(Thanks to the water droplets for wearing away the stone, I want to tell me gentlely that I can kill the love waves and instantly vote, and bunkerchina monthly tickets are encouraged)

It was time for dinner, there were not so many patients, and the lumbar CT was taken very quickly.

"Although there are some outstanding things, the amount is very small and does not compress the nerves." Liu Banxia said after watching the movie.

"Next, we have to study what your muscle weakness is. The general direction is the function of the peripheral nerves. Have you ever felt anything else in your hands and feet during this period?"

The patient shook his head pitifully and became very nervous.

"Relax, I also checked your blood test results, there was no problem." Liu Banxia continued.

"The next electromyography we want to do is to check whether the nerve conduction signal on your legs is normal, which can help us make further judgments."

"If you recall the memories carefully, your current situation is definitely not something that happened suddenly today. There must have been symptoms before, just like you feel that you have been out of strength for half a month at the beginning, right?"

The patient nodded.

"So you may ignore some symptoms and think about it harder. You may feel that there may be some inconspicuous minor symptoms. Including your legs, arms, feet, hands, or other parts of your body, or the entire body, tell me any abnormalities."

The patient thought about it carefully, and after thinking for a while, he shook his head, "It seems that there is nothing, it's all normal. Although my appetite is not very good, I have been eating it all the time. I just feel tired, but I am alone in the store and I didn't think anything at that time."

"I usually sit there, and my legs don't stand up when I check in. By the way, it seems to be a bit like I do."

Hearing his words, Liu Banxia suddenly felt energetic.

"Sometimes your legs will numb, and the time will be long and short," the patient said.

"This is normal, right? Sometimes after sitting for a long time, your legs will become numb, and then it feels like a little bug crawling, and nothing else will be gone."

Liu Banxia tried hard to maintain the calmness of the expression on her face and nodded, "Then let's do an electromyography to see how our nerves react."

"Doctor, I'm not a terminal illness, right? Bone cancer and leukemia? I've done so many tests." The patient asked carefully.

"I told you, don't think about it, you still have to think about it." Liu Banxia said.

"You are all jumping out of your symptoms. If you told me that my legs sometimes feel like this numbness, sometimes not yet, I wouldn't let you do this lumbar spine CT, wouldn't it save two money?"

"But do it after doing it. You have to pay attention when moving things in the future. The waist protrusion is not too serious, but you still have to pay attention to it."

"Think about it and see if there are any symptoms you should remember. Just like what I just said, you think it's normal and disregardless. You have to tell me and the doctor, so you can't keep it."

The patient looked at him embarrassedly, "It's really gone. I don't know whether it's a fat man or a weak leg. It's because my legs are numb. I think I've been sitting for too long, and anyone who sits is numb."

"Okay, I'll give you an order and then do an electromyography." Liu Banxia said.

"It's time for dinner, so we can't let our doctor push you all the time. We have to take care of other patients. Call a family member to bring you some food. After the colonoscopy is finished, you have to eat it."

"Okay, I'll call now. Doctor, but thank you for your hard work." The patient nodded and thanked Li Hao.

"It's nothing. I'll push you to pay, but we really have to have a meal after doing the electromyography." Li Hao said with a smile.

Not to mention, the patient's mood was a little better after saying these two sentences, and he didn't think it was so great to call his family members.

After the patient left, Liu Banxia frowned.

"It seems that the situation is not very optimistic, and I'm also blamed me. I didn't ask carefully enough at the beginning." Qi Wentao said, who followed him.

"Hey..., when encountering such a patient, everyone is in trouble to ask about the disease at one time. And when he came to the hospital, he still clearly suspected rectal cancer." Liu Banxia said with a wry smile.

"Muscle weakness and abnormal sensation may be caused by peripheral neuritis. Generally, such diseases will be very troublesome, and many of them are related to autoimmune diseases, which is a headache to treat."

"If I had said this early, I would just consider it. I didn't dare to say that I would do a brain CT scan just now, and I was very worried about scaring him. Let's see what the electromyography looks like first, and let's talk about the remaining examinations when his family comes."

Ding! Mission release: Strange muscle weakness patient

Open task: The patient was unable to identify his condition and mistakenly thought that he was rectal cancer for treatment. During the diagnosis, he found that the patient suffered from muscle weakness and abnormal limb sensation, and suspected that it was a peripheral neuroinflammatory disease. If the diagnosis is required, further examination is required.

Task reward: Depending on diagnosis results

Seeing the tasks popping up in the system, Liu Banxia became even more helpless.

This patient's symptoms of jumping out like a bean are so anxious that the system was so anxious. I didn't make the task statement so thoroughly before. It was just a simple title. You can play the rest yourself.

Moreover, although this patient is considered to be a peripheral neuroinflammatory disease, the possibility of brain lesions cannot be ruled out. After the electromyography examination, a brain CT is still needed.

If there is a brain lesion, it may also affect the transmission of nerve signals or give an incorrect signal.

However, the patient's psychological tolerance was too poor, so Liu Banxia thought of stimulating him as little as possible. Although he was not young, he had to do the same as coaxing a young patient to have a test.

No matter how much the complaints are, the patient's condition seems to be very unoptimistic. It is not because the tasks have been issued, but because the patient shows symptoms.

If this weren't for the concern that there was rectal cancer, he might have ignored this disease. By the time he noticed, it might be that his legs would lose their ability to move.

This is also very likely. Many peripheral neurological diseases are a gradual lesion. They are extremely concealed. When you discover it, they may have caused irreversible damage.

"Teacher Liu, we're finished our meal." At this time, Xu Yinuo and the others walked over.

"Are there anything delicious tonight?" Liu Banxia asked.

"The cauliflower is delicious, but you probably have a lot of trouble. The meat section is a little cold now. It is best to heat up the cabbage with a small stew of meat and stewed with cabbage." Xu Yinuo said casually.

"Okay, I'll drink cabbage soup today." Liu Banxia said with a smile.

"Teacher Liu, is that patient diagnosed?" Liu Yiqing asked curiously.

"I haven't done an electromyography yet. I'll leave you a small homework, symmetrical muscle weakness in the lower limbs, abnormal limb sensation, and a medical history of half a month."

After Liu Banxia finished speaking, she followed Qi Wentao and led the interns to the cafeteria.

"Oh my god, why did you go around it?" Xu Yinuo said with a wry smile.

She is also a bit overwhelmed, and the manifestations of these two diseases are also very clear indications. Now she is a little unworthy of her treatment for the patient, and she has worked hard to do the intestines and prepare for the colonoscopy.

But it wasn't a waste of time. At least I took off a intestinal polyps. It's nothing now, and I might be in trouble in a few years.

"What should I do? Prepare a few alternative cases?" Liu Yiqing asked.

"Children Qingqing, how do you think you need to prepare? There are so many possible reasons. There are many small categories under each major category." Xu Yinuo said.

"Slowly eliminate it." Su Wenhao spoke.

"Teacher Liu said that he had a medical history for half a month, which would eliminate acute inflammatory demyelinating polynephritis. I didn't follow the patient, is there any other information?"

"I listened to it for a while and the patient had no other abnormal feelings. He was treated with bloody stools and had weak lower limb muscles after colonoscopy." Xu Yinuo said.

"Oh, I understand." Liu Yiqing said happily.

"I understand? What's the disease?" Xu Yinuo asked.

"I don't know, we're not discussing it." Liu Yiqing said.

"Then what do you think you know?" Su Wenhao asked with laughter and cry.

"We can bring in Teacher Liu's thinking and recall his usual consultation habits." Liu Yiqing said.

"Yes, I think it can also rule out the symptoms caused by infectious diseases. What about metabolic and endocrine disorders?" Xu Yinuo said.

"You can think about this first. I saw that the record only had a blood test, everything was normal. I didn't smoke, I drank occasionally. I had normal diet, normal bowel movements, and only loss of appetite, nutritional disorders can be eliminated." Su Wenhao, who looked at the computer, said.

"I think chemical factors can be ruled out, and if he takes any medicine, he will definitely tell me. If some chemicals have odors, they can also be ruled out."

"Heavy metals can also be ruled out, right? Heavy metals are not just such a symptom. Vision, auditory hallucination, hair loss, etc. are the main indicators." Liu Yiqing said.

"Then basically only endocrine disorders, connective tissue diseases and hereditary diseases are more likely to be more likely, right?" Xu Yinuo said.

"If it were the rest of the malignant tumors, I think it would definitely feel pain when it develops to this level. The patient seems to have no, otherwise he would not have come to see rectal cancer."

"OK, the consultation is over." Liu Yiqing said happily.

"But Teacher Liu will definitely ask what kind of examination we should do next. I don't think we have a brain CT, so we have to make up for it. Do we still have to do a waist puncture?"

"Get one, and checking cerebrospinal fluid can also diagnose many related diseases. It just takes longer and the patient will be admitted to the hospital." Su Wenhao said.

"It's already like this, and he can't go home with confidence. He can feel more at ease in the hospital." Xu Yinuo said.

"Then this plan, the consultation was successful." Liu Yiqing said happily.

Xu Yinuo frowned, "Tell me, is this the big devil deliberately trying torture the three of us?"

"You've provoked him again?" Su Wenhao asked.

"What does it mean to be again? I didn't provoke him." Xu Yinuo was not very confident.

Su Wenhao shook his head helplessly, maybe he would fall into the trap with him.
Chapter completed!