NOVEL WEB I can see the status bar
Chapter 19 Diagnosis
Chapter 19 Diagnosis
"Moderate coma." Zhou Jun's judgment was consistent with Sun Lien's. "Call the neurology department over for a consultation. Let's see what evil this guy has..." He suddenly saw Sun Lien who was taking notes behind him, and frowned, "Who told you to get up? Go back and lie down! Ai Gang Do you know that Jingye is not in a hurry at this moment?"
"I just watched it to relieve my anger." Sun Lien tried his best to pull his facial muscles and put on a hippie smile. "I'm still waiting for you to come back and write me a letter of commendation."
"If you are kicked to death by him, I can say something nice to you in the selection of martyrs." Zhou Jun replied coldly, but he no longer asked Sun Li'en to go back and lie down immediately. "Remember to do a B-ultrasound examination in half an hour."
Zhou Jun is a typical knife mouth tofu heart.Sun Lien, who has been receiving regular training in the emergency department for two months, has already figured out his temper as a teacher.When I saw him say that, I knew it was all right.Fortunately, there is no need to rest in bed, otherwise, according to Zhou Jun's temper, his weekend rest will definitely be forced to be on duty.
It is very inhumane for a patient who may have internal organ damage to call for consultation.Sun Lien walked to the duty desk, picked up the phone and started calling for consultation.Every time he called for a consultation, he had the illusion that young and Dangerous was about to call for a fight.Hello?Brother Pheasant?There is trouble with Shenghe's bastards, come and help!
Brother Pheasant, oh no.The attending doctor in Shinnai said he would be there soon.After hanging up the phone, Sun Lien began to think about Zheng Xiaoyu's cause. Syphilis erodes the human body relatively slowly.But that doesn't mean syphilis doesn't attack the nervous system.
Wait a minute... Sun Lien had a flash of inspiration.The old professor who taught infectious diseases in the school once mentioned that before liberation, many poor prostitutes suffered from syphilis.Because there is no money for medical treatment, we can only delay and delay.Wait until ten years or more after infection for syphilis to infect the brain.However, with the gradual improvement of the medical and health system after liberation, this disease has almost completely disappeared.Even the old professor didn't see it with his own eyes, but only saw the corresponding description in the literature.
Is it syphilitic encephalopathy?
The course of this disease is too slow, and it takes more than ten years to be infected before it can appear, and judging by the way this middle-aged man drives a BMW, it doesn't look like a person who lacks money and cannot cure the disease.What's more, there are many diseases that can cause abnormal mental status, and hepatic encephalopathy caused by liver cirrhosis can also cause the same effect.
There is not enough medical history information.Sun Li'en had a headache. If it could be proved that the middle-aged man had suffered from syphilis, at least he could lead Teacher Zhou's thinking in this direction.But now they don't know anything except their names.Having said that, it is also thanks to Zheng Xiaoyu that the seizure occurred after parking the car in the hospital.How dangerous is that to drive on public roads?
Wait... Sun Lien suddenly looked up at the computer in front of him.
What did Zheng Xiaoyu come to the hospital for?
"Check the registration information, Zheng Xiaoyu." Sun Lien skillfully logged into the electronic medical system that has been fully used in Ningyuan recently.Filled in Zheng Xiaoyu's name on the registration inquiry.
"Dermatology Department, receiving doctor, attending physician Jiang Lun." Sun Lien patted his thigh and picked up the phone.
"Doctor Jiang?" Sun Li'en's voice sounded very proud, "I'm in the emergency room, did you see a patient who made an appointment this morning, named Zheng Xiaoyu?"
"Is that it? I don't know." Dr. Jiang on the other end of the phone spoke Sichuan dialect with a taste of sea pepper. "I have seen more than a dozen patients here this morning. Tell me about your appearance and characteristics."
"Um, middle-aged, bald, and wearing a suit." Sun Lien briefly described it, but after thinking about it, it might not be enough, and added, "He has a very violent temper."
"Oh!" Doctor Jiang suddenly realized, "I've seen it before, this bastard grandson almost beat me up." He paused and asked, "Why, he hurt someone? "
Sun Lien coughed twice, "He's in a coma. Could you please come over for a consultation, please?" The Sichuan dialect sounds up and down but full of rhythm, but it's a pity that Sun Lien has lived in the East China Plain for a long time, so it is still difficult to understand.He could only helplessly interrupt Dr. Jiang, and only hung up the phone after he promised that he would come for consultation immediately after seeing the patient.
"Why do you need someone from the dermatology department for consultation?" Zhou Jun asked after Sun Lien hung up the phone, "If the patient just sees someone from the dermatology department, then just let them send the case over."
Sun Lien said with a smile, "The outpatient clinic has had direct communication with patients who are relatively normal and not comatose. I think that since patients have communicated directly with them, at least we can grasp some symptoms that comatose people cannot provide. "
"For example, skin pain or a strange smell on the body." Zhou Jun nodded with some relief. "You have a good idea."
"Strange smell?" Sun Li'en asked curiously, "What is this symptom?"
Zhou Jun led Sun Li'en to Zheng Xiaoyu's bed, and pushed his eyelids away. "See for yourself."
The sclera, which should have been white, was dyed a faint yellow.
"Jaundice?" Sun Li'en was startled, "Is there something wrong with his liver?" He sniffled, and indeed he smelled a strange odor from Zheng Xiaoyu's body.It seemed to smell like ammonia.
"If attacking you is regarded as a symptom." Zhou Jun nodded and added, "This is a case of hepatic encephalopathy. The patient's liver has failed and cannot filter and excrete the ammonia in the blood. It leads to brain confusion and produces Mental symptoms."
Hepatic encephalopathy?Sun Lien frowned slightly, this was not the same as the cause displayed in the status bar.
"Then, the question now is what caused his liver failure." Sun Li'en looked at the comatose patient and said to himself, "He was still in the outpatient clinic by himself just now, and now he has passed out. The course of the disease It's progressing so quickly that it doesn't seem like a chronic disease problem."
"If we don't find out the cause of acute liver failure as soon as possible..." Zhou Jun crossed his arms, looked at the patient and said, "He will die here in a short time—until the cause is found out, it is impossible for him to obtain liver disease. indicators of transplantation."
Liver failure due to cirrhosis?impossible.Zheng Xiaoyu's mental symptoms progressed too fast, and the development of liver cirrhosis was too slow, and the patient's own symptoms would be obvious, so it was almost impossible to be ignored or misdiagnosed.Sun Li'en looked at the word "syphilis" above Zheng Xiaoyu's head, and suddenly his eyes widened.
If it was a mental symptom caused by syphilitic encephalopathy, then the latent syphilis must have invaded Zheng Xiaoyu's internal organs.
He not only has syphilitic encephalopathy, but also syphilitic liver disease!Liver failure and syphilitic encephalopathy caused by syphilitic liver disease combined with mental symptoms!
First of all, please vote~ Please hand over all the recommendation tickets in your pockets, yes, this is a robbery.
Secondly, if you feel uncomfortable being robbed by me, 959480559 is the book friend group.Welcome to update.
Finally, reminders may not be useful, after all, I write slowly...
Above
(End of this chapter)
"Moderate coma." Zhou Jun's judgment was consistent with Sun Lien's. "Call the neurology department over for a consultation. Let's see what evil this guy has..." He suddenly saw Sun Lien who was taking notes behind him, and frowned, "Who told you to get up? Go back and lie down! Ai Gang Do you know that Jingye is not in a hurry at this moment?"
"I just watched it to relieve my anger." Sun Lien tried his best to pull his facial muscles and put on a hippie smile. "I'm still waiting for you to come back and write me a letter of commendation."
"If you are kicked to death by him, I can say something nice to you in the selection of martyrs." Zhou Jun replied coldly, but he no longer asked Sun Li'en to go back and lie down immediately. "Remember to do a B-ultrasound examination in half an hour."
Zhou Jun is a typical knife mouth tofu heart.Sun Lien, who has been receiving regular training in the emergency department for two months, has already figured out his temper as a teacher.When I saw him say that, I knew it was all right.Fortunately, there is no need to rest in bed, otherwise, according to Zhou Jun's temper, his weekend rest will definitely be forced to be on duty.
It is very inhumane for a patient who may have internal organ damage to call for consultation.Sun Lien walked to the duty desk, picked up the phone and started calling for consultation.Every time he called for a consultation, he had the illusion that young and Dangerous was about to call for a fight.Hello?Brother Pheasant?There is trouble with Shenghe's bastards, come and help!
Brother Pheasant, oh no.The attending doctor in Shinnai said he would be there soon.After hanging up the phone, Sun Lien began to think about Zheng Xiaoyu's cause. Syphilis erodes the human body relatively slowly.But that doesn't mean syphilis doesn't attack the nervous system.
Wait a minute... Sun Lien had a flash of inspiration.The old professor who taught infectious diseases in the school once mentioned that before liberation, many poor prostitutes suffered from syphilis.Because there is no money for medical treatment, we can only delay and delay.Wait until ten years or more after infection for syphilis to infect the brain.However, with the gradual improvement of the medical and health system after liberation, this disease has almost completely disappeared.Even the old professor didn't see it with his own eyes, but only saw the corresponding description in the literature.
Is it syphilitic encephalopathy?
The course of this disease is too slow, and it takes more than ten years to be infected before it can appear, and judging by the way this middle-aged man drives a BMW, it doesn't look like a person who lacks money and cannot cure the disease.What's more, there are many diseases that can cause abnormal mental status, and hepatic encephalopathy caused by liver cirrhosis can also cause the same effect.
There is not enough medical history information.Sun Li'en had a headache. If it could be proved that the middle-aged man had suffered from syphilis, at least he could lead Teacher Zhou's thinking in this direction.But now they don't know anything except their names.Having said that, it is also thanks to Zheng Xiaoyu that the seizure occurred after parking the car in the hospital.How dangerous is that to drive on public roads?
Wait... Sun Lien suddenly looked up at the computer in front of him.
What did Zheng Xiaoyu come to the hospital for?
"Check the registration information, Zheng Xiaoyu." Sun Lien skillfully logged into the electronic medical system that has been fully used in Ningyuan recently.Filled in Zheng Xiaoyu's name on the registration inquiry.
"Dermatology Department, receiving doctor, attending physician Jiang Lun." Sun Lien patted his thigh and picked up the phone.
"Doctor Jiang?" Sun Li'en's voice sounded very proud, "I'm in the emergency room, did you see a patient who made an appointment this morning, named Zheng Xiaoyu?"
"Is that it? I don't know." Dr. Jiang on the other end of the phone spoke Sichuan dialect with a taste of sea pepper. "I have seen more than a dozen patients here this morning. Tell me about your appearance and characteristics."
"Um, middle-aged, bald, and wearing a suit." Sun Lien briefly described it, but after thinking about it, it might not be enough, and added, "He has a very violent temper."
"Oh!" Doctor Jiang suddenly realized, "I've seen it before, this bastard grandson almost beat me up." He paused and asked, "Why, he hurt someone? "
Sun Lien coughed twice, "He's in a coma. Could you please come over for a consultation, please?" The Sichuan dialect sounds up and down but full of rhythm, but it's a pity that Sun Lien has lived in the East China Plain for a long time, so it is still difficult to understand.He could only helplessly interrupt Dr. Jiang, and only hung up the phone after he promised that he would come for consultation immediately after seeing the patient.
"Why do you need someone from the dermatology department for consultation?" Zhou Jun asked after Sun Lien hung up the phone, "If the patient just sees someone from the dermatology department, then just let them send the case over."
Sun Lien said with a smile, "The outpatient clinic has had direct communication with patients who are relatively normal and not comatose. I think that since patients have communicated directly with them, at least we can grasp some symptoms that comatose people cannot provide. "
"For example, skin pain or a strange smell on the body." Zhou Jun nodded with some relief. "You have a good idea."
"Strange smell?" Sun Li'en asked curiously, "What is this symptom?"
Zhou Jun led Sun Li'en to Zheng Xiaoyu's bed, and pushed his eyelids away. "See for yourself."
The sclera, which should have been white, was dyed a faint yellow.
"Jaundice?" Sun Li'en was startled, "Is there something wrong with his liver?" He sniffled, and indeed he smelled a strange odor from Zheng Xiaoyu's body.It seemed to smell like ammonia.
"If attacking you is regarded as a symptom." Zhou Jun nodded and added, "This is a case of hepatic encephalopathy. The patient's liver has failed and cannot filter and excrete the ammonia in the blood. It leads to brain confusion and produces Mental symptoms."
Hepatic encephalopathy?Sun Lien frowned slightly, this was not the same as the cause displayed in the status bar.
"Then, the question now is what caused his liver failure." Sun Li'en looked at the comatose patient and said to himself, "He was still in the outpatient clinic by himself just now, and now he has passed out. The course of the disease It's progressing so quickly that it doesn't seem like a chronic disease problem."
"If we don't find out the cause of acute liver failure as soon as possible..." Zhou Jun crossed his arms, looked at the patient and said, "He will die here in a short time—until the cause is found out, it is impossible for him to obtain liver disease. indicators of transplantation."
Liver failure due to cirrhosis?impossible.Zheng Xiaoyu's mental symptoms progressed too fast, and the development of liver cirrhosis was too slow, and the patient's own symptoms would be obvious, so it was almost impossible to be ignored or misdiagnosed.Sun Li'en looked at the word "syphilis" above Zheng Xiaoyu's head, and suddenly his eyes widened.
If it was a mental symptom caused by syphilitic encephalopathy, then the latent syphilis must have invaded Zheng Xiaoyu's internal organs.
He not only has syphilitic encephalopathy, but also syphilitic liver disease!Liver failure and syphilitic encephalopathy caused by syphilitic liver disease combined with mental symptoms!
First of all, please vote~ Please hand over all the recommendation tickets in your pockets, yes, this is a robbery.
Secondly, if you feel uncomfortable being robbed by me, 959480559 is the book friend group.Welcome to update.
Finally, reminders may not be useful, after all, I write slowly...
Above
(End of this chapter)
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