Start with an emergency physician
Chapter 186
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In simple terms, it is"treating the head when it hurts and the foot when it hurts". Although Li Mei's left upper limb showed problems, the lesion was not in the left upper limb.
Zhou Yuan frowned and looked at Li Mei.
Suddenly, he found a blood-red plaque under Li Mei's collarbone.
"Wait, let me check your body."
Li Mei was stunned for a moment, followed Zhou Yuan's gaze and looked at her murderous mouth.
"That...I……"Li Mei was a little hesitant
"I'm a doctor." Zhou Yuan frowned.
""Wait, I'll go get you a nurse."
Zhou Yuan sighed.
He was too young. A 26-year-old doctor was different from those old directors in their 40s and 50s. It was really hard for patients of the opposite sex to accept him.
What's more, the examination was on the sensitive chest.
When Zhou Yuan came back with Zhang Ling, Li Mei's face was already red.
"Zhang Ling, please check her chest and back."
Zhang Ling nodded and glanced at Zhou Yuan secretly.
Finally, there is a place where I can help!
Zhang Ling led Li Mei to the observation area next to him and pulled up the curtain.
After a while, Zhang Ling's voice sounded.
"Take off your shirt."
"What's going on with these blood spots? Why are there some below? They are covered by underwear. Take off your underwear too.……"
"There are also blood spots on the mouth? What happened to you?"
Li Mei didn't say anything, but occasionally made a sound of"ouch", indicating that it hurts.
After a while, Zhang Ling came out. Li Mei adjusted her shoulder straps and sat back in the chair with a red face.
Zhou Yuan noticed that when Li Mei first came out, her expression seemed a little wrong. She subconsciously supported Zhang Ling and seemed to faint.
"What's going on?" Zhou Yuan sat down and asked
"After the examination, I found multiple blood spots on her body. There were small blood spots on the superficial skin of the right sternocleidomastoid muscle, near the clavicle, and at the wound. There was nothing wrong with the skin on the back, and there were no other abnormalities on the body except the blood spots."
After saying that, Zhang Ling seemed to have guessed something, and stood next to Zhou Yuan, staring at Li Mei closely.
The more Zhou Yuan listened, the more confused he became.
I have never heard of any disease that would have scattered blood spots...
Zhang Ling saw that Zhou Yuan was embarrassed, smiled, patted Zhou Yuan on the shoulder, and said,"Don't think too much!"
Then, Zhang Ling looked at Li Mei:"Tell Dr. Zhou how those blood spots were formed. If you don't tell us, we can't help you."
Zhou Yuan frowned:"Did you do it yourself?"
Li Mei lowered her head, nodded and said again.
"What's going on?"Zhou Yuan was stunned.
"It was... my boyfriend's kiss.
After a long time, Li Mei's low voice came over.
Zhou Yuan was stunned.
Zhang Ling chuckled and whispered in Zhou Yuan's ear:"It's a strawberry mark! Don't think too much, there is no such disease that causes blood spots!"
After that, Zhang Ling jumped out.
In the clinic, Zhou Yuan looked embarrassed.
"Hey...your boyfriend is quite playful.……"
Zhou Yuan flipped through the medical record book in front of him to ease the embarrassment, and said:"Do you feel dizzy now?"
Li Mei nodded,"Well... dizzy, I feel a little unable to walk, especially when I suddenly stood up during the examination just now, I almost fainted."
Zhou Yuan nodded:"I need to determine your state of consciousness, please answer me a few questions."
Zhou Yuan planned to use the Glasgow Coma Scale.
This is a method of judging the patient's state of consciousness. The measurement content includes three aspects: eye opening reaction, language reaction and limb movement. The sum of the scores of these three aspects is the coma index. The higher the coma index, the clearer the patient's consciousness.
Zhou Yuan must make sure that Li Mei is conscious now before proceeding to the next step of testing.
"Close your eyes. If you feel me approaching you, open them." Zhou Yuan said.
Li Mei nodded and closed her eyes.
Zhou Yuan stood up and just as he approached Li Mei, she opened her eyes.
"Yes." Zhou Yuan wrote a four.
Four means that the patient can open his eyes naturally when you approach him.
Three means that the patient has no feeling when you approach him, and the patient will open his eyes only after you call him. Two and one require more stimulation.
"May I have your name?"
"……"
Li Mei was silent for a moment, revealing an expression of"Are you kidding me?", but thinking of Zhou Yuan doing a test, Li Mei still answered.
"Where do you live?"
"Today's Date"
"Where are you now?"
Zhou Yuan spoke very quickly, and Li Mei responded just as quickly.
"That's normal."
Speaking in an organized manner, with correct orientation, and being able to clearly express one's name, city of residence or current location, year and month, five points can be counted.
Zhou Yuan also took a test of his physical ability.
The final score was a full score of fifteen.
Li Mei was happy:"Am I awesome?"
Zhou Yuan didn't look up:"Both the full score and the passing score are fifteen. If you scored fourteen points, it means you have impaired consciousness, which means that not only your left upper limb is damaged, but also your brain."
Li Mei curled her lips.
"Also, when I tested your limb movements just now, I found that you have moderate upper motor neuron damage in your left upper limb. Now you need to do a Doppler ultrasound of your carotid artery. I need to see if there is any problem with your carotid artery.……"
Zhou Yuan now strongly suspected that a blood clot had occurred in the carotid artery, which led to insufficient blood supply to the left upper limb, decreased skin temperature, and motor nerve damage.
Of course, it was just a guess, and the specific cause had to wait until the test results came out.
Li Mei quickly picked up the medical record book and ran to pay the bill, and then went for another check-up.
Zhou Yuan sighed:"Another new case... Can growing strawberries be so fierce?"
He searched on the computer and actually found a similar case, but it was much more miserable than Li Mei's.
"In Country M, a 26-year-old young man had a sudden convulsion while blowing out candles at his birthday party, and eventually died due to ineffective rescue. Not long before the birthday party, the man had just finished a date with his girlfriend. According to the doctor, the accidental death was most likely related to the kiss mark left by his girlfriend on the man's neck."
Zhou Yuan was silent.
Strawberry mark, in medicine, has another name, called mechanical purpura.
Mechanical purpura usually occurs when one party sucks on the epidermis of the other party's body. During sucking, negative pressure is formed due to the vacuum state in the mouth, which causes capillaries to rupture, blood overflows from the blood vessels, flows into the tissue gap, and causes congestion.
If the mechanical purpura, that is, the strawberry mark, is not located in the right place, it happens to be in the internal carotid artery, which may cause blunt trauma to many important blood vessels in the neck..._
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