When the Doctor Uses A Hack

In fact, after being a doctor for a long time.

You habitually stop believing certain answers from patients.

Not because of distrust.

But because of their non-cooperation.

Actually, Chen Cang just deliberately asked about the history of casual sex, instead of saying "promiscuous sexual history" or other straightforward terms.

To be honest, not many people know the term "history of casual sex," but there was a reason for Chen Cang to ask this way.

When the young man was sent for a blood test, Chen Cang informed Huang Binhai, "You should collect a family history from their parents and schedule a cranial CT for the patient."

Huang Binhai nodded, while Chen Cang followed the nurse collecting blood samples.

"Be careful when drawing his blood, don't accidentally prick yourself."

The young nurse who had just started blushed at Chen Cang's concern, feeling extremely fulfilled and happy to be personally cared for by Professor Chen!

"Thank you, Professor Chen!"

The other nearby nurse was somewhat envious too.

Who is Chen Cang?

Even veteran Ma has to admit he is the heartthrob of the emergency center.

The head nurse approached: "What's the matter, Professor Chen?"

The head nurse, unlike the young nurses, was experienced and knew that Chen Cang wouldn't come over just to offer concern.

She seemed to sense that Chen Cang wanted to say something!

Chen Cang nodded: "Yes, a small issue."

"I can't rule out whether he has contracted HIV, so... ask the nurses to be careful, of course, without alarming them."

The head nurse frowned slightly and nodded.

Honestly, many times the risk for nurses is even greater than for doctors.

After all, daily tasks like administering fluids, injections, and treatments all need to be performed by nurses.

Doctors often just issue orders; if it's not surgery, the risk isn't as high.

So, sometimes nurses are indeed at great risk.

This requires good communication between doctors and the responsible nurses, otherwise... it's not uncommon to prick your own hand with an infusion set or blood draw needle.

Many protective measures and awareness need to be improved.

After arranging matters with the nurse, Chen Cang went over to the young man.

He couldn't help but ask, "Have you had any promiscuous sexual encounters?"

The young man immediately stopped in his tracks.

He looked at Chen Cang, and after a brief silence, shook his head: "No."

Chen Cang nodded.

Regardless of whether it's believable, let's wait for the test results, as they won't lie.

Generalized lymphadenopathy is not something Chen Cang encounters often, but most of the time, it signifies a dangerous condition, largely due to infections seen clinically.

But in this case, the patient is a student, 19 years old, how could he have an infection?

So, the following considerations are: lymphadenopathy, leukemia, malignancy, and… AIDS!

Besides these possibilities, Chen Cang couldn't think of anything else.

When Chen Cang first heard about this patient's condition in the operating room, he was as confused as most people.

After all, even with a host of diseases, there has to be an underlying cause, right?

Or there must be a primary symptom, right?

What we call the chief complaint.

Actually, it seems simple enough, like the patient just now, what do you think the chief complaint would be?

Generalized pain?

Seizures?

Or something else?

None can be the main clue.

But Chen Cang directly focused on the crucial part—generalized lymphadenopathy.

Chen Cang felt this was a clue.

After the patient had blood drawn, they were temporarily sent to the ward for further examination.

Sometimes, for such complex cases, you must have a clear and organized mindset to know how to handle them.

Waiting for the test results will take some time.

At that moment, when the patient had just arrived in the radiology department, not long after lying on the bed, he suddenly had another seizure.

Before the bed could be moved into the imaging device, the patient fell on the floor in convulsions!

Huang Binhai's face changed, and without bothering with the examination, he directly took the patient to the emergency room for anti-seizure and sedation treatment.

When Chen Cang arrived, the patient was already asleep.

But there was blood seeping from the corner of his mouth.

Just as Huang Binhai was about to open his mouth to check, Chen Cang put on gloves and said to Huang Binhai, "Let me do it!"

As he spoke, Chen Cang opened the mouth to find that even with timely treatment, the patient had bitten his tongue.

The patient's parents, upon learning their child had another seizure, stood at the door looking anxious.

The cause of the seizure was still unknown.

Chen Cang frowned, "Continue to send him for an examination, but this time do an MRI and directly see what's going on, please help to oversee it."

Currently, without knowing the cause, there's no way to start the treatment.

Even emergency measures can only rely on symptomatic treatment.

In such cases, although the patient's symptoms appear suppressed in the short term, in the long run, the cause must be identified.

How can a nineteen-year-old patient have such a myriad of diseases?

There has to be a cause!

Huang Binhai nodded and, once the patient stabilized a bit, brought them back to the radiology department again.

This time, Huang Binhai personally monitored the young man as he entered the machine, then breathed a sigh of relief.

At this time, the family members saw Chen Cang come out and nervously asked.

"Professor Chen... what exactly is happening? What's wrong with my son?"

Chen Cang shook his head, "It's hard to say for sure now since no test results have come back yet."

"But... I think you should be mentally prepared!"

The words made the patient's family uneasy!

Hearing that they should be mentally prepared, how could it be simple?

Upon hearing this, the family's first reaction was disbelief!

"Doctor, is there a mistake? This kid is only 19, what kind of illness requires us to be mentally prepared?"

"Yeah, doctor, don't scare us!"

Chen Cang shook his head, "I'm not trying to scare you, I'm just being honest. So far, all the patients I've seen with generalized lymphadenopathy have been quite serious."

"Moreover... the patient also has intracranial abnormalities, which is the most critical."

Chen Cang now suspects malignant tumor with multiple organ metastases!

Because only this scenario can clearly explain the patient's symptoms.

Generalized pain, could it be cancer pain?

Seizure episodes, could they be due to intracranial abnormal discharges induced by brain metastasis of cancer?

Cannot be ruled out!

And the patient's headache, generalized fatigue, weakened immune system...

All these trigger factors have led Chen Cang to this issue.

The possibility of lymphadenopathy is relatively low.

Because lymphadenopathy would not cause seizures.

This is how diagnosis works, every condition is a clue.

As a doctor, you must meticulously and patiently sift through the clues.