Chapter 1005

"Sit down!" Guo Xiang pointed to the chair in front of him. If he didn't pay attention, he would drop the thermometer out.

After five minutes, Guo Xiang stretched out his hand, "it's OK!"

The girl took out the thermometer and looked. It's 388 degrees. Do you have a fever?

Rash and fever are really symptoms of meningitis.

"Is there anything else uncomfortable?" Guo Xiang frowned.

"Well... My head hurts a little." Said the girl.

Guo Xiang frowned more tightly, and there was another consistent symptom.

The girl was a little scared and asked nervously, "doctor, do I have meningitis, too?"

"Not sure yet." Guo Xiang shook his head and picked up a pen. "Look at my pen!"

Guo Xiang raised the pen, the girl looked up at the pen, Guo Xiang lowered the pen again, and the girl looked down.

Guo Xiang turned his pen to the left again. The girl twisted her neck and cried "ah".

"What's the matter?" Guo Xiang asked hurriedly.

"A little pain!" The girl subconsciously touched her neck.

"Look this way again!" Guo Xiang turned her pen to the right again. The girl turned her head to the right and said it hurt.

Guo Xiang looked at her. It's all right to move up and down. Only moving left and right will hurt. Is it so strange?

Meningitis is a symptom of neck ankylosis, but it can't be just left and right, up and down?

"Doctor, am I really infected?" The girl was so anxious that she was almost crying.

Guo Xiang shook his head. "Further examination is needed."

He picked up the medical record and wrote it. Suddenly, the girl screamed, looked at her hand and touched the corner of her eyes, "why am I bleeding?"

Guo Xiang hurriedly looked over. The girl had a little orange tears in the corners of her eyes and hurriedly said, "this is not blood. It's a side effect after you eat rifampicin. Tears and sweat may be orange. Open your mouth and I'll have a look. Your gums may also bleed."

The girl opened her mouth and the blood flowed down from the girl's mouth.

Guo Xiang was surprised that rifampicin caused the most bleeding gums and a little sticky on the teeth. How could it be so much? There were dozens of Haosheng in a few yards.

Guo Xiang hurriedly took the disinfection gauze on the side to wipe the blood for the girl and shouted at the door, "Xu Wei!"

"What's the matter?" Xu Wei next door walked out of the consulting room.

"Come on, go and push me a moving bed!"

"Good!" Xu Wei ran out and soon pushed a bed. Guo Xiang helped the girl to bed and lay down.

"What's the matter?" Xu Wei asked.

Guo Xiang let the girl's mouth open and let Xu Wei look. Xu Wei was surprised, "is this vomiting blood?"

"It may be gastrointestinal bleeding!" Guo Xiang pushed the bed, "go to make a stomach first."

"What happened?" Xu Wei asked Guo Xiang while moving the bed.

"She said that her classmate had meningitis. She was afraid of infection and stole rifampicin. I have a rash and a fever. " Guo Xiang briefly said.

"Rifampicin? It's impossible to shed so much blood. " Xu Wei said.

"So there's a problem. There's internal bleeding. We need to find the bleeding point." Guo Xiang said.

In the digestive department, there is a gastroscope, which can be examined.

Guo Xiang brought the endoscope and gave the girl some anesthetic. It won't be so uncomfortable later.

The endoscope is a long tube with a small camera at the top. The tube extends into the stomach, and the camera can take pictures of the stomach. The situation inside can be seen through the connected display.

The tube slowly enters the girl's esophagus and then into her stomach.

Guo Xiang turned the endoscope, but he didn't see it. There was no bleeding.

"Maybe it's intestinal bleeding?" Xu Wei asked.

"The endoscope is not long enough." Guo Xiang shook his head.

"Then use colonoscopy?" Xu Wei asked.

Guo Xiang still shook his head. "I may not see the small intestine under enteroscopy."

Enteroscopy is usually entered from the anus. First, the patient should have an empty stomach, and then eat salt to drain all the feces and food residues in the intestine.

It's too late, and enteroscopy usually looks at the large intestine. In case of small intestinal bleeding, it's not easy to see.

At present, there is no gastroscope capsule. If there is a gastroscope capsule, it is convenient to swallow it. The camera in the capsule can take a good picture of the situation in the gastrointestinal tract. The inspection of the small intestine is the best method.

But not yet.

B-ultrasound and CT can not see the intestinal bleeding, only enteroscopy.

However, enteroscope is more painful than gastroscope. It is to put the endoscope from the mouth and anus at the same time, and then connect the two mirrors, but do the same. Clean the intestines and stomach first.

Guo Xiang simply opened the perspective and looked into the girl's intestines. The intestines were several meters. Guo Xiang looked very hard because he had to look at them a little. It was possible that the bleeding point was very small.

"President Guo?" Xu Wei shouted. Naturally, he didn't know that Guo Xiangkai was watching. He wondered why she was suddenly in a daze?

Guo Xiang straightened up and closed his eyes. His eyes hurt a little. "I'm fine."

There seems to be no bleeding point. What's going on?

"Let's have a spinal cord puncture first. If the brain is infected, you can see it." Guo Xiang said.

Push the girl to the operating room, give her anesthetics, apply iodophor disinfection on her back, "hold your knees in your hands and go in your head nest." Guo Xiang said.

The girl was obedient. Guo Xiang took a spinal cord needle and plunged it into the girl's back spine.

"It hurts!" The girl cried and bit her lips.

"Relax. It'll be all right soon." Guo Xiang said.

Then take it for test, "I'll draw some blood for her." Xu Wei said.

While waiting for the results, Guo Xiang has been thinking about what causes the girl's neck pain?

If the causes of neck pain are listed in the textbook, two large sheets can be listed.

But with these symptoms, I can't remember what disease it will be.

The test results were urgent. The results came out and there was no meningitis.

But the girl's condition is abnormal and she must be hospitalized.

"Your parents, call here. Your situation is very complex and dangerous. You must be hospitalized for examination." Guo Xiang said.

The girl lay in bed, her eyes red, "I have no family."

"Ah?" Guo Xiang looked at her in surprise. She was still a student in her school uniform. How could she have no family? Who's the book for her?

"My parents have long been gone. I live with a distant aunt. She was gone last year. I am almost an adult, so I didn't go to the welfare home and live on a little relief from the community."

Guo Xiang sighed. Is that so?

But the girl can't let her go. She may bleed and faint before long.

"Then you stay first and I'll apply for a fee reduction." Guo Xiang said.

"Thank you, doctor!" The girl said with tears.

Guo Xiang sent the girl to the ward and connected various instruments. Xu Wei also came here and took the blood test sheet. "It seems that there is no problem."

Guo Xiang wrinkled his head and locked it tightly. It's hard to do.

"But don't worry, we'll find out why. At least now I know you don't have meningitis. It's good news, isn't it? " Guo Xiang smiled at the girl.

"Thank you, doctor. Can I go back to school if I have nothing to do? I'm a sophomore, and now I'm nervous about learning... "The girl said, and the instrument on the side suddenly beeped.

Guo Xiang quickly looked at the girl. She didn't move, but her eyes didn't close. She just opened her eyes and didn't move.

"Children, children!" Guo Xiang patted the girl's face. She was like shock, but her eyes were open. Guo Xiang quickly took a small hand to illuminate the girl's eyes and looked at her pupil response. There was no response at all, no perception at all.

"Is this absence?" Xu Wei was surprised. The instrument was still beeping.