The inner layer is made of oily gauze with an appropriate amount of antibiotics added.

The outer layer is covered with absorbent dressing and wrapped repeatedly until a white gauze package of about five centimeters is finally wrapped.

After sending the patient away, there was still a scent in the air.

Star anise, dried chili pepper, Sichuan peppercorns, rock sugar, beer, green onion and ginger...

Almost subconsciously, a lot of ingredients popped into Xu Qiu's mind.

Xu Qiu was silent.

This master-level scent identification experience can actually have such an additional use?

Coupled with his surgical skills that are as good as those of a cook...

It is simply made for chefs!

…

A few days passed by in a hurry.

Xu Qiu signed in as usual and completed daily tasks.

Won many awards again.

Sign-in rewards:

Masterful lymph node palpation technique!

Master's experience in diagnosing the cause of hepatosplenomegaly!

Master level...

A lot of daily rewards have also been completed.

There are few level 4 surgeries these days, and there are no patients for corresponding difficult surgeries. Therefore, Xu Qiu can only do simple, general tasks at a minimum.

I also got three bottles of primary physical strength potions and two bottles of primary energy potions.

Also received an additional "stitching 10" boost.

On this day, after the morning rounds, Xu Qiu returned to the outpatient clinic and started the morning consultation.

The patients come from all walks of life, ranging from university professors to illiterate people who can't even write their names.

But there is one common characteristic.

Their fear of disease is more profound than the disease itself.

In other words, whether it is a common upper respiratory infection, or respiratory symptoms that may be caused by tumors, acute or serious illness, etc., they will come to the top three hospitals.

This is also the current situation of Daxia Medical Care today.

There are no patients in community hospitals or village hospitals.

The tertiary hospitals, on the other hand, received a large number of mild patients with minor fevers and colds. They were busy from morning to the next morning, occupying a large amount of medical resources that could have been diverted to lower-level hospitals, resulting in a lot of meaningless waste.

After sending away more than a dozen patients, around ten o'clock in the morning, the door of the consulting room was pushed open again.

A young woman in her thirties came in, followed by a pale and sickly girl.

"Doctor, please help me find out what's wrong with my daughter!" The young woman was extremely anxious.

This is a ten-year-old girl named Luo Qiao.

There are a lot of red rashes visible on my body, I cough a few times from time to time, and my face looks very bad.

Moreover, she was wearing two pieces of clothing and wrapped herself up - she was afraid of the cold.

The first impression is that of infection.

Xu Qiu asked Luo Qiao to sit down and asked about the situation.

Luo Qiao's mother said impatiently: "Doctor, my daughter has been having fevers for more than a month. During this month, we have been to many hospitals, basically getting injections and infusions. When she went down, she started to have fever again a few hours later.

Got it!"

"Have you had any examinations before?"

"Yes, take a look!"

Xu Qiu took the check list, including blood routine, liver and kidney function, etc.

The test results showed that the little girl's hemoglobin was only 93, which was mild anemia.

In addition, the C-reactive protein reached 19, which was slightly elevated.

Other items have no clear meaning. White blood cells, ferritin, LDH, immune function, etc. are all within the normal range.

Seeing this, Xu Qiu has basically ruled out infection.

Sure enough, he saw the medical records handed over by Mother Luo.

The patient had received anti-infective treatment in the local hospital. He took intravenous ceftriaxone for three days, and then changed to meropenem and linezolid. The patient's temperature was lowered several times in the middle, but it did not last long and the body temperature immediately rose again. The effect was very good.

micro.

Record of the course of the disease: The body temperature rises almost every four to eight hours, and can occur three or four times a day. The highest temperature reached 40.6 degrees Celsius.

This is already a very dangerous temperature.

"I'll give you a checkup first," Xu Qiu said.

The little girl was very cooperative, opening her big eyes and looking at Xu Qiu intently.

The physical examination will be completed soon.

Xu Qiu's palpation found that the patient's cervical lymph nodes were significantly swollen.

Based on the experience of master lymph node palpation, this lymph node is about 20*10mm.

In addition, Xu Qiu also touched the patient's liver and spleen from the body surface.

The liver and spleen of normal people cannot be palpated. If it can be found by palpation, it means hepatosplenomegaly.

Xu Qiu's mind came up with countless causes of swelling.ъìqυgΕtv.℃ǒΜ

Infectious diseases, such as viral, bacterial, parasitic infections...

There are also hemostatic diseases such as liver cirrhosis and chronic heart failure; proliferative hepatosplenomegaly such as leukemia and hemolytic disease; as well as malignant tumors, hepatosplenic cysts, dermatomyositis, etc.

Xu Qiu asked about the medical history again, but did not get any useful information.

"Besides fever and cough, are you feeling anything else?" Xu Qiu asked again and again.

The little girl shook her head blankly.

Her spirit was a little sluggish, and she had been devastated by the continuous high fever for a month.

Xu Qiu gave up the consultation and started pressing the patient instead.

"Does your ankle hurt?"

"Does your knee hurt?"

"Here it is, belly."

"LOL……"

At this moment, the little girl on the examination bed suddenly closed her eyes in pain and shouted: "It hurts, it hurts!"

Xu Qiu let go of her hand, feeling a bad premonition in her heart.

The fever for days caused everyone, including doctors and the patient himself, to ignore other symptoms.

The current physical examination results clearly indicate that the patient has bone damage!

"First go to the hospital and do a blood and bone marrow culture."

"Also, add an abdominal MRI."

His intuition told him that this patient might not have a simple infection.

The worst outcome is malignant tumor or even metastasis.

If that's the case... this little girl may have less than a few months to live.

…

In the emergency department, Luo Qiao was quickly admitted to the hospital.

The examination prescribed by Xu Qiu was completed on the same day.

Viral serology tests for rubella, cytomegalovirus, Epstein-Barr virus, and hsv-1 and hsv-2 were all negative.

Blood and bone marrow cultures also found no bacteria or fungi.

Subsequent tests for tuberculosis and syphilis were also negative.

So far, everything has gone as Xu Qiu expected, and infection has been completely ruled out.

But the trouble is, after so many tests, none of them has a clear diagnostic significance. They are all negative, making it impossible to make a valuable diagnosis.

Considering that children are not very particular about oral hygiene and may come into contact with cats and dogs, Xu Qiu also ruled out parasitic diseases such as Toxoplasma gondii, paragonimiasis, and cysticercosis, and they were all negative!

Xu Qiu was a little silent.

But then, Xu Qiu's pupils shrank when the examination report came back from the ultrasound and imaging department.

——

Fried Chicken is preparing for the year-end exam during this period, so it can only update three times recently. When the exam is over and there is enough time, there will be enough time to update everyone. By then, there should be five updates a day for a period of time.

Continuous outbreak period!

At that time, please look forward to it!
Chapter completed!