Chapter 213 Abnormal Perspective
Chapter 213: Abnormal Perspective
Xu Ze looked at the patient in front of him and frowned, and couldn't help but curse in his heart. This kid is really too sinister...
"Coughing the intestine..." Although Xu Ze did not go to see it on the patient's bedside sign, with his strength, he still glanced at the words on the bedside sign at a glance.
Most patients who can use the word "check the cause" sign in Attachment 1 are patients with unclear causes. With the strength of Attachment 1, they can write a test cause, which means that the patient's condition is extremely complicated and difficult to distinguish.
Originally, a group of boys hugged Xu Ze happily, intending to wait for Xu Ze to teach this guy Li Moling a lesson, but at this time they were all looking at the sign of coughing Chain, and they were all dazed, and they all sighed that Li Moling was indeed so ugly that they actually made such a person for Xu Ze to show him. Now Xu Ze has the ability to turn the tables.
Xu Ze snorted lightly, pointed to the patient's bedside sign and raised his eyebrows and said, "Doctor Li, you haven't even been diagnosed, just come out and show me..."
Seeing Xu Ze's gloomy face, Li Moling smiled proudly, then looked at Xu Ze and said with a cold smile: "Xu Ze... This patient just quits a "cough test" when he first came in. He has been diagnosed long ago. Why are you afraid? Besides, I want to make a sign that clearly states the diseased patient, what else can I ask you to see..."
Xu Ze smiled faintly, looked at Li Moling with a smug look and said with a chuckling, "Doctor Li, the first thing he did when he came here is still a patient who coughed and diagnosed. If you ask me to see it, it seems that you really respect me..."
After being sarcastic by Xu Ze's secret voice, Li Moling's face turned a little red, but he still hummed: "If it was confirmed before coming in, it was so simple, what else would I ask you to see... Do you want to see?"
"Look... of course..." Xu Ze sneered and said.
Xu Ze took out the stethoscope, asked the patient carefully, and then did a detailed examination. It took about ten minutes. After the examination, he frowned slightly. The patient was indeed a little strange. No wonder Li Moling looked so confident.
Seeing Xu Ze's frowning look, Li Moling laughed in his heart. Although this patient has been diagnosed, he has been here for more than a week and passed the diagnosis that Director Qian and several doctors finally came up with. I want to see how you, a kid, can tell this disease.
Xu Ze was really confused at this time. The patient in front of him was mainly because of two months of coughing. After the treatment was ineffective, he came to the First Affiliated Hospital for treatment. He mainly had dry cough, no sputum, chest pain, shortness of breath, no obvious fever and chills. However, except for the slightly lower respiratory sound, there were no other abnormal signs.
Moreover, the patient is only in his thirties and has no history of smoking. The reason for this cough is a bit strange...
Originally, the patient's symptoms and signs were considered, such a situation may generally be considered as mycoplasma infection pneumonia; and it may also be considered as tuberculosis, and even lung cancer is not ruled out.
But Xu Ze knew about the patient's condition. Since he had to go to the Affiliate for treatment, and when he came in, he was still a cough test, so the condition was probably not that simple.
And according to common sense, since Appendix I has been diagnosed, but since this patient is still here to treat, tuberculosis should be eliminated.
If it is an infectious disease like tuberculosis, it will definitely be transferred to the infectious department for treatment and will not be left in the respiratory department.
As for lung cancer, the patient is only 30 years old, has no smoking history, nor has the relevant symptoms and signs of lung cancer, so the possibility is extremely small. Besides, if lung cancer is diagnosed, most of them will be transferred to the oncology department for treatment.
Therefore, excluding these two diseases, Xu Ze can only consider whether it is mycoplasma pneumonia. However, since the patient has been coughing for two months and has a dry cough, there must be hospitals that have considered this disease and have conducted related treatments for mycoplasma pneumonia.
Since the treatment has been ineffective and the diagnosis is only carried out in the first 1st of the appendix, the possibility of this disease is naturally extremely small. In this way, other issues have to be considered.
At that moment, Xu Ze's two handsome eyebrows frowned tightly and quickly analyzed and thought.
The students next to them saw Xu Ze, who had always been extremely powerful, frowned, but they all became nervous. Not only were male classmates, but also female classmates were worried. They all held their breath and looked at Xu Ze for fear of disturbing his thoughts.
Li Moling next to him looked at Xu Ze's frowning, but he smiled secretly in his heart. Just think slowly, hehe... If you can think of it like this, then I admire you...
Pulmonary interstitial disease...Mycoplasma disease...Central cough? Or other...
Xu Ze thought for a moment and decided to use X-ray to see if there was any problem with the patient's lungs.
"X-ray perspective starts..." Xu Ze whispered in his mind.
"Ding...x-ray perspective starts..." With Xu Ze's command, the system automatically responded quickly.
As the x-ray fluorescence was initiated, the patient's lungs gradually became translucent in Xu Ze's field of view. In the dark field of view, Xu Ze began to carefully scan the patient's lungs.
As Xu Ze glanced, the patient's lungs seemed to have no problems. The lung texture was quite clear and there were no patchy shadows.
Looking at these situations, Xu Ze couldn't help but raise his eyebrows. It was indeed not that simple. Since X-ray perspective cannot see any problems, it may only be subtle lesions in the lungs or central nervous system problems.
However, to eliminate patients with subtle lung diseases, they can only undergo lung CT scans or MRIs.
But at present, given that I am just a second-level medical soldier, the lung CT scan and MRI are probably unable to be activated. I guess this permission is only level 4 or level 5. Even if I can activate the level 3 authority beyond level 4, there is still no way for those above level 4.
Xu Ze sighed lightly and thought that if he couldn't see it, he could only ask Li Moling for relevant examination information to analyze it. He immediately said to Li Moling on the side: "Doctor Li, can you explain the relevant examination information about the patient?"
"Hmph... I really want to ask this, I think you are so arrogant..." Li Moling sneered, and then smiled and said, "The information can be told to you, but you have to tell me what aspects of information you need, otherwise I will report it to you, so what else do you have to read? Just look at the results directly..."
Seeing that Li Moling did not refuse at all, and still looked confident and proud, Xu Ze couldn't help but frown in his mind, thinking to himself: "Are those checking information helpful?"
Although I thought so, Xu Ze still nodded and said, "Okay... I need routine blood and chest X-rays, as well as lung CT and MRI..."
To Xu Ze's surprise, Li Moling casually read these materials to Xu Ze one by one...
These data were not unexpected by Xu Ze. If the blood is conventional, white blood cells and red blood cells are basically normal. Only the neutrophils have slightly increased, which means there is a little infection.
The chest radiograph was as normal as he saw it himself, and the lungs were CT and MRI imaging examinations were found, but no abnormalities were found.
Seeing this, Xu Ze couldn't help but raise his eyebrows. Could it be that as he imagined, he was considering central nervous cough?
Looking at Xu Ze's appearance, Li Moling laughed secretly. The things Xu Ze asked were all checked without any problems, but one of the bacterial cultures was not asked.
Generally, in situations like this, since there is no problem with so many tests, no matter which doctor will first consider the possibility of mycoplasma pneumonia!
"If Xu Ze is really capable, he will definitely consider this disease, and he shouldn't consider other reasons. But if he really considers this disease, hehe... Then he will be destined... As for the real disease, I'm afraid he would never think of it." Thinking of this, Li Moling felt even more proud, but he did not expect that Xu Ze was much better than many old doctors in some medical experience and knowledge... He had already thought of this possibility.
"Is it really a central nervous cough printed?" Xu Ze frowned and thought for a while, but he was still a little unsure. After all, he is a pretty young man and has no other abnormalities. Why does this central nervous cough occur?
Xu Ze, who was still a little worried, thought of this, decided to take a closer look at the patient's lungs. This must be more cautious. Xu Ze did not really lose to the Li Moling in front of him because of a little carelessness. Otherwise, he would not know how this guy would take the opportunity to bully him.
As long as the patient's lungs are indeed not having any problems, then the diagnosis can only be based on the diagnosis of central nervous cough.
Through this analysis, Xu Ze was very confident that the respiratory medicine department should have made this diagnosis, because based on his analysis combined with these examinations, he could already rule out the situation of mycoplasma pneumonia, and no other abnormalities were found, and there was no other more likely...
Only this central nervous cough is possible...
"Activate x-ray perspective..." Xu Ze ordered again.
"Ding...x-ray perspective function is activated..."
As the patient's chest gradually became translucent, Xu Ze began to stare at the patient's lungs and looked carefully.
After looking for a long time, the patient's lungs still seemed to be fine. Just as Xu Ze sighed and was about to stop, the system suddenly sounded a warning sound: "I found abnormality...the silicon reflex in the lungs slightly exceeded the standard..."
Chapter completed!