149 Cerebral hemorrhage can occur when you go to the toilet

The sturdy man's eyes lit up, he bumped Wei Dabao with his shoulder, and whispered, "Brother Bao, is that your little ancestor?" ”

"Doctor Wei, do you tell people that I am your little ancestor?" Wu Mian sat on the chair and looked at Wei Dabao with his cheeks crossed.

"Uh......" The sweat on Wei Dabao's forehead came down directly.

It's hard to say whether this person in front of him is his little ancestor, but he dares to lie directly in the coffin!

Myself...... Wei Dabao knew in his heart that he belonged to the kind of person who was in a hurry. Not to mention Wu Mian, even Lao Yushan doesn't admit himself. After so many years of swaggering and cheating, don't let the little master ancestor fake it.

It is estimated that the little master ancestor doesn't have to use his hands to deal with himself, and he will be scattered when he thinks of himself.

"Tell me, what kind of patient?" Wu Mian didn't continue to embarrass Wei Dabao, but looked at the sturdy man behind Wei Dabao.

"Little Master ......"

"It's okay to call Section Chief Wu or Teacher Wu. Wu Mian said with a smile.

"Oooh oh. Wei Dabao agreed without a word, "Section Chief Wu, he killed foxes and skinned them at the end of last year, probably a little frightened, and began to have intermittent headaches a few months ago. ”

"A few months ago. Wu Mian groaned.

"Yes, a few months ago. Wei Dabao said affirmatively.

"You're also a doctor!" Wu Mian saw that Wei Dabao didn't know what the problem was, and reprimanded, "Doctor Wei, you're too lax." You don't ask how many months it is? The patient can't remember clearly, don't you ask when the last time you remember clearly!"

“......”

"A few months ago, you were embarrassed to say. Do you think you are a common man, a mass? You are a doctor in white clothes, can you be professional? Wu Mian stared at Wei Dabao and said a little sternly.

“......”

"Xiaoxi, do you have any medical record writing standards?" asked Wu Mian.

"It's in the mailbox. Chu Zhixi replied with a smile. She had already guessed what Wu Mian wanted to do, and she couldn't help but feel a trace of sympathy for Wei Dabao.

"Print a copy. Wu Mian said, "Wei Dabao, the medical record is written in a standardized manner, and you will have 2 weeks to memorize it." ”

Wei Dabao felt that his eyes were dark, and he almost fainted.

Medical record writing norms, he'd seen before. The head of the medical department shouted twice, and each department issued a copy, and everyone had fun watching it. It's a little thinner than a surgery textbook, and it takes 2 weeks to memorize......

You go on. Wu Mian looked at Wei Dabao with a smile and said.

"The neurological examination showed no abnormality, and I felt a migraine. Wei Dabao continued to report his medical history, "I gave some treatment and it didn't work, it's not that I think Zhou asked you to help take a look, don't have any misdiagnosis." ”

"That, your name, come and sit down. Wu Mian's attitude towards talking to the strong man was obviously much better, and the strong man was stunned for a moment, and it took two or three seconds before he realized that this was talking to himself.

"Girl, go and ask. Wu Mian said.

"Okay. Chu Zhixi stood up and hesitated, "Brother, I'm wearing your white clothes." ”

"Hmm. ”

Wu Mian's cabinet has always been open, and the white clothes are hanging inside.

Chu Zhixi was wearing Wu Mian's white clothes, which was obviously a little big, and he didn't look like a doctor at all.

"What's wrong with you lately?" asked Chu Zhixi.

Wu Mian didn't listen, he looked at Wei Dabao and beckoned.

"Section Chief Wu. ”

"Doctor Wei, if you want to see a good doctor, you have to be excellent. I'm not saying that the level of correspondence is not good, but what crooked ways you are pondering here every day. Wu Mian's expression was gentle, but his words were not gentle at all, and he said sternly.

"Uh......"

"When you introduce your medical history, you emphasize that the patient killed a fox last year, what do you mean?"

Wei Dabao didn't dare to look at Chu Zhixi, he stared at the two eldest sisters and drooled, so he had to lower his head. Hearing Wu Mian ask, he said mysteriously, "Section Chief Wu, I suspect that something has been provoked." Why don't you get it?"

"Get it, get your ......" Wu Mian's lips were barely pursed, and the swear words almost squirted out. This Wei Dabao, what do you think!

"Section Chief Wu. ”

"Stand aside and listen to what the girl had to say about her medical history. ”

Wei Dabao lowered his head and stood to the side, listening carefully.

Chu Zhixi's voice was so good, Wei Dabao was instantly distracted. However, he held back himself, if he watched Chu Zhixi drool, it was estimated that he would have to let Section Chief Wu beat him to death.

Wei Dabao listened uneasily, and after about ten minutes, Chu Zhixi and Wu Mian said, "Brother, considering that there may be subdural hemorrhage, it is recommended to check a CT first." ”

"Hmm. Wu Mian looked at Wei Dabao.

"That, I also suggested, he was stingy and refused to check. Wei Dabao said, "No, subdural hemorrhage...... Isn't that a sudden illness? It's not a traumatic ......."

After only half a question, Wei Dabao swallowed the rest of the words back immediately, and his full desire to survive saved him at the last moment.

But unexpectedly, Wu Mian was not angry, his fingers tapped lightly on the table, and asked, "The patient's daily life is very regular, what do they do?"

Wei Dabao was stunned for a moment, seeing that no one was talking, it was estimated that Section Chief Wu was asking himself, and he immediately said, "Go to work, get off work, work out, play the saxophone, and go home for dinner." ”

"Well, you've asked all of that?"

"yes, I asked, I don't think it's okay, it's all healthy. And there is no recent history of trauma......"

Speaking of which, he was a little unsure, and looked sideways at the sturdy man.

The strong man nodded, acknowledging Wei Dabao's statement.

In 2009, in a review of 21 patients with non-traumatic SDH...... Don't talk about this, bridge vein, do you know what it is?"

"It's a vein in the brain. "Wei Dabao doesn't know what the bridge vein is at all, but he must understand how to climb the pole, after all, he has been beaten by the society for so many years, and he still has this little bit of caution.

"A bridging vein is a duct structure located in the subarachnoid space where blood flows into the dural sinuses.

The current study includes three types of graft veins: cerebellar hemispheric graft vein, temporal graft vein, and frontal gyrus graft vein. The thickness of the wall of the subdural bridge vein is about 10-600 ξm, and the thickness of the wall of the subarachnoid cava bridging vein is about 50-200 ξm. The subdural space of the bridge vein is looser than the subarachnoid space. ”

"There are no specimens, you just listen to it, and remember as much as you can. "Non-traumatic epidural hemorrhage is caused by bleeding from the bridge vein in the subdural position, which is more fragile than the subarachnoid space. ”

"In the absence of trauma, subdural hemorrhage can be caused by a sudden increase in venous pressure, specifically some movement or maneuver, when forced expiration occurs against a closed glottis......

For example, if the pressure is suddenly high during a cough or bowel movement, it may lead to a sudden increase in venous pressure. ”

I'll go...... Can pull out cerebral hemorrhage?