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Chapter 375 There is only one truth

"But what? You kid don't say half of it," Hua Chenan asked anxiously.

"There are many cases of starry sky, such as tuberculoma, steroid hormone-reactive chronic lymphocytic inflammation with peri-ponsive intensive care, abscess, toxoplasmosis, fungal granuloma, low-grade astrocytoma, and cystic brain metastases."

Chen Xia reported the names of these diseases, and several doctors at the scene were already fainted, and they had never heard of many diseases.

But Chen Xia didn't finish his words, "There is another most likely diagnosis that is brain cysticillosis."

Everyone couldn't help swallowing their saliva. Brain cysticillosis has not appeared in Zhijiang Province for many years, and those young doctors have never even been exposed to it.

Moreover, it is very difficult to diagnose this disease, and it is often confirmed after an autopsy. Is CT also such a magical effect?

Dean Gu asked: "Chen Xia, can you be sure?"

Chen Xia's head shook like a rattle, "How can I confirm it? This also requires asking the patient for medical history and undergoing corresponding physical examination. By the way, I have to call my master, because it cannot be ruled out whether it is a problem in the infectious department."

After all, he was just a surgeon in his previous life. Although he learned every disease when he was studying or during the professional title test, and he was reading books on time, he had never seen it with his own eyes, so he was not sure.

At this time, the advantages of multi-disciplinary consultation are reflected, and everyone is working together.

Hearing Chen Xia say this, Dean Gu feels confident.

"Let's go, call Lao Ren immediately. Now we go to the ward to carefully inquire about the condition again and do the corresponding physical examination. In addition, I would like to emphasize again that this patient is the first referral patient in our Yuezhou People's Hospital. We are only allowed to succeed and not fail."

Everyone is under a lot of pressure, but the pressure is not on Chen Xia's side. Anyway, he is from the General Affairs Department and is a so-called person.

Could it be that if the patient is cured, he can still give him a banner to the General Affairs Department, what is "a wonderful hand that brings back the spring, Hua Tuo is alive?", "Excellent medical skills, save lives and help the wounded"?

That's a big hit on the clinical department, it's a joke.

A doctor with aspirations often has great interest in difficult and complicated diseases. Just like a child discovers any fun toys, you must study them clearly.

Just now, when Ren Yuanfei heard a strange patient came to the Department of Cardiovascular and Cerebrovascular Medicine and wanted him to go to the consultation, he immediately came and participated in the multi-college rounds together.

The rounds were mainly Hua Chen'an, after all, he was the boss of this department.

The patient was lying on the bed and was asleep. Several family members stood by the bed with a worried look on their faces. A person who looked like a daughter kept sobbing.

"Doctor, please save my dad. My dad is a cadre and can be reimbursed for any amount of medicine. We won't owe you money."

Director Hua made a stop: "This is not a problem of money. Treating the disease is important now. Tell me about the patient's situation in the past six months."

"Okay, okay," the family members wiped away their tears and told them about their illness again.

"My dad started having headaches six months ago. At the beginning, it was a migraine. At that time, he went to the health center to eat some headache powder, which also had a certain effect. Later, his memory became worse and worse, and he often forgot about the previous things.

He has always been feeling irritable and depressed for the past half month. We thought he was a little uncomfortable after changing jobs, and my mother often took him out to play. Oh, by the way, during this period, he would occasionally say that he had a headache.

It was about a week ago, and my dad suddenly fell to the ground and started to twitch. It was so scary at that time. He couldn't speak well after waking up, and half of his body could not move. At that time, we went to Jianzhou People's Hospital and asked if it would be a stroke."

Stroke?

Everyone's eyes suddenly lit up, as if the patients over the past week had indeed performed like cerebral infarction.

Chen Xia suddenly said: "It cannot be a cerebral infarction. It is not shown on the CT tablet. Moreover, if the cerebral infarction is a flaky low-density foci. The patient's display is that there are more scattered white spots, which do not conform to the blood supply distribution rules of blood vessels, so it is not correct."

This is the advantage of CT. In the past, everyone could only guess based on the symptoms. In fact, the diagnosis of brain diseases cannot be said to be "confirmed".

Now that we have CT scan, Chen Xia can firmly deny the diagnosis of cerebral infarction, and the other old directors cannot be anxious. If it were the past, who would believe what you, the general affairs chief, said?

Now, everyone shook their heads in delight and disappointment.

I was happy that now I had CT, and I had enough confidence in speaking and the diagnosis became clearer. I was disappointed that my guess was directly rejected by CT, and I was more or less unable to bear it in terms of face.

Tan Zhigui thought for a long time and suddenly asked: "Is there a possibility of brain abscess? The abscess may also appear in various positions of the head. Is it possible that CT also shows the stars you mentioned?"

Chen Xia replied: "The abscess you mentioned, Director Tan, does have similar manifestations under CT, but brain abscesses generally have a history of fever and can find the source of infection, such as suppurative middle ear mastitis, brain trauma, infections in other parts of the body, etc. Abscesses can also be strengthened in annular form, and are mostly single abscesses, and large-scale edema is common around the abscess."

Dean Gu asked: "So is the possibility of tuberculosis? There are also dots in chest X-rays."

"The CT symptoms of tuberculosis are a bit similar, but tuberculosis often has clinical symptoms such as low fever in the afternoon, night sweats, and poor skin loss. This patient doesn't seem to be very consistent with the clinical symptoms."

The family members also nodded quickly: "Yes, my dad doesn't have these symptoms."

This is not, that is not, the directors fell into deep thought again...

In fact, Chen Xia personally prefers cerebral cysticidosis caused by parasites, but there have been no reports of related diseases in Zhijiang Province for so many years, which makes him a little unconfident.

So he picked up the film and read it carefully. At this time, he found that these white spots had "bovine eye syndrome".

This made Chen Xia excitedly pat his thigh. Damn, the more he looked, the more he looked like cysticillosis.

Because "bob eyes" is generally caused by cyst degeneration of parasites, edema is reduced, and the cyst is converted into nodules or mixed tissues. The lesions show high signals, while the center of the nodules shows low signals due to calcification of the head node. The manifestation of CT is called "bob eyes".

There is still another disease that needs to be eliminated. Chen Xia looked at his family and the doctor in Jianzhou.

"Does the patient have malignant tumors? Is it cancer?"

The doctor from Jianzhou quickly shook his head: "The patient has no cancer. At the beginning, we also suspected whether it was a headache and mental change caused by the metastasis of the cancer to the brain, but later we carefully examined the whole body and found no cancer."

Several families of the patient also shook their heads repeatedly and expressed their denial.
Chapter completed!
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