This doctor has a system

Chapter 61 61. Brucellosis
Gao Feng looked at the patient's examination results. The examination was very detailed. It could be seen that the doctors of the three hospitals were trying their best to find out the cause of the patient.

"Repeated fever has tortured Wang Cuie a lot, please help her make a clear diagnosis as soon as possible. The system will issue skill points according to the degree of task completion."

Here comes the mission!Gao Feng was refreshed.

"Come on, big sister, I'll check your lower body." Gao Feng told the patient to lie down.

The axillary lymph nodes on both sides were swollen, but nothing else was found, and there was no rash or damage to the skin and mucous membranes of the whole body.

The test results indicated that the erythrocyte sedimentation rate and C-reactive protein were on the high side.These are inflammatory indicators, but the patient has not used anti-infective drugs for more than a month.No noticeable effect.

This made Gao Feng difficult.

There is a saying in medicine that internal medicine is afraid of fever, and surgery is afraid of abdominal pain.

If you have no medical background, or a medical staff who has just worked, you may have doubts: Isn’t it just a fever?Isn't it just a stomachache?Do you want to be so exaggerated?

The actual situation is: the so-called fever and so-called stomach pain are really endless knowledge.

The same disease may have different symptoms in different patients, and the same symptoms may represent different diseases in different patients.

In front of you may be a patient with fever as the main symptom, but there may be thousands of truths: influenza, H7N9 highly pathogenic avian influenza, lung infection, tumor, tuberculosis, leukemia, Tuberculosis, even cerebral hemorrhage, even drug poisoning.
Gao Feng decided to conduct a standard consultation procedure for this patient in detail.

"Go and see what Qi Nannan and Cheng Song are doing? If you're not busy, call them over." Gao Feng said to Pearson, who was next to her.

Guiding subordinate doctors can get skill points, let's see if we can get some of them today.

Gao Feng completely followed the procedure in the textbook, and Cheng Song and other regular trainees admired it. It is not easy to do so comprehensively without books.

"Your meticulous physical examination and standardized consultation process have had a great effect on the growth of junior doctor Cheng Song, and the skill point will be increased by 1." The system's voice rang.

No, the remaining three people are mentally retarded!Gao Feng glanced at them dissatisfied, "Pujiezi!"
Qi Nannan felt a little baffled, why are you looking at me like this, I'm still waiting for a bra piercing.

The standard process of receiving patients is still rewarding. Gao Feng discovered 2 new situations:

1. The patient's son was working in Africa before, and he came back for two weeks one month before the onset of the disease.

2. There are cattle, sheep and poultry raised in the patient's home.

Common communicable diseases that can cause fever in African countries are as follows: insect-borne diseases: dengue fever, malaria, plague, yellow fever; food-borne or water-borne diseases: cholera, E. coli diarrhea, hepatitis A, schistosomiasis, typhoid fever; blood-borne diseases And sexually transmitted diseases: hepatitis B, AIDS.

Gao Feng took a pen and tried to eliminate one by one, but got nothing.

The recurrent febrile diseases easily caused by contact with cattle and sheep are: brucellosis.
Could it be brucellosis?Gao Feng regained his spirit.

Brucellosis, also known as brucellosis, is commonly known as wilting disease, thousand-day disease, and lazy man's disease.It is common in herdsmen, veterinarians and others who come into contact with cattle and sheep.

It is a zoonotic infectious-allergic disease caused by Brucella, which belongs to Class B infectious disease.

Symptoms and signs of the disease are not specific, the most prominent being fever.

Other common symptoms include: chills, sweating, fatigue, fatigue, joint pain, myalgia, back pain, headache, anorexia, weight loss, depression, etc.

Gao Feng quickly checked the patient's place of residence, and it was indeed an area with a high incidence of brucellosis.

It's not right, the patient used a lot of antibiotics in the first three hospitals, including doxycycline, which is effective against brucellosis.

Gao Feng fell into deep thought again, "Could it be that the course of treatment is not enough?"

"Sister, how long have you been using this doxycycline in this XM City People's Hospital?" Gao Feng came to the ward again and asked, the list in the patient's hand was not comprehensive.

"I don't know either." The patient shook his head, "But I have the doctor's number."

Hearing that it was a doctor from the Provincial People's Hospital who wanted to ask about the previous treatment medication, the doctor from XM City People's Hospital was very enthusiastic and shouted at each teacher.

"Doxycycline was used for 4 days, but the patient found it ineffective, so he was discharged from the hospital."

"Teacher, we also considered brucellosis, but we sent specimens to the epidemic prevention station once, but nothing was found."

"Teacher, our side."

"Teacher, the patient she"

"Well, you should call me Doctor Gao." Gao Feng was a little embarrassed, the doctor on the other side of the voice should be much older than him.

"Okay, Mr. Gao." The other party was kind, "Mr. Gao, I will go to our hospital for further study next year, and I may ask you to take care of me."

"It's easy to talk about." Gao Feng quickly hung up the phone, it was too embarrassing.

Doctors in lower-level hospitals have a natural sense of awe when they face doctors in higher-level hospitals with the same specialty.The platform advantages of large hospitals are huge.

The other party can give you a lot of support in business learning, professional title review, honor assessment, and even department construction, and sometimes wipe your ass for you.

He said one sentence and sometimes saved you 10 things.

As long as the brain is not stupid, it will not offend.

"System, the diagnosis of this patient is brucellosis."

"Congratulations to Dr. Gao for making the correct diagnosis. Your performance is excellent! You have gained 3 skill points." The system praised Gao Feng.

The latter was very happy.

Gao Feng immediately contacted the District Center for Disease Control and Prevention near the provincial hospital, asking the patient to do a tiger red plate agglutination test and a Brucella culture smear test now.

The treatment plan was to use doxycycline combined with rifampicin, and Gao Feng quickly issued a doctor's order.

"Do you two know about brucellosis?" Gao Feng turned his head and asked the two Gui Peisheng, who stared stupidly with big eyes.

"Go back and read the book, and ask questions tomorrow!" I turned into the person I hated the most, and Gao Feng felt weird.

At noon, Cheng Song and Qi Nannan pulled Gao Feng to treat him, "Mr. Gao, why don't you treat us to a good meal!"

The three of them went to drink mutton soup together, and as soon as they sat down, they saw Hu Jiaran.

"I'm here to buy food." Hu Jiaran was very happy, "Brother Feng, Teacher Ma said that he would treat you to dinner tomorrow night. You left too suddenly."

"Okay, I'll go to the emergency room to see you after work tomorrow afternoon." Gao Feng will be fine tomorrow night.

Hu Jiaran was very melancholy when he left with his food, "Brother Feng, I still want to follow you."

"Maybe there will be opportunities in the future." Gao Feng also likes Hu Jiaran very much, and always feels that he is a bit like Li Youliang, with life in his eyes and cleverness, the key is that the other party admires him very much.

"I'm working hard too. My supervisor pointed me in a direction to collect data first and see if I can publish an article first." Cheng Song told Gao Feng about his recent situation.

The cardiology department is very busy, and Cheng Song is under a lot of pressure. There are many outstanding talents in the same class.His current goal is very clear, either to study for a Ph. D. or to stay in the hospital.

Only Qi Nannan was drinking the mutton soup, which confirmed the saying: idiots have no worries.

　Thank you for your support, and thank you for your votes!It was flattering to see so many people watching.

　　
　
(End of this chapter)