This Doctor is Great

Teacher Zhang Luojia looked serious: "This patient may have a problem. When you go to CT, you'd better bring the first aid kit with you. Zhou Mo, you go with me..."

Zhou Mo: "Okay!"

Teacher Zhang Luojia looked at the psychiatrist who was examining the patient, and was looking at the patient's pupillary light reflex.

"How is it? Old Zhang, have you found anything?"

"For the time being, I can only know that the intracranial pressure is increased... Prescribe mannitol, dehydrate, lower blood pressure..."

"The muscle strength and muscle tone of the patient's limbs are basically normal, and the muscle strength has not diminished."

"Others have to wait for the results of CT..."

At this time, the patient's wife was still flustered.

Because there were two older doctors (Zhang Luojia, Shennei Zhang), needless to say, she also realized that her husband's condition had become dangerous.

at this time,

Dr. Zhang from the Department of Neurology began to explain to his wife: "Your husband has an intracranial infection, that is, there may be a bacterial or viral infection in the brain. He needs to do a CT to see if it is serious. But it is obvious that your wife is in critical condition. Life is in danger, do you want to actively rescue it, or sign it..."

The wife was even more flustered, tears almost came out: "Sign, I sign! We must save him!"

Soon, it was almost CT time.

With trembling hands, the wife signed the consent form—agreeing to actively rescue everything!

Then,

Zhou Mo took the first aid kit and pushed the patient straight to the CT room of the Imaging Department.

"Puff~~~~~"

"Husband! Husband!!!"

On the way to the CT room,

The patient vomited again, spraying far away.

The patients and family members around were so frightened that they ran away quickly, fearing that it was an infectious disease such as tuberculosis.

This time Zhou Mo saw it clearly, and he was sure it was not a cough, but a vomit, which came from the digestive tract.

"quick!"

Zhou Mo's pace couldn't help but quicken.

The patient's condition is clearly still progressing.

Intracranial infection is more critical than gastrointestinal infection.

Sent to CT room.

Zhou Mo talked to the nurses at the CT nurse station about the situation, and then jumped in line to the front row.

soon,

The CT room was vacant and pushed in!

After 10 minutes,

The patient is out.

"What?"

"The CT didn't see the problem?"

"How can it be?"

Zhou Mo was shocked.

Brain CT results: no obvious changes in brain parenchyma, no subarachnoid hemorrhage, no cerebral hemorrhage, no brain tumor...

"Could it be the early days?"

Zhou Mo knows that whether it is a virus or a bacterial infection, it may be normal to check the brain CT in the early stage...

That being the case, then continue to make an appointment with CT, and after 3 hours, continue to do it again!

Return to Gastroenterology.

...

ward,

Zhang Luojia asked the doctor of internal medicine: "Old Zhang, why don't you send this patient to the doctor of internal medicine?"

The wife looked up sharply.

Confused, after all, you just gave Zhou Mo a 1,000 yuan red envelope?

But after thinking about it, my husband's illness is important. If turning to internal medicine can help my husband recover quickly, what about 1,000 yuan?

At this moment, Lao Zhang in the Department of Neurology was hesitating and thinking, wondering what the hell is this patient?

Generally, intracranial infection must have neurological symptoms first, such as poor spirits, fatigue, lethargy, vomiting, and headache.

But this patient first had obvious abdominal pain and diarrhea, which is so strange.

The sequence is different.

But think about it, if you work as a doctor for a long time, you can encounter all kinds of monsters and ghosts.

"Wait a minute, I can't handle this patient, why don't I give him a lumbar puncture first."

"Waist wear? Yes!"

waist wear (picture)

Steps: Disinfection—after infiltration anesthesia—puncture—generally puncture 4 to 5 cm, there is resistance, and the resistance suddenly decreases, stop—pull out the needle core—cerebrospinal fluid drips out...

Why is the 'cerebrospinal fluid' drawn out instead of 'spinal fluid'?

reason:

Because the cerebrospinal fluid and spinal fluid in the human body are connected, they are collectively called cerebrospinal fluid.

If there is encephalitis or meningitis, the cerebrospinal fluid will be abnormal, and the abnormal cerebrospinal fluid will flow into the subarachnoid space. At this time, we can extract this part of cerebrospinal fluid through lumbar puncture, and the test can provide a lot of information.

That's why there's a lumbar puncture -- get --\u003e cerebrospinal fluid!

Now the patient must have a brain infection, so a lumbar puncture is the most direct and effective method.

...

soon,

Everything is ready.

Mr. Zhang operated in the kidney, performed a lumbar puncture, and obtained cerebrospinal fluid.

"Hey, this cerebrospinal fluid looks pretty clean..."

I saw that the cerebrospinal fluid did not look like the cloudy appearance of bacterial infection.

The cerebrospinal fluid pressure was measured again, and the pressure was slightly higher than normal.

This is consistent with the patient's intracranial hypertension.

Everyone was confused.

At this time, Zhou Mo was hearing the system's notification tone.

"Ding...you watched a "lumbar puncture"..."

Experience at hand!

Hands-on ability skills at hand!

Neurology teacher: "Send it to the laboratory first..."

not long,

The results of the cerebrospinal fluid puncture came out: the white blood cell count did not increase significantly, and the protein was basically normal.

"Send it to the internal medicine department..."

"It may be a viral infection, not a bacterial infection..."

"Tomorrow if it gets worse, we will have a general consultation."

Teacher Zhang in Shennei said so.

Teacher Zhang Luojia and Zhou Mo nodded, and Zhou Mo began to go through the transfer procedures.

At this moment,

Zhou Mo suddenly saw the patient's wife secretly looking at him, hesitant to speak.

Zhou Mo: "??? What's the matter?"

The patient's wife quickly shook her head and forced a smile: "It's all right..."

Zhou Mo suddenly had a flash of inspiration, and subconsciously said: "You are talking about red envelopes, right? How could I want it? I have already sent it to the toll office and charged it into your account."

The patient's wife shook her head in fright: "No, I'm sorry, doctor, I didn't mean that."

A little ashamed.

Zhou Mo smiled: "It's okay, it's okay, you pack up your things quickly and transfer to another department..."

The patient's wife nodded again and again: "Okay, okay, thank you doctor, thank you doctor."

Teacher Zhang Luojia didn't leave at this time, and when he heard the conversation between Zhou Mo and the patient's wife, he immediately understood.

Go back to the duty room and do the transfer procedure.

Teacher Zhang Luojia: "Did you just receive the red envelope?"

Zhou Mo nodded: "I accepted it, but I sent it to the toll office. If I didn't accept it at that time, the patient would definitely be worried."

Zhang Luojia patted Zhou Mo's shoulder and smiled: "Well done! It's handled well!"

Zhou Mo was actually a little lucky. Fortunately, he delivered it to the toll office, otherwise it would really be mud falling into his crotch, which is either shit or shit.

...

20 o'clock... 21 o'clock...

Zhou Mo continued to write papers.

Today's patient aroused Zhou Mo's strong desire to fight.

"What? Are you still dealing with that strange patient today?" Huang Yiming leaned over curiously.

"Yeah, it's the first time I've encountered such a difficult one! I'm a bit unwilling!" Zhou Mo nodded and continued to write his thesis.

Sudden,

Zhou Mo's hand stopped on one of the papers.

Hantavirus! !

Diarrhea today was a bit tragic, so I went to prescribe the montmonite powder... that's all for this evening.