"Doctor, how about my wife?"

As soon as he walked out of the emergency room, the patient's husband asked anxiously.

"We still need to wait for the blood test results. Now we suspect it is caused by excessive fatigue. Can you tell us about your wife's situation during this period?" Xu Yinuo asked.

"It's also normal. I said I was a little tired some time ago, maybe I was tired of raising children. Now the little guy is too cumbersome and I don't know where to go if I can't take care of it at first glance." said the patient's husband.

"I took some medicine and it got better. I have been doing a little bit over the past few days. Recently, I have been cooking dinner after I went home. I was about to have dinner. I heard a sound in the house and she fell down."

"Don't worry, now your vital signs are basically stable, and your heart and lung sounds are normal. Some fevers, we will wait until the blood test results come out before confirming the medication." Xu Yinuo said.

"The head injury is nothing. Even after a while, it doesn't have redness or swelling. Don't worry too much. Are there any other relatives here? Send the child back first. The hospital is too messy and it's not good for the baby."

"I've contacted my family and they are rushing here," said the patient's husband.

"Don't worry, be steady, wait until the results come out to see if you need to be hospitalized. I have notified you to give you an emergency treatment and there will be a result soon." Xu Yinuo comforted him.

The patient's husband nodded quickly and hugged the child to the edge of the clinic bed.

"Teacher Liu, I'm actually quite puzzled. Why do patients sweat so much? Even if they are physically weak, they won't have that much, right?" Xu Yinuo asked.

"I have also noticed this situation, but there are many symptoms of sweating. Moreover, the patient's respiratory sound, heart sound, sinus rhythm, and blood oxygen are also normal, so it is not easy for us to do further examinations." Liu Banxia said.

Xu Yinuo nodded.

Although she had just reported to Liu Banxia, ​​she also knew that the patient did not seem to have a simple cold. She also knew that Liu Banxia must have seen this, but the indications are unclear, so she still has to wait for the blood test results.

Because if it is just a cold, the patient's symptoms of night sweats are not explained clearly. This is not like taking medicine and then covering up sweat to treat a cold. It is necessary to sweat for so long from home to the hospital.

It is precisely because she sweats a little that she has undergone rehydration treatment.

A few minutes later, the old couple ran in outside. This was also the patient's family, and the patient's husband explained the situation to the old couple.

"Teacher Liu, can you guess?" Xu Yinuo spoke again.

Liu Banxia glanced at her helplessly, "How can I guess this? Nothing is clear, I can't guess."

"But you guessed it if the baby may be in a breathing embarrassment, you can guess this too." Xu Yinuo said.

"The baby has some indications. What are the indications we have now? The only thing we need to consider is electrolyte imbalance and dehydration." Liu Banxia said.

"You have also rehydrated the fluid now. You still have to look at the blood test results for the electrolyte. Don't think about it randomly. You will know everything when the result comes out."

She was still a little reluctant, but Xu Yinuo couldn't say anything. In fact, she placed her hope on Liu Banxia, ​​but this time Liu Banxia was a little unsatisfied.

The more she thought about it, the more she felt that the patient's sweating symptoms were a little unusual, but the data displayed on the auscultation and electrocardiogram monitor were real.

Because she felt a little reluctant, she glanced at Liu Banxia from time to time.

"It's so worrying. If it's not for a cold, you can consider the tumor." Liu Banxia said helplessly.

Just Xu Yinuo's little look was like Tangdou wanted to make delicious food. He glanced at you for no reason. When you looked over, Tangdou would twist his head aside.

"Teacher Liu, is it true?" Xu Yinuo asked in surprise.

"I think this is one direction, either it is physical weakness caused by a cold. But don't forget the patient's husband's words, her cold symptoms have recurred." Liu Banxia said.

"And although it's very tiring to raise a child, the child should look over one and a half years old. In terms of sleep, it will become normal and give the couple a normal sleep time."

"So my tumor symptoms are reasonable doubts. Maybe it may affect the immune system tumors or autoimmune system diseases."

"Just just now, you can also ask the patient's husband if the patient has symptoms of pain recently, but I guess he is in trouble to pay attention."

"And the patient's current symptoms are manifestations of chronic diseases. It is okay to discuss it after the blood test results are released. Stop looking at me, I will tell you all the things I think of."

"oh."

Xu Yinuo responded a little aggrievedly, and then ran to the laboratory, she wanted to guard the results.

"Actually, when we treat patients, we may have a situation like Xu Yinuo over time." Liu Banxia continued.

"I have asked others for advice before, and some people say this is the instinct of a doctor. If I were to describe it, this would be reasonable doubt."

"But one thing should be remembered clearly. We can make reasonable doubts in our hearts, but we cannot tell the patient or the patient's family. Because if we are not diagnosed, we can only make judgments based on the current situation."

"Our suspicion is the same as the diagnosis in the ears of patients and their families. As a doctor, you must be careful when facing patients and their families."

"This is also your amulet, which can prevent the patient from explaining it clearly when complaining. Why did you two come here? What are you doing?"

Liu Banxia's words were said to Qiu Mingyuan and Xiao Yue who were walking over Liu Dada.

"What else can it be? After receiving the order from Sister Qiao, I came to deliver ribs and fried peanuts to you, and there was a fish inside." Qiu Mingyuan said helplessly.

"This is not bad. Have you eaten? Let's eat something in the cafeteria later." Liu Banxia said with a smile.

"Then you must not eat it at home, but I stole two ribs on the way here." Qiu Mingyuan said with a smile.

"Brother Liu, my classmate's parents said, let's see when you have time and want to invite you to dinner." Xiao Yue said.

"It's better to eat. You're not unaware of how busy I'm, but now I'm just looking forward to getting off work and then flying home." Liu Banxia said.

"Haha, I know, but I still have to ask." Xiao Yue said with a smile.

"Okay, you two go to the lounge and wait. When the patient is finished, we will go to have a meal." Liu Banxia said.

"Give me a five-star review." Qiu Mingyuan said funnyly.

Liu Banxia didn't care about them anymore, and felt happy. This was his wife, and she knew she was thinking about him.

The other interns did not pay attention to the interaction between Liu Banxia and Qiu Mingyuan, but carefully considered what Liu Banxia had just said.

It is very direct and you can understand it. But this also indicates that there are certain risks in the future treatment process.

After waiting for a while, Xu Yinuo ran back and stuffed the inspection report directly into Liu Banxia's hand.

"Share it with them and then tell your judgment." Liu Banxia said after taking a closer look.

"The patient's blood test results were mild anemia and increased white blood cells and platelet counts. I need to do further physical examination for the patient, hand diagnosis and abdominal ultrasound." Xu Yinuo said hurriedly.

"Can you think of a reason?" Liu Banxia looked at the interns.

The interns suddenly became nervous, but they didn't know how to answer this question.

"I didn't name it in the future, just discuss it freely. Now Xu Zhenkai will answer." Liu Banxia said.

"There are many possible causes of anemia symptoms, including increased numbers of white blood cells and platelets, which are considered to be infected lesions in the patient's body." Xu Zhenkai said.

"Does Liu Yiqing want to add anything?" Liu Banxia asked.

Liu Yiqing bit her lip, "Considering the discussion just now and the patient's symptoms of sweating, and the possibility of primary increase in platelet count, it may also be related to bone marrow diseases."

Liu Yiqing's words shocked the interns. No wonder Xu Yinuo or Liu Banxia's faces were not very good-looking.

There is no such type of bone marrow disease that can be easily cured. It is very difficult and terrible. Although it is just a possibility now, the situation this may bring is also very dangerous.

"Actually, Xu Yinuo has given a very clear tip just now. She needs to do a hand diagnosis and abdominal ultrasound, so that she can watch the patient's spleen condition." Liu Banxia continued.

"If there are signs of spleen enlargement, this is a very clear indication, so we can also do the next step of examination. Xu Yinuo, take the female students to check the body."

Xu Yinuo nodded and walked over with the person directly.

This is also a teaching method. It was not very convenient for male students in the past. Although it has not been tested yet, Liu Banxia's mind has roughly determined it. Exercise force and sweating, and repeated colds. In addition, the blood test results are now very clear.

Although the gold standard for diagnosis has not yet been met, it is very prone to be.

In less than ten minutes, Xu Yinuo led the person back, "the spleen was swollen, the surrounding lymph nodes were swollen, there were bleeding spots in the chest, and there were no abnormalities in the liver and other organs."

"I will leave this case to you to be fully responsible. Including the explanation to the patient, I will not intervene in the next examination." Liu Banxia looked at her and said.

Xu Yinuo suddenly became very aggrieved. He glanced at Liu Banxia, ​​walked back with a squinted head.

The patient's current symptoms are very consistent with the primary myelofibrosis disease, which is also a type of leukemia. The next step is to undergo bone marrow apnea to confirm the diagnosis.

Notifying patients' families of such diseases is not so easy even if it is just a tendency to doubt.
Chapter completed!