(Thanks to kakazaza, book friends 20190727205832637, Qinglian Sufeng Piao monthly ticket encouragement)

"Teacher Liu, is there something wrong with it?"

Xu Yinuo, who accidentally saw the expression on his face, asked curiously.

"Think about it carefully, has your father ever been choked while eating? Or has he fallen on the table while picking up food?"

Liu Banxia did not answer Xu Yinuo, but stared at the patient's daughter and asked suddenly.

The patient's daughter nodded in confusion, "You can't speak when you eat, you will easily choke as soon as you speak."

Although she didn't know why Liu Banxia asked this, she could feel that she had discovered something. After answering, she looked at Liu Banxia with anticipation.

However, Liu Banxia did not speak this time, but grabbed both arms of the patient and shook slightly in the air.

After putting down the patient's arm, he put it on the edge of the patient's head and carefully showed it to the patient.

"Mr. Liu, what did you find?" Xu Guosheng was a little curious.

"Doctor Xu, do you think if myasthenia gravis is weak, will it also cause respiratory distress, similar to asthma?" Liu Banxia asked.

"Mysas gravis? Oh..., this is really possible. If it develops into the respiratory muscles, it will also cause respiratory distress." Xu Guosheng shouted in surprise.

After saying that, he also raised the patient's arms and felt the patient's control over his arms. Then he picked up the patient's feet and asked him to kick.

Even if there has not been a special inspection, the current situation can be seen, and it is almost the same.

"Doctor, did you find out what's sick?" the patient's daughter asked carefully.

Liu Banxia nodded, "It's almost myasthenia gravis that causes the current situation. We will do a New Sidemin test later, and it will be effective in almost one quarter of an hour to half an hour."

The patient's daughter actually didn't understand myasthenia gravis, and she could only understand it literally. But there was one thing she could tell that her father was saved.

The ICU was promoted and the Neostigmine was directly injected into the intramuscularly.

Then Liu Banxia and his group were guarding the bedside, staring at the patient with a gaze.

Although there has been a certain degree of judgment, Liu Banxia and the others did not dare to extubate the patient. What if the guess is bad? This may affect the patient's life safety.

It took a full twenty minutes before Liu Banxia and the others began to further test the patient's arms and thighs.

"Mr. Liu, it can be diagnosed, that is, myasthenia gravis. Although it is not very obvious now, it has improved. It will reach its peak in half an hour, right?" Zhang Zhiyuan asked.

Liu Banxia nodded, "It's almost done. After a round trip, it's under our noses, and they're all ignored."

Ding! The strange respiratory distress patient task is completed

Obtain 200 experience points, 100 proficiency points in diagnostic skills, and 5 glory points

"If the drug peak is reached, the tube is extubated and then transferred back to the ward to give Xinsming oral treatment, right?" Zhang Zhiyuan asked.

"Then do it like this. You can still stay with his daughter in the ordinary ward, which will relieve your mood a lot." Liu Banxia said.

"By the way, Xiao Su will go to work directly today. Don't use it too ruthlessly. The honest child won't complain. Don't use it all at once."

Zhang Zhiyuan rolled his eyes, "How can you do that? It's too late for babies."

The interns were happy, after all, this place is also a place to be intern in the near future.

They were also very curious. They didn't know how Liu Banxia discovered the patient's myasthenia gravis, but they were not easy to ask in the ICU now.

"Don't worry, after observing for a while, you can be transferred to the general ward. It is already confirmed that myasthenia gravis." Liu Banxia said after coming outside.

"Doctor, what's the reason for that? Is this allergic? "The patient's daughter asked.

Liu Banxia shook her head, "To be precise, this disease should be related to nerve conduction. When the human nerves are transmitted to the muscles, some conditions occur, which is also an autoimmune disease."

"But don't worry, there are mature therapies at present, and as long as you take the medicine, it can be relieved, and the prognosis effect is also very good."

"There are many reasons for this, including infection, excessive fatigue, postoperative trauma, mental reasons, etc. The clinical manifestations are sudden aggravation in the acute phase and difficulty breathing."

"Just like your father, I was still mild myasthenia when I visited the hospital yesterday. I was able to move on my own. Although it was a bit difficult to breathe, I was able to maintain my body's oxygen needs."

"But after entering the acute phase and meeting the standard of myasthenia gravis, the nerve signal cannot be accurately transmitted to the respiratory muscles, which causes acute respiratory distress."

"In view of the patient's performance, I personally tend to have a mental impact. In other words, it is probably caused by the longing for your mother."

"And this disease has been manifested in the past, but it has been ignored. Including patients will feel very tired after working, and people will get much better after a while of rest."

"You can recall that patients tend to be in good spirits in the morning and will appear to be listless at noon or afternoon."

"Yes, yes, that's it. At first I thought it was still affected by a cold, and I had sweated when I even drank hot water at home, so I didn't pay much attention." The patient's daughter said hurriedly.

"Although I was very nervous today, myasthenia gravis is very hidden. It is often seen as pneumonia or a cold. The patient's cough is actually because it affects the respiratory muscles and cannot deal with irritating odors."

"It's better to stay in the hospital for a few days and undergo hormone treatment. However, when you are discharged from the hospital in the future, you should keep the patient in a relaxed mood. Otherwise, you might be able to make trouble again, and you will have a preventive heart at that time."

The patient's daughter was left with nodded, and it was enough to be cured. As for the matter that was so nervous today, she had long forgotten where she had gone.

And according to Liu Banxia, ​​now she can really find many unusual places when she recalls carefully.

For example, my father didn't lift his feet when he walked, and he spent a lot of time lying on the sofa and on the bed, and his appetite decreased, and his appetite became worse.

But these should be considered unusual symptoms. Whether in my heart or in my father's heart, I think it is normal.

Just now, the doctor asked him repeatedly, but he didn't take these unusual things seriously.

"Doctor, my attitude today is so bad. Where is that doctor? I have to apologize to him."

After hesitating for a moment, the patient's daughter said apologetically.

"He is still receiving a doctor downstairs, and he can understand your mood." Liu Banxia nodded.

"There is one thing you must remember. When you look back, your father must do a good job in tutoring your mood. Raising a pet is a good way, and it can also be regarded as giving his feelings a sustenance."

"Or it would be left alone many times, and he would think of the past in his heart. There was a small animal by his side, no matter whether he was naughty or something, he could be busy with it."

"Well, I'll buy it when I look back. Can I buy a husky? I have to keep watching this, and he has no time to think about anything else." said the patient's daughter.

"Haha, it depends on your own ideas. In fact, whether it is to keep a pet or to develop a hobby, it is OK." Liu Banxia said with a smile.

The patient's daughter is also a straightforward person, otherwise she would not be so excited today. However, he would not interfere with the apology. This is a matter between her and Xu Hui.

"Teacher Liu, how did you find out?"

Walking downstairs to the road, Xu Yinuo couldn't help but ask.

"I actually always felt that the patient's condition was a bit strange, but I don't know what the blame was." Liu Banxia said.

"When I was in the ward, the patient waved his hand, but at that time I thought the patient had difficulty breathing, so the swing of his hands was not very large."

"I also noticed that the patient's eyelids were a little droopy. For many people, this would happen. If you don't have a good rest or what you ate at night, these may also be caused."

"But it was a little wrong just now. The respiratory muscles that had been using for so long, and the blood oxygen had reached a normal value. It was not because of asthma attacks or pneumonia. So why is he still so tired and powerless?"

"Hey..., I'm actually blamed me. Just staring at the patient's asthma, I ignored the rest. Many patients with myasthenia gravis have been diagnosed over the years, and they all have to be careful in the future."

"It's too confusing. These patients have had muscle weakness for a long time, so they may be misled as other diseases for diagnosis. If it weren't for the use of bronchodilators, the patient's respiratory conditions did not relieve the patient and the asthma was ruled out, I wouldn't dare to use the Neustramine test."

"Why?" Xu Yinuo asked casually.

But after asking, I regret it, because one of the requirements for use of neostigmine is for patients with bronchial asthma to use with caution.

"I punished myself for a chicken leg at noon." Xu Yinuo raised his hand.

Liu Banxia nodded with satisfaction, "The performance is pretty good, just correct it if you know the mistake. She is a good comrade."

The people around him were sneaking and they had to be cautious when dealing with Liu Da Demon King. On the road to cheating chicken legs and pig trotters, he had already walked too far and could not catch up with him.

However, they were also very moved. They walked with them for so long and saw the patients, but no one noticed them.

With this insight, it’s really not enough to be done by saying it. This is a skill, or a real skill.

If Liu Banxia hadn't thought about it, it would have been a lot of time to be confirmed. It would have allowed the patient to do more examinations and make the patient's daughter even more "irritable".
Chapter completed!