"Do you know how precious Dr. Xu's time is?" Wang Fan said angrily.

"It's none of my business. Isn't your doctor just for treating patients?"

Liu Susu gave Wang Fan an encouraging look, and when she was about to speak, Xu Qiu stopped in front of them.

They still have too little experience in dealing with this kind of patients.

Xu Qiu said calmly: "If you don't cure the disease, how can you realize your ambition?"

"Tch, I'm sicker than you stupid... people!"

"Do you think it's just a fever that will pass after you hold on for a while? Dr. Wang has already conducted the first diagnosis. He can't see any clues, which means that the disease may be very troublesome. In other words, if it is not cured, you may

die."

"Do you think you can scare me? Just die. If a person dies, a bird will look up at the sky. God is jealous of talented people. If you die early, it means that God is jealous of my talent!"

"Yeah, but after you die, the achievements you could have made will be robbed by others. Are you willing to give up your reputation to others?"

Wei Ding's voice suddenly paused, and there was a hint of fear on his face.

Click——

The examination bed made a sound, and Wei Ding turned back silently without saying a word.

But his attitude is already obvious.

Xu Qiu didn't waste time and quickly started examining the patient.

Liu Susu and others were surprised.

Is it all done in a few words?

Dr. Xu's ability to communicate with patients is also unique...

Wei Ding's parents also looked in disbelief.

Xu Qiu sighed softly in her heart.

In fact, communication skills are one aspect of this matter.

The most important thing is Xu Qiu's identity and status.

What a cynical person like Wei Ding fears most is his peers who are better than him and whose achievements are beyond his reach.

Xu Qiu said these words to provoke him, but from another perspective, they also gave Wei Ding a sense of satisfaction that "I have been affirmed by the boss."

Whenever Wang Fan used the same words, Wei Ding would arouse stronger resistance because of his lack of status.

It's like the general manager patting an employee on the shoulder and saying "Do a good job", and the old janitor saying "Do a good job" have completely different effects.

…

After completing the inspection, Xu Qiu identified several issues.

One, myasthenia grade four.

Level five is normal muscle strength, level three means the limb can be lifted off the bed, but Xu Qiu immediately loses strength when he reaches out his hand to block it, that is, there is no resistance.

Wei Ding is caught between the two, able to resist resistance and walk on the ground, but his muscle strength level is lower than that of normal people.

After careful inspection, there was no drooping of the eyelids and the pupils were very sensitive to light, but there was no abnormality in eye movement.

Muscle strength of limbs.

There is no big problem with the central axis muscles such as raising the head and bending the waist.

The proximal muscle strength of the upper and lower limbs, that is, the muscles innervated by the shoulder girdle muscles, is reduced.

Muscle strength in distal areas, forearms, calves and wrists is least ideal.

"Fever, why do you have a fever?"

Xu Qiu's attention skipped the muscle weakness and focused on the fever.

According to the medical history, Wei Ding has had fever for more than a week.

The body temperature is actually not very high. The highest temperature is only thirty-nine degrees. For emergency doctors who are used to seeing extremely high temperatures above forty degrees, it is even a bit cold.

During the fever period, the patient also had intermittent chills, chills, etc.

Xu Qiu also had a physical examination, and there were no problems with the physical examination and cardiopulmonary auscultation.

The patient's heart rate, blood pressure and other vital signs are also very stable.

Apart from fever and muscle weakness, no problems were apparent.

"What tests have been done?" This was said to Wang Fan.

Wang Fan quickly stood up: "Brother Xu, I originally arranged for blood and CT, but the patient did not cooperate..."

"Re-do."

After Xu Qiu finished speaking, he glanced at Wei Ding on the hospital bed. The latter just closed his eyes and made no more resistance.

"Another PCT, C-reactive protein.

"And brain CT."

Xu Qiu added.

Clinical intuition told him that this disease should be closely related to the central system.

…

I finished an operation and it was almost time to get off work.

On the desk, there is a checklist sent by Shi Lian.ωωw..net

Wei Ding's.

B-type natriuretic peptide is slightly elevated, and this indicator may be related to heart failure, pulmonary embolism, hyperthyroidism, renal failure, etc.

Myoglobin also increased, with the value reaching 199.30, far exceeding the normal value of 28 to 72.

The clinical significance of this is complex.

If the patient has chest pain, chest tightness and other symptoms, coupled with increased myoglobin, it may be acute myocardial infarction;

If there is a history of trauma or strenuous exercise, acute muscle injury often occurs, and polymyositis, rhabdomyolysis, etc. should be considered.

Other symptoms include fatigue, nausea, decreased urine, edema, etc., which must be combined with urine routine and kidney function to diagnose acute and chronic renal failure.

However, the trouble is - apart from fever, the patient doesn't seem to have any noticeable symptoms!

Other examinations, PCT, C-reactive protein, etc. were not high, white blood cells were normal, and there were some abnormal indicators in the blood routine, but this has no clinical significance. Normal people will also have many problems when doing blood routine.

"Teacher, can you tell anything?" Shi Lian tiptoed.

Before Xu Qiu came, she had read the patient's report, and there were quite a lot of abnormal data on it.

For example, the D-dimer quantification is high, and the fibrin degradation products are also slightly increased...

However, she could not determine any disease from these examination data, and she did not even have a direction for diagnosis.

This is the biggest difference between medical students and doctors.

In the eyes of the former, all kinds of diseases are limited to strict rules and regulations, and if they fit the criteria, check the box.

Doctors, on the other hand, look at the whole picture.

Shi Lian paid attention to the increase in D-dimer, but in Xu Qiu's eyes, this isolated slight increase was meaningless.

"Low albumin means poor nutrition." Xu Qiu concluded.

From these laboratory tests, he could only see these two problems.

Even this is not a problem.

It is most likely related to Wei Ding's fever for nearly a week.

"Where's the CT?" Xu Qiu asked.

Shi Lian pulled out a small bag from underneath and took out the report sheet and imaging films, "There are three examinations, brain CT, chest CT and abdominal CT."

"Um."

Xu Qiu quickly discovered valuable anomalies.

There are small patchy low-density shadows in the left basal ganglia area, the density is similar to that of cerebrospinal fluid...

This is a softening lesion in the brain!

In short, cystic softening lesions are formed after various destructive lesions occur, causing brain tissue necrosis and softening, and cerebrospinal fluid filling.

This is why its density is similar to that of cerebrospinal fluid.

There are many causes of softening lesions, including cerebral hemorrhage, cerebral infarction, circulatory insufficiency, encephalitis and brain trauma.

"If it's a softening lesion in the brain, it will be very troublesome."
Chapter completed!