2086 What if you were
On the way, Zheng Ren called Zhou Litao.
I briefly talked about the situation of the patient sent and told Zhou Litao that if he had no other judgment, he would give him a shot first.
Generally speaking, when encountering similar patients, doctors dare not directly get a shot.
Patients who had hypoglycemia and agitation before had settled for a while and stopped moving, but their blood sugar was constantly decreasing.
If the blood sugar is low to a certain limit, it may endanger the patient's life.
Similarly, patients with abdominal pain have the same contraindications for taking analgesic drugs in order to avoid pain.
Zheng Ren explained, and Zhou Litao took the order and left.
A single injection can basically determine the diagnosis. The rest is to wait for the electromyography side to do a more detailed examination after going to work.
"Boss, if that guy wasn't sick, he would be so awesome to practice mechanical dance like this!" Su Yun was still sighing.
"Impossible. There are several movements that obviously violate the common sense of biological kinematics and cannot be practiced by practice." Zheng Ren said.
"Tsk tsk, I still feel sorry."
The two of them went to the community hospital to take a look.
The patients on this side are very stable, and the doctors who are studying are diligent.
They all know that the lecture fee has been raised to 800,000 euros. Besides, it is just the lecture fee, and it has not yet involved Boss Zheng's step-by-step teaching.
Even in class, it is said that Brother Yun was talking, and Boss Zheng didn't even show his face.
Although they were still on duty in the imperial capital, they dared not complain.
Even most doctors think that helping this place for half a year is a blessing if you can get a surgery by Boss Zheng when you leave.
After leaving the community hospital, Zheng Ren and Su Yun discussed the doctors taking turns to go to 912.
Zheng Ren was not interested in business work, so after saying a few words, he pushed all these jobs to Su Yun with little interest.
Su Yun didn't care. He was still immersed in the strange and bizarre "dance" of the guy just now, and he often did certain movements like he was sucking.
Unfortunately, even he couldn't imitate it at all.
The two came directly from the community hospital to the emergency room in 912. When they saw Zhou Litao standing in front of the bed in the emergency room to observe, they walked in.
"Boss Zheng, Brother Yun, here." Zhou Litao said with a smile, "The patient is asleep and his muscle spasms disappear."
"Well, let's have a checkup after work." Zheng Ren was relieved when he saw that the patient had started to snore when he was sleeping, his limbs were soft and he looked like a normal person.
“What inspections are done?”
"It was the inpatient department for examination, but you didn't ask you to do it." Su Yun said, "Give rheumatism and immunity."
"..." Zhou Litao also remembers that Su Yun said that if he couldn't understand it, he would give him rheumatism and immunity.
He had no idea about the zombie syndrome. Boss Zheng happened to come, and he refused to let go of a slight opportunity. He hurriedly took Boss Zheng to his duty room.
Take out a box of Nine Five Supreme from the cabinet and Zhou Litao handed it to Zheng Ren and Su Yun.
"Hey, Mr. Zhou, are you corrupt?" Su Yun smiled and took a cigarette and held it in his mouth.
"Where is there?" Zhou Litao waved his hands repeatedly, "This thing is too expensive, I can't enjoy it. Didn't this be that you smoke this cigarette when you see Brother Yun, I bought a box, which was specially prepared for you."
Zhou Litao was reluctant to smoke a single one, put the cigarette back, took out his cigarette, lit it for Zheng Ren and Su Yun, and then asked: "Boss Zheng, how did you judge?"
"If I don't call, how would you judge?" Zheng Ren did not answer, but asked back.
"I ruled out the possibility of tetanus at first sight. Judging from the patient's condition, it probably wouldn't be a problem with the central nervous system. After all, I am sober. He is just afraid and has a little unclear speech." Zhou Litao tried hard to recall the situation he saw the patient just now.
Because Boss Zheng has already called, his first reaction is Boss Zheng's, not his own.
Looking back now, Zhou Litao feels that if this patient falls into his hands, it will probably take a long time to get a correct diagnosis.
"Do CT, magnetic magnetics, and a little bit of investigation." Zhou Litao then said, "It may also be.isas-mertens syndrome."
"Don't talk nonsense. Isas-mertens syndrome is also called myocardial ankylosing-dwarfism-diffusing bone disease. When you see muscle tremors, you will lean on it? Your pupils on both sides are spreading, where can you see dwarfism?"
Su Yun sprayed directly without hesitation.
"Actually, I interfered with President Zhou's judgment." Zheng Ren said with a smile, "I guess the patient sent it directly. President Zhou's first judgment should be organophosphorus poisoning."
Zhou Litao then suddenly realized.
Looking back at the situation at that time, if it weren't for Boss Zheng's phone call, I would definitely think it was organophosphorus poisoning.
Acetylcholine accumulates and stimulates the junction of the straradial muscle, causing muscle fiber tremors in the face, eyelids, tongue, limbs and the whole body to cause muscle fibrillation, and even muscle ankylosing throughout the body.
This nicotine-like symptoms are so obvious. Although you can't smell the patient, there is such a hurdle in your heart that you always need to waste a lot of time to make a clear diagnosis.
Although it won’t delay anything and check it one by one, it is always better than Boss Zheng’s direct diagnosis.
"It's okay, push a piece of atropine in, and you will know it's not." Zheng Ren smiled, "It won't delay the patient's diagnosis and treatment, don't worry."
Boss Zheng was understanding and gave him a step forward.
"Brother Yun, do patients really need to give rheumatism and immunity?" Zhou Litao asked.
The emergency department is difficult to do. If the patient is sent to an unrelated department, although the doctor in the inpatient department will not delay the patient's diagnosis and treatment in the end. However, in the hearts of others, it will leave the impression that he will not be able to see a doctor.
"Well, under normal circumstances, the patient can get better by taking the pacification every day, gradually reducing the dose. The treatment of benzodiazepines is the first choice for clinical treatment."
"If you don't have it, just use chloral hydrate enema. The patient will take it to you after a while." Su Yun said, "It's not a big deal to sleep here."
"But..." Zhou Litao said hesitantly, "It seems that treatment has nothing to do with rheumatism and immunity, but it is like a neurologic disease."
"It's all the same." Su Yun laughed, "Like the patient who was consulted in the hospital yesterday, the boss gave the impact dose of 1.0g of cyclophosphamide. Cyclophosphamide treatment for stagnant syndrome is also effective. Do you think it's not a rheumatism or some disease."
“…”
This is too simple and crude, and it is a bit unreasonable.
However, the classification of many clinical diseases is not clear, especially some rare diseases.
According to Zhou Litao's idea, this patient should be sent to the neurology department, but Brother Yun thought he wanted to get rid of rheumatism and immunity, so he gave it to him, so he would have no other ideas.
Chapter completed!