This Doctor is Great

Chapter 177 Cerebral sparganosis

79 beds,

The patient Wang Dan is lying on the bed.

Zhou Mo conducted a routine consultation and physical examination on her, but it was actually similar to what an emergency doctor did.

Finally, the patient Wang Dan asked Zhou Mo curiously: "Doctor, I like eating raw fish, but I am afraid of parasites. Just now, my boyfriend helped me find a way to eat intestinal worms...can I eat it? Eat it." After eating Yusheng, can taking it avoid parasites?"

When Zhou Mo heard this, he immediately became serious: "Intestinal Chongqing is useful, but you are not a doctor, so don't take medicine indiscriminately... If you take too much, it will damage your liver and kidneys, and if you take too little, it will have no effect. Antibodies are produced, and the reaction is reversed."

Patient Wang Dan lowered his head: "Okay..."

Zhou Mo finished the consultation, and then said: "It has been confirmed that you have a large number of parasites in your body. You are now hospitalized to take medicine and deworm them..."

Wang Dan and her boyfriend nodded repeatedly: "The emergency department has already told us about this."

Zhou Mo: "For the specific medication, take praziquantel orally, 3 times a day, for 3 days in total... and then we will see the specific situation when the time comes."

"Praziquantel": an anthelmintic drug for humans and animals, specifically for the treatment of tapeworms and trematodes. It is particularly effective for schistosomiasis, Chinese liver fluke, and Schizophrenia grandis.

Wang Dan and her boyfriend nodded.

This, the emergency doctor has said.

At this time, Zhou Mo said again; "In addition, in addition to deworming, you may also need to do a brain CT..."

"Huh? Why?"

Wang Dan suddenly voiced doubts.

"Is that thing radioactive?"

The boyfriend also hesitated and said: "Yes, I heard that CT radiation is quite strong. Do I have to do it? Besides, my girlfriend is just a parasite, right? Why do I need a brain CT?"

The couple, both looked at Zhou Mo with the eyes of "You want to cheat me of money" and "Sure enough, the big hospital is so dark, they always want to give me all kinds of useless tests".

Zhou Mo: "..."

But I can only explain patiently.

"Because after the inspection, it was found that you have antibodies to sarcoganism in your body, which means that it existed before. Sparganum may be parasitic in the brain..."

(Sparganum picture)

"If there are sparganisms in the brain, it may cause headache, epilepsy, dizziness, or severe cases of brain tissue being swallowed by sparganism, cerebral infarction, etc... fatal danger."

"Have you ever had an unexplained headache and dizziness before?"

Zhou Mo looked at the female patient Wang Dan.

"Yes!" the boyfriend said loudly.

"It seems to be true." The patient Wang Dan turned pale, "I was running with him once, and suddenly my head went black, and I didn't understand what..."

Zhou Mo frowned: "Running? Did you exercise a lot? Did you have a lot of load? Are you tired?"

The patient Wang Dan thought for a while: "I ran for a long time, and I was a little tired at the time."

Zhou Mo said with a smile: "It is possible that the brain is hypoxic due to the exhaustion of running, causing the eyes to go dark... However, it cannot be ruled out that it is the sparganosis. How about doing a brain CT?"

"Okay, do it! Must do it!"

At this time, the patient Wang Dan no longer dared to object, but felt a little urgent to do it.

The thought of a long worm in his head made him feel horrified.

Zhou Mo: "Okay, I'll make an appointment with you."

"In the next 3 days, you will be hospitalized with peace of mind, take the medicine you should take, kill the bugs, and then re-examine after 3 days..."

There is no special diagnosis for this patient, just take medicine to kill insects.

If the CT results show the presence of sparganosis, on the one hand, we need to see if we can take medicine to kill it.

If it doesn't work, I have to send it to the Department of Neurosurgery for surgery to take out the worms. How to do it depends on the results of the consultation with the Department of Neurosurgery.

...

There are not many things today, except for this female patient with parasites,

Zhou Mo has nothing else to worry about.

"Why don't you finish "Seeing a Doctor for Lin Daiyu (Part 2)" today?"

half an hour later,

Zhou Mo prepared everything and started recording the video.

"Hello, everyone..."

"In the last issue, I analyzed why Lin Daiyu is not tuberculosis, so today, let's analyze what kind of disease Lin Daiyu is?"

"First, the first possible cause - bronchiectasis!"

"This is also the cause of many people's speculation."

"Bronchia" is the thinner "branch trachea" of the lower level of "trachea".

(picture)

"Bronchiectasis" generally means lesions and fibrosis due to inflammation, making the bronchi brittle, hard, deformed, and destroyed.

"Its typical symptoms are chronic cough, coughing up a lot of purulent sputum, and recurrent hemoptysis."

"Lin Daiyu's symptoms are somewhat similar to bronchiectasis, but Lin Daiyu mainly had a dry cough in the early stage, no thick and smelly phlegm, and no fatal massive hemoptysis in the late stage..."

"Moreover, I don't support Lin Daiyu's point that 'the onset is mainly at night'."

"So, rule out—bronchiectasis!"

"Then, consider lung cancer, but lung cancer and Lin Daiyu's "seasonal cough, decreased activity tolerance, paroxysmal dyspnea at night" and other characteristics do not meet the symptoms of lung cancer."

"So, rule out—lung cancer!"

"Another possibility is mitral stenosis."

"The symptoms of patients with mitral valve stenosis have a high degree of overlap with Lin Daiyu. For example, the typical signs of mitral valve face (red cheeks, overwhelming peach blossoms); typical symptoms caused by valve stenosis, such as orthopnea (often due to coughing at night) And get up and sit up)."

"In addition, for patients with mitral valve stenosis, the amount of blood returning to the heart increases when lying down, which will lead to aggravated pulmonary congestion. It is very similar to the performance of "Lin Daiyu tossing and turning, lying down and sitting up, sitting up and lying down". "

"In addition, Lin Daiyu's long-term and repeated cough (infection, enlarged atria compressing the bronchi), expectoration (infection with congestion), and hemoptysis (advanced bronchial vascular rupture) are common clinical manifestations of mitral valve stenosis."

"So, the cause cannot be ruled out for the time being..."

recorded here,

Zhou Mo looked at the time.

5 minutes passed.

"Forget it, there will be "congenital heart disease" and patent ductus arteriosus later on, so I'm afraid it won't be finished. "

Zhou Mo ended the recording.

Then I sent the video to the Propaganda Department, and asked the Propaganda Department to do post-editing.

Done.

easy!

This money is a joy to take!

...

That night, the video was edited and posted on Douyin.