Font
Large
Medium
Small
Night
Prev Index    Favorite Next

1846 Intellectual Game (monthly ticket 3300066)

"We can't say that, we have at least ruled out a few possibilities." Zheng Ren's expression was as serious as when Su Yun and Zhou Litao were just teaching and answering questions.

“What are you thinking about now?”

"The most common thing that can be applied should be formaldehyde poisoning." Zheng Ren said: "Mixed poisoning can cause systemic symptoms such as blurred vision, dizziness, headache, and fatigue. Severe poisoning can lead to pulmonary edema, hypoxia and other symptoms."

"Not like." Su Yun shook his finger, "First, after formaldehyde poisoning is out of the toxic environment, it is difficult for the disease to continue to progress. We don't say that it will be relieved directly, and it will become a person who is fine, but it is unlikely to evolve from olfactory failure to spasm and convulsions."

Zheng Ren also felt that this diagnosis was a bit forced, and Su Yun's judgment was correct.

He continued to ponder and tapped the table with his fingers. Su Yun felt that if this guy was old, he would be someone like Director Pan.

Or maybe he imitated Director Pan intentionally or unintentionally.

"It's not formaldehyde poisoning, nor sulfur dioxide poisoning, intracranial tumors? This possibility..." Zheng Ren said softly while thinking.

"You will also say it out during the exam? Is it annoying?" Su Yun said contemptuously, "Do you want to take your fifth edition of the surgery to recite one by one during the whole hospital consultation in the future?"

"Well..." Zheng Ren continued to ponder as if he hadn't heard Su Yun mocking, "There was another hallucination. He felt that he couldn't smell it, and then he suddenly had epilepsy."

"You can write fantasy. If there is such a situation, it will not appear early or late, but it will appear in the CT room. Isn't this nonsense?" Su Yun said.

"If we smoke, would it be better if we think of this word as epilepsy? For example, reflex epilepsy syndrome.

Almost all seizures are induced by specific sensory or complex cognitive activities, such as reading epilepsy, frightening epilepsy, visual reflex epilepsy, thermal bath epilepsy, card epilepsy, etc. Remove the triggering factors and the seizures disappear."

"You mean..." Su Yun was also confused.

"Claustrophobia is usually more obvious when doing MMA. However, some patients also develop dysfunction when doing CT, and they are in SCI..."

"Don't show off your data. Epilepsy is possible, but can it explain the olfactory failure?" Su Yun continued to find fault.

Indeed, Su Yun was right.

This is a matter of pressing the gourd to float up, and the sense of smell failure and epilepsy cannot get together.

Besides, claustrophobia is rare.

Zheng Ren breathed a sigh of relief and continued to think.

"Hehe, do you want me to ask about other medical history?" Su Yun said with a smile.

"Do you go find Zhou Litao?"

"Who knows, ask the young nurses first, what if they can provide useful information."

"If you want to have sex, go and don't ask about the reason for asking about medical history." Zheng Ren said: "In fact, epilepsy and olfactory failure can also get together."

“What about it?”

"Anti-hypertensive drugs can improve heart function and occasionally damage the olfactory nerve."

“It’s too far-fetched.”

"Brain cells and neurons are abnormally discharged...the nerves are damaged..." Zheng Ren began to mutter again.

"Don't think that if you say epilepsy, your brain cells and neurons are abnormally discharged, you will appear more professional." Su Yun said.

"It's not like this..." Zheng Ren raised his hand and said: "Nerve damage may not necessarily be a trauma. Other factors may also lead to nerve damage."

"What else do you want to say about the tumor invasion, the chemical elements spreading in the air? These have just been diagnosed."

"Parasites, such as Amoeba, first enter the human nasal cavity, ingest in a phagocytic way through the support cells of the olfactory nerve epithelial, and then pass through the screen plate after passing through the screening plate..."

Zheng Ren said, and he was stunned.

Su Yun's eyes were also a little confused, and he looked at Zheng Ren in surprise.

Originally he wanted to refute it, but the primary amoeba meningoencephalitis does have a loss of smell and symptoms of epilepsy. When he reached his mouth, Su Yun swallowed it back.

Well……

"It's primary amoeba meningoencephalitis!" Zheng Ren said, and then added: "This diagnosis is more reliable and has an 80% chance!"

"Is primary amoeba meningoencephalitis? How did I get in?"

"Ask Mr. Zhou if there are any wounds near the patient's nose. By the way, how old is the patient? It may be that the acne was squeezed and infected with Amoeba Protozoa."

The more Zheng Ren said, the more confident he was.

Because the previous diagnostic flaws are too obvious, as long as there is basic logic, they can be ruled out. They are a type of differential diagnosis, which is a sacrifice diagnosis that finds reasons to be denied.

"At the beginning, there was an abnormal smell, but then there was dizziness, headache, nausea, squirt-like vomiting, and then epilepsy." Su Yun frowned and said a reason he was not sure about.

"The infection locations are different, and the progress of the disease may be interlaced." Zheng Ren said: "The disease is very complicated, and the steps in the textbook are only one that is likely to appear."

Sure enough, Su Yun's words were immediately rejected by Zheng Ren.

Zheng Ren then picked up his cell phone and called out.

The phone ringing came from the door, and Zhou Litao then opened the door with his cell phone.

"Boss Zheng, Brother Yun, I'm sorry, the patient has some sudden situation and is back late." Zhou Litao said apologetically.

"Did there be any trauma in the oral and nose triangle area?" Zheng Ren asked directly.

"Uh...no." Zhou Litao said, "No trauma."

Zheng Ren was a little disappointed, but immediately asked: "How old is the patient?"

"An old man in his sixties." Zhou Litao replied subconsciously.

Did you think it was wrong?

"Boss Zheng, what disease are you considering?" Zhou Litao asked cautiously when he saw Zheng Ren's face was not good.

"No trauma? Where is the rosacea?"

"Uh..." Zhou Litao was stunned for a moment, thinking to himself what happened to Boss Zheng?

"There is rosacea. The patient drinks a lot of alcohol all year round. For the time being, it is considered that it is caused by alcohol." Zhou Litao immediately said a little more, so that Boss Zheng would not ask after chasing him and asking.

"No! It's primary amoeba meningoencephalitis." Zheng Ren said: "Give the patient a calm state and hurry up and do CT. By the way, you need to have a cerebrospinal fluid examination."

“…”

Zhou Litao was sweating all over, but when he came back, he was stunned by Zheng Ren's face, even more confused than when Su Yun was teaching his confusion before.
Chapter completed!
Prev Index    Favorite Next