slightest doubt about Yun Tian's diagnosis.

"First of all, you have to think about this position, you see that it is in ......." Yuntian re-issued the MRI documents to the family, and asked the family to take the patient for another MRI examination, and then began to explain it to Dr. Huang seriously.

Compared with the other people in the department, Dr. Huang not only has the highest quotient, but also the strongest professional skills and is the most willing to study.

Yun Tian didn't realize that his way of thinking about looking at problems was becoming more and more like a leader in a department.