This round check looks no different from before.

I just asked about my nails.

Can this prompt something?

Xu Qiu gave the final conclusion: "This is not the agent Meng Qiaosen syndrome."

"It's not!"

"All symptoms are consistent, but I didn't expect it to be!"

As soon as Xu Qiu's guess came out, everyone questioned it, but they obviously believed in the other party's judgment more.

"Nails..." Wang Ping in the crowd touched his chin, thinking about Xu Qiu's previous behavior and the nails mentioned in the key points.

He suddenly thought of the patient's blood routine. At that time, Xiang Kai had an abnormality of low hemoglobin, but it did not attract much attention. Now it is related... is it a nutritional disorder?

Wang Ping immediately expressed his thoughts.

Xu Qiu nodded and shook his head again... Yes, but not completely.

"It can be understood as a nutritional disorder, but it should be an essential disorder of vascular motor nerve function."

Xu Qiu's explanation made everyone confused.

He didn't say much, and when the results came out, he would naturally understand it.

"Do a sympathetic nerve block experiment." Xu Qiu ordered.

...

More than ten minutes later, Lu Ruping rushed to the ward and saw Xiang Kai who was about to push him to do the examination.

"Doctor Xu said it wasn't an agent syndrome?" She was both happy and sad.

I’m happy that my son didn’t lie. He was really sick. With Xu Qiu’s attention, the disease would definitely not be delayed.

This is the same thing that is sad.

She would rather have too much control and had agency syndrome than see Xiang Kai suffer.

The two contradictory feelings were intertwined, causing her heart torment.

Shi Lian comforted him: "Don't worry, Dr. Xu already has a way of thinking. If there is no problem, he will be diagnosed in the next two days."

Lu Ruping didn't know what expression to do, but just nodded one after another and repeated: "Thank you Dr. Xu, thank you, thank you!"

Seeing Xiang Kai enter the examination room, Lu Ruping took back her gaze when she was completely lost. At this moment, she finally realized that two lines of clear tears had flowed out of her face.

...

Sympathetic nerve block is usually used clinically to diagnose and treat sympathetic nerve-mediated neuropathic pain.

The so-called block is actually the use of anesthetic drugs to inject around the sympathetic nerve, thereby changing the relevant functions. ωωw..net

Block for treatment is repeated local anesthesia injection, which gradually reduces spontaneous discharge of active neurons, blocks the sympathetic ganglia in the painful area, reduces sympathetic nerve activity, and ultimately achieves the effect of reducing pain.

What Xiang Kai needs to do is to inspect the experiment.

The process is not difficult. After the blockade is successful, skin temperature monitoring, pulse oximeter plethymography, etc. are used to observe the clinical signs of sympathetic nerve blockade.

However, traditional inspection methods have considerable disadvantages.

For example, skin temperature monitoring, there are many confounding variables, such as ambient temperature, autovascular diseases, and the application of vascular active drugs, which may cause the skin temperature results before and after blockade to be incompletely consistent with the actual situation.

Fortunately, Lin Medical is rich and uses a more advanced skin conductivity detector.

The principle is simple: the sympathetic nerve activity of normal skin will stimulate muscarinic receptors, and then stimulate the sweat glands to secrete sweat filled with sodium and other electrolytes. The electrolytes in these sweat will increase the conductivity and reduce the skin resistance...

The skin conductance detector detects these indicators through a non-invasive motor attached to the skin, and is almost unaffected by the external environment and has extremely high accuracy.

Soon, the experimental results came out.

The doctor in the laboratory department looked up and looked at it: the patient complained of pain relief, and the area tested changed from sweating, dampness, and coldness to a comfortable and warm feeling, and sweating decreased...

The skin conductance detector also accurately displays relevant data, confirming this result.

"Doctor Xu's guess is correct, it is a positive diagnosis of sympathetic nerve block!"

...

When the results of this inspection were released, many people were stunned.

Xu Qiu was also a little moved.

Everyone was misled...

Before, they all acknowledged that the patient was "extremely sensitive to nerves". In fact, Xiang Kai did not feel severe pain because of nerve sensitivity, but only showed extraordinary reactions to pain!

There is an essential difference between the two.

The former is highly sensitive to temperature, touch, sound, photo, electricity, and water.

But Xiang Kai is just more likely to suffer.

He is just sensitive to pain.

"So...what is the disease?" Many doctors in the Lin Medical Group raised questions.

This time, Xu Qiu did not keep it in hiding again. He listed Xiang Kai's condition.

One: A sprained ankle two months ago.

2: Severe pain of unknown origin.

3: Vascular motor dysfunction and nutritional changes in the limbs.

And the last fourth point, the experiment of diagnosing sexual sympathetic nerve block was positive...

As soon as the analysis came to this point, Director Zhu of the Department of Brain Surgery blurted out: "Complex local pain syndrome!"

Xu Qiu returned a recognition expression, which was the final diagnosis.

...

Complex local pain syndrome.

Although it is also a rare disease, it is much more common than surrogate syndrome.

However, because the latter is too vicious, the popularity and attention of complex local pain syndrome are not as good as that of agent syndrome.

This is a pathological pain secondary to local injuries, which usually persists beyond the conventional trauma healing process. After a long period of incurable disease, it gradually develops under significant motor function and shows a trend of progressive development.

It has many clinical manifestations, but it is mainly pain, including spontaneous pain and induced pain, and the most important thing is the subsequent induced pain.

The inducing pain just includes hypersensitivity!

This is a manifestation of being misdiagnosed by thirteen hospitals as "extremely sensitive to nerves".

It’s not that he is too sensitive to the nerves, but he is extremely responsive to the pain!

...

"It turns out to be so!"

"I can only say that Dr. Xu is a great writer!"

"This mother is also very awesome. If she hadn't insisted, she wouldn't have insisted on coming and asked Dr. Xu to diagnose it. Maybe she would have really misdiagnosed!"

"Yes, if you continue to drag on it, the patient may face more severe muscle atrophy and even lose his motor function!"

The patient is an eleven-year-old child, and it is the golden period of bone development and complete motor ability. If this period is missed, no one can recover the wrong situation.

The abnormal vascular motor nerve function of the injured leg will also cause the growth of the leg to fall behind the other side. Every time one more day delays, his slope will be a little bit a little bit. When everyone realizes that it is not a proxy syndrome, it may have lost the meaning of treatment.

"Prepare for treatment." After the diagnosis, Xu Qiu was in a much easier mood.

The treatment plan is clearer.

In terms of Xiang Kai's situation, the most suitable one is TENS therapy.

——
Chapter completed!