Big Doctor Live Room
Chapter 782 Acoustic Neuroma
Chapter 782 Acoustic Neuroma
"I'm very sorry, your condition is only caused by high-frequency noise, but there is no sign on weekdays, indicating that the ear problem is very small, and it is almost impossible to be caused by the ear. Neurological problems or neurological abnormalities induced by other causes are the most critical of."
Alisa continued to answer the man's question, but she still couldn't figure out how Chen Qun discovered that the patient had this problem.
"Sir, I will test you right away, and please take a break. Naturally, a radiologist will send you for a CT test."
Alisa professionally arranged the follow-up steps, and decided in her heart to continue posting this case to the small circle inside the hospital and continue an online consultation among doctors.
None of the non-professional guys on the Internet can fight, so if they are replaced by professionals now, I don't believe that all the doctors and experts in the hospital, working together, can't beat Chen Qun.
A few minutes later, Alisa, Qi Hong and Chen Qun walked out of the ward.Alisa asked straight to the point.
"Chen, how do you know this patient has vertigo?"
"Didn't I just explain that his fall caused a wound on his forehead, and the location was a bit strange, or to be precise, the dust marks on his body didn't match his injury, which made me guess that he fell to the ground. He lost his sense of direction or fell into a coma before. Besides, the custom-made Rolex on his wrist shows his status. Of course, the last factor is that you come to bandage his wound, which means that he is a very rich man. , belonging to the hospital's VIP patients."
Alyssa looked at him suspiciously, and gestured twice with her fingers.
"Looking at the dust on your body, you can deduce that the posture in which he fell is abnormal. I just think that your head is a little abnormal. It needs to be dissected and tested to see if you are an alien!"
Chen Qun continued to fool around.
"Don't you know that I am very sensitive to this kind of three-dimensional geometric structure of space?! Anyway, I don't know why, I just know that the posture of falling is not normal, and then I analyzed it using the razor principle, and finally I think the simplest answer is possibility The biggest one, so I tested it, and I got it right."
"Okay, Holmes... No, genius doctor Yuan Que, tell us, what is the patient's condition? What kind of disease is he suffering from?"
Qi Hong added with a smile from the side, and raised her bright white eyes to look at him.
When Chen Qun heard the teasing words, he knew that this guy would go to the house to expose the tiles if he didn't teach him a lesson for three days.Asked directly.
"Diagnosis is a matter for you, a doctor of pathology! In this regard, your deduction is more comprehensive than mine!"
"Don't give me a high hat, I think the most comprehensive one is Sister Xin's diagnostic software. If you are unresolved, ask about the procedure first; if you are unresolved about the operation, then go to Chen Qun. These are the exact words that Teacher Huang told me. You have to follow the rules. Now I'm giving you a chance, you can do everything possible to prove the loopholes in Sister Xin's program."
"Doctor Qi, I haven't settled with you for what happened to you yesterday, but you are sowing discord today, so be careful!"
Seeing that Chen Qun already knew about her help, Qi Hong quickly changed the subject.
"If it's a vertigo problem, I think the possibility of an acoustic neuroma is very high. An auditory brainstem response test is needed. Of course, lidocaine poisoning also makes sense. When Alisa was bandaging the wound just now, she used Oh... wait, the probability of him being exposed to lidocaine once in a coma is very low, just pretend that I didn't mention this symptom. What do you think?"
Chen Qun looked at the top female student very sincerely, and told the truth.
"I don't know either. I still need to finish the examination. Let's prepare for the hearing examination first, and then continue with other examinations."
This time, Chen Qun saw that there was no prompt on the system panel, as if it was down, and he knew that this condition should be insignificant or hopeless.So this broken system simply doesn't work.
But such a situation happened to be the best situation for him to self-examine his personal ability.He needed to see exactly where his personal diagnosis would go without the system's interference.
After more than 40 minutes, Alisa took the patient to the auditory testing room of the ear department, fixed several sensors above his head, and put a pair of earplugs into his ears.
"Sir, later you will hear the sound of chirping electricity and other subtle sounds, and the sensor next to it will record the activity of the brainwaves that are transmitted to the auditory nerve. The entire detection time will take about an hour, please cooperate. We will not Hope you're walking around outside with a neurotumor!"
Qi Hong, who was next to the instrument at the back, saw that Alisa had fixed the instrument, and greeted Chen Qun.
"Ready to detect thirteen decibels per second, let me see, the third wave latency value is 3.7, a slight lag, but not a big problem. It seems that the possibility of acoustic neuroma is very small, I need to change my thinking .”
Chen Qun looked at Qi Hong's pensive look, and completely forgot the diagnostic procedure to ask his girlfriend for help. He knew that this was Qi Hong's normal state, and that diagnostic procedure was probably a challenge for her.She doesn't need a computer program, and can use her own knowledge to give a diagnosis.
This is the real doctor.Because to her, she could understand all the mechanics of the diagnostic procedure, and she could give one, two, three, four reasons to explain it.As for most doctors, it is very likely that they are copying what they say, just a computer repeater, and they don't understand the underlying diagnosis mechanism at all.
"Qi Hong, let me remind you that the results of the radiology department came out just now. The brain scan is normal, and there is no internal bleeding or edema. It shows that your intuition is very keen, and you found the problem immediately, so you don't continue to insist on what you said at the beginning."
While speaking, the patient who was concentrating on the hearing test suddenly trembled.
Chen Qun rushed over in two steps, pressed him on the chair with both hands, and gave orders to Alisa who was in a panic.
"Immediately inject a sedative. At least the patient's reaction shows that my conclusion is also wrong. His fainting is not only caused by high-frequency noise, but low-frequency sound can also cause him to go into shock. His ear problems can be completely ruled out."
Chen Qun quickly fixed the patient on the chair with his hands and feet. Alyssa regained his composure, and even gave him a quick shot, alleviating his trembling symptoms.
Qi Hong walked over with the diagnosis panel in hand, and reminded her.
"If there's nothing wrong with the ear, it's probably sick sinus syndrome, a problem with the heart in the chest cavity."
Chen Qun took the opportunity to teach the schoolgirl a lesson.
"Doctor Qi, this man is wearing a million-dollar Rolex. If it is chest pain and difficulty breathing, it has already been recorded in the medical record, and his bodyguard will explain the situation."
Qi Hong knew that this was Chen Qun's intentional retaliation, so she asked coldly.
"If this is impossible, then there is no problem in the brain, it may be a problem before reaching the brain, and I think carotid artery stenosis may also cause his condition. Dr. Chen, what do you think, so far you have not chosen one cases, just blaming other people.”
Chen Qun would not be fooled, so he nodded directly.
"I also think that the carotid artery stenosis you mentioned is the most likely. We will give him a carotid artery ultrasound immediately to see if he has an arterial embolism."
The corner of Qi Hong's mouth curled up, and she directly refuted with the same tone.
"Doctor Chen, don't you know that he is a billionaire? These millionaires pay the most attention to diseases like blood clots, and they often take some health drinks to imitate these lesions. I just thought it was carotid artery stenosis, but I didn't say anything. There is an embolism! Although there is a certain causal relationship between the two, they should not be confused!"
Alyssa watched the two of them start a daily confrontation mode here, but she sat on the mountain and watched the tiger fight, and decided to adopt the attitude of a passerby. No matter how the two win or lose, she is the winner.
(End of this chapter)
"I'm very sorry, your condition is only caused by high-frequency noise, but there is no sign on weekdays, indicating that the ear problem is very small, and it is almost impossible to be caused by the ear. Neurological problems or neurological abnormalities induced by other causes are the most critical of."
Alisa continued to answer the man's question, but she still couldn't figure out how Chen Qun discovered that the patient had this problem.
"Sir, I will test you right away, and please take a break. Naturally, a radiologist will send you for a CT test."
Alisa professionally arranged the follow-up steps, and decided in her heart to continue posting this case to the small circle inside the hospital and continue an online consultation among doctors.
None of the non-professional guys on the Internet can fight, so if they are replaced by professionals now, I don't believe that all the doctors and experts in the hospital, working together, can't beat Chen Qun.
A few minutes later, Alisa, Qi Hong and Chen Qun walked out of the ward.Alisa asked straight to the point.
"Chen, how do you know this patient has vertigo?"
"Didn't I just explain that his fall caused a wound on his forehead, and the location was a bit strange, or to be precise, the dust marks on his body didn't match his injury, which made me guess that he fell to the ground. He lost his sense of direction or fell into a coma before. Besides, the custom-made Rolex on his wrist shows his status. Of course, the last factor is that you come to bandage his wound, which means that he is a very rich man. , belonging to the hospital's VIP patients."
Alyssa looked at him suspiciously, and gestured twice with her fingers.
"Looking at the dust on your body, you can deduce that the posture in which he fell is abnormal. I just think that your head is a little abnormal. It needs to be dissected and tested to see if you are an alien!"
Chen Qun continued to fool around.
"Don't you know that I am very sensitive to this kind of three-dimensional geometric structure of space?! Anyway, I don't know why, I just know that the posture of falling is not normal, and then I analyzed it using the razor principle, and finally I think the simplest answer is possibility The biggest one, so I tested it, and I got it right."
"Okay, Holmes... No, genius doctor Yuan Que, tell us, what is the patient's condition? What kind of disease is he suffering from?"
Qi Hong added with a smile from the side, and raised her bright white eyes to look at him.
When Chen Qun heard the teasing words, he knew that this guy would go to the house to expose the tiles if he didn't teach him a lesson for three days.Asked directly.
"Diagnosis is a matter for you, a doctor of pathology! In this regard, your deduction is more comprehensive than mine!"
"Don't give me a high hat, I think the most comprehensive one is Sister Xin's diagnostic software. If you are unresolved, ask about the procedure first; if you are unresolved about the operation, then go to Chen Qun. These are the exact words that Teacher Huang told me. You have to follow the rules. Now I'm giving you a chance, you can do everything possible to prove the loopholes in Sister Xin's program."
"Doctor Qi, I haven't settled with you for what happened to you yesterday, but you are sowing discord today, so be careful!"
Seeing that Chen Qun already knew about her help, Qi Hong quickly changed the subject.
"If it's a vertigo problem, I think the possibility of an acoustic neuroma is very high. An auditory brainstem response test is needed. Of course, lidocaine poisoning also makes sense. When Alisa was bandaging the wound just now, she used Oh... wait, the probability of him being exposed to lidocaine once in a coma is very low, just pretend that I didn't mention this symptom. What do you think?"
Chen Qun looked at the top female student very sincerely, and told the truth.
"I don't know either. I still need to finish the examination. Let's prepare for the hearing examination first, and then continue with other examinations."
This time, Chen Qun saw that there was no prompt on the system panel, as if it was down, and he knew that this condition should be insignificant or hopeless.So this broken system simply doesn't work.
But such a situation happened to be the best situation for him to self-examine his personal ability.He needed to see exactly where his personal diagnosis would go without the system's interference.
After more than 40 minutes, Alisa took the patient to the auditory testing room of the ear department, fixed several sensors above his head, and put a pair of earplugs into his ears.
"Sir, later you will hear the sound of chirping electricity and other subtle sounds, and the sensor next to it will record the activity of the brainwaves that are transmitted to the auditory nerve. The entire detection time will take about an hour, please cooperate. We will not Hope you're walking around outside with a neurotumor!"
Qi Hong, who was next to the instrument at the back, saw that Alisa had fixed the instrument, and greeted Chen Qun.
"Ready to detect thirteen decibels per second, let me see, the third wave latency value is 3.7, a slight lag, but not a big problem. It seems that the possibility of acoustic neuroma is very small, I need to change my thinking .”
Chen Qun looked at Qi Hong's pensive look, and completely forgot the diagnostic procedure to ask his girlfriend for help. He knew that this was Qi Hong's normal state, and that diagnostic procedure was probably a challenge for her.She doesn't need a computer program, and can use her own knowledge to give a diagnosis.
This is the real doctor.Because to her, she could understand all the mechanics of the diagnostic procedure, and she could give one, two, three, four reasons to explain it.As for most doctors, it is very likely that they are copying what they say, just a computer repeater, and they don't understand the underlying diagnosis mechanism at all.
"Qi Hong, let me remind you that the results of the radiology department came out just now. The brain scan is normal, and there is no internal bleeding or edema. It shows that your intuition is very keen, and you found the problem immediately, so you don't continue to insist on what you said at the beginning."
While speaking, the patient who was concentrating on the hearing test suddenly trembled.
Chen Qun rushed over in two steps, pressed him on the chair with both hands, and gave orders to Alisa who was in a panic.
"Immediately inject a sedative. At least the patient's reaction shows that my conclusion is also wrong. His fainting is not only caused by high-frequency noise, but low-frequency sound can also cause him to go into shock. His ear problems can be completely ruled out."
Chen Qun quickly fixed the patient on the chair with his hands and feet. Alyssa regained his composure, and even gave him a quick shot, alleviating his trembling symptoms.
Qi Hong walked over with the diagnosis panel in hand, and reminded her.
"If there's nothing wrong with the ear, it's probably sick sinus syndrome, a problem with the heart in the chest cavity."
Chen Qun took the opportunity to teach the schoolgirl a lesson.
"Doctor Qi, this man is wearing a million-dollar Rolex. If it is chest pain and difficulty breathing, it has already been recorded in the medical record, and his bodyguard will explain the situation."
Qi Hong knew that this was Chen Qun's intentional retaliation, so she asked coldly.
"If this is impossible, then there is no problem in the brain, it may be a problem before reaching the brain, and I think carotid artery stenosis may also cause his condition. Dr. Chen, what do you think, so far you have not chosen one cases, just blaming other people.”
Chen Qun would not be fooled, so he nodded directly.
"I also think that the carotid artery stenosis you mentioned is the most likely. We will give him a carotid artery ultrasound immediately to see if he has an arterial embolism."
The corner of Qi Hong's mouth curled up, and she directly refuted with the same tone.
"Doctor Chen, don't you know that he is a billionaire? These millionaires pay the most attention to diseases like blood clots, and they often take some health drinks to imitate these lesions. I just thought it was carotid artery stenosis, but I didn't say anything. There is an embolism! Although there is a certain causal relationship between the two, they should not be confused!"
Alyssa watched the two of them start a daily confrontation mode here, but she sat on the mountain and watched the tiger fight, and decided to adopt the attitude of a passerby. No matter how the two win or lose, she is the winner.
(End of this chapter)
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