Start as an Emergency Physician

To put it simply, it is "a headache and a foot pain", although Li Mei's left upper limb showed problems, but the lesion was not in the left upper limb.

Zhou Yuan frowned and glanced at Li Mei.

Suddenly, he found a blood-red patch under Li Mei's collarbone.

"Wait, I'll check your body. "

Li Mei was stunned for a moment, followed Zhou Yuan's gaze, and looked at her murderous place.

"That's... I—" Li Mei hesitated.

"I'm a doctor. Zhou Yuan frowned.

"Wait, I'll get you a nurse. "

Zhou Yuan sighed.

His age itself is too young, a twenty-six-year-old doctor is different from those forty or fifty-year-old directors, such an age is indeed difficult for patients of the opposite sex to accept.

What's more, it is the sensitive Hungarian that is being inspected.

By the time Zhou Yuan came back with Zhang Ling, Li Mei's face was already flushed.

"Zhang Ling, please check her front and back. "

Zhang Ling nodded and glanced at Zhou Yuan secretly.

Finally there is something I need help with!

Zhang Ling led Li Mei to the observation area next to him and pulled up the curtain.

After a while, Zhang Ling's voice rang out.

"Take off your shirt. "

"What's going on with these blood spots, why are they still underneath, they're covered by underwear, take off your underwear..."

"There's blood on the killer's mouth too, what's wrong with you?"

Li Mei didn't speak, but made an oozing sound from time to time, indicating that it hurt to press.

After a while, Zhang Ling walked out, and Li Mei in the back straightened her shoulder straps, and sat back in the chair with a flushed face.

Zhou Yuan noticed that when Li Mei first came out, her expression seemed to be a little wrong, and she subconsciously helped Zhang Ling, as if she was about to faint.

"What's the situation?" Zhou Yuan sat down and asked.

"When I examined her, I found that she had multiple blood spots, small blood spots on the superficial skin of the sternocleidomastoid muscle on the right side, near the collarbone, and the murder area. There was nothing wrong with the skin on his back, and there were no abnormalities on his body other than blood spots. "

After speaking, Zhang Ling seemed to have guessed something, stood next to Zhou Yuan, and stared at Li Mei tightly.

The more Zhou Yuan listened, the more confused he became.

I've never heard of any disease with scattered blood spots...

Zhang Ling looked at Zhou Yuan embarrassed, smiled, and patted Zhou Yuan's shoulder, "Don't think about it!"

Then, Zhang Ling looked at Li Mei: "Tell Doctor Zhou, how did your blood spots form, and we can't help you if you don't say it." "

Zhou Yuan frowned: "You made it yourself?"

Li Mei lowered her head and nodded.

"What's the situation?" Zhou Yuan was stunned.

"It's... It's my boyfriend's kiss

After a long time, Li Mei's low voice came.

Zhou Yuan was stunned.

Zhang Ling sneered, and whispered in Zhou Yuan's ear: "It's a strawberry print! Don't think about it, there is no such disease with blood spots!"

After speaking, Zhang Ling ran out in a hurry.

In the consultation room, Zhou Yuan's face was embarrassed.

"Ahem... Your boyfriend is very good at playing..."

Zhou Yuan flipped through the medical record book in front of him, relieved the embarrassment, and said, "Do you feel dizzy now?"

Li Mei nodded, "Hmm... Dizzy, I felt a little unable to walk, especially when I suddenly stood up during the examination just now, I almost passed out. "

Zhou Yuan nodded: "I need to judge your consciousness situation, and you answer me a few questions." "

Zhou Yuan intends to take the Glasgow Coma Rating Scale.

This is a method of judging the patient's consciousness, which includes three aspects: eye-opening response, verbal response and limb movement, and the sum of the scores of the three aspects is the coma index. The higher the coma index, the more conscious the patient is.

Zhou Yuan must make sure that Li Mei is now conscious and there is no problem before he can proceed to the next step of testing.

"Close your eyes. If you feel me approaching you, open your eyes. Zhou Yuan said.

Li Mei nodded and closed her eyes.

Zhou Yuan stood up, and as soon as he approached Li Mei, Li Mei opened her eyes.

"Yes. Zhou Yuan wrote a four.

A quarter point means that the patient can be close to the patient and can open their eyes naturally.

The third is that the patient does not feel it when it is close to the patient, and the patient does not open his eyes until he calls the patient. Two and one points require more stimulation.

"What's your name?"

“......"

Li Mei was silent for a moment, revealing an expression of "Are you kidding me", but thinking that Zhou Yuan was doing the test, Li Mei still answered.

"Where to stay?"

"Today's date. "

"Where are you now?"

Zhou Yuan's speech was fast, and Li Mei's reaction was also very fast.

"It's normal, too. "

A score of five is awarded for being coherent, correctly oriented, and clearly expressing one's name, city or current location, year, and month.

Zhou Yuan also underwent a limb ability test.

The final score is fifteen out of 15.

Li Mei Yile: "Am I amazing?"

Zhou Yuan didn't look up: "The full score and passing score are both fifteen points, if you score fourteen points, it means that you have consciousness disorder, which means that you have damaged not only your left upper limb, but also your brain." "

Li Mei pursed her lips.

"Also, when I just tested the movement of your limbs, I found that you have a motor neuron injury on your left upper limb, moderate injury, and now you go for a Doppler ultrasound of the carotid artery, I need to see if there is any problem with the blood vessels of your carotid artery..."

Zhou Yuan now strongly suspects that there is a blood clot in the carotid artery, which leads to insufficient blood supply to the left upper limb, a decrease in skin temperature, and damage to the motor nerve.

Of course, this is just speculation, and the specific cause will have to wait until the test results come out.

Li Mei hurriedly picked up the medical record book and ran to pay the fee, and then went to check it again.

Zhou Yuan sighed: "It's a new case again... Can you be so fierce when you grow strawberries?"

He searched on the computer, and actually found a similar case, but it was much more miserable than Li Mei.

"In country M, a 26-year-old young man suddenly had convulsions while blowing out candles at a birthday party, and finally died due to ineffective rescue. Shortly before the birthday party, the man had just finished dating his girlfriend, and according to doctors, the accidental death was likely related to the kiss marks his girlfriend left on the man's neck. "

Zhou Yuan was silent.

Strawberry prints, which have another medical name, are called mechanical purpura.

Mechanical purpura usually occurs when one party sucks on the other body's epidermis, and negative pressure is formed due to the vacuum in the oral cavity, which leads to the rupture of capillaries, blood overflow from the blood vessels, and flow into the interstitial space, resulting in blood stasis.

If the mechanical purpura, i.e., the strawberry mark, is not located in the right place, right in the internal carotid artery, it is possible to cause blunt trauma to many important blood vessels in the neck...

Feilu reminds you: there are three things to read - collection, recommendation, and points