Chapter 1847

"An examination of cerebrospinal fluid is enough." Su Yun saw Zhou Litao running out to make a phone call, smiled and talked to Zheng Ren.

"The incubation period of amoeba protozoa is short. Once it enters the rapid progression stage, it is unlikely to be rescued." Zheng Ren said seriously, "we should seize all the time to treat people. Now it is estimated that there is still half the possibility to save people."

With that, he stood up and said, "when the patient does CT, let's have a look together."

"Yes." Su Yun's voice was much lower, his eyes were a little blurred, and he seemed to be thinking about things.

I was convinced that I could make a diagnosis just by virtue of the two symptoms of olfactory failure and convulsion.

Now

Su Yun scolded fiercely in his heart. How did he diagnose primary amebic meningoencephalitis?

If the diagnosis of brain tumors is OK, I don't think it's possible; Looking at Zheng Ren, he should also think it impossible.

The goods are talking nonsense, just making the simplest differential diagnosis.

But the boss is full of confidence in the diagnosis of primary amoebic meningoencephalitis!

And I can't find anything wrong.

Rosacea... Amoeba protozoa... Is not uncommon, especially in the 1980s.

Now, the incidence rate can only be said to be less, but it is absolutely not unusual.

In class, the teacher said that he also had a memory in his mind, but he asked the boss to make a real diagnosis first.

Su Yun sighed. If only he could find out early in the morning.

Er... You should be more serious in the future. Su Yun secretly reminded himself.

Soon, Zhou Litao came back and said, "boss Zheng, he has talked to the neurology department. Today, the director is also there. He saw the patient and suspected that it was primary amoebic meningoencephalitis."

"Yes." Zheng Ren's relaxed face has entered the sage moment.

"I said, let me know when you do CT. Let's go and have a look." Zhou Litao was very impressed, with little stars shining in his eyes.

"Boss, I'm lucky. I can guess what's wrong." Su Yun said somewhat guilty.

"Guess? Rich clinical experience." Zheng Ren said, "what do you say?"

"Cut!"

"Boss Zheng, Brother Yun, how did you two think that the patient was primary amebic meningoencephalitis?" Zhou Litao has already admired his.

Originally, he didn't believe the diagnosis given by boss Zheng. The patients didn't see it and gave it a diagnosis. Isn't this a joke?

But it's interesting that the director of Neurology gave the same diagnosis. At least it proves that boss Zheng and Brother Yun are sitting in the room and their imaginary judgment "may" is right.

"Nothing. It's just the same investigation and differential diagnosis." Zheng Ren said, "just when you went to rescue, Su Yun and I identified all the possibilities one by one. Although the possibility of primary amoebic meningoencephalitis is unlikely, it is the only one that is most suitable in the end. No matter how low the probability is, it is possible."

"How many differential diagnoses have been made?" Zhou Litao didn't know he was fierce.

In general, clinical differential diagnosis is to identify with similar situations one by one after a certain preliminary diagnosis.

What boss Zheng did, however, was that he didn't even see the patient. He began to identify with only one or two words.

Do you want to be so confident in your diagnostic level!

"More than twenty?" Zheng Ren glanced at Su Yun, who broke his fingers and began to count.

Zhou Litao was silly. There is no need to mention the differential diagnosis of ordinary goods such as tumor. What are formaldehyde poisoning and sulfur dioxide poisoning?

The most strange thing is that there is a long period of perfume, resulting in unknown substances poisoning.

It seems that my level is not enough, which leads to confusion and unclear diagnosis. If boss Zheng was on the scene, I'm afraid he would think of amoeba when he saw the nose of distiller's grains.

It is estimated that the director of Neurology also made a preliminary judgment based on the distiller's grains nose.

When he went back, he had to memorize the diagnostic books. Zhou Litao set a small goal in his heart.

"You go on." Zheng Ren sits down at will and wants to continue listening to Su Yun pour chicken soup into Zhou Litao.

But after this incident, neither Su Yun nor Zhou Litao was in the mood to continue talking about finding a girlfriend.

Zhou Litao was particularly interested in the differential diagnosis of the two people. He asked a little and even took the initiative to record. It seems that he wants to calm down and think carefully.

Half an hour later, Zhou Litao received a call and the Department of Neurology sent the patient for examination.

Zhou Litao greeted Corey and went to the CT room with Zheng Ren and Su Yun.

The patient was undergoing an examination. A doctor and a nurse were accompanied inside. Several family members stood outside the lead door with sad faces and sighed.

"Are you family members of patients?" Zheng Ren asked.

"Well, you are..."

"I'm the doctor of 912. I have a few questions to ask." Zheng Ren showed a friendly smile, "who are you?"

"I'm his uncle, doctor. What's your problem?" The man still said with a sad face.

When this kind of thing happens at home, I'm in a good mood when I don't sleep.

"Does the patient have any abnormal behavior recently? For example, he washes his face more often than before?" Zheng Ren did not ask about the medical history step by step, but pointed to something.

This is to determine the diagnosis to find a basis that can make the diagnosis stand.

"Don't mention it. My father doesn't know what bastard introduced him. He said that washing nose can make people young, live a long life and avoid all diseases."

Wash your nose... Zheng Ren is also speechless.

There are countless people who cheat the old people's money in the community. All kinds of magnetic therapy and health care are nothing. The most hateful thing is financial management.

But it's the first time I've heard of this kind of nose washing.

But this is also consistent with my diagnosis.

"My father believed it. He washed it six times a day and told us to wash it too."

Zheng Renxin read and asked, "this is the professional nose lotion for washing the nose?"

"Alas..." when it comes to professional nasal lotion, men are even more sad.

"Doctor, how stingy the old man is. I'm not willing to add meat and vegetables when I go home for dinner. I expect him to use professional nasal lotion? He uses tap water."

All problems point to completely clear, rosacea, daily long-term use of tap water, or wash with something like a nose washer, the pressure is high.

Therefore, the probability of being infected by amoeba is higher than that of ordinary workers.

"It's hard this time. Those people who sell health products in the community are really not a thing..."

Zheng Ren didn't have time to listen to the patient's family members nagging and complaining. He smiled, patted him on the shoulder for comfort, and turned into the operation room of the CT room.

The CT has been finished. The technician shouted at Mike.