t**x 发帖数: 20965 | |
m*****a 发帖数: 2160 | |
t**x 发帖数: 20965 | 3 睡姿不正确导致呕吐,血压升高20,脉搏减缓,compensation 血糖升高,头晕,
休息半日缓解 |
m*****a 发帖数: 2160 | 4 不一定是头部供血不足问题,建议先看internal medicine或family medicine,他们详
细了解信息后决定怎么转诊 |
t**x 发帖数: 20965 | 5 看了没用,建议检查听力视力,都说没有事情。看了两年了,family doctor太垃圾。 |
l*h 发帖数: 4124 | 6 what does the patient's history look like? Has the doctor performed a
Hallpike Maneuver on him/her?
【在 t**x 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 睡姿不正确导致呕吐,血压升高20,脉搏减缓,compensation 血糖升高,头晕, : 休息半日缓解
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t**x 发帖数: 20965 | 7 all normal
呕吐,头晕,偶然并不经常。检查的时候正常状态,出问题并不多,大概一周最多1-2
次,每次也就10几秒最多不到1分钟。
【在 l*h 的大作中提到】![](/moin_static193/solenoid/img/up.png) : what does the patient's history look like? Has the doctor performed a : Hallpike Maneuver on him/her?
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m*****a 发帖数: 2160 | 8 那去看neurology试试吧,如果ENT看过且正常的话
2
【在 t**x 的大作中提到】![](/moin_static193/solenoid/img/up.png) : all normal : 呕吐,头晕,偶然并不经常。检查的时候正常状态,出问题并不多,大概一周最多1-2 : 次,每次也就10几秒最多不到1分钟。
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l*h 发帖数: 4124 | 9 what do you mean by "all normal?" obviously the patient has intermittent
vertigo/dizziness and vomiting. according to your description, Hallpike
maneuver should be done, even multiple times at different time, unless there
is contraindication, to test for the most common cause.
2
【在 t**x 的大作中提到】![](/moin_static193/solenoid/img/up.png) : all normal : 呕吐,头晕,偶然并不经常。检查的时候正常状态,出问题并不多,大概一周最多1-2 : 次,每次也就10几秒最多不到1分钟。
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l*h 发帖数: 4124 | 10 if you want to hear some advice and opinions, you have to give a useful
description of the patient's history, including the studies that have
already been done. "all normal" means nothing. no one knows what was already
done.
2
【在 t**x 的大作中提到】![](/moin_static193/solenoid/img/up.png) : all normal : 呕吐,头晕,偶然并不经常。检查的时候正常状态,出问题并不多,大概一周最多1-2 : 次,每次也就10几秒最多不到1分钟。
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