This Doctor is Great

Chapter 148 The Department of Neurology Can't Be Done, Zhou Mo Finds the Cause

Teacher Zhang Luojia looked serious: "This patient may have a problem. When you go to the CT, it is best to bring the first aid kit with you. Zhou Mo, you can come with me..."

Zhou Mo: "Okay!"

Teacher Zhang Luojia looked at the psychiatrist who was examining the patient, watching the patient's pupils reflect light.

"How is it? Old Zhang, did you find anything?"

"For the time being, I can only know that the intracranial pressure is increased... Prescribe mannitol, take off the water, lower blood pressure..."

"The muscle strength and muscle tone of the patient's limbs are basically normal, and the muscle strength has not decreased."

"The rest have to wait for CT results..."

At this time, the patient's wife was still flustered.

Because of the arrival of two older doctors (Zhang Luojia and Shennei Zhang), it goes without saying that she also realized that her husband's condition had become dangerous.

at this time,

Dr. Zhang from the Department of Neurology began to explain to his wife: "Your husband has an intracranial infection, which means there may be a bacterial or viral infection in his brain, and a CT scan is needed to see if it is serious. However, it is clear that your lover is in a critical condition. Life is in danger, do you want to actively rescue it or sign it..."

The wife was even more flustered, and tears almost came out: "Sign it, I will sign it! I must save him!"

Soon, it was almost time for CT.

With shaking hands, the wife signed the consent form - agreeing to all active rescue!

Then,

Zhou Mo took the first aid kit and pushed the patient straight to the CT room of the imaging department.

"Pfft~~~~~~"

"Husband! Husband!!!"

On the way to the CT room,

The patient vomited again, farther away.

The surrounding patients and family members were so frightened that they hurried to avoid it, for fear of an infectious disease such as tuberculosis.

This time, Zhou Mo saw it clearly and was sure it wasn't a cough, but a vomit that came out of the digestive tract.

"quick!"

Zhou Mo's footsteps could not help speeding up.

The patient's condition is clearly still progressing.

Intracranial infections are more critical than gastrointestinal infections.

sent to the CT room.

Zhou Mo talked to the nurses at the CT nurse station about the situation and cut the queue to the front row.

soon,

The CT room is empty, push it in!

After 10 minutes,

The patient came out.

"what?"

"Can't the CT see the problem?"

"How can it be?"

Zhou Mo was shocked.

Brain CT results: no obvious brain parenchyma changes, no subarachnoid hemorrhage, no cerebral hemorrhage, no brain tumor...

"Could it be early days?"

Zhou Mo knew that whether it was a viral or bacterial infection, an early CT scan of the brain may be normal...

In this case, continue to make CT appointments, and after 3 hours, continue to do it again!

Return to gastroenterology.

...

ward,

Zhang Luojia asked the psychiatrist: "Old Zhang, should this patient be sent to your psychiatry?"

The wife raised her head sharply.

He looked confused, after all, he just gave Zhou Mo a red envelope of 1,000 yuan?

But after thinking about it, my husband's illness is important. If the internal medicine department can help him recover quickly, what about 1,000 yuan?

At this time, the old Zhang of the Department of Internal Medicine was hesitating, thinking, what the **** is this patient?

General intracranial infection must first have neurological symptoms, such as poor spirit, fatigue, lethargy, vomiting, headache.

But this patient first had obvious abdominal pain and diarrhea, which was very strange.

The sequence before and after is different.

But think about it, in the profession of a doctor, if you work for a long time, you can encounter all kinds of diseases.

"Wait first, I can't hold this patient, or I'll give him a lumbar piercing first."

"Waist wear? Yes!"

Lumbar puncture (picture)

Steps: Disinfection - after infiltration anesthesia - puncture - generally there is resistance after 4-5cm penetration, feel the resistance suddenly decreases, stop - pull out the needle core - cerebrospinal drip...

Why is 'cerebrospinal fluid' drawn instead of 'spinal fluid'?

reason:

Because the human brain fluid and spinal fluid are connected, they are collectively called cerebrospinal fluid.

If there is encephalitis or meningitis, the cerebral fluid will be abnormal, and the abnormal cerebral fluid will flow into the subarachnoid space. At this time, we can extract this part of the cerebrospinal fluid by lumbar puncture, and the test can provide a lot of information.

That's why there is a lumbar puncture - get -> cerebrospinal fluid!

Now the patient must have a brain infection, so a lumbar puncture is the most direct and effective method.

...

soon,

Everything is ready.

In the kidney, Mr. Zhang performed a lumbar puncture to obtain cerebrospinal fluid.

"Hey, this cerebrospinal fluid looks pretty clean..."

I saw the cerebrospinal fluid, not the turbid appearance of the bacterial infection.

The cerebrospinal fluid pressure was measured again, and the pressure was slightly higher than normal.

This is consistent with the patient's intracranial hypertension.

Everyone was confused.

At this time, Zhou Mo was hearing the system prompt.

"Ding...you observed a "lumbar puncture"..."

Experience in hand!

Hands-on skills are at hand!

The teacher of the Department of Neurology: "Send it to the laboratory first and then..."

Soon,

The results of the puncture of the cerebrospinal fluid came out: the white blood cell count was not significantly elevated, and the protein was basically normal.

"Send it to the internal medicine department..."

"It may be a viral infection, not a bacterial infection..."

"If it's more serious tomorrow, I'll have a big consultation."

God Nei Zhang teacher, said so.

Teacher Zhang Luojia and Zhou Mo nodded, and Zhou Mo started to go through the transfer procedures.

At this moment,

Zhou Mo suddenly saw the patient's wife, looking at him secretly, hesitating to say anything.

Zhou Mo: "??? Is there something wrong?"

The patient's wife quickly shook her head and squeezed out a smile: "It's okay, it's okay..."

Zhou Mo suddenly had a flash of inspiration and subconsciously said, "You mean red envelopes, right? How could I ask for it? I have already sent it to the toll office~www.readwn.com~ and charged it into your account."

The patient's wife was so frightened that she quickly shook her head: "No, no, sorry, doctor, I didn't mean that."

A little ashamed.

Zhou Mo smiled: "It's alright, just pack up and transfer to a department..."

The patient's wife nodded again and again: "Okay, thank you doctor, thank you doctor."

Teacher Zhang Luojia didn't leave at this time. Hearing the conversation between Zhou Mo and the patient's wife, he immediately understood.

Return to the duty room and do the transfer procedure.

Teacher Zhang Luojia: "You just received the red envelope?"

Zhou Mo nodded: "Yes, but I sent it to the toll office. If I didn't accept it at the time, the patient would definitely be worried."

Zhang Luojia patted Zhou Mo on the shoulder and smiled: "Well done! It's handled well!"

Zhou Mo was actually a little fortunate, but fortunately he sent it to the toll office, otherwise it would really be mud falling off his crotch, not **** or shit.

...

20 o'clock... 21 o'clock...

Zhou Mo continued to write papers.

Today, this patient has aroused Zhou Mo's strong desire to fight.

"What? Are you still dealing with that strange patient today?" Huang Yiming leaned over curiously.

"Yeah, it's the first time I've encountered such a difficult situation! I'm a little unwilling!" Zhou Mo nodded and continued to brush up on his thesis.

Sudden,

Zhou Mo's hand stopped on one of the papers.

Hantavirus! !

?? Diarrhea today, a bit tragic, I went to open Mormonite Powder... This is the update tonight.

?

????

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