Chapter 356 One Word Determines Life and Death!
After saying this, the atmosphere in the conference room became cheerful again. The doctors of Linhai First Hospital, who were protecting their children, turned their heads and discussed their opinions in love.
At this time, Xu Qiu nodded.
The conference room was quiet again, waiting for the next sentence.
"No wonder……"
When Xu Qiu heard that it was diagnosed by a small attendant, many of the doubts in his heart were solved.
No wonder Linhai International Friendly Hospital leans on Ke Ya's disease!
Generally speaking, rare diseases are difficult to diagnose. It generally takes several months to several years to seek medical treatment in the industry to finally solve the case in a more advanced hospital.
It is quite rare for an international friendly hospital to give Kraja disease at the beginning.
But now Xu Qiu understands it.
The older the medical industry, the more cautious it becomes.
Medical students are cancer in all symptoms they see because they have too little knowledge reserves, so they can only be linked to the focus of the exam.
Although the resident doctor and the attending doctor have a certain knowledge reserve...
But doctors at this stage often have extremely high scientific research pressure. They spend their days in the literature, and their minds are full of people who have a rare disease and become the topic of my thesis. When they see a patient with unknown cause, their eyes can shine.ъìqυgΕtv.℃ǒΜ
Therefore, after Xiao Liu proposed the diagnosis of Kerjaya, the patient had a clueless diagnosis and the patient happened to meet him, so the hat of Kerjayaya became stronger and stronger.
However……
Take the answers to look at the questions and keep getting the numbers in line. How can you not make any mistakes?
...
"Dr. Xu, our hospital has made a film. You can call it out and take a look." Director Huo reminded.
Xu Qiu nodded, ir sequence.
Everyone sighed. Such a typical gossip is indeed like this!
But Xu Qiu gave a negative answer straightforwardly and said: "How can I diagnose Kerjac's disease based on just a few films?"
Director Huo felt his throat was blocked.
Although Xu Qiu's voice was not a bit stern, he still felt the pressure.
Xu Qiu continued: "According to the existing guidelines, remember the diagnostic criteria for Kerjac disease?"
Director Huo: "There are three standards.
Confirmed diagnosis, clinical diagnosis and suspected diagnosis.
At present, we have reached the clinical diagnosis step, mainly because of progressive dementia, typical EEG changes during the course of the disease, and/or positive cerebrospinal fluid 14-3-3 protein, in addition, any two of the four items: myoclonus, visual or cerebellar disorder, pyramidal or extravertebral system dysfunction, and amortizing silence...
Judging from Professor Yan's performance, except for the 14-3-3 protein, there are still several weeks to get the results, and everything else is in line with it."
Xu Qiu nodded.
Textbooks and clinical guidelines are indeed written in this way, but-
"You forgot the most important one."
Xu Qiu turned to the next page, with a line of words written on it: "Exclude other diagnosis."
Director Huo's pupils shrank.
He naturally knows that the diagnosis of rare diseases requires other diseases.
They are already very cautious in their analysis of Professor Yan. They have basically ruled out common internal diseases, and Kjar disease is the last clue.
Is there any problem?
"There is indeed abnormality in the EEG..."
Director Huo took out the medical records he carried with him and said while flipping through them: "I also have lace signs, which happens to be the parietal and occipital lobes that Kjavi disease is most commonly involved in... There shouldn't be any problem!"
Xu Qiu circled two sequences of lace signs on PPT and emphasized: "Look at it carefully."
Director Huo stared for a long time before he put up a few words: "Isn't it a gossip?"
"Yes, but what about the strength and weakness of the two sides?" Xu Qiu almost gave the answer directly.
Director Huo then woke up suddenly, quickly compared the signal strengths of the two sequences, and hurriedly said: "It's a little different. The lace here in flair is more obvious and has a higher intensity than that of DW."
He paused, "What does this mean?"
To be honest, there are very few Kjavi disease in the country.
There is no one mad cow disease in more than ten years, and there is even a case of mutant Kerjac disease in Daxia, which allows clinicians to figure out a disease that can never be encountered once in a lifetime. Remember today that you can forget it in a few weeks.
Not only Director Huo, but also Director Shen Nei Shen of Linhai First Hospital in the conference room, Director Lin Lin from the brain, and Director of the Infectious Disease Department, all lowered their heads without saying a word, for fear that Xu Qiu would click them out and ask a few questions.
As for the other attending physicians, they even scratched their heads and didn't look very smart.
"The relationship between strength and weakness determines whether it is Kjar disease."
Xu Qiu knocked on the table, raised everyone's attention and said, "The current academic community's diagnosis of Ke Ya's disease is uncommon, and it is strong.
And Professor Yan is just the opposite."
Director Huo widened his eyes and was extremely shocked.
Director Shen and others also had a long-term expression.
"Then...what should be?" Director Huo's heart skipped a beat. Isn't it true that it's Karja's disease? The key is that other diseases in the divine are not the same as them.
Xu Qiu seemed to see through his thoughts and said lightly: "Of course it's not a disease in neurology."
Everyone in the conference room was amazed. After a long time of work, it wasn’t their department?
A tumor in brain surgery?
Or an infectious department, immune system disease?
Just then, a knock on the door sounded.
Standing at the door was Director Zheng of the Department of Cardiology, who also held several brand new reports.
"I'm sure, there is indeed a greater obstacle, just a greater obstacle." Director Zheng said, handing over the order to Xu Qiu.
Xu Qiu nodded, recalled the patient's previous medical records, and then put the newly made blood routines, bone marrow images and other examinations together.
At this time, people including Director Huo noticed that six or seven years ago, Professor Yan had visited medical treatment due to "dizziness and fatigue, skin bleeding points", and later diagnosed with aplastic anemia.
Linhai First Hospital gave a more specific category: pure erythrocyte aplastic anemia.
Director Huo patted his head and said, "We have paid attention to any obstacle. Didn't that hospital be cured in the end?"
Xu Qiu: "It's cured but it still hasn't been shown. How do you judge?"
"this……"
"The way to judge is very simple, trace the root cause.
Finding the root cause and removing it is cured.
Is the cause of this patient's aplasia clear?"
Director Huo was a little fussy, "No, I didn't write it."
"Not written, just not."
Xu Qiu continued: "There are many causes of pure abnormal disorders, such as drugs and infections, and these causes are easily eliminated. However, no conclusions were given on the medical record, and there is only one possibility--the cause is unknown."
"The cause is unknown?!"
In the conference room, all the doctors were focusing their attention and their brains were running rapidly.
Chapter completed!