Rebirth of Medicine Practices the World

"Okay, this is a very good answer. If you don't know clearly, just say it clearly, and then everyone will understand clearly." Lin Lin deliberately played a word game.

"One more question. When Dr. Cai reported the medical history just now, he mentioned that the child had a convulsive attack. I want to know the difference in the child's mental state before and after the attack."

"Before the attack, my mental state was good, but after the attack, I became lethargic." After Cai Xiaofeng answered, she was secretly surprised: It turned out that Dean Lin heard the report just now clearly.

"Okay, thank you very much Dr. Cai for your report and answer. Let's go see the patient." Lin Lin stood up, took the white coat that Yang Yan handed him and put it on.

When I came to the child's bed, the child's mother was playing with the child. It seemed that the child was in good spirits.

Lin Lin stood and observed for a while, then asked Yang Yan for a stethoscope.

"Director Lin, the patient is very afraid of the stethoscope. He will cry when he sees it and won't let you get close to him." Cai Xiaofeng promptly reminded.

"Oh, that's it, then we don't need the stethoscope." After Lin Lin finished speaking, she took a step forward and came to the bedside.

"Kids, look here." Lin Lin said, making a "pop" sound with her fingers. The sound was loud and crisp, and the child was quickly attracted.

"Come on, follow your uncle's lead and you will be able to hit the ball loudly." Lin Lin bent down, stretched out her hand to the child, and slowly showed the child the finger snapping movement.

Surprisingly, the child also stretched out his immature little hands and started to learn. Although he could not make a sound, the child still felt very happy and showed a rare smile.

"Come, give uncle a hug." Lin Lin stretched out her hands to the child, and the child responded quickly and extended her hands to Lin Lin.

Lin Lin picked up the child and rubbed her chin under the child's neck several times, making the child laugh "hee hee".

Lin Lin took advantage of this moment, put her ear close to the child's chest, and listened carefully. Lin Lin listened to the front, side, and back. The doctors nearby were all stunned: Is there such a thing as auscultation?

Yang Yan's beautiful eyes shone even more: "This guy has so many ideas."

After listening to the heart and lungs, Lin Lin gently placed the child on the bed.

"Is this the best time of the day for him?" Lin Lin asked the child's mother.

"Yes, my energy is the best at this time. In the afternoon and evening, my energy is relatively low."

"How bad is it?"

"I just don't want to talk to anyone, and I look listless."

"Will you always sleep?"

"That won't happen either."

"How about some food?"

"Very few, always don't want to eat, can't feed anything."

"Okay, thank you. Director Yang, I'd like to lend you your percussion hammer."

"Well, here you go." Yang Yan handed the percussion hammer to Lin Lin.

Lin Lin carefully and systematically conducted a neurological physical examination.

After Lin Lin put away the percussion hammer, she gently massaged the child's abdomen with her hands. The child had no reaction.

Lin Lin then put her hand on the child's occipital area, and with a little force, she bent her neck forward. The child began to cry, and Lin Lin also felt the resistance in her neck.

Lin Lin played with the child again, and the child stopped crying. Lin Lin was still uneasy, and stretched out her hand to lift one of the child's lower limbs with the knee joint bent to 90 degrees, and then straightened the knee joint.

The son started crying again.

The doctors present all knew what Lin Lin was doing, Cai Xiaofeng did not dare to say anything, and Qiu Bin's expression was very complicated and ugly.

Yes, the examinations performed by Lin Lin and the reactions of these examinations on the children were a slap in the face to them.

"That's all my inspections. Let's see if you want to do more inspections?" Lin Lin did not act arbitrarily. He gave them a chance.

No one answered, which shows that no one can do better or think more than Lin Lin.

"Okay, let's go to the office to discuss it," Lin Lin said to Yang Yan.

"Well, okay." Yang Yan agreed and led everyone back to the doctor's office.

After everyone was seated, Lin Lin asked Yang Yan with a smile: "Director Yang, shall I sing a one-man show?"

"Yes, you have to sing in this play." Yang Yan felt happy and answered with a smile.

"Okay, let me tell you my thoughts on the diagnosis and treatment of this child. If there is something wrong, please wait until I finish speaking and then criticize and correct it."

"The child's onset was subacute, with fever, low energy and vomiting as the main symptoms. After being admitted to the hospital, he was treated according to the virus brain, but the effect was not ideal, and it has been getting worse recently."

"In my physical examination today, the patient's heart and lungs were clean on both sides, and no obvious wet and dry rales were heard. Of course, my auscultation was irregular and was done as a last resort."

"On neurological examination, the child's pyramidal tract sign was negative, but the meningeal irritation sign was positive, and it was very obviously positive."

"I looked at the laboratory tests after admission, and there are still many problems."

"First, after several blood tests, the white blood cells were slightly increased, and the neutrophils were also increased simultaneously."

"Second, the blood biochemistry test showed low albumin. The consultation just now has made it clear that the child eats very little, which should be one of the reasons. I said one, and of course there is another two. This, I will talk about in a moment.

explain."

"Third, the child's cerebrospinal fluid examination showed that the number of white blood cells reached 160, and the red blood cells were basically normal. The Paneth test of the cerebrospinal fluid was two plus, the cerebrospinal fluid protein was 80 mg, and the sugar and chloride in the cerebrospinal fluid were slightly reduced."

"Fourth, the patient's EEG did not show epileptic discharges, but only a small amount of slow waves in the background."

"Fifth, the electrolyte test of the child showed that potassium and sodium were both low, which may be related to the patient eating less."

"Sixth, I calculated the patient's intake. If the loss of body fluids caused by fever is included, the intake is far from enough."

"Judging from the treatment response, there was a false impression of improvement in a few days. This is what Dr. Cai just said. In the first few days of using hormones, the body temperature returned to normal, but soon the body temperature rose again. Moreover, the condition continued during this period.

It started to get worse. This is of great significance."

"Based on the above characteristics, I consider the localization and diagnosis of this child to be damage to the meninges. The damage to the brain parenchyma is not obvious. Even if there is any, it is very mild."

"Let me explain this. When Dr. Cai reported the medical history just now, he said that the child had obvious drowsiness. In fact, from what Dr. Cai reported and the information in the medical record I just saw, the child should not have obvious drowsiness.

There should be no lethargy, not even lethargy.”

"However, I haven't seen the patient, so I dare not draw any conclusions."

"Just now, I saw the child and asked the child's mother. Now, I can say with certainty that the patient's state of consciousness is far from the level of drowsiness."