Chapter 326 A Clue to a Word! The Eyebrow of a Strange Disease
Judging from the abdominal CT, there is no tumor placeholding and other symptoms, and several tumor indicators are not high.
This means that tumor fever is unlikely.
On the other hand, rheumatism and immunity tests have not brought good news.
Rheumatoid factors, etc. are all negative, and rheumatoid immune diseases are also ruled out.
"Everything is OK?"
Xu Qiu turned off the examination and checked the patient's hospitalization record again, trying to find some clues.
The three common causes are not included in the consideration. It is not easy to further confirm the causes of recurrent fever.
“Drug fever?”
At this time, this guess appeared in Xu Qiu's mind.
Clinically, there are many side effects after taking drugs, including fever.
For example, it is used for the treatment of brain-eating amoeba deworming, and the amphotericin b eaten by Rodi.
In addition, antibacterial drugs such as penicillin, ampicillin, amoxicillin; antitumor drugs cisplatin, carboplatin; anticoagulants, etc.... countless.
No matter whether it is the drug fever or not, Xu Qiu can only give it a try.
After all, the patient's condition is getting worse and worse. Every day the fever is delayed, it will take one day, and the possibility of recovery is even slimmer.
Clinical work is a trade-off.
As long as the profit exceeds the cost, it can be done.
A truly perfect treatment plan cannot exist.
In fact, stopping all drugs that may cause fever is also an experimental move by a general chief physician when he reaches this point.
This will of course lead to the worsening of the already controlled severe pneumonia and even rekindling.
However, compared with the unexplained recurrent fever that cannot be cured, this cost is high but not unbearable.
"Go to the ward to have a look."
However, at this moment, Xu Qiu stopped.
Whether to choose this plan to kill 1,000 enemies is still to be discussed.
He needs to confirm again until he is sure that he has no clue!
...
iicu.
This time, Xu Qiu only did a simple physical examination.
When he first came, he had already carefully checked and confirmed that there were no abnormalities.
With Xu Qiu's physical examination ability,
If you can draw the conclusion that "no obvious abnormality" from his examination bed, it is really no problem.
Re-examination is just a routine thing to see if new lesions have emerged.
"Doctor Xu, my magnifying glass has been thrown away. Today I looked at the dandruff that fell from my daughter with a microscope and found..."
Xu Qiu: “…”
Director Jiang and others were froze their faces, wanting to laugh but not being able to laugh.
“Nothing wrong.”
Xu Qiu quickly finished the physical examination, but as expected, there was indeed no abnormality.
Tao Changhan's daughter said with a grudge: "Dad, why don't you be more angry? It depends on what disease you have suffered. Even Dr. Xu has seen it twice!"
The old man on the hospital bed had no change in his expression. He tilted his head and said nothing.
However, it was at this moment that Xu Qiu captured a detail.
Just as he turned his head, Tao Changhan's eyes twitched slightly.
Xu Qiu suddenly remembered something.
He quickly connected a bunch of clues, and finally became smoother and smoother. The final answer was about to come out and his thoughts were instantly revealed.
"You said before that the patient used to be very cheerful?" Xu Qiu asked quickly, looking at the medical records in his hand.
The goddess Tao looked a little proud: "Yes, he follows me."
Director Jiang and others twitched.
Is there such a description of my daughter following her father?
However, this also shows that the father and daughter will not get along too seriously.
Tao said regretfully: "At the beginning of the year, I often hooked up with old ladies from nearby parks. They practice Tai Chi in the morning, dance social dance in the morning, walk in the afternoon, and dance square dance in the evening. We also thought that he could find an old man, but he suddenly changed his personality a month ago. He didn't reply to anyone and didn't leave the door."
At this moment, all the doctors' faces became serious.
A different person...
These four words are extremely important in clinical practice.
Sudden personality changes and long-term emotional abnormalities may be lesions in the central nervous system or mental illness!
No one asked about this before.
Respiratory Department is busy correcting the shock of severe pneumonia, and life is hanging on the line.
When sent to ICU, the pneumonia infection became more serious, and the medical staff’s attention was also focused on controlling the progress of severe cases and preventing and treating them repeatedly.
In addition, the patient had tracheal intubation and was connected to a ventilator throughout the whole process, so he could not speak at all.
This also made everyone ignore that not only was he unable to speak, but his sudden change in personality also led to silence!
"Yes, mutism!" Director Jiang was not a vegetarian. After finding the question, the answer immediately popped up in his mind.
Xu Qiu nodded and gave affirmation.
Musilia.
This is a disease in which the speech organ has no organic lesions, has normal intellectual development, but is silent.
Mostly occur in children with introverted personality.
Common causes of mutism include hysteria, emotional mental disorder, or schizophrenia.
Director Jiang thought for a moment, "If it was mutism, could he be...schizophrenia?"
I used to be cheerful and roaming, but now I stayed in my arms.
In addition to personality changes, this extreme contrast may also have different personalities.
However, if it is schizophrenia, then there is no ICU, and Xu Qiu is nothing. The psychiatric department at Linhai First Hospital is not very good, and it has to be sent to a specialized psychiatric hospital.
"It may also be that he was rejected by an old lady and never recovered from now on." The doctor in charge boldly assumed.
"wrong."
At this time, another doctor with one-fifth appearance of Xu Qiu shook his head: "Does what you said have anything to do with repeated fever?"
The atmosphere in the ward suddenly stagnated.
Director Jiang was also stunned.
One-fifth of Xu Qiu said: "In fact, not only these mental illnesses have mutism, but some craniocerebral tumors may also lead to silence and may cause tumor fever."
The genuine Xu Qiu glanced at him and exclaimed slightly, "I haven't seen you before, newcomer?"
Director Jiang consciously took a step forward, "Oh, what I dug up...is something, I usually collapsed when I trained.
As young people, don’t be afraid to show themselves, and don’t waste the opportunities given by our predecessors.”
One-fifth of Xu Qiu: "That's right, Director Jiang should have guessed it long ago and specially helped me eliminate all mental illnesses."
...
The diagnosis has a clue again.
Musilia, craniocerebral tumors, tumor fever.
These three words became the key to Tao Changhan's case-solving.
"What should I do? Do a craniocephaly?"
Since I suspect it is a craniocerebral tumor, the easiest way is to make a movie.
But the problem is that at this time, Tao Changhan was sent to the imaging department, and it was extremely difficult to even get an ICU. Whether he could survive after doing CT is a big question mark.
Chapter completed!