Rebirth of Medicine Practices the World

The fact that Lin Lin dared to say this and to perform "psychological treatment" on the patient in this way showed that Lin Lin already knew the patient's diagnosis and future treatment.

After returning to the office and sitting down, the discussion began.

Everyone looked at each other, not daring to speak first. Lin Lin's medical history and physical examination, as before, made everyone feel at a loss.

"No one will say anything, so let Dr. Tan speak first." Lin Lin called her name.

"This patient started with an epileptic seizure, and subsequent examinations revealed brain lesions. However, the location of this patient's brain lesions is very special and does not fit within the blood supply range of any artery distribution area."

"So, I really don't have any new ideas in diagnosing the cause."

"Then what do you think is the cause of this patient's lesions?" Lin Lin asked.

"With my ability, I can only judge based on the results of magnetic resonance imaging. The lesions may be brain damage caused by hypoxia caused by epileptic seizures."...

"Okay, at least you have to have your own ideas, but you can't have no ideas at all. Other teachers and doctors, please continue."

"Dean Lin, every time, we look forward to you coming back for ward rounds. Every time you do ward rounds, you teach us a lot of knowledge. But, to be honest, I am a little afraid of you coming back for ward rounds, because, your

Every time I go on ward rounds, I feel ashamed." Li Yun'e's words may have expressed the feelings of many people.

After hearing this, Lin Lin felt excited in her heart. Couldn't it be that all the experiences he suffered in his previous life were because he was too good? A good but powerless person would become a thorn in the eyes and flesh of many people, so it would be strange if he was not ostracized.

"Teacher Li's words make me ashamed!" Lin Lin didn't know how to answer Li Yun'e.

"Hey, Doctor Li, although what you said is the truth, it may not be right in some aspects. Dean Lin's ability is superior to all of us. As long as we admit this, we don't have to be afraid of anything. You said, in

What's there to be afraid of if you make a fool of yourself in front of Dean Lin?" Ling Xiaoyun stood up for Lin Lin in every situation.

"Well, I also agree with what Director Ling said. Dean Lin is too powerful and we can't surpass him at all. On the contrary, with the support of Dean Lin, our Department of Neurology can develop better."

"Just like a person walking on a long and dark road, suddenly there is a light that leads us out of the darkness. Isn't it a good thing?"

Lin Lin could not have imagined that Ding Feng, who always thought of science and engineering, would actually say such literary and artistic words.

"Teacher Li, please tell me, don't worry about anything. In fact, I also learned a lot of knowledge from everyone's speeches. Learning is a two-way process, there is never one-way learning. When we read books, it is actually a two-way learning process.

"

"Thank you, Dr. Lin! I actually have no idea about this patient. From Dr. Lin's medical history and physical examination, I have a guess. Haha, I can only guess that the patient's brain lesions are epilepsy.

The cause of the seizure is not the result of epilepsy. And this lesion may be related to inflammation." After all, Li Yun'e is not Tan Xiaomin.

"I agree with Dr. Li's view. At present, the most important thing is to find out the cause of this patient's disease. So, the next step is to do a lumbar puncture and collect the cerebrospinal fluid for examination to see if there are any changes in the cerebrospinal fluid due to inflammation.

"

Ling Xiaoyun also agreed with Li Yun'e's point of view. Of course, Ling Xiaoyun also got inspiration from Lin Lin's medical history and physical examination.

"I also agree with Director Ling and Teacher Li." Ding Feng was simple and direct.

"In addition to the opinions of several teachers, I think we should also pay attention to whether the patient has a brain tumor. Moreover, this tumor may have been present very early. This time, it was only discovered after a postpartum epileptic seizure. Of course, this

It’s just another personal opinion of mine.”

Ye Xiu's time in the clinic was too short and she didn't see many cases, so it was difficult for her to have any eye-catching insights.

Lin Lin sighed secretly in her heart: Neurology really needs a strong person to lead it. Ding Feng's ability is really limited.

"Let me tell you my opinion." Lin Lin started.

"The characteristics of this patient are very prominent. First, he is a young woman, postpartum

Onset occurred 2 weeks ago, with epilepsy as the first symptom."

"Second, the patient is still in the puerperium. I don't know if you have noticed it, but the patient has postpartum depression. Please pay more attention to it and be more caring and considerate to the patient."

"Third, the physical examination found that the patient had mild fundus edema. In addition, the patient's left lower limb was swollen, and the edema spread to the top of the knee. There were no visible inflammatory changes in the skull and facial features."

"Fourth, the patient's brain MRI showed that the lesions were mainly located in the white matter, but the edema spread to the cortex. The shape of the lesions was irregular and indeed did not match the lesions in any arterial distribution area."

"Fifth, the patient showed no signs of inflammation before or after the illness. I looked at the medical records and found that the white blood cells were not high and the erythrocyte sedimentation rate was not fast."

"Sixth, the patient has symptoms of intracranial hypertension, and the cause does not seem to be eliminated, so that the condition will rebound when the dehydrating agent is stopped."

"Based on what I just said, the patient's localization diagnosis is in the brain and has affected the cortical functional area. This has been confirmed from the symptoms, signs and magnetic resonance examination results, so I won't say more."

"I will focus on the cause of the disease, which is qualitative diagnosis."

"What I feel particularly regretful is that everyone has ignored the patient's current condition. What is the patient's current condition? Puerperium!"

"In the puerperium, epileptic seizures and intracranial hypertension occur, and the lesions mainly damage white matter. Think about it, what kind of neurological diseases will this situation appear in?"

When Lin Lin said this, she paused deliberately. There was still silence in the doctor's office.

"Okay, let me give you a hint. The patient's left lower limb is swollen. Why does the patient have edema in his left lower limb?"

"Venous thrombosis." Ye Xiu blurted out.

"That's right, why do people always like to focus on their own "one-third of an acre"? Is there no other reason than neurological diseases or causes?"

"When I gave the general introduction, I said that neurology is very important, but other disciplines are also very important. Therefore, when you encounter a case with doubts, you must think beyond the neurologist's thinking and take into account more possible factors.

.”

"Like this patient, he is in the puerperium. What does the puerperium mean that the patient is in a state? Hypercoagulable state. But why am I so concerned about whether the patient has inflammation? I want to rule out a potential cause."

"Why should I rule out inflammation? Because of the qualitative diagnosis I focused on, inflammation is a common predisposing factor. Now that this factor has been eliminated, the patient does not have inflammation, and the patient's brain lesions have nothing to do with inflammation."