Sore throat may be ectopic angina

Angina, the pain will be elsewhere

Angina occurs mostly in the chest or precordial area, but can also occur in other parts, we call it "ectopic" angina. These sites include the neck, gums, jaw, chest department. Mr. Wang is such a situation, but fortunately a doctor promptly, and to rehabilitate. Sometimes, it may be sore throat angina -

62-year-old grandfather has recently always feel throat pain, burning sensation similar to strangle hold, and numerous experiences of finding ENT doctor, doctors have not found the cause of pharyngitis caused by sore throat. Later, he went to the cardiology examination, in addition to high blood pressure found outside also found no abnormalities, the doctor suspected "ectopic" angina, coronary CT examination suggested he do. Grandfather had started a little doubt is not overkill, afraid to spend money, but the test results have found that two had severe coronary artery stenosis. So hospitalized for interventional stenting, sore throat and finally eliminated.

Misdiagnosis "stomach" of the tragedy

"Ectopic" angina relatively rare, easily ignored by patients themselves, but also easy to mislead doctors.

Granny Zhang 72 years, often have symptoms of stomach pain in middle age, he had a clear diagnosis of ulcer disease. Over the years she rarely stomach, just in recent days, dozens of steps or whenever Jizou went upstairs on the third floor, there have chest pain, stop and rest a few minutes does not move not hurt. When stomach acid water does not return, there is no clear relationship with the diet. One night, Granny Zhang sudden severe chest pain, to the hospital emergency room, the doctor asked her medical history, concern is gastric ulcer disease, quickly helped her into the X-ray department do peritoneal dialysis, but found no signs of gastric perforation, the open some spasm of stomach pain. Who would have thought that night at midnight tragedy, Granny Zhang more severe chest pain again, lasts longer than 30 minutes, and sweating, the family took her to the emergency room, but it was too late, the heart has stopped breathing . Anatomical pathology confirmed by inferior wall myocardial infarction.

Uncover pain camouflage

In fact, we found that these "ectopic" angina is not too difficult, it will have the characteristics of angina, but just not the same site appears. How can I find it?

Careful examination to exclude the corresponding disease.

Mouth with a nitroglycerin onset, within a few minutes can eliminate pain, it may be suspected angina.

When the "pain" as ECG, there are significant changes can be diagnosed.

Exercise ECG without pain, if exercise test was negative, which can be said not coronary heart disease. If the result is positive, then it can be said for male patients, "You are coronary heart disease," but before and after the female menopause is not necessarily.


If you suspect MI MI biochemical indexes do not forget to check, it should be hospitalized for observation or treatment, in order to protect your health and safety.

"Ectopic" how do angina

Of course, in the event of the above-mentioned "ectopic" angina, you may not in the hospital, no doctors around, how to do it? First, do not panic, if you hand the drugs can be taken orally 100 mg of aspirin, a sublingual nitroglycerin or isosorbide dinitrate, and then go to the hospital to find a specialist emergency treatment, to ensure the safety and early diagnosis, effective treatment is implemented correctly.

Four food for Women Winter palace

Therapeutic side off four female house cold symptoms

Velvet warm house egg soup

Material: velvet powder 0.5 grams, Cordyceps one egg a little salt.

Practice: antler powder, Chinese caterpillar fungus and egg custard into steam together so that you can eat.

Efficacy: This recipe is very cold house for mitigation, but has always insisted to eat to see results.

Astragalus jujube wolfberry tea

Material: Astragalus 15g, medlar 15g, jujube 15, the amount of honey.

Method: Wash the soaked ingredients in casserole, add water, Astragalus, dates, wolfberry, boil with fire. Next, turn simmer one hour on it. With a tea strainer filter, add honey, mix well and serve.

Efficacy: maintenance of liver, promote blood circulation, qi, blood, beauty, skin, strong physical fitness.

Ginger milk leek soup

Ingredients: 500 g leek, ginger 30 grams, 250 milliliters of milk.

Approach: first clean leeks, knife with a segment size of the little finger, then put together into the leek and ginger juice machine for shattering. The juice into the pot, add milk in the pot, boil over low heat just fine.

Efficacy: warm in the cold, spleen and stomach, abdominal fall empty, front and pain help.

Vinegar soak black beans

Ingredients: black beans 100g, vinegar 150g, 1 tablespoon of honey.

Practice: black beans clean. Next, the Heat wok, add black beans. Then, a small fire fry black beans Yuba crack, emitting a fragrant beans. Good fried black beans Sheng out, let cool. Then, let cool black beans into the cup. Pour vinegar. Use plastic wrap sealed, placed in the refrigerator for 2 days. Two days later, remove the soaked black beans, add honey and mix well, then seal the refrigerator for one day as you can eat.

Efficacy: vinegar soak black beans with beauty, weight loss, kidney, eyesight, UFA, can effectively improve women constipation, backache, leg pain symptoms.

How cold conditioning Palace

1, with brown sugar, leaves boiled water to drink, to warm house and cold stasis, three days before the official holiday drink brown sugar water every day to increase the displacement, better to let the menstrual exclude clean, live blood, warm house.


2, leaves, cinnamon, pepper Jianshui to soak your feet with warm kidney cold, warm the meridians of power.

3, moxibustion Shenque, Baihui and other points to the extraordinary meridian conditioning, warm house and cold, or moxibustion Guanyuan navel down the middle under the 1.5-inch out of the sea air hole and 3 inches at the middle of the navel, smoked daily 30 minutes persevered effective.

4, winter palace constitution in particular need to improve physical fitness through exercise, brisk walking is the easiest way to walk, especially walking in the gravel road, can stimulate the foot of the meridians and acupuncture points, you can clear the meridians, regulate the flow of blood, improve blood circulation.

Children prickly heat

Children prickly heat is due to the infant itself metabolism, easy to sweat, sweat once a long time immersed skin, it will clog sweat glands, inflammatory response, then itching, burning a small prickly heat will "come out."
Symptoms: prickly heat usually appear in the child's face, neck, shoulder, elbow fossa, groin, armpits and other parts.
Prevention: Guangzhou Women and Children Medical Center dermatologist Dr. Zhang Jintao suggested that focus on prevention prickly heat, dry cleaning is the "magic." Summer is the most important do not give children too much to wear, well-ventilated room, reduce the room temperature, the children wear cotton clothes absorb sweat and keep the skin clean and dry can prevent or reduce the incidence of heat rash.
Treatment: Of course, the baby is already covered with prickly heat, do not be too nervous. Zhang Tao said, first to the baby nails, to avoid the baby because of prickly heat itching and scratching the skin, causing skin infections. Then apply calamine lotion to the baby (to be referred to a dermatologist prickly heat water), with the convergence of this medicine, sweat, cool and so on, have more effect on prickly heat, it is also possible to use blister Day 1 ( a traditional Chinese medicine lotion), since the heat, dampness, hot weather can also be diluted into the bath prevent prickly heat.

Genital itching

Genital itching is a symptom of a variety of genital lesions caused by different, but can also occur in the vulva completely normal and generally more common in middle-aged women, when the itching worse, patients are restless, which affects the life and work.

Genital itching and more in the clitoris, labia minora can also be spread to the labia majora, perineum or perianal region and other skin lesions. Department often paroxysmal attacks, but also persistent, exacerbating the general night, with no known cause vulvar itching generally occurs only after the reproductive age or postmenopausal women, mostly affecting the entire vulva, but may also be limited to a certain unit or unilateral vulva, although the itching is very severe, even unbearable, but the local appearance of normal skin and mucous membranes, or only due to scratching scratches appear excessive.

Asked in detail about the diagnosis and treatment through medical history, careful physical inspection and local inspection, vaginal secretions for culture and susceptibility testing or partial pathological examination when necessary.

General Note cure menstrual hygiene, keeping the vulva clean and dry, avoid scratching. Do not use hot water laundry, avoid using soap. When the infection is available potassium permanganate solution bath, but the local non-scrub. Clothing especially underwear proper ventilation to be wide. Avoid alcohol and spicy foods or allergies.

Itching caused by local or systemic factors eliminate the cause of treatment, such as trichomoniasis, fungal infection or diabetes

Symptomatic treatment

(1) available for external use in acute inflammation 1% 1 Lei lock Tinga a foil, rivanol solution, or 30% boric acid solution wet, washed partial erasure 40% zinc oxide ointment; chronic itching can be used corticosteroid ointment or 2% diphenhydramine ointment rubbed.

4mSt be oral chlorpheniramine, diphenhydramine 25mg or isopropyl howl 25ml with integrated the sedation and desensitization effect within (2) medication when symptoms are severe.

Genital itching use hot water to clean it?

Anus, labia, scrotum itching three collectively referred to as genital itching. Many pathogens cause genital itching, such as pinworm, trichomoniasis, scabies mites, fungi and bacteria. If a clear cause, the disease is difficult to cure. However, there is more to these vulvar itching unrelated microorganisms, but because of physical and chemical factors such as long-term stimulation of chronic dermatitis or eczema formation.

A wrong practice:

Some people mistakenly think that the vulva is a dirty place, every night with soap, hot water, salt water, cleaning fluids, or disinfect water hot wash, they said after the hot wash very comfortable. In fact, the vulva is not dirtier than the nose and mouth, excessive cleaning, disinfection, "FIG comfortable", but will make the genital flora, local inflammation, itching and heavier, and even cause perianal, cystitis, retrograde renal pelvis nephritis.

Error practice two:

For genital itching, some doctors advise patients not only did not stop the hot wash, but recommended that its hot washed, treated contains "loose" hormone drugs, the result is a temporary effective and more itching after stopping, the more government the more stubborn, even for years more.

Expert Weapon:

To cure stubborn genital itching, first of all to stop all kinds of scalding measures, and secondly to disable all contains "loose" drugs. The beginning of the withdrawal may be more itchy, then a thick stack available vulva wet cold towel, cleaning towels once every 3 minutes, so that it does not become hot. Cold continued until no itch, itch and then deposited. Not coated with any drug, the end can be cured.

Weekday or toilet after sexual intercourse, just rinse with cold water to the vulva, but do not water into the anus or vagina, so as not to affect the self-cleaning effect of the body's tissues.

Note 8 Great response genital itching:

1, pay attention to menstrual hygiene, frequently changes during menstruation menstrual pad, ground cleaning.

2, keeping the vulva clean and dry, no hot water to wash, no soap scrub.

3, avoid indiscriminate use, drug abuse, avoid scratching and local friction.

4, avoid alcohol and spicy food, do not eat seafood and easy to cause allergy drugs.

5, do not wear tight pants pocket crotch, pants and more to be loose, breathable, and cotton products is appropriate.

6, if the local damage, infection, available l:5000 potassium permanganate solution (in warm water with traces of potassium permanganate powder, pale red to make, can not be too thick) dip, twice daily, every 20 to 30 minutes. Preferably after a doctor prescribed.

7, the doctor check for mold or trichomoniasis, if any should be treated, and do not apply their "itching water" treatment.

8, long treatment should be blood glucose testing.

If symptoms are severe itching, and accompanied by abnormal vaginal discharge, abdominal pain and other symptoms, it is likely that inflammation and infection, the need to go to the hospital for gynecological examination related to, targeted therapies.

Prevention and treatment of vulvar itching basic necessities:

Clothing: underwear and underwear should be kept clean, wide and loose underwear should be soft, with cotton as well, you should avoid wearing synthetic clothing paste.

Food: to adjust gastrointestinal function, with light, vitamin-rich fresh vegetables and soy products better; taboo tobacco, alcohol, pepper, tea, coffee, spicy food; keep the stool.

Live: The indoor temperature is adjusted to 16 ℃ ~ 20 ℃, relative humidity of 30% to 40%. When the relative humidity is below 20%, the indoor air is too dry, dust and other allergens easy flying. Watering should be on the ground, conditions may enable the humidifier.

Line: sensitive skin should not only be appropriate to reduce the activity, but also pay attention should not bathe too often, the water temperature is not too high, otherwise the skin surface sebum will be washed off, make the skin more dry and easy to itching. After bathing in surface application may be some 30% to 50% glycerol. In addition, the occurrence of itching and scratching Freeze to prevent the proliferation of epidermal cells changes, becomes rough, thick, with the result that the more flexible the more itching, creating a vicious cycle.

Cleft lip

Cleft lip is a common oral and maxillofacial congenital malformations, the incidence is about 1: 1000. Normal fetus, after starting from the fifth week of some embryonic projections gradually fused to form face each other, such as failure of normal development can occur malformations, including cleft lip.
(A) by fracture cleft lip can be divided into parts:

1. incomplete unilateral cleft lip is divided into type and complete type.

2. bilateral cleft lip incomplete form, complete and hybrid side that is not exactly a complete type.

(B) the degree of fracture is divided into:

Ⅰ degree cleft lips cracked limited.

Ⅱ degree cleft lip was split upper lip, nasal floor not to crack. Ⅱ degree superficial cracks not exceeding high lip 1/2; Ⅱ degree deep fissures over the high lip 1/2.

Ⅲ degree of cleft upper lip, nasal floor completely split

Cracked finger skin, mucous membranes, while not split, but the lack of muscle.

Clinical manifestations

Mainly as cleft upper lip split. According to the site and extent of the fracture split can be divided into three degrees.

1. only once cleft lips cracked.

2. The second time fissure over lips but less than the nasal floor.

3. All three degrees fissure cracked lips from the bottom to the nose, also known as the former two incomplete cleft lip, also known as the last of complete cleft lip.
(A) the timing of surgery

Is generally believed that unilateral cleft lip surgery is appropriate in about six months, bilateral cleft lip is slightly delayed. The basic conditions for children to adapt to the surgery are: general health is good, no anemia, and no respiratory tract infection, local and surrounding tissue without infection.

(B) The basic requirements for surgery

Cleft lip repair surgery is to try to restore the basic requirements of the lips, nose normal form and function. Normal lips, the nose has the following characteristics: both sides of the nose and other large and round, tip of the nose and columella center, not collapse nose, upper lip two equal height, symmetry, plump lips, slightly protruding lip beads, vermilion border was arched shape (Fig. 1). Above anatomical features can be used as basis for cleft lip repair surgery design.

Cleft lip

Chun Feng point margin of 1.3 points shown vermilion

2:00 shows people

People on both sides of the ridge 1-4,3-5 shown in humans

Figure 1 Normal lip nose shape

(C) surgical method to repair cleft lip

The basic steps to repair cleft lip surgery for fixed-point design, cut and sew. Many fixed-point design. Now only introduce triangular flap. The steps are as follows.

1. Fixed-point design

1) first find out the vermilion border point

In the contralateral vermilion border to find Chun Feng point D and among the lowest point C, and then press the CB = CD, fix a B point. In ipsilateral vermilion border thickest set B '(Fig. 2①). Finally, surgery B, B 'two points on the joints, which form the affected side of the Chun Feng (Fig. 4).

Cleft lip repair 2 fixed-point design

2) two basic measurement data

From nose to root columella roots were measured in normal ipsilateral nostril nostril bottom width at the bottom of a difference to get the number for X. Since the midpoint of the contralateral nasal floor to point D measured h, normal lip height, that should be restored after surgery to repair the upper lip height (Fig 2②③).

3) fix the other points, crossed

In the bottom sides of the ipsilateral nasal fracture respectively designated A, A '. So that AA 'is equal to the width of the difference between the two nostrils at the bottom of the number of X, so that AA' after the two-phase suture, both sides of the nose and other large. Connection AB. Normal height h minus the lip derived AB y, this is the need to increase the lip ipsilateral high. At point B, for about BE = y and with the lower lip vermilion border nearly parallel. In A 'as the center for the radius AB, B' for the center y (need to increase the lip height) as the radius to make the arc and intersect at B "(best B'B" near-vertical with the vermilion border). Again B'B "points respectively for the center, to BE as radius for the arc cross in E '. Connection A'B", B "E' and E'B 'respective lines (be careful not to draw B'B" line here does not make the cut). After adjustment points to a hypodermic needle dipped in methylene blue piercing the skin, draw lines to iodine fixation (Figure 2④⑤).

2. Incision, suture

Surgery requires careful, light, reducing the trauma, accurate cutting, stitching and tidy.

First incision with your fingers clenched outside the upper lip when cut, to reduce bleeding. Followed by the design lines cut AB, BE, A'B ", B" E 'and E'B ". After the cut, you can drop the contralateral upper lip, forming a triangle in the BE at the open cracks would be formed in the ipsilateral B "E'B 'triangular flap crevices into this (Figure 3). A margin of the line AB and A'B "relative. Successively layered suture (Figure 4). Trimming lips, under the circumstances the use of embedded or Z-shaped dual triangular flap to increase the fullness vermilion. Nose shaped by Kawasaki , the general proposition be deferred to a later 13-year-old radical nasal deformity correction surgery.

Cleft lip

Figure 3 cleft lip repair of incision 4 cleft lip repair suture

Complete cleft of the wider cracks, tension greater need vestibular sulcus incision for sneak separation, to facilitate the organization in place suture.

(Iv) treatment after surgery

1. Upper lip to lip bow tape reduce tension wire fixed two weeks to prevent and mitigate scar healing wound dehiscence.

2. Pediatric basic anesthesia awake, double elbow with a splint bandage, avoid scratching the wound and reduce tension bow lips.

3. lip wound with 3% hydrogen peroxide and 4% boric alcohol to gently wipe the blood to prevent scab covering affect wound healing.

4. wounds five days stitches.

Anxiety and depression is a precursor to Parkinson's

Anxiety and depression is a precursor to Parkinson's
Parkinson's is a disease of the elderly susceptible, it will affect the normal activities and life of the elderly. Many people in the early stages of illness, do not know is how its political expression, so it is easy to overlook what a prelude to more performance, then, what is the performance of Parkinson disease is it? You know how it is suffering from Parkinson's? Let's just take a look at it experts.
         Anxiety and depression can lead to Parkinson's?
We all know the symptoms of Parkinson's dyskinesia, tremors and muscle stiffness, and recent studies have found that patients with Parkinson disease is often associated with affective disorders, including anxiety or depression.
? Why Parkinson's patients anxiety or depression it mainly in the following three reasons: a direct result of brain damage neuroendocrine changes, neurological deficits, cognitive disorders; due to functional disability, pain, or the rhythm of life in patients with the disease after being hit chaos, so that damage to self-esteem, and thus appear emotional instability, irritability, insomnia, nervousness and other symptoms; patients before the disease have premorbid individual neurosis or mental defect quality, sensitive, suspicious, demanding perfection, self-centered, etc. problem.
About 40% of Parkinson's patients with anxiety symptoms in the mental anxiety and somatic anxiety. Patients often feel inexplicable fear, fear, tension and anxiety, often restless, restless, hand-wringing in the corner, he strolled around, increased petty, inability to concentrate, do not know why it is so anxious. In severe cases, that there is some disaster strikes, even a sense of impending doom.
30% to 40% of Parkinson's patients with depressive symptoms. Patients often become sad, depressed, indifferent to things around, irritability, easy to cry, to feel poor physical condition, have more discomfort and so on. Since aggravating movement disorders, the patient is difficult to complete the work previously familiar, decreased quality of life, psychological burden, causing and aggravating depression. The depression will increase the movement disorders.
Currently a large number of studies show that anxiety or depression may be an inherent symptoms of Parkinson's disease. It is worth noting, anxiety or depression and Parkinson's disease progression is not necessarily related, there is a considerable portion of patients with early symptoms of anxiety or depression. Another study found that some patients with anxiety or depression, Parkinson's disease may occur in subsequent years. Therefore, some experts believe that anxiety or depression is likely to be a precursor to Parkinson's disease, and in some patients with Parkinson's disease has been diagnosed in the first onset of symptoms of anxiety or depression, as early as shaking, slow like.

Parkinson's disease with anxiety or depression treatment is a more difficult problem, because many of efficacy for the treatment of anxiety or depression with drugs for Parkinson's disease symptoms of anxiety or depression has not been confirmed. Recent studies have shown that dopamine receptor agonist pramipexole for Parkinson's disease depression have a certain effect. During drug treatment, the patient should enhance self-confidence, self-relax, maintaining optimism, to divert attention, to maintain adequate sleep, more exercise, develop personal hobbies.
In short, in normal life, as long as there have been felt Parkinson's symptoms, they should go to hospital for examination, as well as Parkinson's patients have regular visits to the hospital.