, looking at the patients in front of him, Ze frowned and cursed in his heart. WWw. QuANbEn-XiAoShUo. This guy COm is really insidious,,
"Cough Check". Although Xu Ze didn't look specifically at the patient's bedside card, with his sharp eyesight, he still caught a glimpse of the words on the bedside card.
Patients who can put up a sign with the words "Chain." on Attachment 1. Most of them are patients whose causes are unclear. With the strength of Attachment 1, how can they write "Cause Check"? That shows that this patient's condition is extremely complicated. It is difficult to discernible.
Originally, a group of boys hugged Xu Ze happily. I plan to wait for Xu Ze to give this guy Li Moling a lesson. At this time, they were all looking at the sign of Cough Cause, and they were all in a daze. They all secretly sighed that Li Moling was really shady enough to show Xu Ze such a thing. How could Xu Ze have the ability to make a comeback
Xu Ze snorted lightly, pointed at the patient's bedside card, raised his eyebrows and said, "Dr. Li, you don't even have a diagnosis, so just show it to me."
See Xu Ze's gloomy expression. Li Moling smiled proudly, then looked at Xu Ze and laughed coldly: "Xu Ze, this. The patient just hung up when he came in, "Cough check. That’s all. You have already been diagnosed, why are you afraid? Besides, I want to get a patient whose disease is clearly written on the sign. What else should I let you see?”
Xu Ze smiled lightly, looked at Li Moling who looked proud, and said with a chuckle: "Doctor Li, the first person who came here is a patient with a cough and a cough. Let me take a look. It seems that you are still good at it." You really think highly of me."
He was ridiculed by Xu Ze's secret voice. Li Moling's face turned slightly red, but he still hummed: "It's so simple to get the diagnosis before you walk in. What else do I ask you to see but you don't want to see it?"
"Look, of course," Xu Ze sneered. Then said.
Xu Ze took out his stethoscope and asked the patient carefully. Then we did a detailed inspection. It took about ten minutes. After checking. He frowned slightly, this patient was indeed a bit weird. No wonder Li Moling looks so confident.
,…Ten thousand
Seeing Xu Ze's frown, Li Moling secretly laughed in his heart. Although this patient has been diagnosed, he stayed with us for more than a week and went through consultations with Director Qian and several doctors before finally getting it. As for the diagnosis, I want to see how you, this kid, can detect this disease.
Xu Ze was really confused at this time. The patient in front of me came to the First Affiliated Hospital mainly because of two months of coughing and no treatment. Mainly dry cough without phlegm, no chest pain and shortness of breath. There was no obvious fever or chills; however, apart from slightly lower breath sounds, there were no other abnormal signs during lung auscultation.
Moreover, the patient was only in his thirties and had no history of smoking. The cause of the cough was a bit strange.
Originally based on this, the patient's symptoms and signs. In this case. Generally, pneumonia caused by mycoplasma infection may be mainly considered; tuberculosis may also be considered, and lung cancer may not even be excluded.
But Xu Ze knew the patient's condition, so since he had to go to Affiliated Hospital for treatment, and when he came in. It’s still a cough, so I’m afraid this condition is not that simple.
And according to common sense, since Appendix 1 has been diagnosed, but since the patient is still here for treatment, tuberculosis should be ruled out.
If it is an infectious disease like tuberculosis, he will definitely be transferred to the Department of Infectious Diseases for treatment and will not stay in the Department of Respiratory Medicine.
As for lung cancer, the patient was only thirty years old, had no history of smoking, and had no related symptoms or signs of lung cancer. Then this possibility is also extremely small. What if you are diagnosed with lung cancer? Most will also be transferred to oncology departments for treatment.
Therefore, after ruling out these two diseases, Xu Ze could only consider the possibility of mycoplasma pneumonia. But since the patient has been coughing for two months and it is dry cough, then there must be a hospital that has already considered this disease and has Relevant treatments have been carried out for mycoplasma pneumonia.
Since the treatment was ineffective and the diagnosis was not made until Appendix 1, the possibility of this disease is naturally extremely small. In this case, there are other issues that need to be considered.
Xu Ze now had two handsome eyebrows. But he wrinkled up tightly and analyzed and thought.
The students next to me. See Xu Ze, who has always been extremely powerful. Now he actually frowned. But everyone became nervous. Not only the male classmates, but the female classmates were also worried. They all held their breath and looked at Xu Ze, for fear of disturbing his thinking.
Li Moling next to him looked at Xu Ze's frown, but secretly smiled in his heart, and you just thought about it slowly. Hehe, you can figure it out if you do this. Then I will admire you,
Interstitial pulmonary disease, mycoplasmosis, central cough? or something else,
Xu Ze thought for a moment and decided to use a light to see if there was any problem with the patient's lungs.
"Light Transparent Visibility Starts"
"The light shines through and you see the start." Following Xu Ze's command, the system's automatic response system responded.
With the activation of light transmission, the patient's lungs gradually became translucent in Xu Ze's field of vision, in the dark field of vision. Xu Ze began to scan the patient's lungs carefully.
As Xu Ze glanced. But there seemed to be no problem with this patient's lungs. The lung texture is fairly clear. There are no patchy shadows or anything like that.
, Xinwan
Looking at these situations, Xu Ze couldn't help but raise his eyebrows. Sure enough, it's not that simple. Seeing through the light, I can't see any problems. Then it can only be a subtle lung disease or a central nervous system problem.
However, patients with delicate lungs must be excluded. Then the only option is a lung scan or MRI.
But for now, I only have the authority of a second-level medical soldier. I'm afraid the lung scan and MRI cannot be started. It is estimated that this authority is only level 4 or 5. Even if you can jump over and activate the third level of authority. But there is still no way for those above level four.
Xu Ze sighed lightly. If you can't see the secret passage. Then we can only analyze the relevant examination data with Li Moling. He then said to Li Moling on the side: "Doctor Li, can you explain the patient's relevant examination data?"
"Dang, I really want to ask this." I thought you were so arrogant." Li Moling sneered. Then he smiled and said: "Of course the information can tell you, but you have to tell yourself what aspects are needed. Information, otherwise I have already reported it to you, so what else are you looking at? Just look at the results directly."
Seeing that Li Moling didn't refuse at all, and still looked confident and proud. Xu Ze couldn't help but frown secretly in his mind, thinking to himself: "Aren't all those inspection materials helpful?"
Although he thought so, Xu Ze still nodded and said: "Okay, I need blood routine and chest X-ray, as well as lungs and MRI."
To Xu Ze's surprise, Li Moling read these information to Xu Ze very casually."
These data were not beyond Xu Ze's expectations. In terms of blood routine, white blood cells and red blood cells were basically normal. Only the neutrophils were slightly increased, which just meant there was a little infection.
The chest X-ray was as he saw it, completely normal. And the lungs" and MRI examination of the lungs did not find any abnormalities.
See these. Xu Ze couldn't help but raise his eyebrows. Could it be that he was considering a central nervous system cough as he imagined
Looking at Xu Ze's appearance, Li Moling secretly laughed. The questions Xu Ze asked were all tests without any problems, but one of them, bacterial culture, was not asked.
Generally, in a situation like this, since so many tests show no problems, any doctor will first consider the possibility of mycoplasma pneumonia!
"If Xu Ze is really capable, he must be considering this disease and will not consider other reasons. But if he really considers this disease, hehe, then he is doomed." As for the real disease, only I'm afraid he will never think of going up there. "Thinking of this, Li Moling felt even more proud. However, he did not expect that Xu Ze was much stronger than many old doctors in terms of certain medical experience and knowledge, and had already thought of this. possibility.
"Is it really caused by a central nervous system cough?" Xu Ze frowned and thought for a while, but he was still a little unsure. After all, he was still a young man and there was no other abnormality. Why did this happen? What about central nervous cough
Xu Ze, who was still a little worried, decided to take a closer look at the patient's lungs after thinking of this. Must be more cautious. It's not like Xu Ze actually lost to Li Moling in front of him because of a little carelessness. Otherwise, I don’t know how this guy will take the opportunity to bully me.
As long as there is indeed no problem with the patient's lungs, the diagnosis of central nervous cough can only be made.
Through this analysis, Xu Ze was very confident that the respiratory medicine department should have made this diagnosis, because based on his analysis based on these examinations, he could rule out mycoplasma pneumonia and found no other abnormalities. There is no other possibility
Only this central nervous system cough is possible.”
"Start the light and see Xu Ze commanded again.
"Beep, the light transmission function is activated.
As the patient's chest gradually became translucent. Xu Ze began to stare at the patient's lungs carefully again.
I watched it for a long time. The patient's lungs still seemed to be fine, just as Xu Ze sighed. Just when I was about to stop, the system suddenly sounded a warning: "Abnormality found, silicon reflex in the lungs slightly exceeded the standard."