Chapter 45 Case Study
"Today, Dr. Hou from the First Hospital brought his classic case, and we welcome Dr. Hou to explain the case he brought. Pen & Fun & Pavilion www.biquge.info"
According to the prior arrangement, Sun Qianshou called Dr. Hou's name.
Here, Doctor Hou heard Sun Qianshou shouting his name, and stood up to owe everyone.
"It's a great honor for President Sun to let me be the first to explain the case! The case I'm bringing to you today is juvenile mania. ”
As he spoke, Dr. Hou motioned for the staff to turn on the projector, and he came to the projection wall.
As the projector works, the information appears on the projection wall.
Patient: Zhao
Gender: Male
Date of birth: 2001-01-18
Place of Birth: Unknown
Occupation: Unknown
Place of residence: Unknown
Date of visit: 2016-12-18
Condition: The patient is depressed and elevated. The patient first became depressed, but soon turned excited, talked a lot and exaggerated, boasted that he was very capable, did not rest at night, lost his temper, denied that he was sick, and refused to take medication.
No history of infectious diseases, no history of surgery, no history of drug allergies......
Zhang Yusheng looked at the information above curiously, for medical treatment, if it weren't for the pharmacopoeia, he could only treat headache and fever.
For other medical conditions, Zhang Yusheng thought that he was incapable.
Dr. Hou pointed to the information on the projection and lifted the glasses on his nose: "This is a case I took over, as we all know, mania is mostly manifested in the elderly, even middle-aged people. For the appearance of young people, it is not that there are none, but very few. Next, I will give you an analysis of why this situation is happening......"
Balabala, everyone in the venue listened carefully to Dr. Hou's explanation of the case, and they were wondering if they had ever encountered this ratio but did not judge it.
Ten minutes later, as the projector turned off, the first case analysis ended.
Bang Bang Bang!
There was a wave of applause, and everyone sincerely admired Dr. Hou and thanked him for coming up with such a case.
Dr. Hou smiled at everyone and returned to his seat amid applause.
"Thank you Dr. Hou for your explanation, and the second case will be explained by Dr. Wang from the Second Hospital!"
Sun Qianshou first expressed his gratitude to Dr. Hou, and then asked Dr. Wang from the Second Hospital to explain.
"The case I brought today is sudden death!"
Dr. Wang, who is fifty years old, didn't say much, and came up straight to the point.
"Everyone, please see the information."
Patient: Wang
Age: 48.
Cause of sudden death: Long-term sexual inappropriate relationship with a woman whose husband has been working outside the home for a long time.
One night, I went to the woman's house to spend the night, and 10 minutes after having sex, I felt fever, sweating, dizziness, headache, blurred eyes, and then became unconscious. Seeing this, the woman rushed to the hospital and died.
According to the investigation, the deceased was dizzy and dizzy, had low back pain, could not sit for a long time, and had never been to the hospital, and the previous cases were unknown.
Autopsy: The deceased's body was developing normally, and there was no damage to other parts. When the kidneys were cut, it was found that the sac was thick and some were cool, some were purulent or reddish, and there were no obvious lesions in other internal organs.
420 g in the heart, 2 cm in the left ventricle posterior myocardium, cardiac arteriosclerosis......
In the venue, everyone looked at the information on it seriously, and couldn't help but secretly analyze what was the main reason for the deceased?
Zhang Yusheng set his sights on the last line.
Summary: After examination, the deceased often had dizziness, low back pain, inability to sit for a long time, and high blood pressure. It was analyzed that the deceased was in a state of excitement during intercourse, and his blood pressure increased, which ruptured the scapular changes of the cerebral arteries. Eventually, he died of subarachnoid hemorrhage.
"Does this count as death in a woman's belly?" The fat man poked Zhang Yusheng and asked in a low voice.
Zhang Yusheng rolled his eyes, is the fat man's mind different from ordinary people? He didn't bother to answer.
Dr. Wang waited for everyone to read it before he spoke: "When you see this case, you may ask, this is a common case, and it happens regularly, why do you want to take it out." ”
Hearing his words, everyone was puzzled and waited for his later words.
"It is precisely because it is common and common, but it is our rerecourse to do so, and if we could prevent this condition, we would not have saved many lives......"
It's Balabala!
Zhang Yusheng listened thoughtfully, and looked at the case analysis of this arrangement, one is rare and the other is common, but they are all very representative, which makes him greatly insightful.
Sometimes, academics really need communication in order to promote the development of medicine.
With the explanation of one classic case after another, this made everyone present greatly informed, and they all talked about their own opinions and the difficult questions they encountered.
Ten minutes for a case, it can't stand the number of cases, Sun Qianshou looked at the time and felt that it was almost there.
He discussed it with Chang Shanyu, the vice president here, and got Gu He's nod again, so he turned on the microphone and said: "Today's case explanation, that's it, I know that there are still many cases that have not been explained, but I believe that after these classic case analysis, everyone here has more or less gained." ”
"Breaking away from tradition, we are going to move on to the second event of the association, which is your favorite showcase. The rules are the same as ever. Recently, there have been many new members joining the club, and in order to prevent new members from not knowing the rules, Vice President Chang Shan Yu will repeat the rules to everyone. ”
After Chang Shanyu finished saying the rules, some people who didn't know the rules were very surprised.
They thought that the association was convened to move their mouths, exchange ideas, and a harmonious scene of hello and me.
I didn't expect the second item to show everyone's face and stretch out their hands.
Zhang Yusheng didn't expect that this association would run similar to variety shows, and he didn't know who left the tradition back then.
The second rule is very simple, that is, the association has found some volunteers (patients), and the next one is to select the doctors present by the president, vice president and Mr. Gu to go to the treatment.
At this time, Chang Shanyu saw many people, with doubts on his face, he knew what the reason was.
"You are confused, there is Chinese medicine and Western medicine here, how to compare the law."
"Our association has been prepared for a long time, and there are professional equipment next door, as long as you need it, our staff will find it for you."
"Of course, whether it's Chinese medicine or Western medicine, the more tools you use, the less points you get."
"I'm sorry, I forgot to mention that there are points for treating patients, one can accurately judge what disease the patient is suffering from is fifty points, say the specific manifestations of the disease twenty points, give the treatment plan is thirty points, a total of 100 points."
"The equipment at the back is marked with scores, and with a device, the score on it is the total score minus the score."
"So, weigh it up."
"Well, no more nonsense. Volunteer please. ”