Dry laughter.

Embarrassed…

The scene was silent.

Ren Zhong, Xiao Ran, and everyone: …………

I’m Nima!

You won’t not, why forcibly pretend this?!!

Burst!

Especially the other colleagues of Qian Hospital, their faces turned red for a moment, and they couldn’t stand up at all.

Damn it!

What a shame!

Fortunately.

Xiao Ran had no intention of making people ugly.

He smiled indifferently and quickly said the speculation in his heart.

“In addition to malignant tumors, tumors in the patient’s body may also be tuberculomas.”

“Tuberculoma?!”

Xiao Ran’s words fell, and Ren Zhong and the tumor director were both stunned.

Think about it for a while.

I couldn’t help but be surprised.

Tuberculoma.

Also known as tuberculosis balls, it is a type of secondary pulmonary tuberculosis in adults, which resembles a tumor in shape.

But.

But there is a fundamental difference between the two.

That’s because tuberculosis globules belong to the bacterial species, compared with malignant tumors, they are relatively stable lesions and can be in a resting state for a long time.

Moreover.

Most importantly, tuberculoma can be cured, and the treatment is generally the same as the treatment of pulmonary tuberculosis.

In a nutshell.

A paper tiger…

Xiao Ran nodded slightly and gave his own judgment.

“The patient has no fixed place to live, and I don’t know how much exhaust gas she inhales, so I think she should have a high probability of having tuberculosis.”

There was a pause.

Xiao Ran looked at Xiao Suo’s patient.

His gaze froze slightly.

The tone was somewhat muffled.

“If she doesn’t get timely treatment, it’s very likely that tuberculosis will follow the bloodstream and take root in the left ovary.”

Well founded!

Ren Zhong and the director of the oncology department nodded one after another.

Ren Zhong: “Makes sense!” ”

Director of Oncology: “Haha, insightful…”

With a dry laugh, he did not put gold on his face.

I am not a fool, I have already lost my adult by forcibly holding the honor just now, and now I am somewhat shameless to forcibly pretend.

It’s just that.

The director of the tumor really couldn’t help but glance up at Xiao Ran.

Whimsy.

The reasoning is equally completely tenable.

Gee.

Awesome.

I couldn’t help but praise again and again.

“Then I will immediately give the patient a biopsy to see what this tumor is!”

The director of the tumor patted his chest and took the bag.

The tone is not light.

TB24 is only one possibility, and even the possibility of having a malignant tumor is much greater than that of a tuberculosis tumor.

This is an indisputable fact.

At this time.

The inference of the director of the oncology department on the tumors in the patient’s body is still more inclined to malignant tumors.

It’s just that

Since Xiao Ran put forward a new opinion, he didn’t have much to say.

This is the right to speak because of status.

Ren Zhong also nodded: “Then I will give the patient rifampicin and streptomycin (two drugs for the treatment of tuberculosis.” )。 ”

Although.

At present, it is not yet determined what the tumor in the stray woman’s body is.

Drugs can be used sooner rather than later.

Anyway, the worst outcome is a malignant tumor…

Taking some medicine is not about the big picture.

Xiao Ran nodded.

There was not much intervention.

In general, tuberculomas larger than 3 cm in diameter need to be removed surgically.

However, the patient’s mental state is very unstable.

Therefore, Ren Zhong chose to stabilize his hand.

Drug therapy.

The results are slower, but the victory is safe.

Biopsy.

Wait for the result.

Irrigation.

Wait for results.

The morning is fleeting.

In the ward.

The little nurse came to check on the ward, waiting to check the homeless woman.

I suddenly saw that at this time, the woman was lying on the bed with a sluggish expression, squinting her eyes slightly, and chanting words in her mouth.

because

The homeless woman’s bite incident yesterday caused a huge wave.

The head nurse of Qian Hospital issued an emergency order on the same day: All nurses who examine stray women must be careful and ensure their own safety!

Otherwise, if something happens, you will regret it!

Therefore.

At this time, the little nurse who was on the ward rounds saw this scene in front of the woman, and her mind immediately became cautious.

Cautiously step forward.

“Little fish… Little fish…”

The homeless woman’s voice was staccato.

The little nurse couldn’t hear what she was muttering.

But.

At a glance, it can be seen that the overall state of the homeless woman is very bad.

Lips pale.

Malaise.

“Something is wrong… How is it so like a fever…”

The little nurse chuckled in her heart.

The eyes are vicious.

Immediately step forward and put his hand on the woman’s forehead.

The hot forehead immediately made the little nurse’s hand shrink sharply.

Eyes wide.

Shocked!

“Why is it so hot?!”

Take your temperature quickly.

40.8!

Hyperpyrexia!

The little nurse’s face changed, without any hesitation, she quickly turned and left.

A moment later.

Ren Zhong and Xiao Ran walked quickly.

“It doesn’t make sense! How could she suddenly have a high fever? This is unreasonable! ”

Ren Zhong walked all the way, his brows furrowed.

The sudden high fever made Ren Zhong confused for a while.

It doesn’t make sense!

Based on their current examination of the patient, and the symptoms shown by the patient, none of them can explain this sudden high fever!

Convoluted!

That’s exactly why.

Only then did Ren Zhong be confused and puzzled.

Xiao Ran was far more calm than Ren Zhong.

It’s just that I can’t help but be curious in my heart.

Hyperpyrexia……

What does that mean?

Is it really a malignant tumor in the patient’s body?

Only malignant tumors can explain all this.

After all.

Tuberculoma is not at all likely to cause a patient to have a high fever of more than forty degrees!

Come to think of it.

Xiao Ran’s heart sank.

Wouldn’t it… Is it really a malignant tumor?

If that’s the case.

The homeless woman is really certain to die.

Just when Xiao Ran and the two were about to walk to the door of the patient’s ward.

The director of the oncology department took the biopsy results and ran madly.

Look excited.

“Doctor Xiao Ran! Dr. Xiao Ran! Yours…… The inference is… Right! Tuberculoma! The patient is really a tuberculoma! ”

Expression management is directly out of control!

Agitated!

I rub!

Xiao Ran is awesome!

In response to the inference that the tuberculosis tumor sword went sideways, no one could have imagined that it was in one sentence!

“Remarkable! It’s really remarkable…”

The oncology director did not hesitate to praise.

Can’t help but dance.

After all.

As soon as the patient’s tuberculoma biopsy results came out, it not only proved Xiao Ran’s outstanding medical status, but also surprised that the patient was saved!

She doesn’t have to die!

One life!

In the eyes of doctors, nothing is more important than the life of a patient!

However.

The director of the oncology gradually discovered that something was wrong…

Yay!

Xiao Ran and Ren Zhong were not excited at all after hearing such great news.

Or even say…

The faces of the two of them, after a simple stunned, immediately became very gloomy!

Irrationality!

It shouldn’t be!

Yay!

Suddenly.

A bad premonition suddenly struck from the bottom of the tumor director’s heart!

His face froze.

The joy faded.

Silent.

Half a day. (Read violent novels, just go to Feilu Fiction Network!) )

“How… I don’t seem to be particularly happy with the two of you…”

Ren Zhong was surprised in his heart at the same time that Xiao Ran inferred correctly.

There was a moment of silence.

Shen Shen said: “Director, just now, the patient suddenly had a high fever, but… Tuberculoma does not cause fever, that is…”

The director of the tumor was obviously stunned for a moment.

His face instantly looked a little incredulous.

“The patient has other diseases?!”

Ren Zhong pondered, “… So far, it seems that this is the case! ”

Director of Oncology: …………

I wipe …

I said, how can you two be indifferent when you hear this great news.

It turned out that the patient’s high fever once again brought her cause in a direction that was difficult to speculate.

It’s hard…

Call~

The oncology director’s heart couldn’t help but sink.

The unknown is the most lethal…

Equally.

It is also difficult to target treatment.

Soon.

The three walked to the ward.

At this time.

The patient did not know what stimulation she was subjected to, and directly covered her head with a quilt, and no one could see her clearly.

Bright sunlight, sprinkled on three silent faces.

Moment.

Ren Zhong frowned, after thinking for a while.

Presented his own guess.

“Such a rapid high fever should be caused by bacteria…”

Generally speaking.

Fever is divided into viral and bacterial, rapid and strong high fever, most of which are caused by bacterial infection.

It’s just that.

Ren Zhong himself was not sure what bacteria the patient was infected with.

Xiao Ran was noncommittal.

Ren Zhong’s words were equivalent to not saying.

There may be a bacterial infection.

Again, there are other possibilities.

In the absence of any clues, everything can only be speculated based on one’s own experience, with great uncertainty.

Call……

Xiao Ran exhaled a heavy breath, and the thoughts in his mind began to expand outward.

Look for clues in the patient.

Suddenly!

A flash of light flashed in Xiao Ran’s mind, and his eyes lit up.

The clue is there!

Right at this time.

A nurse trotted all the way into the ward, wad of papers in her hand.

“Doctor Xiao Ran, according to your request, the upper hospital that gave 38 beds of patients into the bone nails was found! And under our communication, they sent all the previous cases of the patient! ”

“Bring it!”

When Ren Zhong heard the news, he raised his head, and his face suddenly turned happy.

Timely rain!

Originally, I couldn’t figure it out, but now it’s okay, the case of a homeless woman has been found!

Gee!

The speed is far beyond my imagination, it is simply not too timely!

After all.

At present, the mental state of the homeless woman has not been very stable, and she cannot dictate her illness at all.

Moreover, she refused to communicate with people.

As a result, the diagnosis is almost at the point of obstructed labor.

But when the case arrived, most of the problems were solved.

Just as Xiao Ran said.

It is almost impossible for a delirious stray woman to be able to perform bone surgery on her own!

Other words.

At the time of the bone picking, she must have been accompanied by her family, or at that time, the consciousness of the homeless woman should still be clear!

Either way.

This case book contains most of the patient’s past experiences.

Maybe……

It will be of great help to the patient’s current diagnosis.

Ren Zhong took it from the nurse’s hand.

Whoops~~~

Quick tour.

But in the process of browsing, the face gradually became more subtle, and finally, the brows gradually locked.

Obviously.

The past cases of homeless women, in Ren Zhong’s opinion… Doesn’t help much.

A moment later.

Close slowly!

The oncology director, who had been paying attention to Ren Zhong, chuckled in his heart.

Realized something was wrong.

Cautiously asked, “How?” What did you find? What’s on the medical record? What similar diseases have patients had before? You say ah! ”

In the face of Ren Zhong’s silence, the tumor director was about to explode!

Damn it!

Grind chirp, you dry chicken feathers!

Ren Zhong raised his head, his face was inexplicable, and handed the case to the director of the tumor.

After a moment of silence, he said:

“…… The bone nails in the patient’s body were hammered two years ago because of a car accident, resulting in fractures. But…”

Ren Zhong’s tone paused slightly, a little hesitant.

“In the patient’s case two years ago, it was not indicated that the patient had psychiatric symptoms…”

“No psychiatric symptoms two years ago?”

Xiao Ran muttered secretly.

Countless speculations suddenly appeared in my mind.

Thoughts float like threads.

“Yes!”

Ren Zhong nodded, and then added: “Moreover, the patient’s follow-up cases showed 763, and at that time, the patient was also treated for depression in the hospital…”

Speaking of which.

Xiao Ran suddenly came to the spirit.

His eyes were sharp at Ren Zhong.

“Just before the nurse sent the case, I was speculating that the patient’s high fever may be a serotonin syndrome induced by Prozac.”

The voice fell.

The oncology director was visibly confused.

With a puzzled look, what are you talking about?

But

Ren Zhong was indeed shocked.

So reasonable…

Grandma’s!

I was negligent again, I didn’t even think that Prozac would induce serotonin syndrome in patients!

If.

If the patient really has serotonin syndrome, then her high fever can indeed be explained!

Looking at Xiao Ran’s thoughtful face.

Ren Zhong was shocked, but he couldn’t help but nod.

However.

Right at this time.

The director of the tumor looked at the case, groaned, and whispered:

“But… I looked at the patient’s case, and did not write the signs of serum syndrome after the patient used Prozac… Ah this…”

Said.

Looking up at Xiao Ran and the two.

Although she didn’t want to refute Xiao Ran, the patient’s case did not show that she had used Prozac in the past.

It’s better to be cautious…

Before Xiao Ran could speak, Ren Zhong had already stood up.

Explained with a smile:

“This situation is completely reasonable, Prozac only has a certain inducing chance, not 100%, so saying that there was no disease in the past does not mean that the current patient’s fever has nothing to do with Prozac.”

The director of the tumor suddenly said: “So it is.” ”

Got it~

Meantime.

Xiao Ran gave the shots.

“Discontinue Prozac and switch to bromocriptine for serotonin syndrome.”

“Okay!”

A slight groan.

Xiao Ran immediately said: “Also, send the patient’s blood and urine for testing, and then give her a chest X-ray to see if it is serotonin syndrome.” ”

Although, Xiao Ran couldn’t think of anything else that could explain the patient’s fever for the time being.

But just in case.

It’s better to check it out.

“No problem.”

Ren Zhong answered, then looked at the patient who covered his head, and immediately locked his brows.

“It’s just…”

Hesitated.

“We can’t let her body temperature burn like this… It has to be cooled down…”

Xiao Ran thought about it, nodded slightly, and his eyes flickered.

Thoughts.

Then he whispered.

“The drug cools down too slowly… Let the hospital prepare an ice bath and let the patient soak in~! ”

Ice bath cools down!

Physical means.

Simple and crude, but often able to quickly reduce the patient’s body temperature.

“I’ll have people prepare immediately!”

Although Qian Hospital is not big, it is still no problem to get an ice bath!

Wait until Ren Zhonghe and the director of oncology leave.

Xiao Ran looked at the case in his hand, and his eyes rose with a curious look.

“Car accident? How did you get into a car accident? “。

Người mua: Ninim-sama


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