Chapter 208 subacute sclerosing panencephalitis
"Chen Qun Jun, what's your opinion?" He looks sweet, just like Xiangchuan Xiu of a porcelain doll. He stares directly at Chen Qun's face, looking forward to it.
"Maybe it's a glioma. We can do a positron emission tomography."
Chen Qun said quietly.
Qi Hong, who was writing a medical record, slipped his finger and poked a hole in the paper. Others may not understand Chen Qun's serious advice, but she knows the meaning of Chen Qun's ridicule. This technology, which is called pet in foreign language, even Xiangyun hospital, which is one of the top three hospitals in China, has been waiting for patients to be scanned for half a year.
Of course, expensive is a small matter, the key is that there is almost no possibility of jumping in line.
In Chen Qun's style of trying to carry out the examination from the simplest scheme, we should let him use positron emission tomography, unless it is a very rare special case. Even Feng Qiuyun of the hospital got the qualification of a queue jumping examination because it was proposed by famous foreign experts to conduct medical research.
A night terrors patient, no matter what reason, also cannot use pet!
Qi Hong saw Chen Qun's discontent in an instant. He just hid it deeply and didn't show it. He just let out a little tail. Of course, there is no improvement because of the two Japanese students' beautiful cheeks and fluent Chinese.
If it had been a small apple, it would have been occupied.
"Chen Qun Jun, I don't understand. Why do you want to do pet? The patient has had an MRI, we just need to review it again. I don't think that a glioblastoma that can't be detected by MRI shows that the individual is very small and the top sky is the size of sand, which can't cause so much damage to the patient. Is Chen Qun Jun too... Careful? "
Watch your ass!
I'm not a brain surgeon. I'm just talking about it. You two dead girls are pestering with each other. Even if you use your toes, you all know that it's Sanjing group that comes to look for a place.
But he has something important to do these days, so he won't fight with little girl. This Kagawa show, in particular, looks like a cute girl. No matter what she does, she loses first. Just these words, several patients and colleagues in the room looked at him in surprise.
However, if Dr. Toyo wants to find fault, he is welcome to crush it directly. In a flash, Chen Qun immediately took a time-out and went into the operating room. He did a series of examinations on the virtual patients at the expense of a large amount of exchange quota.
This high school student's physiological structure, did not show any lesions, most of the examination is completely normal. Only a few pathological tests showed abnormalities. The increase of immunoglobulin G in the spinal cavity, although in the normal range, caused his vigilance.
Since the black tech examination in the operating room has ruled out any physiological disease that may induce pathological changes, there is only one explanation left. It is probably that some kind of inflammation or poisoning induces the increase of immunoglobulin G in the spinal cord. In other words, the patient's nervous system is infected with viruses, bacteria, or gene mutations.
It turns out that he is helpless to detect this tiny virus. But now, he has a cheating tool - pathology laboratory, he has more than two days left!
He just needs to follow the gourd and draw the ladle, use the optical tweezers to directly find out the pathological changes from the cells, and then treat the cause of the disease.
A few minutes later, Chen Qun appeared in the pathology laboratory and scanned the spinal fluid and brain fluid at high speed under the microscope. This time, he was lucky. In less than ten minutes, he found a large number of viruses. Although there was some variation in the shape, he gave the right answer to the omniscient system.
Measles virus, defective measles variant virus, although the gene sequence is somewhat different, but the structure of the virus deeply betrays it.
Solved the cause of disease, the disease was diagnosed by Chen Qun in an instant.
Subacute sclerosing panencephalitis.
The rest is to go to the library and find out the treatment and proof methods to convince people.
In the thirteenth minute and forty-seven seconds, Chen Qun left the system space at the fastest speed. It would take him at least more than ten hours to replace the last gene mutation. With his current doctor rank and reputation, he could hardly afford the time of pathology laboratory.
Fortunately, the measles virus, which is well known all over the world, is a rare disease in China. It was the first time for the system to compare it and give it a definite shape. As for the mutated measles virus, which is also measles virus, the existing medical barrier agent can be effective for the vast majority of measles.At most, it's a matter of changing more drugs. He can stay in bed at night to test. As for now, he just needs to come up with his own point of view to crush the two Japanese exchange students.
As for the confirmation and treatment methods, Chen Qun believes that doctors in the brain department, even Mr. Yang, will be interested in this rare case in the world.
They will put out 12 points of mind to treat patients, and even discuss with many foreign experts on medical communication to study new treatment methods.
Any kind of rare disease, for the world's top hospitals, is a delicious meal.
Maybe there will be more patients in the ladder room on Friday at most.
Time returned to normal again. Before Chen Qun spoke, Qi Hong rushed to the side.
In fact, I also suggest that PCR technology and agarose gel electrophoresis should be done. The patient's condition is very consistent with the first two stage symptoms of subacute sclerosing encephalitis. If we find measles virus, we will be able to diagnose it.
When she heard about the female Xueba, Chen Qun Cai thought that it was her professional field. In particular, they were indifferent to several common cases, and naturally thought of these rare symptoms in the first time.
In particular, patients with multiple visits, did not give the correct answer, as long as a little normal IQ, will infer in this respect. Now that Qi Hong has deduced the correct disease, he doesn't have to speak.
However, things in the world have never been so natural. He wants to be a mute in the Buddhism department, but the little beauty still won't let him go.
"Does Chen Qun Jun agree with Miss Qi Hong's inference?"
Sow dissension, such a means, I have been playing since I was a child.
Chen Qun said: "I'm a surgeon, and I don't know much about pathology. Therefore, I fully agree with our colleagues' diagnosis. I'm busy doing surgery all day long, and my thinking has become a surgeon's way. All examinations focus on surgery first. It's an occupational disease. I'm afraid it can't be changed. "
"Maybe it can be rescued for a while. You are just in the early stage of operation syndrome, and you are not terminally ill!"
Zhou Lin, who seldom spoke, also put in a word on the side. He made fun of Chen Qun on the surface, but secretly expressed his support for Qi Hong.
Hearing that the two most reliable boys in the group were all on their own side, Qi Hong had a bright smile on the corner of her mouth and turned to give advice to the patient's parents.
"I think she is the measles virus into the brain, induced lesions, we need to do a few pathological examination, extraction of her cerebrospinal fluid..."