Of course, if you don't do an EEG or you can't do any abnormal EEG activity.

According to the uncle's history of cerebral infarction, it can also be clearly diagnosed as secondary epilepsy, whether to take medicine or not, completely depends on the frequency of seizures.

It can be said that Lin Yi has explained all the causes of the uncle's illness very clearly.

But the aunt was not at ease, so she took this opportunity to follow Lin Yi to the clinic and asked him to give the uncle an examination.

At their age, health is paramount.

My aunt doesn't want her wife to have other diseases at all.

Lin Yi gave the uncle a relevant examination, and the aunt led him to do it.

Seeing the aunt gently supporting the uncle to do the examination, Lin Yi couldn't help but sigh in his heart.

After Lin Yi returned to the consultation room.

A flat-headed man in his thirties, bent over, clutching his stomach, walked in with a painful expression.

The man's forehead was full of beads of sweat, and the muscles on his face were twitching involuntarily.

even gritted his teeth and tightly covered his upper abdomen before he reluctantly entered the consultation room.

Obviously, this is all caused by his abdominal pain.

Judging from his performance, his abdominal pain was much more painful than the chest pain from the broken rib just now.

The man sat down on the stool, sighed, and said intermittently: "Doctor, my stomach hurts terribly, hurry up and bring me a painkiller." ”

"No way!"

Lin Yi categorically refused.

Looking at the man's performance, it is obvious that it is severe abdominal pain caused by acute abdomen.

If you come up, you have to prescribe painkillers, that's impossible.

Patients with acute abdomen are not allowed to be prescribed analgesia without a clear and specific diagnosis.

Even if the patient dies of pain, the doctor cannot prescribe painkillers.

If the diagnosis is not clear, the patient is given analgesia with analgesics, then the principle is violated.

Because after the patient is injected with strong analgesics, the abdominal pain will be significantly reduced or no pain

Then the real cause of the abdominal pain will be masked, thus delaying treatment.

Serious consequences can be incalculable.

So Lin Yi didn't even think about it, so he directly refused the man's request.

Looking at the man's incomprehensible expression, Lin Yi explained: "In your case, you must not take painkillers as soon as you come up, otherwise after the painkillers take effect, they will cover up the condition."

This will affect the judgment of your disease, so we must now figure out which disease you are before we can treat you for the cause. ”

Now that he came to the hospital, of course, the man still chose to trust the doctor.

So he endured the sharp pain in his abdomen and said slowly:

"Last night I had a barbecue with a few friends and drank a lot of beer, and after I went back to rest in the evening, my stomach started to hurt a little at night."

"But I didn't care, I thought I had a bad stomach, and I took some medicine for diarrhea, but I didn't have diarrhea in the second half of the night, and this morning, my stomach hurt more and more, so I hurried to the hospital."

Lin Yi thought about the patient's symptoms for a moment.

After drinking alcohol and eating barbecue, I had epigastric pain and severe pain, but there was no diarrhea.

Acute gastritis? Or acute cholecystitis?

Then Lin Yi asked again: "Do you have any previous medical history?" ”

The man thought for a moment, and immediately said:

"I used to have gallstones, which were relatively small, and I also saw a doctor and said that I would observe them temporarily. Didn't care about it, it's been two years. ”

He has a history of gallstones, and severe pain in the upper abdomen after drinking alcohol and eating greasy food.

In Lin Yi's mind, he already had a rough judgment about the man's disease.

Then Lin Yi asked the man some other details and gave him a physical examination.

He was found to have abdominal tenderness in both his right upper quadrant and left upper quadrant.

and positive right upper quadrant Murphy sign.

Obviously, this man had gallstones, and after eating greasy, he induced acute cholecystitis.

Biliary pancreatitis is not excluded.

Lin Yi was about to open a checklist for him on the computer, but after thinking for a while, he stopped.

Then he said to the man:

"In your case, I consider that gallstones induce acute cholecystitis, and the possibility of acute pancreatitis cannot be ruled out.

Either of these conditions requires hospitalization. I suggest that you be hospitalized directly, and then checked after you have completed the hospitalization procedures. In the case of outpatient examinations, the cost of medical insurance is not reimbursed. ”

The man nodded repeatedly.

"Doctor, you can go through the formalities for me, I'm here to prepare for the hospital today."

Lin Yi asked Song Borui to come over to handle the relevant procedures for him, and then arranged for him to go to the general ward.

Song Borui and Lin Yi examined him again in the general ward, and then issued a checklist.

More than an hour later, all the man's inspection reports came out, and Song Borui found Lin Yi.

"Lin Yi, this patient is gallstones, acute cholecystitis and acute pancreatitis."

Sure enough, it was exactly the same as the disease that Lin Yi considered.

This man was induced by acute cholecystitis because of dietary problems, but patients with gallstones are very likely to induce acute pancreatitis.

Once pancreatitis appears once, it is easy to induce it again if you don't pay attention to your diet well.

And this man was caused by gallstones, and in order to eradicate the cause of the induction, the gallbladder must be removed.

Song Borui said to Lin Yi:

"I have explained the condition to the patient very clearly, and after the acute pancreatitis is controlled, I will do cholecystectomy for him in our department."

Lin Yi nodded.

However, this patient will have a cholecystectomy, and it will be a week later.

Because acute pancreatitis is to be completely controlled, it takes at least a week.

Lin Yi assigned this person to Song Borui to be responsible.

After a while, a couple walked in with a little boy in tow.

The little boy was about 10 years old, and he was in elementary school, but today was not a weekend, so he came to the hospital to see a doctor.

After understanding, Lin Yi knew that the little boy always said that his stomach hurt, and he couldn't concentrate on school because of the pain.

And what her parents meant was that the child was pretending to be sick because he didn't want to go to school.

But the child kept saying that his stomach hurt, and as a parent, he couldn't help but bring him to the hospital for treatment.

The main thing is to let Lin Yi check the child to see if he is sick or not, whether he is lying.

Lin Yi said to Wang Qiaoya next to him:

"Give him a D-dimer lactate and amylase test!"

Wang Qiaoya didn't know why, and she didn't know why Lin Yi checked these two things for the little boy.

But in front of her family, it was inconvenient for her to ask questions.

Therefore, after opening the examination on the computer, the family members took the little boy to the examination.

After the three of them walked away, Wang Qiaoya asked:

"Brother Yi, why did you check these two things for the little boy just now? I don't understand, you don't doubt him......"

Provide you with a popsicle for reasoning diagnosis: Big brother, your wife is drugged! Fastest update, in order for you to see the fastest update of this book next time, be sure to save your bookmarks!

Chapter 238: Pretending to be sick in order not to go to school? Free to read.