"It's enough to do a cerebrospinal fluid examination." Seeing Zhou Litao rushing out to make a phone call, Su Yun smiled and said to Zheng Ren.
"The incubation period of the amoeba is short. Once it enters the rapid progression period, it is unlikely to be rescued." Zheng Ren said seriously: "We should seize all the time for treatment. It is estimated that there is still half a chance of saving the person." return."
After saying that, he stood up and said, "Let's take a look at the patient when he undergoes CT scan later."
"Yes." Su Yun's voice was much softer, his eyes were a little blurred, as if he was thinking about something.
I said before that I could make a diagnosis based on just two symptoms: loss of sense of smell and convulsions, and I was convinced.
nowadays…
Su Yun cursed fiercely in his heart, how could he be diagnosed with primary amoebic meningoencephalitis
If it was like a previous diagnosis of a brain tumor, it would be easy to say, but he didn't think it was possible; looking at Zheng Ren's appearance, he should also think it was impossible.
That guy was talking nonsense and was just making the simplest differential diagnosis.
But the boss is full of confidence in the diagnosis of primary amoebic meningoencephalitis!
And I can't find anything wrong with it.
Rosacea... amoeba... are actually not uncommon, especially in the 1980s, when many people suffered from the disease.
Now, the incidence rate can only be said to be less, but it is definitely not rare.
During class, the teacher told me that he had memories in his mind, but his boss confirmed the diagnosis first.
Su Yun sighed, it would be great if he could find out earlier.
Uh...you have to be more serious in the future, Su Yun reminded himself secretly.
Soon, Zhou Litao came back and said: "Boss Zheng, I have already talked to the neurology department. The director happened to be here today. He saw the patient and also suspected primary amoebic meningoencephalitis."
"Yes." Zheng Ren looked relaxed and had entered the sage moment.
"I said, tell me when the CT scan is done later, and let's go and have a look together." Zhou Litao was very impressed, with little stars shining in his eyes.
"Boss, you're lucky to be able to guess what the disease is." Su Yun said with a guilty conscience.
"Guess? It's rich clinical experience." Zheng Ren said, "What do you think?"
"cut!"
"Boss Zheng, Brother Yun, how did you two think that the patient had primary amoebic meningoencephalitis?" Zhou Litao was already in admiration.
Originally, he didn't believe the diagnosis given by Boss Zheng. He gave the diagnosis without even seeing the patient. Isn't this a joke
But the director of the neurology department also gave the same diagnosis, which is a bit interesting. At least it proves that Boss Zheng and Brother Yun's judgment based on their imagination while sitting in the room "may" be right.
"It's nothing. Just check the same and make a differential diagnosis." Zheng Ren said: "When you went for rescue just now, Su Yun and I identified all the possibilities one by one. Although the possibility of primary amoebic meningoencephalitis is not Big, but in the end only it’s the most suitable, no matter how low the odds are, it’s still possible.”
"How many differential diagnoses have been made?" Zhou Litao was confused.
In general clinical differential diagnosis, after a certain preliminary diagnosis is made, similar situations are identified one by one.
But what Boss Zheng did was to start the identification without even seeing the patient. He only started to identify the patient with one or two sentences.
Don’t be so confident in your diagnostic skills!
"More than twenty?" Zheng Ren glanced at Su Yun, and Su Yun started counting on his fingers.
Zhou Litao was dumbfounded. There was no need to mention the differential diagnosis of common things like tumors. What about formaldehyde poisoning and sulfur dioxide poisoning
The most bizarre thing is that long-term spraying of perfume can lead to poisoning by unknown substances.
It seemed that his level was not good enough, which led to confusion at the scene and unclear diagnosis. If Boss Zheng were there, he would probably think of amoeba when he saw the rosacea nose.
It is estimated that the director of the Department of Neurology also made a preliminary judgment based on the rosacea nose.
Zhou Litao set a small goal in mind when he went back to memorize diagnostic books.
"You guys continue." Zheng Ren sat down casually, wanting to continue listening to Su Yun pouring chicken soup into Zhou Litao's mouth.
But after this incident, neither Su Yun nor Zhou Litao had the intention to continue talking about finding a girlfriend.
But Zhou Litao was particularly interested in how the two of them made differential diagnoses. He asked a little bit, and even took the initiative to record it. It seemed that he wanted to calm down and think about it carefully.
Half an hour later, Zhou Litao received a call and the neurology department sent the patient for examination.
Zhou Litao greeted Corey and went to the CT room with Zheng Ren and Su Yun.
The patient was undergoing an examination, and a doctor and a nurse were accompanying him inside. Several family members stood outside the lead door with sad faces and sighed.
"Are you the patient's family?" Zheng Ren asked.
"Well, you are..."
"I am a doctor at 912. I have a few questions to ask." Zheng Ren showed a friendly smile, "Who are you patients?"
"I'm his uncle, doctor, what's your problem?" The man still said with a sad face.
When something like this happens at home, you can feel better without sleeping.
"Has the patient had any abnormal behavior recently? For example, washing his face more often than before?" Zheng Ren did not ask about the medical history step by step, but pointed out something.
This is to confirm the diagnosis and find the basis for the diagnosis to be established.
"Don't mention it, my dad heard some bastard's introduction, saying that washing the nose can make people younger, live longer, and be free from all kinds of diseases."
Wash your nose... Zheng Ren was also speechless.
There are countless people in the community who defraud the elderly out of their money, and it is difficult to guard against them. All kinds of magnetic therapy and health care are nothing. The most hateful thing is financial management.
But this is the first time I heard about nose washing.
But this is consistent with my diagnosis.
"My dad believed it and happily washed it six times a day, and even told us that we should also wash it."
Zheng Ren thought about it and asked, "This is the professional nasal wash you use to wash your nose?"
"Sigh..." When he mentioned the professional nasal wash, the man became even more distressed.
"Doctor, how stingy is this old man? I don't even want to add meat or vegetables to my meal when I go home, so I expect him to use professional nasal rinse? He uses tap water."
The point of all the problems is completely clear. For rosacea, I use a lot of tap water for a long time every day, and I still wash it with something like a neti pot, so the pressure is high.
Therefore, the chance of being infected by amoeba is higher than that of ordinary workers.
"You must be in trouble this time. Those people who sell health care products in the community are really nothing..."
Zheng Ren had no time to listen to the patient's family members nagging and complaining. He smiled slightly, patted his shoulder to express comfort, and turned around to enter the operation room of the CT room.
The CT scan has been completed, and the technician shouted to the microphone that it was OK.