Just after Xiao Ran’s question landed.

The patient’s husband shook his head decisively.

“Nope! My wife used to be in good health, she hardly went to the hospital, she never had a blood transfusion! ”

No history of blood transfusions.

Hear it here.

Xiao Ran bowed his head slightly.

After the last question is asked.

I already have a decision in my heart.

Xing Shenzhi looked at Xiao Ran’s expression.

Think for a moment.

Asked with some uncertainty:

“Narcholic encephalitis?”

Simple thinking.

Based on Xiao Ran’s question, he deduced ~ the guess in Xiao Ran’s heart.

Nrowsiness encephalitis!

aka African trypanosomiasis!

An African mosquito-borne parasitic disease.

It is transmitted through blood.

Symptoms include fever and meningitis – among others.

There are certain signs of consistency with the symptoms shown by the patient.

Meantime.

The fatality rate of this disease is extremely high!

It’s just that

The patient apparently has no access to the disease.

Almost impossible!

And……

Just after Xiao Ran nodded.

Xing Shenzhi shook his head slightly.

Solemnly said:

“It is impossible, the patient cannot contact the source of infection, and the infection cannot be mentioned. What’s more, there has never been African trypanosomiasis in the country! ”

Although.

African trypanosomiasis is rampant on the continent.

But.

Due to prevention and control and other reasons.

There have never been any cases in China.

There was a pause.

Xing Shenzhi glanced at Xiao Ran meaningfully.

Solemnly said:

“And then there’s … The patient’s cerebrospinal fluid smear, very pure, without any parasite symptoms…”

Finish speaking.

Xing Shenzhi was even a little self-doubting.

How?

I remember just saying this…

Am I misremembering?

Hearsay.

The doctors beside Xing Shenzhi looked surprised, and then froze.

I don’t know why.

No!

Director!

You remember correctly!

We did say that the presence of parasites in the patient’s body has been ruled out!

It was Xiao Ran, this kid who fainted…

One more question!

But.

It is one thing for everyone to have a belly slander, and the shock that rolls in their hearts is equally true.

Nrowsiness encephalitis.

They’ve heard about it.

It’s just that as Xing Shenzhi said, I have never heard of it.

At most, in the textbook, a certain remote page was swept away.

It is impossible to leave too deep an impact!

Didn’t expect that.

Xiao Ran was able to think about this.

It really surprised them.

The brain is also good~

Envy and envy …

Xiao Ran didn’t say anything more, just nodded silently.

Xing Shenzhi is right.

The likelihood of patients contracting African trypanosomiasis is minimal.

It’s just that.

This has always been the case with his own diagnostic style.

Regardless of whether it may or not.

Throw out the ideas in your mind one by one, and then eliminate them one by one.

Gradually narrow down the diagnosis.

ultimately

Identify possible causes.

So

When Xing Shenzhi shook his head and denied it.

Xiao Ran nodded calmly.

Meantime.

Think quickly in my head.

The sedimentation rate of red blood cells in the patient is elevated.

So.

There is a high probability of infection in the body.

But.

Xing Shenzhi also said that the patient’s other examinations did not find any problems.

That means.

Blood tests and blood culture designations are fine!

There is no problem with either.

Patients are infected with most bacteria, and are likely to be infected with viruses.

Almost completely excluded.

And so it goes.

The likelihood of a patient having a paraneoplastic syndrome is greatly improved.

The likelihood of poisoning is secondary.

Other causes are at the end of Xiao Ran’s thoughts.

In a nutshell.

Only the first two are excluded.

or

Discover the rest of the clues that evoke your own associations.

otherwise

I don’t waste my time on other options.

Cool headed.

In order.

Just when Xiao Ran’s expression gradually calmed down.

Xing Shenzhi’s gaze.

Slowly remove from the patient.

Towards Xiao Ran.

Frowning asked:

“Xiao Ran! Shall we check it out, Lyme disease?! ”

Lyme disease: an infectious neurological disease!

Rare.

Symptoms often manifest as meningitis and encephalitis!

It is very appropriate to the patient’s symptoms.

And

And most importantly…

“Eh! That’s right! ”

The deputy director’s eyes lit up, and he couldn’t help but say excitedly:

“In the later stages of Lyme disease, it does cause patients to have epilepsy! Quite possibly! ”

“Hiss~~ Indeed ha…”

“Lyme disease can explain all the symptoms that occur in patients.”

“Director Niu!”

“……”

Suddenly.

In the ward.

After thinking carefully, the doctors couldn’t help but exclaim excitedly.

Lyme disease is indeed very likely!

It’s just that

What made them sad was that Xiao Ran would not have thought of this.

Against all odds.

Forthwith.

Everyone suddenly realized that Xiao Ran might be unfathomable.

But

Not all-knowing and all-powerful!

It also has its own limits.

The current situation is proof of this!

Come to think of it.

The boulder that pressed on his heart was suddenly much easier.

Pressure plummets.

Can’t help but breathe a sigh of relief.

Faintly, they actually saw some more, exceeding Xiao Ran’s hopes.

Suddenly exciting!

Ambition skyrockets!

Wipe!

It is necessary to learn, to press this little cub early.

Hahaha~~

The patient’s husband can clearly feel that in the ward, the condensed atmosphere seems to be surging with a fresh breeze.

Blow away the clouds of gloom.

It’s a lot easier.

Wonder.

What a situation.

But.

Right at this time.

The patient’s husband was slightly stunned.

Because

He felt a sharp gaze pass over him.

Fleeting.

Consternation! (Read violent novels, just go to Feilu Fiction Network!) )

Illusion?

Subconsciously.

He looked at Xiao Ran in surprise.

But at this time.

Xiao Ran had already turned his head and couldn’t help but smile when he looked at Xing Shenzhi.

Shaking his head slightly.

“Impossible…”

Xing Shenzhi was stunned suddenly, a little confused.

No way?!

The tone is firm and determined.

Seem…

There is no need to go through inspection at all.

Xiao Ran confidently determined that there was no possibility that the patient had Lyme disease!

Xing Shen thought for a moment that his ears had misheard.

After repeated confirmation.

Only then did I react completely.

What Xiao Ran said is impossible!

Suddenly.

The gaze was slightly condensed.

Think for a moment and find nothing.

My heart trembled.

I couldn’t even think of what was the basis for Xiao Ran’s rebuttal?!

Ya, shocked!

Immediately wondered rhetorical question:

“Why is it impossible?!”

Hurried tone!

Eager to learn!

Xiao Ran’s answer was really a bit outrageous.

Meantime.

One after another surprised eyes shot out.

An overwhelming sense of oppression.

Swept.

Say!

Xiao Ran sighed slightly and rubbed his eyebrows.

Impatient.

It seems that many people are asking this question:

“What’s so strange about that? In the early stage of Lyme disease, patients must have erythema! ”

Chronic erythema migrans of the skin is an early feature of Lyme disease.

therefore

As long as the patient is infected with Lyme disease.

In early patients, a rash will definitely appear.

But.

When Xiao Ran’s words fell.

All:……

Stunned.

Confused.

Immediately, white eyes!

Curse in my heart!

I ni…

It’s the same as not saying!

What is the reason for this?

Waste of Lao Tzu’s feelings.

You know,

Erythema migrans of Lyme disease gradually disappears over time.

Patients may be overlooked for this reason.

or

Simply mistaken for a simple rash.

It didn’t take it to heart.

When the erythema gradually disappears.

Nature leaves everything behind.

Or unknown!

After all

This situation was not unencountered earlier by them.

even

It can be said that more than 90% of patients will mistake early Lyme disease for ordinary rash.

It’s so common!

nature

When everyone heard Xiao Ran’s words.

Wailing in the heart.

The rage continues.

In a nutshell.

Xiao Ran is simply nonsense!

Xing Shenzhi was also a little speechless.

Blinked.

Frown.

“Are you serious?”

Xiao Ran saw everyone’s disdainful and mocking reaction.

Ben doesn’t want to explain too much.

At this time.

He was even more speechless.

His eyes looked contempt, and he looked around at everyone.

A group of doctors looked at Xiao Ran’s eyes.

Feeling a thick contempt, he suddenly jumped like thunder, and the crowd was excited.

Fry on the spot!

No way!

What are you looking at?

Insulting people, huh?!

Excessively!

Call!

Xing Shenzhi’s forehead was also bruised, and the corners of his eyes twitched.

Wipe!

Your means of provoking emotions are really pure fire…

I served you an old sixth!

Xiao Ran despised after a circle.

Suddenly pointed, a confused look on the patient’s husband.

Said with a strange look:

“Guys, how much this guy loves his wife, do you need me to explain too much?”

“I’m curious, how did you manage to turn a deaf ear?”

An extremely depressed voice fell.

Suddenly.

All the sounds in the ward stopped abruptly.

Sluggish!

Love your wife?

Xiao Ran shook his head.

A look of hatred that iron is not steel.

Questioned:

“I want to ask you, what do you think is the probability that if his wife has chronic erythema migrans, what is the probability that this guy will not notice it?”

“What is the probability that he will notice it, but not tell you?”

Suddenly.

When everyone heard this, their hearts were shocked.

I rub!

Can it still be understood that way?

But.

To say or not to say.

What Xiao Ran said is extremely true!

The patient’s husband takes care of his wife, and they see it in their eyes.

This can’t be fake!

So loving, but omitting to report the possibility of chronic erythema migrans, a very conspicuous symptom.

Extremely low!

Or rather!

Almost impossible!

so

That means.

Most likely, the patient has never had erythema.

So.

Lyme disease occurs naturally and can be easily ruled out.

After figuring it out.

Hiss——

Subconsciously.

A gasping sound sounded.

Consternation!

Suffocate!

“I can’t understand why you waste your time on this kind of issue!”

Xiao Ran was speechless and complained.

The words have not yet fallen.

Qiu Yi walked in with a pen and paper.

I saw the dull looks of the crowd.

Dazed.

“What’s wrong with the mouth?”.

Người mua: Ninim-sama


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