Came to the Department of Gastroenterology again, this time it was the hospitalized chief Xiao and Yun Xiao of the Department of Gastroenterology who asked for consultation.

Mr. Xiao stood at the elevator door, seemingly waiting for the arrival of Yuntian.

The hospital has a policy, please consult and must arrive within 10 minutes.

Mr. Xiao should have pinched the time and waited for him at the elevator door.

"Doctor Xiaoyun, there is a patient I would like you to take a look at. Mr. Xiao was not polite and got straight to the point.

"The patient with abdominal epilepsy last time has been diagnosed, and Dr. Xiaoyun has good eyesight!" When Mr. Xiao led Yun Tian to the doctor's office, he informed Yun Tian of the condition of the patient with abdominal epilepsy last time.

For an internist, diagnosing an incurable disease is no less than drinking a bottle of old wine.

It's still a very high-grade and taste-good one.

So such a happy thing, Mr. Xiao is naturally willing to share it with Yuntian.

Is it really abdominal epilepsy?

Then take carbamazepine to control the symptoms, and the abdominal pain that has plagued the patient for three years should be cured.

Although I always need to take anti-epileptic drugs, it is better than the pain that is worse than death.

Yun Tian smiled, a faint sense of satisfaction, rising in his heart. It was as comfortable as a head-to-toe bath.

"This time, this patient was admitted to the hospital with abdominal pain, nausea, and other upper gastrointestinal symptoms. ”

"After being admitted to the hospital and treated, the upper gastrointestinal symptoms have been basically relieved, and I was going to be discharged from the hospital in the next few days. ”

"Yesterday I suddenly noticed an abnormal increase in urine output. So please come and take a look. ”

Sudden increase in urine output?

"Do you need to prescribe some traditional Chinese medicine to the patient, and if you tonify the kidneys for the patient, will it improve his increased urine output. ”

"Have you made a film?" asked Yun Tian.

"Make a film?" Xiao always couldn't reflect it.

"Do you need to take a film if you have an increased urine output? Where to shoot it? Do you want to do a nephrogram?" Mr. Xiao was obviously confused.

I just thought that the patient was about to be discharged from the hospital, and the urine output was relatively large. The patient also offered to treat himself.

That's why I called Yuntian to come over to show the patient if he needed to prescribe a few pairs of Chinese medicine to tonify the kidney.

When Dr. Xiaoyun came, he actually asked himself if he had made a film?

This little cloud doctor, what kind of flying blind cāo) work?

"Let's take a look at the patient first. Yun Tian saw that Mr. Xiao was confused, obviously, Mr. Xiao Yunxian did not think about the sudden increase in urine output of the patient.

"Mr. Xiao Mr. Xiao, 32 suddenly had dizziness, headache and convulsions. Come and have a look. Before the two of them reached the ward, there was an exclamation from the little nurse.

"32? Didn't he just increase his urine output a little?" Mr. Xiao was confused, quickened his pace, and took Yuntian towards 32.

The patient's limbs twitched incessantly, and his mind was in pain. But the mind is sober.

And the skin is dry and the eye sockets are sunken.

This is a symptom of significant dehydration.

"250 ml of sugar salt, hang it first

Go. Blood is drawn to check the electrolyte status urgently. Yun Tian glanced at the patient and saw that Mr. Xiao was still in a state of confusion. reminded Mr. Xiao in a soft voice that only two people could hear.

After all, this is the Department of Gastroenterology, and he is with the General Hospital of Gastroenterology, and it is definitely not appropriate for him to act as a substitute, so Yun Tian just lowered his head and reminded Mr. Xiao.

"250 ml of sugar salt, blood drawn for electrolytes. Mr. Xiao did not advocate repeating Yuntian's words mechanically for a while.

Yuntian touched out the golden needle from above.

A few stitches are quickly inserted into the patient's position.

The patient's convulsions gradually stopped.

"Urgent CT check. Yun Tian said.

"Doctor, what is my illness? Didn't you say that I can be discharged from the hospital?" the patient asked anxiously as his condition stabilized.

"I have to go back to the construction site to work for my little grandson to go to college!" the patient frowned.

I'm very anxious about my situation.

"Let's shoot the film first, and then we'll talk about it after the inspection. Mr. Xiao replied at this time.

Perhaps because the patient's condition is relatively special, Mr. Xiao has no diagnostic ideas at all, and Yuntian reacted quickly, Mr. Xiao is very curious, what is Yuntian's diagnostic ideas?

Therefore, Mr. Xiao insisted on pushing the patient to the CT room with Yuntian to do a CT examination for the patient.

"Lacunar cerebral infarction in the basal ganglia. Huan Yi pointed to the image on the CT and said to the two.

"Lamen cerebral infarction in the basal ganglia?" Xiao always felt that he had no way to understand such examination results.

"It's just an increase in urine output, why is it a lacunar cerebral infarction?" Back at the doctor's office, Mr. Xiao followed Yuntian and broke the casserole to ask the end.

"Infarction of the basal ganglia can cause ischemia or necrosis of the paraoptic nucleus of the hypothalamus, resulting in insufficient secretion of antidiuretic hormone. This results in an increase in urine output.

The symptoms of dizziness and convulsions should be related to the fluid and electrolyte chaos caused by diabetes insipidus. Yun Tian replied.

"Sudden increase in urine output in patients should first consider kidney or hormonal problems, but even in acute nephritis, sudden hyperuria is rare, and the most common is diabetes insipidus caused by antidiuretic hormone abnormalities. The most common cause of acute antidiuretic hormone disorder is cerebral infarction. That's why I'm asking if you've made a film. Yuntian then recounted the diagnosis idea.

......

Although Mr. Xiao understood at this time, he still had a feeling of sudden realization.

However, if there is a sudden increase in urine output, it can be considered for a moment that the secretion of antidiuretic hormone is insufficient, and then it is linked to cerebral infarction.

Mr. Xiao was very convinced.

What can I do if I am not convinced? People are people who can make judgments in an instant from abdominal epilepsy and cerebral infarction diabetes insipidus.

Mr. Xiao was also very happy.

I suddenly thought of calling Yuntian to come and take a look.

Otherwise, the patient will be discharged from the hospital.

If you have convulsions or other problems along the way, you will probably have to make a fuss again.

"Doctor Xiaoyun, is the patient transferred to your department now or what should I do?" asked Mr. Xiao.

It's a complete match

The respectful attitude of the doctor.

"Transfer to our department. Yun Tian replied, not caring about Mr. Xiao's attitude at all.

"The new task was to treat a patient with diabetes insipidus caused by cerebral infarction, and the completion rate reached more than 95%. ”

The mechanical sound of the system suddenly sounded, and a new task was issued.

Need to be at least 95% complete?

Yun Tian regretted it a little at this time, the image of the CT was not clear enough. It's just that I'm in a hurry to prepare for an investigation.

95% completion.

If the patient is ischemic, it is fine, if it is necrosis, it is troublesome. 95% completion is hard to achieve.

"Doctor, I have so much urine, what is the disease? Can it be cured? I still have to go back to the construction site, I can't delay the effort, I still have to work hard for a few years to help my little grandson finish college!" The patient seemed to have just finished using the toilet and went to the doctor's office to ask.