Reasoning diagnosis: Big brother, your wife has been prescribed medicine!
Chapter 205 A patient with inexplicable epilepsy!
Chapter 205 A patient with inexplicable epilepsy!
Wu Jiang picked up the MRI film and looked at it, with a serious look on his face.
This is strange!
The patient had strong epileptic symptoms, but no trace of the cause could be found.
How is this going?
Is the patient pretending?
Impossible!
The patient's convulsions were impossible to pretend to be.
The key is that when a person twitches, the consciousness is not clear, and this is not something that can be pretended casually.
For a while, Wu Jiang couldn't judge clearly what was the cause of this patient's convulsions.
Just then, a nurse rushed in.
"Doctor Song, the patient who just arrived has another seizure!"
"what?"
The emergency doctor exclaimed and rushed out of the doctor's office.
Lin Yi, Wu Jiang and the others quickly followed out.
Since this patient cannot find out the cause of the disease.
Lin Yi also wanted to see what kind of patient this was.
Some diseases can be clearly diagnosed not only by the results of examinations.
Lin Yi had to examine the patient himself before he could judge.
When they came to the ward, everyone found the man lying on the hospital bed, convulsing violently again.
The convulsions were more intense than when he came here.
His eyes rolled white and he looked terrified.
There were two nurses and a nurse by the bed, and they barely held him down.
It looked like the two family members of his parents, anxious and at a loss.
Seeing a group of doctors coming in, they hurriedly shouted:
"Doctor, my son is sick again. Take a look, what's going on with him!"
"Quick! Give him another diazepam!"
The emergency doctor hurriedly shouted,
"If the patient is allowed to convulse like this, he may develop respiratory muscle spasm, or even ventricular fibrillation, which can lead to death."
Soon a nurse brought a diazepam and gave it to the man.
After half a minute, the struggling and convulsing patient finally calmed down.
The emergency doctor stood aside, frowning.
He also couldn't figure out what the cause of the man was.
Why do epilepsy occur? !
He has done all the inspections and still found no problems.
After thinking about it, the emergency doctor said to Lin Yi and the others:
"Doctor Lin, please stay here to see the patient for a while, and I will inform his family members to learn more about the situation."
Lin Yi nodded, did not speak, thinking about something in his mind.
No cause could be found from the patient, so the emergency doctor could only pin his hopes on his parents.
I hope to find some clues from his parents.
Outside the corridor of the ward.
The emergency doctor planned to ask the man's parents about his past medical history and whether he had any family history of epilepsy or convulsions.
Unexpectedly, before he spoke, the patient's father asked him sharply:
"Didn't you just say that my son has epilepsy? Why is the condition still not under control? What's wrong with my son? Did you find out?"
The emergency doctor hurriedly said:
"In your son's case, it is indeed a seizure. But at present we don't know the cause of the seizure."
"I don't know yet what disease caused his convulsions. We need further examination and consultation!"
As soon as he heard that the emergency doctor hadn't found out the cause, the man's father became anxious immediately.
He almost yelled.
"You are such a big hospital, why can't you find out even a single disease? Is it in vain? It has cost you thousands of dollars to come to you for a while, and you can't find out the problem, so why am I here?"
The man's father was obviously out of breath.
"I'm the only son who has been in your hospital for more than an hour, and I still can't find anything wrong with him. Are you okay? If you can't, quickly change my doctor and another expert who can do it."
After being yelled violently by the man's father, the emergency doctor also felt very uncomfortable.
For the scolding of the patient's family members, the emergency doctor felt very uncomfortable.
But he was still patient, and said kindly:
"My family member, don't worry, some diseases cannot be found out immediately after arriving at the hospital.
"You need to give us time and further detailed examination before we can have a definite diagnosis, I..."
"Check, check, you doctors know how to check!"
Before the emergency doctor finished speaking, he was interrupted roughly by the man's father.
"If you leave the examination, will you not see a doctor?"
"As soon as my son came to your hospital, you checked him for so many things, and up to now there is no definite diagnosis.
Will you see a doctor?You can't do it, just quickly change me to an expert, don't occupy the latrine, don't shit. "
The man's father was really violent.
Every word he said was poked on the emergency doctor's lung tube.
But he couldn't, he went back desperately.
Otherwise, it is very likely that the two family members will complain.
Furthermore, if a doctor quarrels with a patient's family, it will always be the doctor who suffers.
The emergency doctor understands the feelings of the patient's parents very well.
But the patient's father was so violent and unreasonable, which made him very embarrassed.
The last inquiry also broke up unhappy.
The emergency doctor returned to the doctor's office with a dejected expression.
Now the patient continues to use sedatives to prevent him from continuing to have epilepsy.
In case of respiratory muscle spasm, or even cardiac arrest.
While the emergency doctor was talking to the family members, Lin Yi asked the nurse to pump midazolam into the patient for continuous sedation.
They then returned to the office to discuss the patient's condition.
After the emergency doctor came in, he couldn't help sighing and said:
"Just now I went to talk to the family members, but I didn't ask anything substantive."
"The family members are very emotional and don't understand why the patient has not been diagnosed until now."
The emergency doctor sighed again, and then said:
"It's really hard to do our job. If you can't make a clear diagnosis in a short time, you will also be scolded. Who can you talk to?"
"Think about it, everyone, tell me what's wrong with this patient that caused the convulsions. It's not a problem to keep calm."
Wu Jiang thought for a while and said:
"According to the patient's symptoms and examination, hypoxic encephalopathy, renal failure, and electrolyte imbalance can be ruled out. CT and MRI are normal, and brain tumors are also ruled out. Could it be an intracranial infection?"
Yin Liang said from the side: "It should not be an infection, because the white blood cell count in the blood test is normal.
The CT scan showed nothing wrong, and the patient was afebrile, so I don't think intracranial infection is too likely. "
Everyone expressed their opinions and expressed their views on this patient.
But in the end, there is no unified opinion that can clearly diagnose this patient.
All considered diagnoses were rejected.
At this time, the emergency doctor had no choice but to look at Lin Yi who had been silent by the side.
(End of this chapter)
Wu Jiang picked up the MRI film and looked at it, with a serious look on his face.
This is strange!
The patient had strong epileptic symptoms, but no trace of the cause could be found.
How is this going?
Is the patient pretending?
Impossible!
The patient's convulsions were impossible to pretend to be.
The key is that when a person twitches, the consciousness is not clear, and this is not something that can be pretended casually.
For a while, Wu Jiang couldn't judge clearly what was the cause of this patient's convulsions.
Just then, a nurse rushed in.
"Doctor Song, the patient who just arrived has another seizure!"
"what?"
The emergency doctor exclaimed and rushed out of the doctor's office.
Lin Yi, Wu Jiang and the others quickly followed out.
Since this patient cannot find out the cause of the disease.
Lin Yi also wanted to see what kind of patient this was.
Some diseases can be clearly diagnosed not only by the results of examinations.
Lin Yi had to examine the patient himself before he could judge.
When they came to the ward, everyone found the man lying on the hospital bed, convulsing violently again.
The convulsions were more intense than when he came here.
His eyes rolled white and he looked terrified.
There were two nurses and a nurse by the bed, and they barely held him down.
It looked like the two family members of his parents, anxious and at a loss.
Seeing a group of doctors coming in, they hurriedly shouted:
"Doctor, my son is sick again. Take a look, what's going on with him!"
"Quick! Give him another diazepam!"
The emergency doctor hurriedly shouted,
"If the patient is allowed to convulse like this, he may develop respiratory muscle spasm, or even ventricular fibrillation, which can lead to death."
Soon a nurse brought a diazepam and gave it to the man.
After half a minute, the struggling and convulsing patient finally calmed down.
The emergency doctor stood aside, frowning.
He also couldn't figure out what the cause of the man was.
Why do epilepsy occur? !
He has done all the inspections and still found no problems.
After thinking about it, the emergency doctor said to Lin Yi and the others:
"Doctor Lin, please stay here to see the patient for a while, and I will inform his family members to learn more about the situation."
Lin Yi nodded, did not speak, thinking about something in his mind.
No cause could be found from the patient, so the emergency doctor could only pin his hopes on his parents.
I hope to find some clues from his parents.
Outside the corridor of the ward.
The emergency doctor planned to ask the man's parents about his past medical history and whether he had any family history of epilepsy or convulsions.
Unexpectedly, before he spoke, the patient's father asked him sharply:
"Didn't you just say that my son has epilepsy? Why is the condition still not under control? What's wrong with my son? Did you find out?"
The emergency doctor hurriedly said:
"In your son's case, it is indeed a seizure. But at present we don't know the cause of the seizure."
"I don't know yet what disease caused his convulsions. We need further examination and consultation!"
As soon as he heard that the emergency doctor hadn't found out the cause, the man's father became anxious immediately.
He almost yelled.
"You are such a big hospital, why can't you find out even a single disease? Is it in vain? It has cost you thousands of dollars to come to you for a while, and you can't find out the problem, so why am I here?"
The man's father was obviously out of breath.
"I'm the only son who has been in your hospital for more than an hour, and I still can't find anything wrong with him. Are you okay? If you can't, quickly change my doctor and another expert who can do it."
After being yelled violently by the man's father, the emergency doctor also felt very uncomfortable.
For the scolding of the patient's family members, the emergency doctor felt very uncomfortable.
But he was still patient, and said kindly:
"My family member, don't worry, some diseases cannot be found out immediately after arriving at the hospital.
"You need to give us time and further detailed examination before we can have a definite diagnosis, I..."
"Check, check, you doctors know how to check!"
Before the emergency doctor finished speaking, he was interrupted roughly by the man's father.
"If you leave the examination, will you not see a doctor?"
"As soon as my son came to your hospital, you checked him for so many things, and up to now there is no definite diagnosis.
Will you see a doctor?You can't do it, just quickly change me to an expert, don't occupy the latrine, don't shit. "
The man's father was really violent.
Every word he said was poked on the emergency doctor's lung tube.
But he couldn't, he went back desperately.
Otherwise, it is very likely that the two family members will complain.
Furthermore, if a doctor quarrels with a patient's family, it will always be the doctor who suffers.
The emergency doctor understands the feelings of the patient's parents very well.
But the patient's father was so violent and unreasonable, which made him very embarrassed.
The last inquiry also broke up unhappy.
The emergency doctor returned to the doctor's office with a dejected expression.
Now the patient continues to use sedatives to prevent him from continuing to have epilepsy.
In case of respiratory muscle spasm, or even cardiac arrest.
While the emergency doctor was talking to the family members, Lin Yi asked the nurse to pump midazolam into the patient for continuous sedation.
They then returned to the office to discuss the patient's condition.
After the emergency doctor came in, he couldn't help sighing and said:
"Just now I went to talk to the family members, but I didn't ask anything substantive."
"The family members are very emotional and don't understand why the patient has not been diagnosed until now."
The emergency doctor sighed again, and then said:
"It's really hard to do our job. If you can't make a clear diagnosis in a short time, you will also be scolded. Who can you talk to?"
"Think about it, everyone, tell me what's wrong with this patient that caused the convulsions. It's not a problem to keep calm."
Wu Jiang thought for a while and said:
"According to the patient's symptoms and examination, hypoxic encephalopathy, renal failure, and electrolyte imbalance can be ruled out. CT and MRI are normal, and brain tumors are also ruled out. Could it be an intracranial infection?"
Yin Liang said from the side: "It should not be an infection, because the white blood cell count in the blood test is normal.
The CT scan showed nothing wrong, and the patient was afebrile, so I don't think intracranial infection is too likely. "
Everyone expressed their opinions and expressed their views on this patient.
But in the end, there is no unified opinion that can clearly diagnose this patient.
All considered diagnoses were rejected.
At this time, the emergency doctor had no choice but to look at Lin Yi who had been silent by the side.
(End of this chapter)
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