This Doctor is Great

The clock is ticking,

In the duty room, Zhou Mo was waiting for the patient's blood and other test results.

While searching for a book on the Internet,

"Guidelines for the diagnosis and treatment of neurological diseases"

Regarding the patient Liang Han's condition, besides acute gastroenteritis, acute hepatitis, and neurological infection, Zhou Mo only read one chapter of the "Guidelines for the Diagnosis and Treatment of Neurological Diseases".

"Ding... you read "Guidelines for the Diagnosis and Treatment of Neurological Diseases Chapter 10 Intracranial Infectious Diseases", you..."

Soon, a prompt came from the system.

A lot of knowledge and experience were quickly mastered by Zhou Mo, saving several years of time.

"Doctor Zhou! Doctor Zhou!"

at this time,

The girlfriend of the patient Liang Han suddenly ran to the duty room in a panic, and found Zhou Mo in the crowd.

"What's wrong?" Zhou Mo got up and walked over quickly, "What happened?"

"There's something wrong with my boyfriend. He just started talking to himself constantly. When I talked to him, he didn't understand what he said..." the girlfriend said in a panic.

"What?"

Zhou Mo was taken aback!

Immediately vigilant up!

Needless to say, this is definitely a brain infection, otherwise this kind of language function problem is unlikely to occur.

"Quick!!" Zhou Mo hurried to the ward.

"Doctor, has my boyfriend burned out his brain?" the girlfriend asked anxiously from behind.

Zhou Mo shook his head: "There is no such thing as burning your brain..."

People have long believed that a fever burns out the brain.

But from a medical point of view, there is currently no evidence to prove that fever can cause harm to people, and it will not burn the brain, except for rare febrile convulsions and heatstroke.

Although fever can make people uncomfortable, it is also beneficial to resist aggression.

soon,

Zhou Mo walked quickly to the door of the ward.

"Cough cough cough~~~~"

I saw the patient holding the cup, as if drinking water, and was coughed.

severe coughing.

And he was clutching his neck with a look of horror on his face.

Zhou Mo: "!!!!"

Surprised!

How is this going?

Without further ado, he rushed over and took the cup away from the patient's hand.

"Cough~~~cough cough~~"

Zhou Mo found that the patient Liang Han's cough did not seem to be particularly strong, but rather forced, as if the cough was wrong.

Choking.

That's right, just choking and coughing.

"Rabies?"

Zhou Mo immediately thought of one—terminal illness!

Rabies!

After a person is bitten by a sick animal, the virus in the animal's saliva enters the human body through the wound and causes disease. A small number of patients can also get sick because the conjunctiva is contaminated by the saliva of the sick animal.

There is no cure for this disease, and the mortality rate is 100%.

The reason why Zhou Mo subconsciously thinks that Liang Han is rabies is because the typical feature of rabies is hydrophobia.

That is, when drinking water, or even hearing the sound of water, the patient will have swallowing muscle spasm and cannot swallow the water. Even if the patient is extremely thirsty, he dare not drink water, so it is also called hydrophobia.

(The cause of rabies is that the symptoms of hydrophobia are more prominent, so the disease is also called hydrophobia.)

Liang Han's expression became very painful because of drinking water, and his hands were grasping weakly at the neck, as if he wanted to scratch it away.

It's too much like hydrophobia.

"Has your boyfriend ever been bitten by a dog?"

"Dog? No? I have lived with my boyfriend for more than 3 years, and I have never heard of him being bitten by a dog."

"Where's the cat?"

Rabies can also occur if a cat scratches it.

"nor……"

Zhou Mo: "????"

If you haven't been bitten, you shouldn't have rabies.

That's another possibility - muscle weakness.

The lack of strength in the muscles that drink water caused the patient to choke and cough when drinking water, which made people panic. (Same as drowning panic.)

At this moment, Zhou Mo began to rule out gastroenteritis and hepatitis with a high probability.

On the contrary, I feel that the problem of brain nerve is the most likely!

"........."

I'm a gastroenterologist. Is it really okay to be a patient in your neurology department?

Zhou Mo seemed to call the neurology department to rush over for a consultation.

at this time,

Sudden!

"Doctor, it's bad!"

Boom~~~

The patient bounced sharply, then hit the field again, and his limbs began to convulse and tremble.

Zhou Mo was taken aback.

Girlfriend next to me, freaking out!

Fortunately, the twitching didn't last long, only ten seconds passed.

Liang Han looked very painful.

After Zhou Mo breathed a sigh of relief, his expression was serious.

spasms, convulsions,

Now neurological encephalitis or meningitis is more likely.

"By the way, the blood test results..."

Zhou Mo took out his ipad, and looked at it.

The blood test results came out.

Blood routine, white blood cell count increased significantly, neutrophils have reached 84%!

There is a little problem with liver function, but it is not serious. What Zhou Mo is thinking about is the problem caused by the large dose of medicine taken by the patient, which has nothing to do with the illness in front of him.

And kidney function, normal.

At this moment,

Zhou Mo suddenly noticed a detail.

There are many red spots on the patient's feet.

It looks like a mosquito bite.

A disease instantly appeared in Zhou Mo's mind.

"JE! (Japanese Encephalitis)"

It is an infectious disease, usually spread by mosquitoes.

The symptoms of this disease are sudden onset, high fever, headache, vomiting, lethargy, etc...

There are also symptoms such as convulsions, difficulty swallowing, and coughing.

this,

Doesn't it coincide with Liang Han's illness?

Fortunately, Zhou Mo just added some dark blue points, otherwise it would be impossible to have a deep knowledge of this "JE".

Zhou Mo hurried to the bed,

Give the patient a new physical exam.

Neurological examination for JE.

After pulling the limbs, it was found that there was a certain increase in muscle tone.

Element +1...

Then I did a "Pap test".

It is the most easily elicited pathological reflex among pathological reflexes, and it has been used for nearly a hundred years.

The inspection method is that the examiner gently scratches the outside of the patient's plantar with a bamboo stick, from the heel forward, to the root of the little finger and turns to the inside.

The normal human response is flexion of all toes.

(It is common to see the toe shots of some kind of love movement in TV dramas...does anyone have pictures of the supernatural masters?)

In the person with the problem (positive), the reaction is dorsiflexion of the hallux, and the other toes are fanned out.

Zhou Mo tested it,

Papanicolaou positive!

Element +2...

Zhou Mo continued to do the next inspection:

Zhou Mo tried to raise the head of the patient Liang Han. He just put his hand on the back of his occiput, and he lifted it up vigorously.

"Ah~~~hiss~~~~"

The patient Liang Han suddenly screamed, obviously in pain.

Moreover, Zhou Mo felt that the patient's neck was so stiff that he couldn't bend it.

Neck resistance!

"Meningeal Irritation"!

Element +3...

Adding up so many factors, according to the diagnostic criteria of "JE", Zhou Mo has basically confirmed that the patient is indeed JE.

For the rest, you need to have a spinal tap and a cerebrospinal fluid pump!

However, Zhou Mo has a more urgent matter:

"This patient can't be placed in the gastroenterology department, but needs to be sent to the ICU!"

right!

It's not neurology, but ICU! !

Because when Japanese encephalitis is severe, it will suffer from respiratory failure and die quickly!

As for the patient in front of him, he had convulsions just now, and his condition is obviously not serious, so the next step is very likely to occur—respiratory failure!

Gastroenterology can't handle this.

Zhou Mo quickly picked up the phone and reported to his superiors,

Emergency consultation!

"teacher……"

"I have a patient with Japanese encephalitis..."

.

It's getting more serious... If I'm banned, book friends are welcome to send me food...