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

Chapter 94 Is this guy playing too much? (Five more, please subscribe!)

Lin Yi continued:
"Hallucinations are an acute neurological disorder that is completely at odds with multiple sclerosis, a demyelinating type of disease."

"It's just that the behaviors shown are somewhat similar, which made us misdiagnose and think in the wrong direction!"

When Lin Yi said this, except for Chen Qiang who was still a little confused, Wu Jiang and Liang had already fully understood!

"Yes, indeed! In this way, these two diseases are not only irrelevant, but also completely opposite!"

Yin Liang nodded again and again, and continued,
"The fundamental principle of nerve myelin sheath-like diseases is that the nerves are gradually dying. Its symptoms are that the patient becomes dizzy, dizzy, and listless."

"Under such circumstances, it is absolutely impossible for severe insanity to occur! The two of them can be said to be incompatible!"

Wu Jiang also nodded at this time and said:

"Then, if it is confirmed that Liu Jun is insane, multiple sclerosis can be ruled out directly!"

"But... how to explain the positive oligoclonal band in the patient's cerebrospinal fluid? Doesn't this prove that he has multiple sclerosis?"

After Wu Jiang said this, Yin Liang also thought about it.

That's right, why does it look like Liu Jun's condition is a bit contradictory!
On the one hand, he can prove that he has multiple sclerosis, and on the other hand, he is insane, denying the possibility of multiple sclerosis...

This... is too messy!

Lin Yi shook his head directly, and explained:
"No, even if the oligoclonal band is positive, it can only prove that the immune system is working normally and there is an infection in the brain."

"It's not just pointing to multiple sclerosis, there are other possibilities!"

Hearing this, several people present nodded slightly again.

But after a brief silence, Wu Jiang frowned again and raised a question:
"And if he wasn't multiple sclerosis, what was it?"

When everyone heard this question, it was like a blow to the head.

Yes, just negating multiple sclerosis now may be a good thing for Liu Jun, and his life may not be threatened.

But for them, the situation is more complicated, and they have no clue as to what the disease is.

It is even possible that he is suffering from some other mysterious terminal illness, even more terrifying than multiple sclerosis!
Immediately, the atmosphere at the scene dropped to freezing point.

"Brothers, have you followed your train of thought? I'm a little confused now!"

"That's because your knowledge reserve is too little!"

"I understand it. The anchor's reasoning logic is indeed very clear. It is wonderful to rule out multiple sclerosis step by step!"

"I really admire it!"

"But I can't think of what else the patient's illness might be. Does anyone have an idea?"

"No, I can't think of it!"

"I'm not a medical worker, I'm just here to watch the excitement!"

"Haha! Me too. Although I don't understand much, I still enjoy watching it!"

The scene fell silent, but the water friends in the live broadcast room started barrage discussions on the public screen.

After a while, Lin Yi looked solemn, and slowly said:

"I do have a guess."

"What speculation?"

Hearing Lin Yi's words suddenly, everyone looked over in unison, waiting for his next words.

"Neurosyphilis."

These four words popped out of Lin Yi's mouth.

"What? Neurosyphilis?"

Everyone never expected that Lin Yi's speculation was this!
"Brothers, who knows what this neurosyphilis is?"

"It's an X-infectious disease!"

"I wipe! X infectious disease? No way, that guy is only 16 years old! Will he get this thing?"

"Ahem! Maybe, these guys are very open now!"

"And he's also pretty handsome and has a good figure, maybe he's having a good time!"

"Fuck! I'm old and can't keep up with the times!"

"No way? That little brother won't be that kind of person! I believe him!"

The barrage in the live broadcast room suddenly exploded.

Immediately afterwards, Yin Liang questioned:

"Neurosyphilis, haven't we ruled this out long ago?"

"He tested negative for syphilis rapid plasma at the time."

After Yin Liang finished speaking, Wu Jiang and Chen Qiang nodded in agreement.

Well, it was indeed tested, and it was negative!
Afterwards, they stared at Lin Yi closely, wanting to see how he would explain this.

"The false negative probability of neurosyphilis is about 30%. In fact, there is no way to fully prove whether a patient has neurosyphilis with fast plasma."

False Negative: The patient does have the disease, but the test results show that they do not have the disease.

this……..
After listening to Lin Yi's speech, several people were all stunned.

And this statement, why didn't I understand it before?
Then the three of them glanced at each other, as if saying:
Is that so?He said yes, so it should be.

"Then I'll give Liu Junjing an injection of penicillin now?"

Afterwards, Wu Jiang tentatively asked Lin Yi.

If you can't detect it, it will continue to waste time.

Then it's better to be straightforward and use penicillin to treat it directly!

As long as the patient is not allergic to penicillin, there will be no harm to his body!
"It's too late for intravenous penicillin."

Lin Yi directly denied it.

this……..
Everyone was speechless at once, why did he propose a plan and be rejected by him?
"It takes too long for intravenous penicillin to take effect. After all, neurosyphilis is just my speculation. We must immediately judge whether it is correct, otherwise, if it is not, Liu Jun may be in danger after waiting for such a long time. .”

Lin Yi explained to them.

"Then what do you think we should do?"

After thinking about it for a while, Wu Jiang really made sense, and then asked.

"Penicillin injected directly into his spine with a lumbar puncture!"

"What? Lumbar injection of penicillin!"

After Wu Jiang heard this, his eyes widened immediately, and he said in surprise,

"Brother Yi, are you not crazy? This penicillin-type high-volume drug will cause a sudden increase in intracranial pressure, which may directly cause brain stem rupture. Can you inject him directly into the lumbar spine?"

"What are you talking about!"

As soon as Wu Jiang finished speaking, Yin Liang on the side interrupted him helplessly.
"Liu Jun still has a shunt in his brain, how could the intracranial pressure increase?"

After being said by Yin Liang, Wu Jiang immediately remembered, patted his head, and said embarrassingly:

"Oh, that's right! How did I forget this, I'm sorry!"

"Hurry up and inject penicillin into the lumbar spine!"

"This will be able to reach the brain in a very short period of time and exert its medicinal effect."

"This can save a lot of time and determine whether he has neurosyphilis as quickly as possible!"

Lin Yi arranged immediately.

(End of this chapter)