Medical center.
"Let's talk."
Adam heard what Dr. Wilson said, and saw that Dr. House stopped talking, and understood that the other party's mouth was addicted, and now he finally wanted to listen to his professional advice seriously, so he also received his magical powers.
" Female, 29 years old, had her first epileptic seizure two months ago, lost language ability, can only mumble like a baby, staged mental deterioration, and initially diagnosed with a brain tumor.
But the three common brain tumor protein markers are all negative, there is no family history, no environmental pathogenic factors, and no response to radiotherapy..."
Dr. Wilson, a good friend of Dr. House, gave a detailed account of the patient’s nursery teacher.
He is a well-known oncologist.
After being diagnosed with a brain tumor, kindergarten teacher was admitted by him.
After he found out that he was unsure, he lied that Dr. House was his cousin and asked Dr. House to see her.
no way.
A general case, Dr. House feels no sense. He would rather have the three elite doctors doing nothing than take over.
With this time, watching soap medical dramas, it’s too fragrant.
But the cousin who is the only good friend, is still worth his shot.
"After House took over, he first judged that it was a brain damage, and then prepared to have an MRI, but the patient had a seizure and could not continue. Afterwards, she discovered that she was allergic to the contrast agent of MRI."
Dr. Wilson continued: "House later suspected that she had cerebrovascular inflammation. She used steroids and large doses of prednisone..."
"Ha ha."
Adam couldn't help laughing when he heard this.
"What?"
Dr. House couldn’t help but said, “Do you have a better way? The MRI results and the neurological symptoms caused by intracranial pressure at that time were all in line with the symptoms of cerebrovascular inflammation...”
"Wait, isn't she allergic to MRI contrast agents?"
Adam interrupted: "Where did the MRI results come from?"
"...spoken, it is the result of T scan."
Doctor House stopped: "She is not allergic to T contrast agent."
"Be strict, Doctor House!"
Adam joked: "I didn't actually have much confidence in this case. After all, neither the unique diagnostic department nor the unparalleled Doctor House in the world can diagnose..."
"I can be diagnosed!"
Doctor House retorted, "It's just that she doesn't believe it."
"Then it is still impossible to diagnose."
Adam corrected: "Your final diagnosis is still a guess. Although you are very confident this time, you may still be wrong, right?"
"So you, who had no confidence in the beginning, now have the confidence to pick my thorn?"
Doctor House mocked.
"That's right."
Adam smiled and said, "At your level, you should also think of what I can think of.
try{mad1(\'gad2\');}catch(ex){} and what is better than me is, what do you think of, when there is no biopsy and other evidence pointing to your diagnosis, even if the cause of your diagnosis is one in a million The odds of one.
You dare to take the medicine directly, and then judge whether your diagnosis is correct based on the patient's response, which I may never be able to do. "
"That's you cowardly and boring!"
Doctor House vomited: "If I were you, I would definitely open my own hospital to treat any patients I want to see, and use any method I can think of."
"Then it won't take long for this hospital to close down and you will go to jail."
Adam smiled and said: "In short, in this respect, I will never be as good as you, but now you have used all kinds of unconventional means to rule out one possibility after another.
Then in the process of your diagnosis and treatment, I am confident to find something that you have overlooked.
Just like you who are so powerful, you can say that the T result is the nuclear magnetic resonance result. "
"...show my face!"
Doctor House was caught with a small omission, just as the Jade Emperor was blocked by the Tathagata saying, "You were beaten by a monkey", and he could only say unhappy.
"In short, if House's diagnosis is right, then the patient's condition will get better, and if it's wrong, then there will be new discoveries."
Dr. Wilson continued: "During the medication, Dr. Forman went to the kindergarten to investigate the place where the disease occurred and learned that there was a parrot in the kindergarten. He guessed it was psittacosis..."
"No!"
Adam shook his head: "If it is psittacosis, then the children in kindergarten have already had a wide range of abnormal reactions that have been discovered. If there is no psittacosis, it cannot be psittacosis."
"I told you."
On the other side of the phone, Dr. House smiled and shrugged at the dark-faced Dr. Forman.
"After the medication, the patient improved significantly, but then he turned abruptly, first blindness, and then seizures."
Dr. Wilson shook his head helplessly: "Give her a mental test. She has good times and bad times. House decided not to do any treatment. Based on the seriousness of the disease, he can judge whether it is a brain tumor, an infection, or a blood vessel... "
Adam knows it.
Brain tumors can live for one or two months, infections can live for several weeks, and blood vessels can only live for one week.
Doctor House This is to see how quickly she died to determine the cause.
is cruel.
Because of this, it is very likely that even if the cause of the disease is known, there is a high probability that there will be no time for rescue.
or rescued, it has caused many irreversible serious injuries, and the quality of life is worrying.
"Dr. Forman and Dr. Cameron went to the patient's home to check the living environment and found no abnormal pathogenic factors."
Dr. Wilson continued: "But I found the ham, and exposed the lie that the patient was my cousin... But it also inspired House."
try{mad1(\'gad2\');}catch(ex){} "Cerebral cysticercosis!"
Adam suddenly said: "The ham is made of pork, and pork contains pork tapeworms.
If the cooking time is not enough, the tapeworm larvae will enter the digestive system and grow and reproduce as a parasite.
Most of the reproduced eggs will be excreted.
But there may be worm eggs that can penetrate the intestinal wall and enter the bloodstream.
Then it circulates the whole body with the help of blood.
Insect eggs secrete special substances to avoid detection by the human immune system.
But once they die, they will be recognized by the human system and attacked.
The tapeworm that lives in the brain, once attacked, will cause a chain reaction and damage the brain.
Causes various neurological diseases, the reaction to steroid drugs, after a little improvement, the condition will go down sharply.
does match various symptoms! "
"see it?"
Doctor House stretched out his hand at the three ducks: "That's why I always want him!"
"It's still only possible."
Xiaohei Forman is not convinced by the airway.
"Correct."
Adam agreed: "It still cannot be 100% diagnosed."
"It's up to you now."
Doctor House smiled and said, "As long as I am treated, two tablets of albendazole every day after meals, the diagnosis will be quickly diagnosed, and the cure will be achieved within a month.
Either you pick my thorn and think of another way.
Either you just listen to me, use beautiful men to save lives.
Time is running out, I think the second one is more effective. "
"That's it?"
Adam was surprised: "Doctor House, you're not kidding me, are you? It's this time, you really can't think of a better way?"
"Did you think of it?"
Doctor House was startled.
"of course."
Adam exaggerated: "It is true that the diagnosis cannot be diagnosed without medicine or MRI.
But since you are sure it is a pork tapeworm, a pork tapeworm can lay 20,000 to 30,000 eggs a day. It is impossible to have only one in the brain, right?
Pork tapeworm cell density is similar to the density of cerebrospinal fluid, which cannot be detected by T fluoroscopy.
But since it is unlikely to have only one, then there must be other parts of the body.
Insects love the leg muscles.
Take an X-ray of the thigh, and the diagnosis can be easily diagnosed.
I don’t believe that the patient would not even do a non-invasive leg X-ray, right? "
Dr. House:"……"