Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 155 Illusion!Very itchy! (Please subscribe!)
"Then you should die."

Lin Yi shook his head helplessly.

"Yes………"

Wu Jiang can only accept the reality.

With a sound of "Boom!", the door was slammed open.

Everyone in the office couldn't help being startled, and looked towards the door one after another.

The patient's husband appeared at the door, his face full of horror.

"what happened?"

Seeing him like this, Wu Jiang couldn't help asking him in doubt,
"Did you remember that your wife had a rash?"

"No... no, doctor, my wife has a problem!"

The man waved his hands repeatedly and said,

"She suddenly yelled, and then scratched her skin with her nails, everyone go and see!"

"What? There are new symptoms!"

Upon hearing this, Lin Yi immediately stood up from the chair,

"Come on, go and see!"

After finishing speaking, Lin Yi took the lead and ran out of the office.

Wu Jiang and the patient's husband followed behind.

After entering the ward, there was already a nurse standing in front of the bed.

After seeing Lin Yi, she immediately said anxiously:

"Doctor Lin, hurry up and take a look at this patient!"

Lin Yi leaned forward.

I saw the patient lying on the hospital bed with a hideous expression on his face, howling constantly, and screaming in pain, which made the scalp numb.

Looking at the skin on her exposed arms and other parts, deep wounds have been scratched out, and blood flowed down, staining the bed sheet red.

Looking at the scene in front of him, Wu Jiang couldn't help trembling in his heart, then leaned into Lin Yi's ear and whispered:

"Brother Yi, what's going on with this patient, it's too scary!"

"Hallucinations... The patient has hallucinations..."

Lin Yi stared at the woman rolling and scratching on the bed, and murmured.

Then, he reacted and immediately ordered:

"Take her under control first! She is unconscious now. Don't let her mess around!"

After Lin Yi finished speaking, the woman's husband and the nurse immediately stepped forward, each of them took control of one of her hands.

The woman's hands were controlled, her body was still twisting, her eyeballs were rolled up, revealing the whites of her eyes.

"Doctor, what's wrong with my wife? Don't scare me!"

The man held down his wife, and couldn't help but asked Lin Yi in tears.

He had never seen his wife in this state!
He suffered from epilepsy just now, and now he is going crazy like this, which really makes him feel scared.

Lin Yi did not answer his question immediately, but helped prevent the patient from continuing to hurt himself.

After a while, the patient gradually calmed down, and his behavior became less impulsive, but his mind was still unclear.

Only then did everyone breathe a sigh of relief, and slowly let go of their hands. They were relieved when they saw that she was no longer attacking them.

Later, Lin Yi said to the nurse:

"Treat her wounds, if there is any situation, come to me anytime!"

After finishing speaking, Lin Yi turned around and walked out of the ward.

Wu Jiang also hurriedly followed, and followed him back to the office.

"Qiaoya!"

After entering the office, Lin Yi shouted immediately.

At this time, Wang Qiaoya was already sitting at the desk.

"Doctor Lin, what's the matter?"

Seeing Lin Yi's hurried appearance, Wang Qiaoya couldn't help asking in doubt.

"I asked you to arrange a tumor examination for the patient, has the result come out?"

Lin Yi asked him directly.

Wang Qiaoya nodded immediately and replied:
"I was about to tell you about this. The test results came out. I also went to the oncology specialist for consultation and analysis. No tumor was found in her body."

"No tumor found..."

Hearing Wang Qiaoya's answer, Lin Yi frowned even tighter, thinking hard.

Seeing him like this, Wu Jiang couldn't help but feel something was wrong, so he asked:

"What's the matter, Brother Yi. I didn't find the tumor, is there something wrong?"

"I'm sure that the patient just now had hallucinations!"

"It was because of the itching hallucinations that she had on her body that she scratched herself violently."

Lin Yi looked at Wu Jiang and said to him,
"And pruritus hallucinations are a typical manifestation of paraneoplastic syndrome!"

"This………"

Hearing what Lin Yi said, Wu Jiang suddenly realized!
"So, the patient's symptoms are more and more in line with paraneoplastic syndrome?"

"That's right! This is no longer a matter of conformity, but simply following the development trend of paraneoplastic syndrome!"

Lin Yi nodded, affirming.

"However, how could there be no signs of tumors found on her body? Could it be that the examination missed something?"

Wu Jiang couldn't help frowning and said.

Lin Yi stared at the front, shook his head slightly, and said:

"It's hard to say... The absence of a tumor in the MRI examination does not necessarily mean that there is no tumor in the patient's body."

"But the patient's condition is really not optimistic now. The neurological symptoms are getting more and more serious. I don't know what serious situation will happen later!"

"So we must hurry up!"

After Lin Yi finished speaking, Wu Jiang couldn't help but wonder:

"But in this situation, what should we do?"

"I think we need to discuss with oncology experts and analyze the possibility that the patient is suffering from paraneoplastic syndrome."

"If they also think that the possibility of paraneoplastic syndrome is very high, then we will do PET CT for the patient to conduct an in-depth investigation of the tumor in her body!"

After hearing this, Wu Jiang couldn't help but nodded in agreement, and then said:
"Then let's go quickly, don't waste time!"

After speaking, the two hurried to the oncology department.

Walking into the office of Yuan Hai, deputy director of the oncology department, Yuan Hai had a very good attitude.

"Doctor Lin, please sit down! I've heard of you!"

Yuan Hai squeezed out a smile on his wrinkled face, and greeted Lin and Yi.

Lin Yi sat down and quickly told him about the patient's situation.

Yuan Hai frowned, looked out the window and thought for a while, then said to Lin Yi solemnly:

"Doctor Lin, based on my years of research on tumors, I think this patient is very likely to have paraneoplastic syndrome!"

"Because all the symptoms shown are completely consistent."

"I think the tumor in the patient's body is hidden very deeply. My suggestion is to start with the lungs and conduct a detailed investigation."

After listening to Yuan Hai's opinion, Lin Yi nodded and said:

"Well, Deputy Director Yuan, your idea is consistent with mine."

"Excuse me, then I'll go first!"

After finishing speaking, Lin Yi stood up directly from his seat.

Now he had no time to delay.

If the patient really has paraneoplastic syndrome, whether she can survive until the tumor is found is a problem!

Yuan Hai also stood up and said:

"You're welcome, Doctor Lin, if you need my help later, just come to me!"

"it is good!"

Afterwards, Lin Yi and the two walked out.

After coming out, Lin Yi did not go back to the office, but went directly to the ward.

"How? Did you ask your wife what happened just now?"

After Lin Yi came in, she saw the patient lying on the bed with her eyes closed, and her husband was watching over her.

"I asked! She was sober just now, and I asked her what was going on."

The man looked at Lin Yi and said repeatedly,

"She said that she felt tens of thousands of bugs crawling on her body, and she couldn't stand the itching! So she could only scratch her body with her hands."

After the man finished speaking, Lin Yi turned to look at Wu Jiang and said:

"Let me just say, she must be hallucinating."

"Hurry up and arrange for an examination of the tumor in her body! There can't be any further delay, her condition is deteriorating too fast now!"

"Yes!"

Wu Jiang agreed and started to act.

"Hey, doctor, what's the matter with my wife now?"

The man hurried to Lin Yi and asked him anxiously.

Lin Yi looked at him, then pointed outside and said:

"Come on, come out and I'll talk to you."

"it is good."

Afterwards, the man quickly followed Lin Yi into the corridor.

"Your wife's current symptoms show that she is most likely suffering from paraneoplastic syndrome, which means that she has a tumor in her body, causing this symptom."

"But the site where she had the tumor was asymptomatic and we couldn't immediately confirm where it was."

"And this tumor is very hidden, so we can only investigate."

"But now your wife's condition is deteriorating rapidly, I'm worried that she won't be able to survive before the tumor is found..."

Lin Yi told him his worries.

After listening to Lin Yi's words, the man understood what was going on now.

Immediately prayed anxiously to Lin Yi:

"Doctor, can you step up the examination of my wife! I beg you!"

Lin Yi immediately explained to him:
"We will definitely conduct inspections as quickly as possible, but it is really hard to guarantee whether we can find out quickly."

"I'm just telling you the current situation so that you can prepare yourself."

"This...how did this happen suddenly...I really can't accept it..."

Tears flowed out of the man's eyes involuntarily, and he couldn't help wiping them away with his hands.

"I understand your current mood, but there is no way, we will do our best to treat your wife."

Lin Yi patted him on the shoulder and comforted him.

"Well, I beg you!"

The man nodded repeatedly and agreed.

Lin Yi turned around and walked out of the ward.

In the next day, Wu Jiang arranged for the patient to undergo various examinations to find out the whereabouts of the tumor.

And Lin Yi and the others could only quietly wait for the news.

When he got off work in the afternoon, Lin Yi was worried about the patient's further problems, so he arranged for Wu Jiang to be on duty, on the one hand to continue the relevant inspections, and on the other hand to prevent emergencies.

Early the next morning, Lin Yi arrived at the hospital early.

He pushed open the office door and found Wu Jiang sitting inside.

"Have you found a tumor?"

Lin Yi's first sentence was to ask him the most concerned question.

Wu Jiang shook his head slowly and said:
"could not find it………"

"That's troublesome, it's too late!"

Hearing this answer, Lin Yi's heart sank suddenly.

"How is the patient doing now?"

Later, Lin Yi asked Wu Jiang again.

Wu Jiang shook his head and said:
"The patient's body is getting weaker and weaker now, and his consciousness is more blurred."

"If this continues, tonight, I don't know what it will be like..."

Suddenly, a sense of powerlessness rose from Lin Yi's heart.

Now the most likely disease is paraneoplastic syndrome but no tumor can be found!
Now it is equivalent to pinning all hopes on finding the tumor. If the tumor cannot be found, the patient can only wait for death......

"Brother Yi..."

Wu Jiang suddenly looked at Lin Yi and wanted to say something.

"Huh? What are you going to say?"

Lin Yi looked up at him and asked.

"You said... Is it possible that the patient is not a paraneoplastic syndrome, so the tumor has not been found."

Wu Jiang couldn't help but looked at him and asked.

Lin Yi couldn't help being a little puzzled, looked at him and said:
"Now her symptoms are completely consistent with paraneoplastic syndrome, and the deputy director of the oncology department thinks so too. Why do you suddenly ask such a question? Do you have any ideas?"

"No, I just think that we can't hang on this tree. I checked it yesterday, and now there is no sign of a tumor."

Wu Jiang said to Lin Yi,
"Now that we have so much time, we can't just wait and tie the patient's life to finding the tumor. I think we should perform other operations while finding the tumor."

Lin Yi stared at him for a few seconds, then asked:
"Then what else do you think should be checked?"

"Trabular fever."

Wu Jiang blurted out.

Hearing Wu Jiang's answer, Lin Yi couldn't help frowning.

It seems that he is still thinking about tularemia, he is really persistent!
Wu Jiang also guessed that Lin Yi would have some thoughts, so he took the lead in explaining:
"I've been thinking about it all night."

"The patient's symptoms are also very consistent with tularemia, but the red rash on his body does not match."

"But I think that although her husband keeps saying that she has never had a rash, if the rash grows in some relatively hidden places, her husband may not notice it."

"It's not appropriate to deny tularemia just based on her husband's subjective answer."

Hearing this, Lin Yi directly raised his hand and said:
"Okay, stop talking, I know you've been struggling in your heart."

"Let's do this. Anyway, we are waiting now. Go and test the patient for tularemia."

"Row!"

Wu Jiang immediately agreed, then stood up and said:
"I've always had a faint uneasiness in my heart, and I always feel that it must be rabbit fever!"

"Okay, you go, wait for your good news!"

Lin Yi smiled and shook his head slightly, and said to Wu Jiang.

"no problem!"

Wu Jiang suddenly walked out of the office with some excitement.

After Wu Jiang left, Lin Yi rubbed his temples with his hands and closed his eyes slightly.

Now time is passing by little by little, and the time left by the patient's body is also counting down.

Her condition developed extremely fast, but the tumor in her body could not be found!
What could be other than paraneoplastic syndromes?
Is it really the tularemia that Wu Jiang has been suspecting?

Lin Yi couldn't help feeling his head swell, so he got up and poured a glass of water to drink.

Let's wait for the results of the tularemia test to come out first, and then we can talk about it!
(End of this chapter)