Xu Qiu stared at Tao Changhan's face.

His lips still had the cyanotic color of hypoxia, but his lips were cracked due to dryness and divided into petals, like torn earth.

Hands to raise the skin.

The patient's skin was also dry and white, and the finger joints were too dry, and the wounds could be tear open with a little movement.

In the two days before discharge, the patient had stopped infusion, and his diet and nutrition were moving closer to healthy people.

Therefore, the patient needs to find supplements for water themselves.

Xu Qiu asked, "How much water has he drunk these two days?"

Girl Tao: "I didn't take a few sips."

"What about eating?"

"He has no appetite, and eats very little."

Xu Qiu had an answer in his mind.

Judging from Tao Changhan's physical condition, his daily water intake may be able to maintain his life.

Drink less, even if you have diabetes insipidus, your urine volume will not be exaggerated.

In other words, if Tao Changhan had no complications at this time, based on his water intake, he might have very little urine volume every day!

Even close to oliguria and auria.

But his urine volume still reached 2,800 ml!

This is already a terrible number for a patient who does not drink water.

"Contact the imaging department to do a head CT, and focus on the examination!" Xu Qiu made a quick decision and gave further medical advice.

...

While the patient was transferred, Xu Qiu returned to the office.

There are stacks of documents on the table, all of which he collected, intracranial tumors that can cause repeated fever, mutism and other symptoms.

Mutism is mostly caused by damage to the brainstem or thalamic reticular ascension activation system. It is clinically common in frontal lobe tumors, followed by tumors in the temporal lobe.

Although neuroepithelial tumors, such as gliomas, can also lead to mutism, its most characteristic manifestations are dull repetition, and depression symptoms such as insomnia or early awakening, which are not in line with Tao Changhan's symptoms.

The larger tumor was also ruled out by Xu Qiu.

The patient did not show any signs of increased intracranial pressure, nor did he experience mental disorders such as drowsiness, wood stagnation, and coma. In addition, the tumor index is not high, so the possibility of being a large tumor is very small.

It's probably a small tumor.

This is also the reason why Xu Qiu explained the focus of the imaging department's examinations - if you just treat it as an ordinary patient, doctors will inevitably miss some information.

"That's not it……"

"It's not a tumor in the sellarea."

A few hours later, Xu Qiu searched in the literature for a long time, but still couldn't get a satisfactory answer.

At this time, the Imaging Department also gave a report.

"No obvious abnormality was seen."

The following sentence was followed by "This report is for clinical reference only and will not be finalized. Further examination is recommended."

This is the culmination of the hospital's third company.

Medical students have three consecutive days, "I don't know", "my student" and "ask the doctor".

Endocrine triads. "What to eat in the morning", "What to eat at noon", "What to eat at night".

The imaging department has "the nature is to be determined", "more examination is recommended" and "please combine it with clinical practice".

The third company in the emergency department is even more powerful, namely "Is it dead?", "Is it saved?" and "Is it a specialist consultant".

...

"Sure enough, I can't find it."

Xu Qiu shook his head, this was expected.

He called out the patient's CT video and checked it carefully.

However, no abnormal findings were found.

Xu Qiu took a look and found that the diagnosis was Director Zhang Hao of the Imaging Department. The other party was the director of the Linhai Medical Imaging Teaching and Research Department. He was very strong and could make a judgment that there was no obvious abnormality. Of course, no one could find out the problem if he looked at it for a few minutes.

If this film belongs to other patients, it can be concluded that there is no problem.

However, relying on naproxen, as well as unique nervous system pathological manifestations such as mutism, diabetes insipidus, binocular movement disorders, Xu Qiu could also confirm that Tao Changhan had definitely had a tumor in his brain.

What the doctor wants to do now is not to prove its existence.

Instead, find out where it is, and the pathological type of tumor.

Before Xu Qiu could continue to think deeply, Director Zhang Hao of the Imaging Department called.

"Doctor Xu, have you reported that you have seen it?"

Xu Qiu: "Yes."

"The patient you mentioned has a very low tumor index, but since it has been proven to be effective by naproxen experiment, there should be tumors. My suggestion is to try to do a mr."

The disadvantages of ct can only be scanned layer by layer.

If the tumor is too small, and the scanning layer spacing set by CT is 10mm, and the tumor is just in this 10mm jumped area, it will naturally not be discovered.

Even if it is a thin layer scan, the 2~3mm layer distance will inevitably be missed or difficult to detect.

And mr has no such limitation.

It can observe any position at any angle or position, without any blind spots at all, and it has more advantages in detecting hidden tumors.

"Okay, let's further develop a nuclear magnetic field." Xu Qiu also agreed with this proposal.

Zhang Hao added: "In this way, I communicated with the patient's family and uploaded the image to the forum to see if other colleagues could see something or make some constructive suggestions."

"Um."

Xu Qiu's attention was not on this ct film that was meaningless.

After hanging up the phone, he rushed into the document again, trying to find some information.

On the other hand, Zhang Hao put down his cell phone and went to have a special conversation with Tao Changhan, Tao Nv and others. He obtained the other party's consent and finally passed the CT report to the medical imaging forum. In addition, he was also in group chats such as "Baiyun Province Imaging Pioneer" and "Daxia Radiologist".

As for Linhai City...

He is the director of the teaching and research department of Linhai City Imaging Department. He can't even handle it, and others can't count on it.

Soon, this image caused some discussion.

"Isn't this a normal person's ct?"

"I didn't see any signs..."

"I took a look and posted a post to Director Zhang Hao from Linhai First Hospital, and left Xu Qiu's Linhai First Hospital!"

Everyone immediately became serious.

After careful analysis, they came to a rigorous conclusion: there was no abnormality...

At this time, Zhang Hao's WeChat group was also flooding the screen.

Director Zhou of the Imaging Department of Jinghai People's Hospital: "I can't understand when I glanced at Dr. Xu's patient, and I was evacuated."

Director of Jing'an Cancer Specialty Hospital: "@Han Xing,@Wei An."

Han Xing and Wei An are the deputy directors of the Cancer Hospital of Daxia Academy of Medical Sciences and the deputy directors of the Cancer Hospital Affiliated to Sun Yat-sen University, respectively.

The former is the leader of oncology hospitals and is affiliated with the Union Group. It has extremely strong resources and strength and no one can do it.
Chapter completed!