This Doctor is Great

Chapter 201 Zhou Mo is stunned, the neurology patient went to the gastroenterology department and was hospitalized

The clock is ticking,

In the duty room, Zhou Mo waited for the patient's blood draw and other test results.

On the other hand, I searched for a book on the Internet very targeted.

"Guidelines for the diagnosis and treatment of neurological diseases"

Regarding the patient Liang Han's condition, in addition to acute gastroenteritis, acute hepatitis, and intraneural infection, there are more possibilities, so Zhou Mo only read one of the chapters in the "Guidelines for the Diagnosis and Treatment of Neurological Diseases".

"Ding...you read "Guidelines for the Diagnosis and Treatment of Neurological Diseases - Chapter 10 Intracranial Infectious Diseases", you..."

Soon, a prompt came from the system.

A large amount of knowledge and experience was quickly mastered by Zhou Mo, saving several years of time.

"Doctor Zhou! Doctor Zhou!"

at this time,

The girlfriend of the patient Liang Han suddenly ran to the duty room in a panic, and Zhou Mo was found in the crowd.

"What's wrong?" Zhou Mo got up and walked over quickly, "What happened?"

"There's something wrong with my boyfriend. He just started talking to himself constantly. When I talk to him, he's a little bit out of place..." the girlfriend said in a panic.

"what?"

Zhou Mo was taken aback!

Suddenly alert!

Needless to say, this is definitely a brain infection, otherwise this kind of language function problem is unlikely.

"Quick!!" Zhou Mo walked quickly towards the ward.

"Doctor, has my boyfriend burned out his brain?" the girlfriend asked anxiously from behind.

Zhou Mo shook his head: "There's no such thing as burning your brain..."

For a long time, the public felt that a fever would burn out the brain.

But medically speaking, there is currently no evidence that a fever can cause harm or burn the brain, except in rare cases of febrile status and heat stroke.

Fever, while uncomfortable, can also help fight off aggression.

soon,

Zhou Mo walked quickly to the door of the ward.

"Cough cough cough~~~"

I saw the patient holding a cup, as if drinking water, and was coughed up.

Severe cough.

And he was grabbing his neck with a look of horror on his face.

Zhou Mo: "!!!"

Surprise!

How is this going?

Without further ado, he rushed over and removed the cup from the patient's hand.

"Cough~cough~"

Zhou Mo found that the patient Liang Han's cough did not seem to be particularly strong, but instead had a sense of reluctance, as if he was not coughing correctly.

Choking.

That's right, just choking and coughing.

"Rabies?"

Zhou Mo immediately thought of one - terminal illness!

Rabies!

After a person is bitten by a sick animal, the virus in the saliva of the animal enters the human body through the wound and causes the disease. A small number of patients can also become sick because the conjunctiva of the eye is contaminated by the saliva of the sick animal.

There is no cure for this disease, and the mortality rate is 100%.

The reason why Zhou Mo subconsciously thought Liang Han was rabies was because the typical feature of rabies was hydrophobia.

That is, when drinking water, or even hearing the sound of water, the patient will experience swallowing muscle spasm and cannot swallow the water. Even if the patient is extremely thirsty, he will not dare to drink water, so it is also known as hydrophobia.

(The cause of rabies is the more prominent symptoms of hydrophobia, so the disease is also known as hydrophobia.)

Liang Han's expression became very painful because of this drinking, and his hands were weakly grasping at his neck, as if he was about to scratch it away.

It's too much like hydrophobia.

"Has your boyfriend been bitten by a dog?"

"Dogs? No? I've been living with my boyfriend for more than 3 years, and I've never heard of him being bitten by a dog."

"Where's the cat?"

Cat scratching can also cause rabies.

"nor……"

Zhou Mo: "????"

If you have not been bitten, there should be no rabies.

That's another possibility - muscle weakness.

The muscles that drink water, because of lack of strength, cause the patient to cough when drinking water, which makes people panic. (Same as drowning panic.)

At this moment, Zhou Mo began to rule out gastroenteritis and hepatitis with a high probability.

On the contrary, I feel that the problem of brain nerve is the most likely!

"…………"

I am a gastroenterologist, and I am a patient in your neurology department. Is it really okay?

Zhou Mo was like calling the neurology department and hurried over for a consultation.

at this time,

Sudden!

"Doctor, it's not good!"

bang~~~

The patient snapped and slammed into the field again, and then the limbs began to twitch and spasm, shaking.

Zhou Mo was taken aback.

Girlfriend is next to me, terrified!

Fortunately, the convulsions didn't last long, and ten seconds passed.

Liang Han's expression was very painful.

Zhou Mo breathed a sigh of relief, but his expression was serious.

convulsions,

The neurological aspect of encephalitis or meningitis is more likely.

"By the way, the blood draw results..."

Zhou Mo took out his ipad and looked at it.

The blood results came out.

Blood routine, white blood cell count increased significantly, neutrophils have reached 84%!

There was a little problem with liver function, but it was not serious. Zhou Mo was thinking about the problem of the large dose of medicine taken by the patient, which had nothing to do with the current disease.

And kidney function, normal.

At this moment,

Zhou Mo suddenly noticed a detail.

The patient's foot has many red spots.

It looks like a mosquito bites out.

A disease suddenly appeared in Zhou Mo's mind.

"JE! (Japanese encephalitis

It is an infectious disease, usually spread by mosquitoes.

The symptoms of this disease are acute onset, with high fever, headache, vomiting, lethargy and other manifestations...

Convulsions, dysphagia, and coughing are also present.

this,

Doesn't it coincide with Liang Han's illness?

Fortunately, Zhou Mo just added a little bit of dark blue, otherwise it would be impossible to have a deep knowledge of this "encephalitis B".

Zhou Mo quickly came to the bed,

Give the patient a new physical examination.

Neurological examination for JE.

I pulled my limbs and found that there was a certain increase in muscle tone.

Element 1...

Then I did a Pap test.

It is the most easily elicited pathological reflex among pathological reflexes, and has been used for nearly a hundred years.

The inspection method is that the examiner gently scratches the outside of the patient's foot with a bamboo stick, from the heel forward to the base of the little finger to the inside ~www.readwn.com~ The response of a normal person is the flexion of all toes.

(Common toe shots of a certain kind of love in TV series... Is there a picture of a powerful boss?)

For those with problems (positive), the reaction is dorsiflexion of the big toe, and the remaining toes are fanned out.

Zhou Mo tested it.

Pap's sign positive!

Element 2...

Zhou Mo went on to do the next check:

Zhou Mo tried to lift the patient Liang Han's head up. He just put his hand on the back of his occiput and lifted it up with all his might.

"Ah~~~hh~~~~"

The patient Liang Han suddenly screamed, obviously in pain.

Moreover, Zhou Mo felt that the patient's neck was rigid and could not be bent.

Neck resistance!

"Meningeal irritation sign"!

Element 3...

With so many factors added up, according to the diagnostic criteria for "JE", Zhou Mo has basically determined that the patient is indeed JE.

For the rest, you need to do a spinal tap and draw cerebrospinal fluid!

However, Zhou Mo has a more urgent matter:

"This patient can't be admitted to the gastroenterology department, it has to be sent to the ICU!"

right!

Not the internal medicine department, but the icu! !

Because when JE is severe, it will suffer from respiratory failure and die quickly!

As for the patient in front of him, he has just had convulsions. Obviously, his condition is not serious, so he is likely to have respiratory failure next!

Gastroenterology can't do this.

Zhou Mo quickly picked up the phone,

"teacher……"

"I have a JE patient..."

?? It feels more serious... If I get banned, book friends are welcome to send me vegetables...

?

????

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