Xu Qiu opened Wei Ding's eyelids.

"Look carefully." He took a ophthalmic flashlight and said to everyone.

Wang Fan subconsciously said: "Does... have eye poop?"

“…”

Liu Susu clenched her fist and said in a fit of anger: "One of the surname Wang, go out!"

Wang Fan immediately closed his mouth.

After Director Shen approached, he observed carefully for a moment, and his pupils narrowed: "The eyes are very dry."

The eyes of normal people have moist tear glands, and the surface should have a layer of water membrane.

But Wei Ding was different. His eyes were like mummies who had just walked out of the desert, with almost no moisture.

"besides."

Xu Qiu then separated the patient's upper and lower lips.

Suddenly, a stinking smell came.

Xu Qiu's breathing stagnated, which was a disadvantage brought by the master's ability to distinguish smells.

"The mouth smell should be just not paying attention to oral hygiene..."

Director Shen finished speaking, his voice came to an abrupt end.

As Xu Qiu continued to open his lips, he saw the patient's oral mucosa that was chapped into pieces.

"Dry eyes, dry mouth?" He looked at Xu Qiu in surprise.

This is a lacrimal gland, salivary gland disorder.

But... what is this related to the previous two diagnoses?

Director Shen pondered for a moment, and suddenly a flash of inspiration flashed. He stepped forward excitedly to check Wei Ding's skin.

But he was disappointed.

"There is no butterfly erythema, and there is no hair loss, alopecia areata, etc., unlike lupus erythematosus..."

Xu Qiu nodded and said, "Half right."

"half?"

"The direction is right, but the patient is lupus erythematosus."

“How to explain…”

Xu Qiu threw the gloves into the trash can and said lightly: "Dry mouth and eyes are caused by systemic lupus erythematosus, which causes the involvement of the lacrimal glands and salivary glands.

The 'perenogenic fascia thickening' and 'slight exudation' in the previous CT report are not an interference, it is precisely a manifestation of kidney involvement."

Director Shen stayed for a few seconds, and then a surprise came from the bottom of his heart.

In this way, all the abnormalities in the admission examination will be linked!

At first, they thought that the perirenal fascia was thickened and slightly exudated because of inflammation in the kidneys, or there may be stones, etc. Now they re-examined. If lupus erythematosus is wrapped, whether it is dry eyes and mouth, or perirenal kidneys.

Abnormalities are most likely caused by lupus and multiple systems of involvement!

"But...three diseases?"

The Lord of God seemed a little confused.

Focal epilepsy and transverse myelitis are already troublesome enough, and there is another lupus erythematosus...

Isn't this a bit too abrupt?

However, at this moment, Director Lin, who had been silent, suddenly patted Wang Fan on the shoulder.

Bang!

Wang Fan turned his head in horror, "Director Lin, what are you doing?"

"I know what Dr. Xu means!"

Director Shen was stunned for a moment. He looked at Wei Ding and reacted the next moment, slapped Chen Wangfan's other shoulder: "I understand too!"

Wang Fan:???

Liu Susu said quietly: "Let you go out."

After Director Lin had a brainstorm, he felt a sense of comfort that suddenly understood. He looked at Director Shen and said in unison: "Lupus brain!"

Lupus brain.

As soon as these three words were spoken, the doctors present were surprised.

This is a rare disease. To put it bluntly, it is systemic lupus erythematosus combined with damage to the central system and peripheral nervous system.

It is difficult to diagnose clinically.

Because the disease has too many clinical manifestations and is not specific at all, if you want to do a test, it is difficult to diagnose unless you take a biopsy at the lesion site, find the formation of an immune complex, or find evidence of direct damage to the cell...

In terms of classification, there are several types of rough distinctions.

For example, non-thrombotic neurological lupus is characterized by vasculitis.

There are also thromboembolic, hemorrhagic, etc.

Director Shen said deeply: "Doctor Xu means that these three diseases are actually lupus brain!"

Director Lin nodded.

There are many clinical manifestations of lupus brain, including epilepsy seizures, muscle weakness, kidneys, salivary glands, lacrimal glands, etc., which can naturally be damaged.

At this moment, everyone finally realized it.

When they recalled the entire diagnosis and treatment process, they felt powerless.

In front of Xu Qiu, the disease seemed to be divided into several sections, first focal epilepsy, then transverse myelitis, and then pointing to lupus erythematosus based on dry oral and perirenal damage, and finally finding out the common logic of the three diseases-

Lupus brain!

However, they still focus on the correspondence between symptoms and diseases one by one, and do not think of the whole at all.

Or it is related, but their clinical experience and intuition are not enough to support such complex reasoning.

Director Shen and Director Lin breathed a sigh of relief at the same time, with a refreshing smile on their faces.

Following Xu Qiu's diagnosis ideas, they also felt a process from the onset of the disease to the development of the disease, and the final solving of the case. All the links are closely linked, locking the final disease like a thread and cocoon...

This is not a diagnosis, it’s simply enjoyment!

...

Under the guidance of Xu Qiu, Director Shen, Director Lin and others finally came to the final conclusion.

Lupus brain is also Xu Qiu's judgment.

Apart from this disease, nothing can explain Wei Ding's problems at the same time.

After returning to the conference room, Xu Qiu gave a more detailed analysis.

"Lupu encephalopathy, also known as neuropsychiatric lupus, is extremely dependent on the experience of a doctor who wants to diagnose the diagnosis.

Of course, there are not indicators that can be used to refer to.

In the first five years of lupus onset, the incidence of cerebrovascular accidents is very high. If the patient has an unknown rash, fever, or multiple systems involved, and a multiple cerebrovascular accident, you can consider the lupus brain.

Another thing is that if you suspect lupus brain, you need to focus on one indicator.

Antiphospholipid antibodies are positive!

Although no one can explain the pathogenic mechanism, many literature and clinical data show that patients with positive antiphospholipid antibodies are more likely to occur...

In this disease, the symptoms of lupus brain include epilepsy, transverse myelitis, fever, etc.

In addition to these, the most diagnostic value for the disease also includes mental symptoms, stroke, transient ischemic attacks and sterile meningitis…”

After the lecture, Director Shen and others felt a sudden enlightenment.

For them, Wei Ding's disease is a fog.

Xu Qiu dispelled the fog for them, and also taught them how to dispel and where to dispel... This lecture will be worth a thousand dollars!

From then on, if you encounter lupus and internal medicine doctors, you should be very confident.

Before getting off work, Xu Qiu arranged a detailed immune system examination for the patient.

Before the results come out, considering the patient's condition, treatment must be performed first.

Brain involvement is enough to show that the condition is serious.

In addition, the patient has kidney disease, so the severity needs to be raised.

The emergency room and the ICU are all ready to deal with the possible lupus crisis of Wei Ding.

If the condition is controlled and does not continue to progress, then everyone will naturally be happy.
Chapter completed!