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Chapter 412 The Man Has Stretch Marks!

"Happy...Doctor?"

He Hai realized what Xu Qiu was going to say, paused and moved the microphone over.

Xu Qiu stared at Hou Ning calmly and said, "What is the name of the junior girl you are talking about?"

"Chen Qiao."

It was indeed her.

He Hai and others were also extremely surprised.

It turned out to be Chen Qiao, a young intern who followed Xu Qiu before?

The other party did get into the graduate school of Union University, but how long has it been, and it has only been more than half a year since I entered the school, and I was actually attracted by my supervisor?

"You are Xu Qiu, aren't you?"

Hou Ning stood up, with a hint of jealousy in his eyes.

He graduated from a master's degree this year and is exactly twenty-five years old, the same age as Xu Qiu.

At Union Union, his abilities are unique, and he has been qualified to independently lead a doctor at the same time.

Chen Qiao was brought by him.

During the operation, everyone else was "senior," and "the senior brother was so arrogant." Only the beautiful Chen Qiao looked absent-minded and blurted out, "If it were Teacher Xu, this knife should have reduced the bleeding by one-third."

That's outrageous!

His surgical ability has very little bleeding, and he can even less?

At the moment, after confronting Xu Qiu, Hou Ning did not feel inferior.

He is not an applicant, so he is equal to Xu Qiu.

"Second place, what do you want to do?"

At this time, seeing that Hou Ning was going to trouble Xu Qiu, Yang Yuen couldn't sit still.

Hou Ning was stunned, and anger appeared on his face: "It's just a written test."

He Hai couldn't stand it anymore and planned to drive Hou Ning out.

But Xu Qiu waved his hand and said, "You can continue to participate in the assessment."

As he said that, the first case he had prepared appeared on the screen.

"This patient was traveling in other hospitals for three months. After I received it, I underwent two examinations and directly confirmed the diagnosis."

Applicants, hurry up and look over.

"A man, sixteen years old, complained of depression, anxiety, delusion, and once diagnosed schizophrenia and obsessive-compulsive disorder in a psychiatric hospital, and was relieved after giving clozapine, paliperidone, fluvoxamine, lorazepam and diphenhydrazone.

He was discharged from the hospital a week later, but within a few days, he relapsed again.

He was treated with aripiprazole and was discharged from the hospital for the second time.

But something happened a week later.

This time the boy's symptoms became more serious, and he had phobia that he had never had before. His emotions were on the verge of collapse, and his whole body seemed to have become a different person.

In addition, there are nausea, vomiting and other symptoms.

After repeated hospitalization and discharge, he lost more than 40 kilograms and appeared purple stretch marks-like strips on his body..."

It took five minutes just to check the medical history.

Hou Ning became silent the more he looked.

Psychiatric, brain surgery, and various systemic symptoms all appeared on the boys, just like a hodgepodge. Xu Qiu only did two tests?

Can it be diagnosed at a glance?

How is that possible!

The others were also confused.

This patient is so weird.

Just looking at cases is chaotic and complicated, and no useful information can be summarized.

"Let's start, express your opinions." He Haidao.

Everyone immediately began to discuss.

Those who can enter the top 100 are basically elites. Even if they have no clue about this disease, they can still easily talk about a few correct nonsense.

Hou Ning put down his medical record and spoke as soon as possible: "There is no result for three months, so we must check the indicators of EEG, magnetic resonance and blood inflammation, evaluate the possibility of autoimmune encephalitis, and do a voltage-gated potassium channel antibody test!"

The others agreed.

"Yes, I looked at it. The patient had used four antipsychotics and had also replaced many antidepressants, but the symptoms were still worsening. Autoimmune encephalitis should be considered."

"The doctors in the hospital were completely wrong before. After taking antipsychotics, they did not stop taking the medicine. Instead, they thought it was the dosage and the effect was not good. At this time, they should have considered the wrong diagnosis direction."

A man wearing glasses shook his head: "You are wrong. From the perspective of a psychiatrist, mental illness itself lacks independence, and the effect of drugs on treatment of mental symptoms is limited. Without adjusting the dosage of drugs or changing third-line drugs, it is impossible to directly suspect a wrong diagnosis."

He Hai and others nodded.

The man wearing glasses has a lot of clinical experience.

In my heart, I silently added a few points to him.

Yang Yuen said: "It doesn't make sense if you don't have to consider autoimmune encephalitis."

Hou Ning and others looked at Yang Yuen in surprise.

What a joke?

Yang Yuen was not showing any weakness at all, raised his chin and said, "Look at the medical record carefully.

The patient had a lumbar puncture cerebrospinal fluid examination before, and no indicators related to autoimmune encephalitis were found!”

Hou Ningyao said, "It may be an insignificant infection."

"Do you think his mental symptoms were all misdiagnosed? They were all caused by encephalitis?"

"The medication is ineffective, so it's time to consider other directions."

"I think..."

During the fierce debate, Yang Yuen finally said: "The key is the patient's sudden weight loss and stretch marks!"

“Stretch marks?”

"Yes, stretch marks are formed by fat growth too fast and fibers are expanded and broken. Skin biopsy will definitely be given priority."

Hou Ning disagrees with this statement.

Is it really meaningful to not check for more serious symptoms of cerebral inflammation?

But at this moment, the ending ringtone of Dingling rings rang.

He Hai stood up and pointed out a few people: "Yang Yuen, Lei Hu..."

Hou Ning flipped through the medical records indifferently: "Why don't you click me? Although I don't participate in the application, I won't just skip my name."

He Hai laughed coldly: "You failed the interview."

"What does it mean?" Hou Ning paused.

He Haidao: "The diagnosis direction is completely wrong, and the most important details are ignored. You have just followed the old path that other hospitals have taken in the first three months. If you go to the diagnosis and treatment according to your judgment, I am afraid that the patients are still regarded as mentally ill!"

Hou Ning couldn't accept it.

He pointed at Yang Yuen: "That's right? The encephalitis is so obvious, she ran to see the expansion marks?"

He Hai pressed the page turn pen.

The check that Xu Qiu did at that time appeared on the next page.

"Skin biopsy."

"Sequencing report of blood specimens."

The final result is followed.

"The lesions are consistent with the manifestations of lymphoid histocellular infiltration."

"The nucleic acid sequence of Bartonite was found in the patient's blood samples, and further sequencing confirmed it as Hansebartonite."

...

Hou Ning looked at the report and his face was filled with astonishment.

Is my diagnosis really completely wrong?

Moreover, due to his identity, many people in this group were led by him and leaned against autoimmune encephalitis.

The last clue is actually stretch marks?

"How is that possible?" Hou Ning couldn't believe it.

He stared at the last few words.
Chapter completed!
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