Chapter 508 Unable to find the cause, hidden clues!
Xu Qiu can perform craniotomy to remove tumors and open the brain to clean various hematomas.
It can even separate brains that grow together.
However, there is nothing we can do when faced with intracranial softening lesions.
Once such lesions form, it is basically impossible to remove them through interventional means.
The only clinical solution is to prevent further aggravation of encephalomalacia.
"There is also thickening of the renal fascia and perirenal exudation."
Xu Qiu thought briefly.
There is no connection between these two symptoms.
But that's not the point.
The core point is - where do encephalomalacia lesions come from?
Whether the perinephric fascia is thickened or not, and whether there is leakage or not, is of little significance. At most, it indicates that there may be inflammation or stones, and cannot provide any more diagnostic information.
What we should pay attention to is the softening point in our head!
How did it come, where did it come from?
Xu Qiu reread the laboratory tests.
The infection indicators are not high and the kidney function is normal. It must have nothing to do with inflammation of the urinary system. The relationship between the disease and the kidneys has been completely ruled out.
At most it means that Wei Ding's kidneys are not in good condition.
Shi Lian stood aside, tilting his head and thinking.
Suddenly, she thought of something and said: "Teacher, the patient was very cold, so I added an extra quilt to him, but the patient disliked the heat and threw it aside."
In fact, clinical practice does not pay attention to "covering sweat". The folk saying that you should cover yourself with a quilt when you have a fever has some truth, but it is not necessarily completely correct.
Most of the time, doing whatever is comfortable is the most appropriate way to deal with it.
When it's cold, cover yourself with a quilt, and when it's hot, cool down appropriately, based on the patient's feelings.
"It's very cold and you don't cover yourself with a quilt?"
Xu Qiu suddenly raised his head and asked, "Is he being brave again?"
Shi Lian said, "I don't know. If I ask him, he will turn his back and say nothing."
She could feel that Wei Ding seemed to be a different person in front of her, exuding inferiority and lack of confidence.
He dares to be confident in front of Xu Qiu, but immediately wilts in front of a beautiful girl of the same age, which is probably a common trait of this kind of people.
Xu Qiu nodded, always feeling that something was wrong.
He put several valuable performances on the table.
1: Cerebral softening lesions.
2: pct, c-reactive protein is not high.
Three: Chills, high fever...
…
Looking at it, Xu Qiu suddenly shivered.
High fever and chills, which are linked to infection indicators, are simply too inconsistent.
wrong!
Xu Qiu recalled what Shi Lian had just said.
He quickly asked: "Did he ask you to add a quilt to him?"
Shi Lian shook his head: "No, he was only mean to Dr. Wang and his parents. When we female doctors and nurses passed by, he didn't dare to speak, and he didn't even dare to look at us."
Having said this, she smiled: "That's why Dr. Wang will call me every time he goes there, or ask Dr. Yun and the others to go."
Xu Qiu skipped all the details and focused on the highlights: "Then why did you add a quilt to him without permission?"
"He...is cold."
"Why do you think he is cold?"
Based on Xu Qiu's understanding of people like Wei Ding, they would not admit to being cold even if they freeze to death, which would make them feel embarrassed.
Shi Lian hesitated: "Because he keeps shaking..."
"shake?"
Xu Qiu recalled the physical examination in the afternoon.
The other party did tremble several times, which was no different from the symptoms of chills.
And the frequency was not high, so Xu Qiu didn’t pay too much attention.
It is consistent with the "high fever" and "chills" recorded by Wang Fan during his first physical examination.
But looking back now, does it mean that the body is shaking because of the cold? Why does the cold not want to cover himself with a quilt?
Is he trying to be brave, or is he not cold at all?
Thinking of this, Xu Qiu immediately stood up: "Let's go to the ward."
…
Outside the ward, before Xu Qiu could enter, he heard Wei Ding's voice.
Still cursing his parents.
"I have really committed a sin. When I meet people like you, you can't even bother to see a doctor. Why don't you want to spend money to send me to a big hospital? Why don't you just drag me home and wait for death?"
"How much does it cost to be hospitalized? I'm the only son you have. If he dies, he won't all be mine. I don't need you to save!"
"Damn, it's such a shame to have parents like you on the street! It's because you are poor and stingy. I've never seen anything in the market. The farthest place I went before going to college was the next county, and I didn't even see coffee!"
"Okay, okay, don't cry. Give me more money every month from now on. I know you are incompetent and picky, but I am your only son, and your money will be mine sooner or later. If I had
I have money, so why do girls look down on me? I don’t dare to say anything? Do you know why there are so many singles in rural areas? It’s just one word, poor!”
"As long as you have money, women will follow you. It's best to lie to women in college. If you have more living expenses, you can have one or two sex. If you have money, you are a boss. It's that simple!"
In the four-person ward, the other patients were all silently covered with quilts.
There was a lady in her fifties, her teeth were almost broken, and she wanted to slap this guy.
"If I had a son like this, I would kill him with a hoe, why not raise a dog!" Seeing Xu Qiu come in, the aunt suddenly felt more confident and cursed.
Wei Ding immediately fell silent.
His masseter muscles were tight, and the muscles on his face were prominent due to anger, and his expression looked ferocious and ferocious.
But when Shi Lian walked out from behind Xu Qiu, he suddenly felt as if his breath was leaking, his expression immediately became sluggish, and he lay back down with his neck curled up.
"Teacher, look."
Shi Lian pointed.
Xu Qiu also noticed that under the thin quilt, Wei Ding's body trembled from time to time, the amplitude was not small, and the frequency was not low.
This is not something that can be explained by a shiver.
Moreover, Xu Qiu also noticed some details that others had not discovered.
Chills are divided into physiological and pathological. The former is mostly caused by the external environment being too cold, which triggers the contraction of skeletal muscles throughout the body. For example, the whole body trembles when urinating. This is because the urine takes away the body's heat, resulting in the formation of skeletal muscles with the external environment.
the temperature difference.
The pathological nature has nothing to do with cold.
For example, chills caused by high fever are often caused by skeletal muscles losing control and contracting rhythmically.
But one thing is consistent - the tremor of skeletal muscles throughout the body.
Even if it is pathological shivering, it is usually during the febrile period when the whole body shakes and the body temperature rises. The frequency of shivering will indeed be very high, but it will not be too frequent after it stabilizes.
However, Wei Ding is different!
Xu Qiu walked a few steps quickly and came to the hospital bed.
He needs to verify it himself!
Shi Lian also became nervous. She realized that the teacher had found something, but she couldn't understand it - this was normal. If she could follow Xu Qiu's thinking, or had Xu Qiu's vision, she could also get the "King of Kings" instantly.
Anyone who bullies the right".
Chapter completed!