A cerebrospinal fluid test should be enough, "Su Yun said to Zheng Ren with a smile when he saw Zhou Litao running out to make a call.
"The incubation period of the amoeba is short. Once it enters the rapid development period, the possibility of saving it is not high," Zheng Ren said very seriously. Zheng Ren said very seriously, "Hurry up and treat him. There's still a 50% chance that we can save him now."
After saying that, he stood up and said, "When the patient has a CT scan later, let's go take a look together."
"Okay." Su Yun's voice was much softer. His eyes were a little blurred as if he was thinking about something.
Previously, he was convinced that he could make a diagnosis based on the two symptoms of olfactory failure and convulsions.
Now …
Su Yun cursed fiercely in his heart. How did he diagnose primary amoeba meningoencephalitis?
If it was like the previous diagnosis of a brain tumor, it would be fine. He felt that it was impossible. Looking at Zheng Ren, he should also think that it was impossible.
The guy was just spouting nonsense. He was just doing the simplest differential diagnosis.
However, the diagnosis of primary amoeba meningoencephalitis made the boss full of confidence!
And he could not find any fault with it.
Rosacea … Amoeba … Actually, it was not uncommon, especially in the 1980s, when there were many people who got sick.
Now, the incidence could only be said to be a little lower, but it was definitely not rare.
During class, the teacher had said that he also had a memory of it in his mind, but the boss had taken the initiative to confirm this diagnosis.
Su Yun sighed. If he could have discovered it earlier, how good would it have been?
Uh … He had to be more serious in the future, Su Yun reminded himself in his heart.
Soon, Zhou Litao returned and said, "Boss Zheng, I've already talked to the neurology department. The chief happened to be here today. He saw the patient and also suspected primary amoeba meningoencephalitis. "
"Okay." Zheng Ren's face was relaxed. He had already entered the state of a sage.
"I said, let me know when the CT scan is done later. We'll go take a look together." Zhou Litao was very impressed, his eyes shining with little stars.
"Boss, you're lucky to be able to guess what disease it is," Su Yun said with some guilt.
"Guess? It's a wealth of clinical experience, "Zheng Ren said." What do you think? "
"Tsk!"
"Boss Zheng, Brother Yun, how did the two of you figure out that the patient had primary amoebic meningoencephalitis?" Zhou Litao was completely impressed.
Initially, he did not believe the diagnosis given by Boss Zheng. He did not even see the patient and gave a diagnosis. Was this not a joke?
However, the chief of neurology also gave the same diagnosis, which was a little interesting. At the very least, it proved that Boss Zheng and Brother Yun 'er were sitting in the room and that their judgment was "probably" right.
"It's nothing. We're just checking them one by one before making a differential diagnosis," Zheng Ren said. "When you went to resuscitate him just now, Su Yun and I identified all the possibilities one by one. Although the possibility of primary amoebic meningoencephalitis isn't high, it's the most suitable candidate. No matter how low the probability is, it's still a possibility. "
"How many differential diagnoses have you done?" Zhou Litao did not understand.
Generally, clinical differential diagnosis was done after a certain preliminary diagnosis, and then similar situations were differentiated one by one.
However, what Boss Zheng did was that he did not even see the patient. He only used one or two sentences to start the identification.
Do you have to be so confident in your own diagnostic skills?
"More than twenty?" Zheng Ren glanced at Su Yun. Su Yun started counting with his fingers.
Zhou Litao was dumbfounded. There was no need to mention the differential diagnosis of common things like tumors. Formaldehyde poisoning and sulfur dioxide poisoning?
The strangest thing was that long-term perfume spraying had caused unknown substance poisoning.
It seemed that his standard was not good enough, which caused the scene to be in a daze and the diagnosis was not clear. If Boss Zheng was there, he would probably think of amoeba when he saw the brandy nose.
The chief of neurology had probably made a preliminary judgment based on the brandy nose.
Zhou Litao had set a small goal in mind to memorize the diagnostic books when he got back.
"You guys continue." Zheng Ren sat down casually, wanting to continue listening to Su Yun's chicken soup for Zhou Litao.
However, after this incident, both Su Yun and Zhou Litao were not in the mood to continue talking about finding a girlfriend.
On the other hand, Zhou Litao was particularly interested in how the two of them had made the differential diagnosis. He asked little by little and even took the initiative to record it. It seemed that he wanted to calm down and think about it carefully.
Half an hour later, Zhou Litao received a call. The neurology department had sent the patient for examination.
Zhou Litao greeted the department and went to the CT room with Zheng Ren and Su Yun.
The patient was being examined. A doctor and a nurse were accompanying him inside. A few family members stood outside the lead door with sad faces and sighed.
"Are you the patient's family members?" Zheng Ren asked.
"Yes, you are …"
"I'm a doctor from the 912. I have a few questions to ask." Zheng Ren showed a friendly smile. "May I ask who you are to the patient?"
"I'm his son-in-law. Doctor, what questions do you have?" the man said with a sad face.
When such a thing happened at home, how could he be in a good mood if he did not sleep?
"Has the patient had any abnormal behavior recently? For example, does he wash his face more than before? "Zheng Ren did not ask about the patient's medical history step by step. Instead, he pointed out something.
This was a confirmation of the diagnosis and looking for evidence that could make the diagnosis stand.
"Don't mention it. I don't know which bastard introduced my dad to me, but he said that washing the nose can make people young, live a long life, and not get sick."
Washing the nose … Zheng Ren was also very speechless.
There were countless people in the community who cheated the elderly of their money. It was impossible to guard against them. All kinds of magnetic therapy and health care were nothing. The most hateful thing was financial management.
However, this was the first time he had heard of something like washing the nose.
However, this also matched his own diagnosis.
"My dad believed it. He happily washed it six times a day and even told us that he wanted us to wash it too."
Zheng Ren's heart skipped a beat and he asked, "Is this the professional nose wash used for washing the nose?"
"Sigh …" At the mention of professional nose wash, the man was even more distressed.
"Doctor, this old man is so stingy. I can't even bear to add a meat dish when I go home. Do you expect him to use professional nose wash? He uses tap water. "
All the problems were completely clear. Rosacea. Long-term tap water was used in large amounts every day, and it was washed with things like nose washers. The pressure was on the high side.
Therefore, the probability of being infected by the amoeba was higher than that of ordinary workers.
"You've suffered this time. Those people who sell health care products in the community are really f * cking bad …"
Zheng Ren did not have time to listen to the patient's family nagging and complaining. He smiled and patted his shoulder to comfort him. He turned around and entered the operating room of the CT room.
The CT had already been done. The technician shouted at the microphone that it was done.
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