Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 154 The cause is difficult to analyze! (Please subscribe!)

"Doctor Lin, I'll go with you."

Wang Qiaoya on the side immediately followed and said to Lin Yi.

The two came directly to the ward.

At this time, the patient had already woken up, but his mental state was very poor, and he was lying on the hospital bed with his eyes closed.

Her husband was standing by the hospital bed anxiously.

"Hello sir."

Lin Yi walked in directly and said to the patient's husband.

"Doctor, you are here!"

When the man saw Lin Yi and the others coming in, he recognized them immediately, so he hurriedly got up and said hello,

"How is my wife? Why hasn't she woke up yet?"

"My wife, we are conducting an inspection. I came here to learn something from you."

Lin Yi looked at the man and said to him.

When the man heard this, he nodded cooperatively and said:

"Okay, what do you want to know, just ask directly, as long as I know, I will tell you everything!"

After finishing speaking, he glanced at his wife who was resting on the hospital bed, then pointed to the direction outside the door, and said:

"Come on, let's go out and talk."

"Ah."

Standing in the corridor, Lin Yi stared at the man, and asked directly:
"What does your wife do?"

"She works as a cook in a restaurant."

The man answered directly.

"A cook..."

Lin Yi nodded slightly, frowned, and then asked:

"Is there any history of cancer in your wife's family?"

After listening to Lin Yi's question, the man thought for a few seconds, and then immediately blurted out:
"Yes! My mother-in-law suffered from breast cancer back then."

"Breast cancer?"

Lin Yi couldn't help but ask back.

It seems that the patient really has a family history of cancer.

That is to say, the patient may indeed be suffering from paraneoplastic syndrome!
While Lin Yi was thinking, a shout suddenly came from the ward.

The man couldn't help being taken aback, but Lin Yi was the first to react and said:
"Oops, your wife may be in trouble again!"

After speaking, Lin Yi immediately rushed into the ward.

After entering, I saw that the patient had a seizure on the hospital bed.

At this time, several resident doctors also came to ask questions.

"The patient is suffering from epilepsy, hurry up and bring the Valium, hurry up!"

Lin Yi immediately ordered them.

"Yes!"

After a few people agreed, they immediately took action.

This time, the man was frightened.

He stared at the sick woman on the hospital bed, and for a moment he was so anxious that he didn't know what to do.

"Doctor, my wife...she...what's wrong with her?"

he asked anxiously.

"Your wife is having a seizure, don't worry."

Lin Yi quickly explained to him.

"But why is this happening? She's never had it before!"

The man frowned and said worriedly.

Lin Yi stared at the woman on the hospital bed with flickering eyes, but did not answer his question.

Soon, a doctor pierced a Valium directly into the patient's skin and slowly pushed it in, and the patient gradually regained his composure.

The man breathed a sigh of relief.

Lin Yi didn't want to waste time either, so he said to him:

"Your wife is stable now, don't worry."

"Let's go, I'll talk to you about the situation in detail."

The man looked at his wife worriedly, then nodded, and agreed:

"Okay, as long as my wife is fine, let's go then."

Immediately afterwards, several people returned to the corridor.

Lin Yi turned to Wang Qiaoya and arranged:
"Qiaoya, go and arrange for an MRI on the patient's body."

"Yes!"

Wang Qiaoya agreed, then turned around and started to act.

Lin Yi turned his attention to the man again.

"Did you feel any discomfort in your body recently?"

"Ah? Doctor, are you talking about me?"

When the man heard Lin Yi's question, he couldn't help being a little stunned, and then he confirmed with some doubts.

"Correct."

Lin Yi nodded in confirmation.

"No!"

The man said to Lin Yi confidently, and then showed him his muscles, and said:

"I usually love fitness. I often go to the gym. My body is in good shape. There is no problem!"

Lin Yi watched him flex his muscles.I couldn't help being speechless for a while, and then said:

"I'm asking if you feel uncomfortable? It's not about whether you're strong or not, that's all right, put your muscles away, I know."

The man put down his shirt and said:

"Doctor, I know what you mean, but I really haven't felt any discomfort during this time."

"Which restaurant does your wife work as a chef, and where is that restaurant?"

Afterwards, Lin Yi continued to ask.

"Well...she works as a chef at the Juyuan Restaurant on Tianming Street."

the man replied.

"Tianming Street, right..."

Lin Yi was talking.It was recorded on one side.

"Then...have you guys been abroad recently, especially the Black Continent?"

"I did go abroad some time ago, but it's just a few surrounding countries. I haven't been to a place as far away as the Black Continent."

The man thought for a while and replied.

"Does your wife have a history of blood transfusion?"

Lin Yi just wrote down his answer, and then continued to ask.

"Blood transfusion...never before."

The man shook his head directly, and then said:
"My wife has been in good health before, and has never had a blood transfusion."

"Okay, I see. You go back and take care of your wife first. I'll come to you if I need anything."

Lin Yi nodded and said to him.

"Okay, doctor, you must try your best to find out the cause of my wife!"

The man agreed, and then ordered.

"Well, don't worry."

After speaking, Lin Yi turned and left.

After returning to the office, Lin Yi described what he learned to everyone.

"Brother Yi, do you suspect...the patient may have lethal encephalitis?"

After hearing these items mentioned by Lin Yi, Yin Liang made a guess and asked Lin Yi.

Sleeping encephalitis, also known as black African trypanosomiasis, is a mosquito-mediated parasitic disease that can be transmitted through blood.

Symptoms are mainly fever and meningitis.

Seeing that Lin Yi didn't speak, Yin Liang said directly again:

"But according to what you said, it's impossible."

"The patient hasn't been to Heizhou recently, and he hasn't had a blood transfusion, so he won't get this disease."

"Also, isn't there any problem with the patient's cerebrospinal fluid smear, which means that there are no parasites."

Lin Yi thought for a moment, then nodded:

"Well, that's true."

"Now it seems that the most likely thing is paraneoplastic syndrome."

"There is also the possibility of poisoning, which cannot be ruled out. Let's wait and see how the test results are."

"If it doesn't work, I will find time to go to the restaurant where she works to see if there is any source of poisoning."

"Ah."

Yin Liang nodded in agreement.

"By the way, Brother Yi! I suddenly thought of a more suitable disease!"

At this moment, Wu Jiang who had been silent by the side suddenly said loudly.

Everyone couldn't help looking at him, Lin Yi asked him:
"What disease?"

"Lyme Disease!"

Wu Jiang said excitedly,

"The main symptoms of this disease are meningitis and encephalitis, which are more consistent with the patient's current situation!"

"What's more, the symptoms of epilepsy will also appear in the later stage of the disease, which is exactly the same as that of the patient!"

After finishing speaking, Wu Jiang stared at Lin Yi closely, his eyes full of confidence.

After Lin Yi finished listening, he didn't reply immediately, but after pondering for a moment, he opened his mouth and said:

"It's not this Lyme disease..."

"Ah? Why?"

Wu Jiang was taken aback for a moment, and then asked unwillingly.

He finally thought of such a suitable disease, but now Lin Yi directly denied it, so he was naturally a little unconvinced.

"Because of the Lyme disease you mentioned, erythema will definitely appear on the body in the early stage!"

"Chronic migrating erythema of the skin, typical of Lyme disease."

"But the patient didn't have that, so it definitely couldn't be Lyme disease."

Afterwards, Lin Yi said slowly.

"Ah...so that's how it is."

Wu Jiang couldn't help but said with some embarrassment.

He really didn't know a lot about Lyme disease, he just knew some of the symptoms.

After Lin Yi said this, he knew...

But afterwards, Wu Jiang still said unwillingly:

"Brother Yi, tell me, is it possible that the patient did have erythema in the early stage, but the patient's husband didn't notice it."

"Do you think that's possible?"

Lin Yi couldn't help being a little speechless by his question.

Such an obvious symptom, how can people who live together every day not notice it? !

"I... I don't know, I think it's still possible."

Wu Jiang thought for a while and said.

Yin Liang said directly:

"You're almost done! You think everyone else is you, what's the use of having eyes!"

Wu Jiang also felt that his inference was somewhat untenable, so he waved his hand and said:
"Well, pretend I didn't say it."

"Then what do you think... what kind of disease does the patient have?"

Lin Yi frowned and thought for a moment, then Wu Jiang said:

"Well, Wu Jiang, I'll arrange a task for you."

"Ah? Arrange a task for me, what task?"

Wu Jiang couldn't help being stunned, and then asked.

"Now go and investigate near Juyuan Restaurant on Tianming Street to see if there is any suspicious source of poisoning."

Lin Yi looked at him and said.

"Go investigate the source of the poisoning? All right, no problem, then I'll go now!"

Upon hearing this, Wu Jiang stood up from his chair and said energetically.

"Well, let's go."

Lin Yi nodded.

Afterwards, Wu Jiang walked out of the office directly.

After less than two hours, he came back.

"Is the investigation clear?"

After he came in, Lin Yi couldn't help but looked at him and asked.

"The investigation is clear!"

Panting heavily, Wu Jiang picked up the water glass on the table and took a sip of water, then said:
"There is no suspected source of poisoning."

After hearing this, Lin Yi looked solemn and nodded slightly.

That basically ruled out the possibility of poisoning.

"Oh, by the way, there is one more thing."

After putting down the water glass, Wu Jiang said suddenly,
"We found rabbits in the restaurant, do you think it might be tularemia?"

"Trabular fever?"

Hearing these three words, Lin Yi's thoughts immediately returned to the previous investigation with Wu Jiang at the patient's home, and it turned out that the patient contracted tularemia while working in a slaughterhouse.

But then, Lin Yi frowned and shook his head, saying:
"It's highly unlikely that tularemia has similar symptoms to Lyme disease, and it also has skin ulcers as a symptom."

"Have you forgotten the tularemia patient we diagnosed earlier?"

Wu Jiang immediately said:

"How could I forget! At that time, there was a large ulcer on her forehead!"

"Just seeing the rabbit, I just said this idea, so what is the condition of this patient?"

Afterwards, Wu Jiang couldn't help but fell into deep thought again.

Immediately afterwards, he was suddenly excited again, and then said:

"Brother Yi, I think it's better for me to ask the patient's husband, has the patient ever had a rash on his skin, and if so!"

Lin Yi knew that he was still obsessed with Lyme disease and had a little fantasy.

Forget it, since he thinks so, let him ask, this will also stop his thoughts.

"then you go."

So Lin Yi nodded to him and agreed.

"it is good!"

After Wu Jiang said something, he walked out of the office and walked quickly to the ward.

"Sir, come out, I have something to ask you!"

Wu Jiang walked into the ward and waved to the man sitting in front of the bed.

"me?"

The man couldn't help pointing at himself and asked suspiciously.

"Of course, besides you, is there anyone else here?"

Wu Jiang couldn't help saying something helplessly.

"Oh, good, good!"

Seeing this, the man quickly got up and came outside the ward.

"Doctor, if I have anything to ask you, just ask!"

The man stared at Wu Jiang in front of him and said to him.

"Let me ask you, did your wife experience any abnormalities on her skin a while ago, such as a rash?"

"Rash?"

The man suddenly frowned and asked back, then thought for a while, then immediately shook his head and said:
"No, it hasn't been long."

"Don't be in a hurry to deny it, and then you can recall it carefully, whether there is anything you saw or what she told you, you didn't take it seriously."

Wu Jiang said to him immediately.

The man thought for a moment, then shook his head resolutely, affirming:
"No! It's not! If she really has a rash, it should be obvious, and I'll definitely notice it!"

"And she didn't tell me about the rash. I won't forget that."

Seeing that he was so sure, Wu Jiang couldn't say anything more.

Looks like it's not Lyme disease!

"Well then, I see."

So Wu Jiang could only nod his head.

"Well, if you need to know anything else, just come and find me anytime!"

The man said positively to Wu Jiang.

Afterwards, Wu Jiang returned to the office.

"How is it? Is there anything to gain?"

After Wu Jiang came in, Lin Yi looked at him and asked.

But seeing Wu Jiang's expression, he knew that he must have gotten nothing!
Wu Jiang shook his head and said:
"I asked, and his husband is very sure that she didn't have a rash!"

(End of this chapter)