"Abdominal epilepsy syndrome. Yun Tian said the disease he suspected.

"Abdominal epilepsy syndrome?" Director Lei glanced at Yun Tian deeply and fell into deep thought.

Abdominal epilepsy syndrome refers to a type of epilepsy characterized by seizures of abdominal pain, which belongs to the category of diseases in neurology.

Although Director Lei is not a neurologist, he still knows something about this disease.

Abdominal epilepsy syndromes often present with recurrent episodes of abdominal pain and are often misdiagnosed as an acute abdomen. It is a disease that gastroenterology needs to know about the differential diagnosis.

"Abdominal epilepsy syndrome is common in children, and seizures are often accompanied by impaired consciousness, and the patient is an adult female, who is conscious at the time ......of the seizure," Director Lei subconsciously retorted.

But he paused halfway through.

I just said that it is common, although it is common in children, but adult women are not without reports of related disease attacks, but it is relatively rare.

In addition, among the many causes of abdominal pain, the patient's condition is the most similar to that of abdominal epilepsy.

"The patient's abdominal pain has been recurrent for three years, the pain is more severe, and there are no symptoms during the remission period, which is indeed very similar to the symptoms of abdominal epilepsy. Okay, if the patient has another seizure tomorrow, I'll do a make-up EEG. Director Lei paused for a moment, then read the patient's condition as if muttering to himself, and finally apparently agreed with Yun Tian's guess.

It's just an electroencephalogram, it doesn't cost much, and if more than 100 yuan can make the cause of the patient's abdominal pain for three days be found, it is naturally a good deal.

So Director Lei finally nodded and agreed with Yuntian's statement.

"Doctor Xiaoyun, your knowledge of neurology diagnosis is very solid!" Director Lei praised Yun Tian.

In addition to denying the problem of CT films, Mr. Yan did not give any opinion on the patient's condition, but in the end, it was the intern of the Chinese medicine department who provided the closest diagnostic idea.

Director Lei sent Yuntian downstairs to the inpatient department, and the two exchanged a few more words of greeting before parting.

When I thought that I received the gastroenterology consultation, I thought that I was just coming to paddle the water, but I didn't expect that in the end, it was my own acupuncture that took effect.

Yun Tian felt a little emotion in his heart.

Thinking of Director Lei's praise, Yun Tian couldn't help but smile bitterly.

It's not that I have solid knowledge of neurology, but that I have the ultimate weapon of the system.

In fact, on the way to the Department of Gastroenterology, including when treating patients, Yuntian has been repeatedly considering the patient's illness. The abdominal pain has been recurrent for three years and is very severe.

If it is really a disease of the digestive system, it is already a very serious acute abdomen, and most of the people who can hurt to this extent have various appendix perforations, gallbladder perforations, and intestinal necrosis.

But the patient had recurrent seizures for three years and was still alive and well.

Therefore, according to this disease, digestive diseases can already be considered to be excluded.

And Director Lei has given the patient blood urine lead and self

Immune-related antibody tests have also ruled out other conditions that may cause severe abdominal pain.

The only thing left is neurological diseases.

Combined with the patient's position of effect, the position of treating convulsions, and at the same time, it can also be effective for seizures, so Yun Tian also suddenly thought of speculation about abdominal epilepsy.

After all, abdominal epilepsy is rare, and it is even rarer for adult women to develop the disease, so I didn't expect this problem to be a normal situation.

Yun Tian is interested in the patient, so let the little nurses inquire tomorrow to see if their guess is accurate.

The physician sees the doctor and diagnoses the patient, which is not much different from playing big guesses.

Pull out the clouds, find the truth of the disease, treat the symptoms, and achieve results!

The joy of this is self-evident.

However, patients have a variety of diseases, and although they have a system, they still need to master more knowledge and skills.

When Yun Tianxin returned to the Chinese medicine department, Dr. Huang hurried in.

38 Zhao Hongjun fell into a coma again. ”

Yuntian's head buzzed!

38 Zhao Hongjun is Zhao Lei's father, yesterday due to a lacunar cerebral infarction fainted, lived in the gods for a night before he woke up, only transferred to the Chinese medicine department in the morning, and in the afternoon Yuntian also went to check on Uncle Zhao's condition, how could he suddenly fall into a coma again?

Yun Tian rushed to 38 with Dr. Huang.

"Blood pressure 90/60 mmHg, heart rate 180 beats per minute, blood glucose 8.3. As soon as Yun Tian entered the ward, Lu reported the signs for the patient to be urgently checked.

The blood pressure is normal, the heart rate is too fast, and the blood sugar is no problem!

"ECG monitoring, verapamil injection 2ml slow intravenous injection, call the functional department to check the electrocardiogram, blood draw to check cardiac enzyme spectrum, BNP, TNI. Seven items of electrolytes and coagulation. Yuntian quickly issued a series of medical orders.

And quickly took out the golden needle in his arms.

Emergency syncope take: Shuigou, Zhongchong, Yongquan, Zusanli, Qihai, Guanyuan, Baihui.

Yuntian adopts the method of direct puncture into the needle, flattening and flattening diarrhea, and aggravating the irritation.

With the Yuntian Needle, Uncle Zhao slowly woke up and opened his mouth, but he couldn't speak.

The ECG monitor was connected as soon as possible, and a piercing alarm sounded.

Lu had already prepared verapamil injections and was ready for intravenous bolus, and Yuntian's doctor's orders were meticulously implemented by the little nurses!

As the medicine was slowly injected, Uncle Zhao's heart rate slowly decreased.......

Uncle Zhao's condition is gradually stabilizing!

Yun Tian fell into deep thought!

Uncle Zhao was in a coma twice, and he woke up immediately after acupuncture, and from the current situation, it can basically be ruled out that the coma was caused by a lacunar cerebral infarction.

But what exactly causes the coma?

Cerebrovascular accident?

It shouldn't be, if it was a cerebrovascular accident, Uncle Zhao wouldn't have come to his senses so quickly.

Hypoglycemia?

No, blood sugar is 8.3, which is within the normal range, and Uncle Zhao usually has no diabetes, so it will not be that he is not adapted to hypoglycemia.

Hypokalemia?

I only checked the blood electrolytes yesterday, no!

Heartsource?

No!

Aortic dissection?

No!

Yuntian thought of many possibilities, but he was denied by himself one by one!

It seems that it can only be decided after the results of the examination are available!

Yun Tian glanced at Zhao Lei, who was standing in the corner of the wall blankly, with red eyes and clenched fists.

Yun Tian walked over and patted Zhao Lei on the shoulder.

It's just that at this time, the disease is not clear, and I can't be sure of the diagnosis, so I can't say anything about comfort.

Turning his head and walking out of the ward, Yun Tian dialed Director Shi's phone and began to report Uncle Zhao's situation.

Then, he entered the doctor's duty room and "entered the training space!"