396 Guess what disease it is (Part 2)
"Yes." Old Huang nodded, "I persuaded him for five hours, and the old patient agreed only when he was off work."
"Because it was time to get in the middle of the traffic jam, the old patient kept nagging the old friends behind him and chasing him and taking him away. He was very serious and always looked back. I was afraid that he would break the car after he jumped off the car and broke it."
"The patient's family also cried and said they wanted to go to someone to help break it."
"Boss, this question is not as difficult as the penicillin allergy you said last time." Zhou Congwen said seriously, "What examination did you do when you went to the hospital?"
"It must be a head CT, and the reward is that there are bilateral basal ganglia area, and there are many old cavity in the center of the semioval circle, and no clear abnormalities are found."
Huang Lao looked at Zhou Congwen with a smile.
It turned out that the question was here, Zhou Congwen nodded, "If you do a nuclear magnetic field, I guess it is a cavity infarction of the temporal lobe, a small emboli, and CT cannot be seen. The DWI sequence can clearly see the new ischemic lesions in the temporal parietal lobe, and the Flair sequence also has ischemic lesions in similar positions."
“…”
Mr. Huang sighed, and Zhou Congwen's answer disappointed him.
So he glared at Zhou Congwen with a "vicious" look.
"Are you guessed it right? I just said that this question is not difficult." Zhou Congwen smiled. "The temporal lobe is responsible for processing auditory information, which is also related to memory and emotions. Boss, you told me early in the morning, and I didn't confirm until the CT is fine."
Liu Xiaobing hit Zhou Congwen's shoulder with his shoulder, "Zhou Congwen, why can't CT scan see Mg? I heard from my mother that the doctors in the hospital are so dark now. First CT scan and then magnitude. No one can see a doctor without a machine."
"In the acute phase of cerebral infarction, that is, within 24 hours, it is difficult to develop ischemic lesions. Although this patient has been in a long time, there is also the possibility that CT cannot be seen."
"The DWI sequence of magnetic resonance examination can show acute intracranial ischemic lesions within 6 hours of onset, so the diagnosis of cerebral infarction is much earlier than CT."
"Just check the magnetic field directly." Liu Xiaobing put down the stamp in his hand, and a small hill had already formed in front of him.
"Map MRI is slow, how fast the head CT examination is, the patient can do it anytime, and each scan can be completed in about 1 minute."
"And first of all, looking at CT is to see if there is any cerebral hemorrhage. Speaking of magnetic field... Yes, 912 is nothing. Our Jianghai City cannot do magnetic field at night now, and there is no one at all." Zhou Congwen smiled and said, "Boss, do you know the rules for magnetic field in Jianghai City?"
"Oh? There are rules?"
"A private hospital bought a dilapidated MMI from outside, and it can be opened at night. Our emergency department introduced the patient to the past and had money to get it."
"Just do it in the middle of the night, what does it matter how you divide the profit?" Mr. Huang was so excited that he was depressed that Zhou Congwen solved the problem and could not eat another chicken claw in justification.
"Boss, I'll take a test for you. If you can answer, I will discuss with Director Deng." Zhou Congwen decided to let the situation go.
Deng Ming's face was full of beard and angry, and he looked at Zhou Congwen at the stern.
Fortunately, it was not a real senior brother. Zhou Congwen thought to himself when he saw Deng Ming's appearance. If his beard turned into a monkey, he would probably have been beaten into ashes.
"Big...Director Deng, not only the boss, you can answer and answer questions quickly." Zhou Congwen said with a smile, "Depending on the level, what do you think?"
Deng Ming had no confidence, and he gradually realized that Zhou Congwen's diagnosis was very high... no, very high.
He was not sure he could answer the questions he had asked.
This kind of problem is extremely dependent on clinical experience. You can know it by looking at it or encountering it. There are too many strange cases that cannot be guessed at all.
But what's strange is that there are rich clinical experiences for young people like Zhou Congwen, Deng Ming is a little confused about it.
"Director Deng, you are unreasonable." Zhou Congwen stood beside the boss, pretending to be a tiger's power.
Deng Ming sighed, "Okay."
"Then I'll say it." Zhou Congwen looked at the boss and Deng Ming with a smile.
Old Huang nodded and looked at Zhou Congwen with interest.
"I have a neighbor in my hometown. I was 45 years old that year. I never married a wife in my life." Zhou Congwen began to preach, "Are you poor in the countryside in those years? I can eat a bite of meat when I kill pigs during the Chinese New Year. Usually, I have vegetables and pickled vegetables in winter. If the boss goes there, I probably won't be able to survive at all."
"I came here since then. If I don't have it, I won't eat it. If I don't have it, I won't let it eat it. This is very annoying." Mr. Huang retorted.
"The boss is right!" Zhou Congwen was very cowardly. "Boss is said to be the case where people started raising pigs and selling meat, and their lives are getting better and better. The extra land was contracted for others, and gradually began to be semi-mechanized."
"Zhou Congwen, hurry up and talk about the matter, I'm anxious." Liu Xiaobing said contemptuously.
"Come on, the villagers can eat pork. Life is better, but the bachelor is sick. It's not a serious illness, but it's often uncomfortable. I went to our health center and the county hospital for a lot of visits, but no results were achieved."
"Pork allergy?" Deng Min asked with a frown.
"I don't know what happened at that time, but now I think it's allergic to lard. In the past, only vegetable oil was eaten at home, but not much. Later, when there was a pig farm, I could eat pork every now and then. As a result, the symptoms of chronic allergicity of this bachelor began."
"You..."
"Director Deng, I just said something casually. The case hasn't arrived yet." Zhou Congwen smiled slightly, "This bachelor is very superstitious. When his left eyelid twitches, he says there is something good and wanders around every day. If his right eyelid twitches, he will not dare to go out at all, for fear that a meteorite from the sky will kill him."
Everyone looked at Zhou Congwen, not knowing what he was going to say.
"Boss, Director Deng, look at the young man who is leaning against the wall at the corner of the wall." Zhou Congwen said.
Deng Ming looked back, his eyes wide open, and his bearded face made Zhou Congwen feels that he can stop his night crying.
"Director Deng, don't look at other girls directly. Be careful that the boyfriend next to you comes over and points at your nose and asks you what to look at." Zhou Congwen reminded.
Deng Ming was stunned. He was a little uncomfortable with this kind of greeting method of Northeast China.
"The girl's eyelids kept pounding, and she was jumping fiercely. I probably couldn't see anything anymore." Zhou Congwen said lightly, "Now the boss and Director Deng have seen it, let's talk about what the disease is."
Huang Lao was stunned. Zhou Congwen obviously wanted to talk about a case of lard allergy, but he just "stumbled" to see the man and woman, and instantly got a diagnosis and immediately took it out as a problem.
You can tell what disease you have just a glance, which is not something that ordinary people can do.
"Zhou Congwen, do you have human nature? When someone is sick, you can tell me if you understand and let me treat the disease quickly." Liu Xiaobing said contemptuously.
“It’s useless.”
Huang Lao said lightly.
Deng Ming was stunned and felt a little depressed. He probably lost.
Chapter completed!