I can see the status bar

Chapter 499 Doubts
Sun Li'en rolled his eyes one after another, but this did not prevent Cao Yanhua from transferring the patient who was not in the emergency room to him.

The neurosurgery doctors are indeed a little uncertain about this patient, and they are still waiting for the results of the MRI to assist in judgment.But looking at Sun Lien's appearance, he seemed to be very interested in this patient.

Is it some rare disease?Several doctors in the Department of Neurology looked at each other, and this thought unconsciously popped up in their minds.Sun Li'en has a bad reputation, and they have heard about it.Seeing that this "rare disease expert" was so interested, they also began to ponder the possibility of rare diseases.

In the current fourth hospital, no one would treat Sun Lien as an ordinary emergency doctor.Everyone knows that if there is a certain patient's situation that they are not sure about, Sun Li'en is the last person they can rely on for consultation.When the diagnostic center is put into use in another two months, this team may become a special force directly under the dean—the kind that can be moved wherever it is needed.

Dr. Cao Yanhua didn't pay attention to Sun Lien's white eyes at all. After talking happily with his father-in-law on the phone, he handed over the phone with a look of embarrassment, "President Liu wants to talk to you."

If he didn't know that Cao Yanhua definitely didn't mean that, Sun Li'en would have thought that Lao Cao was using Dean Liu's name to suppress him.After answering the phone, Sun Lien heard Liu Pingchuan's tired voice on the other end of the phone, "Do you think there is something wrong with this patient?"

"It's not that I think there's a problem, it's that Dr. Cao and the other doctors who came to see the doctor think there's a problem." Although it's certain that he felt a little upset, Sun Li'en answered the question without any discount, "I haven't seen the patient and The family members of the patient don’t know what’s going on.”

"Follow up with this patient's situation first." On the other end of the phone, Dean Liu was silent for a while, and then instructed, "If you think this patient's situation is suspicious, or if you think this patient's problem is not in the emergency department, If there is a way to deal with it, it will be received directly in the group."

Dr. Cao Yanhua, as the hospital chief, has a lot of patients to deal with every day.It is fundamentally impossible for him to balance a large number of emergency patients and patients with such possible "intractable diseases".Intractable diseases require a lot of time and energy to deal with, and emergency patients also require a lot of medical resources to deal with.Whether it is from the perspective of hospital operations, from the perspective of emergency doctors, or even from the perspective of patients, it is very inappropriate to keep them in the emergency room.Of course, Sun Li'en also understood this truth, he thought for a while and said, "Then I'll take a look at it first, and if necessary, I'll take this patient in."

·
·
·
The results of the MRI appeared on Sun Lien's computer screen about three to ten minutes later.The image looks very...unusual.The cortical layers of the patient's brain showed marked diffusion restriction and T10 prolongation, but periventricular and occipital signals were normal.More importantly, this abnormal image actually presents a highly symmetrical shape.

"It looks like multiple cytotoxic edema in the brain." The treatment team that was summoned again had already surrounded Sun Lien, looking at the image on the screen, Xu Yourong first gave his opinion, "We have to think about the toxicity." lesion."

"Suddenly comatose, she had obstinate vomiting before... Could her vomiting be a manifestation of toxic lesions?" Brunn looked at the picture on the screen, scratched his smooth chin and muttered, "She still Didn't do a cerebrospinal fluid test?"

Sun Lien shook his head, "The person was sent to the hospital not long ago, and the other examinations haven't been done yet." He looked at Bruen's solemn expression, "What do you think?"

"I don't know that this kind of disease is not common in China." Brune said seriously, "But I have seen two such patients in the United States. The symptoms are very similar, sudden coma, myoclonus and vertebral body Dysfunction of the extrinsic system—and more importantly, their MRI findings all showed highly symmetrical multiple cytotoxic edema.”

Listening to Bruen's description, Sun Lien felt vaguely familiar.But what exactly is the disease, he really has no idea.

"You suspect it's CJD?" Xu Yourong broke the silence first, she stared at Brunn with wide eyes, "Is this impossible? The progress of the disease doesn't match."

"And China has banned the import of beef from the United States and the United Kingdom." Brunn seemed not very confident in his judgment, "so I just think it is possible now. After all, her age is also very young, which is in line with the number of confirmed cases of CJD in the world." Judgment with an average age of 28."

Sun Lien listened to the two discussing the content of the disease, while he searched for the three letters of CJD in his mind. Unfortunately, after thinking for a long time, he still couldn't figure out what disease it was referring to.

"So... what kind of disease do you think?" After pondering for a long time, Sun Lien gave up thinking.Instead of thinking hard here, it is better to ask directly, "What is CJD...?"

"You don't know?" Xu Yourong looked at Sun Li'en in surprise, and then felt relieved again, "That's right, you're still in regular training...and you're an emergency doctor, I don't know it's normal."

CJD is an abbreviation for Creutzfeldt-Jakob disease, a progressive disease manifested due to prion protein (PrP) infection.Also known as cortico-striatal-spinal degeneration, subacute spongiotic encephalopathy, etc.As a disease caused by "prion" infection, it is related to human Kuru disease (kuru), fatal familial insomnia (fatal familial insomnia, FFI), Gerstmann-Strauss syndrome (gerstmann -straussler-scheinker, GSS) and animal scrapie (scrapie), mad cow disease (Bovine spongiform encephalopathies, BES) belong to the same category.

If you don't have a general understanding of Creutzfeldt-Jakob disease, take a look at the following similar diseases.They are basically the same as Creutzfeldt-Jakob disease, with the common characteristics of long incubation period, short course of disease and high fatality rate.After being infected by a special protein particle, commonly known as prion, it undergoes a structural mutation on the surface of normal nerve cells, thus turning into a pathogenic prion protein with the ability to infect.As a special pathogenic factor that does not contain nucleic acid, human beings have a superficial understanding of prions.Even more frightening is that no treatment is available for any of the diseases caused by ruan infection.

·
·
·
After listening to Xu Yourong's detailed introduction of what CJD is, Sun Lien fell into a long silence, then he looked up at Xu Yourong and asked, "Do you think...is this disease?"

"Without sufficient evidence, I can't rule out this possibility." Xu Yourong thought for a while, but still couldn't give a definite answer, "Whether it's sporadic sCJD, hereditary gCJD, or people infected with mad cow disease vCJD. At least the imaging and myoclonus are compatible. If intractable vomiting is regarded as an extrapyramidal dysfunction, then another symptom is matched. This at least suggests that we should treat this case as a suspected case of CJD .”

"Dr. Xu and I went to do a brain wave examination on the patient. If it is CJD, the patient's brain waves should have abnormalities such as slowing down of the rhythm." Bruen scratched his chin and stood up. He looked a little nervous, "Boss, go talk to your family members. Make use of your strengths and advantages, and dig out some evidence that can assist the diagnosis from them... Also, pray, I hope this patient doesn't like beef Right. If it's vCJD, she's dead."

(End of this chapter)