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Xu Qiu was not interested in these things, so he changed his question and said, "Why did he shave?"

"I asked my mother-in-law, and she said it was because my father had grown hair. He felt embarrassed at the time, so he took a kitchen knife and scraped it... Now it's awesome, a kitchen knife! And it is said that the kitchen knife was still in use later, and now it's all used in my mother-in-law's kitchen. The old items are so easy to use..."

Xu Qiu was silent.

It's indeed a chatterbox. She can talk about any topic from all over the world.

However, after hearing the description of Tao Nu, his eyes suddenly lit up.

Seven years old, with hair?

A normal boy starts to develop when he is ten to thirteen years old, and he is obviously precocious at the age of seven.

Why precocious puberty?

At this time, a document appeared in his mind, and the tumors mentioned in the literature can just cause mutism, precocious puberty, and cancerous fever.

At this moment, Xu Qiu suddenly felt like he had gone through all kinds of difficulties and finally pushed away the fog a little.

...

After returning to the ward, Xu Qiu quickly dug out the documents.

"Analysis on the correlation between imaging manifestations and clinical pathological characteristics of tumors in pineal gland areas in adolescents"

At that time, Xu Qiu ruled out the cause of this disease, on the one hand, the age was not consistent, and on the other hand, pineal tumors had necrosis and calcification, and showed short t1 and t2 signals in mr, and imaging should be very easy to discover.

But at this time, with the emergence of "premature puberty", a feature that perfectly fits the pineal gland brain tumor, Xu Qiu had to lean on Tao Changhan in this direction.

If the tumor is small enough.

If the location is tricky enough and the CT density and MR signal are covered up by cerebrospinal fluid, blood vessels and other tissues, it may be ignored!

"Waiting for the results of the nuclear magnetic field first."

Even if it is really a pineal brain tumor, it still needs to be diagnosed with MR in the end.

Xu Qiu called Zhang Hao and informed the other party of the guess.

Director Zhang nodded solemnly: "Okay, tomorrow I will personally instruct the technician to do MR, and focus on checking whether it is a pineal brain tumor."

The next morning.

Hand over shift early as usual.

Tao Changhan's case naturally became a key case of the day and was included in the general practice discussion.

Tumor indicators, naproxen, and various neurological symptoms.

and the looseness of clinical judgment criteria for diabetes insipidus.

These are all knowledge that cannot be learned in textbooks.

In addition, the cardiac surgery department also sent several patients.

These are all prepared for artificial vascular replacement.

However, the beds in the cardiac surgery department are already full, and a lot of people need to undergo small-caliber vascular surgery. In order to avoid affecting the diagnosis and treatment balance of other diseases, they were assigned to the emergency department.

Before the handover, Wang Ping took a sip of water and cleared his throat and said, "Today is the director's rounds once a week. If you want to come, follow me. In addition, Dr. Xu, go directly to Tao Changhan. He is a key patient. Make a diagnosis as soon as possible. I have notified people in the operating room to prepare at any time."

Xu Qiu nodded: "Okay."

After the handover, Wang Ping walked towards the ward with his hands behind his back.

The director's rounds have always been one of the most solemn programs in a department.

Whether it is a weathered and uninformed intern, they will seize the opportunity to study. If they can answer the director's questions correctly, their impression will rise slowly.

Wang Fan was actually in this way and by chance.
Chapter completed!