This Doctor is Great
Chapter 168: be surprised! A lot of parasites!
Administration Building, Personnel Section.
Zhou Mo walked out of the Office of the Director of the Personnel Department with a look of excitement.
Holding a labor contract for the position of "Propaganda Specialist".
"The basic salary is 5,000, the bonus is about 4,000, and there are also festival fees and subsidies, which add up to more than 10,000..."
"In addition to the new training reward system that started this month, there are more than 8,000 per month..."
"In other words, the monthly salary is nearly 20,000!"
"Huh... I finally have money!"
Zhou Mo was excited!
He has always been troubled by the lack of wages, and he even saves money on food and clothes.
However, the subsidies for regulation training are very small.
Unexpectedly, now the hospital actually gave him a trick and added a labor contract for the position of "Propaganda Specialist".
No one can fault this labor contract, because Zhou Mo can now be said to be the traffic password of the Second Provincial People's Hospital.
Soon, he told the good news to Director Niu.
"Teacher, the hospital just gave me an employment contract..."
Zhou Mo explained the matter again.
Director Niu: "This is a good thing. You can improve your life in the future... But Douyin and Internet celebrities are just wrong ways. You are a doctor, and you should work hard in the field of doctors... You know?"
Director Niu was afraid that Zhou Mo would be fascinated by this prosperous Internet celebrity status and go astray.
Zhou Mo felt the deep concern of the teacher and was moved.
"Teacher, don't worry, I know!"
……
Back in the department, Zhou Mo quietly put away the contract without telling anyone.
Low-key.
Not long after returning to the duty room, the nurse came over and shouted:
"Dr. Zhou Mo... There is a patient, please pick it up, 79 beds."
"OK."
At present, there are 79 and 80 beds in Zhou Mo tube beds, of which 79 beds are vacant.
Zhou Mo quickly got the new patient's diagnosis and treatment card number, and then retrieved her case.
……
Patient information:
Wang Dan, female, 23 years old.
I started to have abdominal pain and diarrhea 2 months ago. I have been diagnosed in three places, including clinics and community hospitals.
Most doctors diagnose gastroenteritis.
Then I took medicines, but the effect was not good. I still suffered from frequent abdominal pain and diarrhea.
Wang Dan couldn't take it anymore, so he went to the Second Provincial Hospital and was admitted to the emergency room.
first,
Stroke it.
Repeated abdominal pain, what should I consider?
First of all, the patient is a girl, so Yuejing needs to be considered, but if the time is too long, Yuejing can be ruled out.
There is another possibility: ectopic pregnancy.
After the sperm and egg combine with the embryo implantation, the surrounding area will be stretched, and the pain sensor will be stimulated, and abdominal pain will begin.
For this, a urine pregnancy test (urine test) is required to confirm that you are not pregnant.
also,
The more common form of appendicitis should also be considered.
but,
No matter what the diagnosis is, a routine blood test is the most common test.
Routine blood, cheap, quick results, and many response values, is the most frequently prescribed test, no one.
If the white blood cell count is high, bacterial infection should be considered, and if it is very high, blood diseases such as leukemia should be considered.
If the hemoglobin is low, anemia should be considered.
If the platelets are low, the most common cause is a blood disease or a serious infection.
The patient Wang Dan had blood drawn immediately and had a blood routine done.
result,
Half an hour later, the blood routine results came out.
A special performance that suddenly attracted the attention of emergency doctors!
The proportion of eosinophils was significantly increased! !
White blood cells are a collective term that includes neutrophils, eosinophils, basophils, lymphocytes, and monocytes.
Among them, neutrophils are the most numerous, and eosinophils are relatively few, generally accounting for less than 10% of the total.
And the blood routine results of patient Wang Dan,
The proportion of eosinophils: as high as 48.2%!
The emergency doctor's first reaction was: parasites!
Zhou Mo's first reaction when he saw this blood routine: Parasites! !
Eosinophils are very special cells: in addition to being related to immune responses and allergic reactions, they also have a peculiar function that can kill parasites!
It can be "insecticide"! !
Therefore, once there are parasites in the patient's body, the body's defense system will be turned on and a large number of eosinophils will be synthesized.
and,
The patient also has abdominal pain and diarrhea, which can correspond to parasites.
Then,
After the emergency doctor asked the patient Wang Dan, Wang Dan said that he likes to eat raw fish, so the probability of parasites is higher.
The next step is to check, after all, the previous is just an inference. Everything is subject to inspection results.
There are 3 ways to check for parasites:
1: Immunological parasite antibodies (after being parasitized, the human body will produce antibodies)
2: feces and vomit excrement, check the eggs
3: Imaging department: colonoscopy (or simply b-ultrasound and CT in radiology department)
Finally, the emergency doctor gave the patient an elisa test for "parasite antibodies"..."
The spot ELISA test for parasitic infection has the advantages of high sensitivity, rapidity, simplicity and safety, and can be used for the diagnosis of protozoal and helminth infections.
is a relatively reliable serological test for parasitic infection.
Preferred to check this.
At last,
The inspection results come out,
The emergency doctor was stunned.
· Cysticercosis - positive!
· Liver fluke - positive!
· Hydatid - positive!
·Sparganus - Positive!
· Schistosoma japonicum - positive
· Paragonimiasis - positive
Good guy! !
A string of positives! !
"Hi..."
In the duty room, Zhou Mo was shocked when he saw the results of the parasite examination.
On a horse!
This girl is too arrogant!
So many parasite antibodies, none of them are negative.
Are these all adult worms?
……
"Doctor Zhou, the patient is here..."
"it is good."
Zhou Mo walked out of the duty room and saw a couple standing at the nurse's station.
Boyfriend babbled: "I said don't eat raw fish, look, how scary it is, there are so many parasites."
Girlfriend: "But raw fish is delicious."
Boyfriend: "Then are you afraid of parasites?"
Girlfriend: "Then can you find a way for me to eat raw fish and prevent parasites?"
Boyfriend is speechless: "What can I do? I'm not a doctor."
Girlfriend: "Then have you checked Baidu and found a way?"
Boyfriend: "Uh..."
Girlfriend: "It seems that you don't love me anymore, you won't even check Baidu!"
Boy friend:"?????"
I want to refute, it seems that I am indeed wrong. But are you really wrong?
"Humph!!"
The girlfriend turned her head away angrily.
It looks like I'm very angry.
The boyfriend quickly coaxed: "Baby, I was wrong."
The girlfriend started to cry: "woohoo, you just don't love me anymore. You don't even search for me on Baidu. You were not like this before..."
Boyfriend felt that his whole body was cracked~www.readwn.com~ When Zhou Mo saw this, his scalp felt numb.
"Hello……"
Zhou Mo walked over.
"You're Wang Dan, right? I'm your doctor in charge of the bed, just call me Doctor Zhou..."
The patient Wang Dan's attention was immediately attracted.
The boyfriend breathed a sigh of relief and looked at Zhou Mo gratefully.
.
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