Chapter 728 Tropical Jungle Exposure History
Author: True Bear Chumo
"This is an old rural lady sitting on the kang and putting on the soles of her shoes." Meng Qingfei said helplessly.
Suddenly, the two of them followed the truth and walked into a dead end.
The patient behaved strangely and started to embroider and put on the soles of his shoes. If he could find this action online, he would only see the ghost.
Even Meng Qingfei didn't have the idea of picking up his phone.
Searching on the Internet also requires keywords and keywords.
Nowadays, mobile phone intelligence is not that advanced, but if you really shoot a video and you can give the answer, the profession of doctor will be gone.
Meng Qingfei and Ji Xiang were silent for a long time until a patient came back with the test report.
After dealing with the patient, Meng Qingfei kneaded the paper into a ball and threw it into the trash can. He stood up and put his hands behind him, and kept wiping it in a dark place.
Seeing Meng Qingfei walking like an ant on a hot pan, Ji Xiang also began to think.
Do you want to go online to see a doctor? Ji Xiang will do it.
With a sudden inspiration, Ji Xiang felt that since he had embroidered and could not even count money, the patient's high fever should be a breakthrough.
He picked up his cell phone and found the entry that was too hot to go away.
However, Ji Xiang did not look at it from the beginning, but directly pulled him to the differential diagnosis position.
Article 1, sepsis.
This should be ruled out because the patient cannot see maculopapular rash, no external manifestations such as rash, skin bleeding points.
Moreover, sepsis is about relaxation fever, and it does not want to be the same as the patient's symptoms.
Next article, tuberculosis.
This is easier to differentially diagnose. Chest CT has been performed, and no tuberculosis lesions are seen. Although rare tuberculosis in other organs cannot be ruled out, such as tuberculosis meningitis, tuberculosis pleurisitis, peritoneal tuberculosis, lymph node tuberculosis, renal tuberculosis, etc.
The patient did not have any reaction to systemic poisoning.
Ji Xiang held his cell phone and searched one by one.
"Xiao Ji, are you searching for a high fever, what are you seeing?" Although Meng Qingfei did not read Ji Xiang's mobile phone content, he also guessed what he was doing.
"I saw typhoid fever." Ji Xiang said.
"Although there have been occasional cases of atypical typhoid patients in recent years, and I have encountered two cases, these patients have rose rashes and their expressions are indifferent. Did you see the expression on his face when he embroidered them?"
Meng Qingfei asked.
"Uh, I didn't pay much attention."
"The girl who looks very much like Sichun is making clothes for Xiaoqinglang."
When Ji Xiang heard Meng Qingfei say this, goose bumps appeared on his back.
But that creepy sense of horror was instantly dispelled by the image of Shen Lang in Ji Xiang's mind.
Shen Lang
Brother Lang
Ji Xiang smiled.
"I didn't do the Feida test. Write it down. If I really have no idea, I'll try it." Meng Qingfei said while thinking.
At this moment, he was like a nationally renowned old expert, with his hands and feet full of force.
Ji Xiang knew that Teacher Meng had entered the "state", which was similar to [the gaze of a superior doctor], but it was not as simple and direct as the system skills.
He honestly wrote the words Feida test on the paper, marked typhoid fever at the back, and gave a question mark.
"What about below?" Meng Qingfei asked.
“Popular hemorrhagic fever.”
"Face and eyes are congested?!" Meng Qingfei suddenly said.
Ji Xiang frowned and thought carefully.
The patient's eyes were red, as if he had red eyes.
Ji Xiang felt something was wrong. As Meng Qingfei said that patients with epidemic hemorrhagic fever might have facial and eye congestion, his heart skipped a beat.
Is it an epidemic hemorrhagic fever?
"No, the patient's whole body was flushed, and his chest was not flushed. Although he didn't see it under his armpits, I'll take a look later and see if there was any bleeding." Meng Qingfei said, "Xiao Ji, remember."
"good."
Ji Xiang wrote down the popular hemorrhagic fever on paper, gave a question mark, and recorded the subcutaneous bleeding points that Meng Qingfei said.
"Next."
"malaria."
After Ji Xiang finished speaking, Meng Qingfei was suddenly stunned.
"Teacher Meng?"
"Wait." Meng Qingfei was very upset. He put his hands behind him and wiped them hard on the white suit.
"Forgot..."
A few minutes later, Meng Qingfei said distressedly.
"What did you forget?" Ji Xiang remembered the NPC words of the system and suddenly felt... something was wrong.
It is even rarer than heart tumors, but malaria is very familiar, so Ji Xiang subconsciously ruled out this diagnosis.
"I have never seen a patient with malaria. In 21 years, the WHO had declared that malaria in China had disappeared."
Meng Qingfei said it very simply, but his meaning was very clear.
this……
Ji Xiang was stunned. Meng Qingfei's words were somewhat similar to those of the system's NPC.
He then picked up his cell phone.
Ji Xiang also began to search for malaria.
Incubation period, chilling period, fever period...
【Some delirium, empty, even convulsive or unconscious…】
When Ji Xiang saw this line of words, he asked, "Teacher Meng, what is cunt?"
Meng Qingfei didn't know either, but the symptoms he saw were basically matched.
Then the two began to search for the slaughter again.
Ji Xiang felt that this way of seeing a doctor was particularly strange. He did not look like two experienced doctors, but like the family members of a patient who knew nothing.
Meng Qingfei found a description of the air-tightening line, which immediately matched the patient's symptoms.
But he did not show his joy, but took a look at the time.
Picking up the phone, Meng Qingfei hesitated for a moment, and finally made a call.
"Teacher Shen, I'm sorry, I'm disturbing you so late." Meng Qingfei said politely.
"Xiao Meng, what's wrong? Did you encounter diagnosis difficulties when you look for me so late?" asked the person across the phone.
"That's right, Teacher Shen, I met a strange patient. I suspected that he was infected with malaria. But I have never seen a malaria patient, so I called you to consult."
Meng Qingfei held the phone in his hand, but he seemed to face Teacher Shen who didn't know where he was. He kept bowing, his expression was humble to the dust, and his face looked guilty.
"Oh? Malaria? Patients have a history of tropical jungle exposure?"
When Ji Xiang heard this, he suddenly remembered the patient's family's narrative.
This time, even Ji Xiang started to complain that medicine is really twists and turns. He lies in the woods after drinking too much in Nanyang. If he says it, it turns into a history of exposure to tropical jungle.
"Yes, yes!" Meng Qingfei replied immediately, and he then described the patient's symptoms.
"Oh, I'll make up the air, there were related descriptions in traditional Chinese medicine books when malaria was popular. I talked about the sign of the rule, which looked like embroidery."
"That……"
"Your hospital... should not be able to detect malaria parasites. You can ask your local infectious disease hospitals if they can be checked. In the past twenty years, fewer and fewer patients have been infected with malaria, and most hospitals have stopped this examination."
"Okay, Teacher Shen, what else can I do?"
"Checkoquine can be treated with diagnostic treatment."
Chapter completed!