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【1227】Medical history is ambiguous

Xin Yanjun, who was waiting for the emergency blood test, frowned. It was not a trauma. She wanted to call the doctor of the otolaryngology department to come down. It seemed that the clinical evidence was not very valid. If it was an intranasal disease such as nasal tumor and nasopharyngeal carcinoma, it was unlikely that a large number of nosebleeds would come to the emergency room. Instead, for a period of time, he went to the outpatient clinic for a snot with blood.

"Do you have any ideas?"

Hearing Teacher Xin’s question, Xie Wanying lowered her head and asked the patient a question: “When will your period come? Is it coming now?”

Listening to the students' suspicious direction, Xin Yanjun immediately reacted and asked the patient's friend: "Is her menstruation normal?"

"She mentioned before that she has had fewer menstruation recently, and it may be because she is busy with work, so she wanted to find some medicine to take conditioning." The patient's friend remembered the incident mentioned by the patient in person and said.

"So, she had nose bleeding during her period abnormality, right?"

"She occasionally has nosebleeds. She said it's normal, the climate here is dry." The patient friend said that she felt that the question the doctor asked made them puzzle.

A group of medical staff wanted to stare at these people: I asked if there were any symptoms of patients getting sick, but I insisted that there was no one.

Have you had nosebleed before, isn't it a disease?

In the people's perception, they may not really think that occasional nosebleeding will be a disease.

Nasal bleeding is very common among people. In some cities, the climate is bad and dry, which leads to dry nasal cavity. In addition, it is autumn, which is a season for dry matter. If the patient has bad habits such as picking his nose, it can often cause a small amount of nose bleeding. This small amount of nose bleeding is not in trouble, and he can stop it by himself without medication.

You don’t have to worry about a little nosebleed. The problem is that more than one part of your body sends a call for help, and it cannot be called just a little nosebleed.

It can only be said that ordinary people do not learn systematic medical knowledge like doctors. When thinking about the problem of abnormalities in patients, they must combine all the symptoms of the patient's body to judge. The human body is a whole, and it is inseparable to judge diseases. Some diseases often seem to have nothing to do with the cause of the disease.

"What? Is her nose bleeding related to her menstruation?" The patient's friend heard what the doctor meant and asked in surprise.

It is unprecedented that what does it have to do with menstruation in girls with nosebleeds?

It really has something to do, it's quite a lot.

There is a medical term called compensatory menstruation. Some people call it ectopic menstruation, which refers to periodic non-uterine bleeding similar to menstruation.

Medical terms need to be dissected and analyzed. First of all, the periodicity of this bleeding is synchronized with menstruation, which may occur before menstruation or during menstruation.

Secondly, the site that occurs is not in the uterus, and all it is called non-uterine bleeding. So where does it occur? It occurs in the nasal mucosa, external auditory canal, breast gland, gastrointestinal tract and bladder.

So strange? Why don’t you bleed in the uterus? You run to these places to bleed? There are many causes of a disease that require detailed analysis.

Let me first talk about the most common symptom of this type of patient is nosebleed, which can account for one-third of the number of cases.
Chapter completed!
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