"Headache, fever, sore throat and cough!"

Before the pale girl could react, the middle-aged woman spoke quickly. While speaking, she handed Tian Lu a large bag in her hand.

After entering the consulting room, the two people, who were obviously mother and daughter, looked at Tian Lu with different eyes. The little girl still had a sick look in her eyes, while the middle-aged woman had a hint of disappointment.

The first patient came purely to order a checkup, so naturally he didn't care about Tian Lu's age or image, but the second patient was different. Tian Lu was not that old in the first place, and he had excellent skin.

, looked younger, so the middle-aged woman couldn't help but feel a little excited.

However, the middle-aged woman has much better control than the one just now. Judging from the expression on her face, nothing can be seen. She still looks very respectful to the doctor.

The middle-aged woman's description seemed to be symptoms of a cold, but Tian Lu knew in his heart that since the other party came to the neurosurgery for treatment, it must not be that simple. Moreover, Tian Lu knew when he saw the big and thin bag that the contents inside were probably

I took examination films from other hospitals.

I took the bag handed over by the middle-aged woman and opened it. It turned out to be a pile of films, all of which were skull MRIs.

"Some time ago, I was diagnosed with mixed neurocysticercosis. This is the result of the examination at our local hospital. I also have the medical record for you, which we have used for previous medical treatment. Doctor, why don't you take a look at it first?"

The middle-aged woman leaned forward and said eagerly.

"There's no hurry!"

After just taking a glance at the film, Tian Lu put it back into the bag with a smile and said warmly: "Let's start from the beginning, okay? Take your time, don't be in a hurry."

There are only five outpatients in one afternoon, so there is plenty of time.

Although Tian Lu's age made the middle-aged woman a little worried, the calmness and calmness on his face at this moment gave her a strange sense of peace of mind. Her impatience gradually calmed down, and she nodded and said: "Then

Okay, let me start from the beginning, eight months ago..."

"This lady,"

The middle-aged woman had just begun to speak when she was interrupted by Tian Lu's words: "Excuse me, are you..."

"Oh, my name is Yue Hua, and I am Feifei's mother." The middle-aged woman replied with some confusion.

Tian Lu smiled, shook his head and said: "That's right, Ms. Yue, I just looked at the medical records. Feifei should be fifteen years old, right? I like to communicate directly with patients when I see a doctor, so can I ask her directly?

Woolen cloth?"

"ah?"

Seemingly surprised by Tian Lu's request, Yue Hua was startled for a moment, then nodded and said: "Of course." After speaking, he turned to his daughter and said softly: "Feifei, just answer whatever the doctor asks you.

do you know?"

Glancing at Tian Lu, Ling Feifei still had no expression on her face and nodded indifferently.

The little girl is not short, about 1.6 meters tall. However, probably due to the pain, her body is very thin, weighing only 60 pounds. Her complexion is also extremely pale, almost transparent, and the blood vessels under the skin

It's clearly visible and looks very pitiful.

After giving the little girl an encouraging look and smiling, Tian Lu opened the medical record in front of him.

"When did you first feel uncomfortable?"

While asking the little girl in front of him warmly, Tian Lu glanced at the medical record in his hand, carefully identifying the words written by the doctors who treated Ling Feifei earlier. This was a habit he had formed a long time ago. If he was asking about medical history,

In other words, we never simply listen to the patient's narrative, nor simply read the case information written by the doctors. Instead, we compare the two with each other and look for any inconsistencies.

Tilting her head and thinking for a moment, Ling Feifei slightly raised her eyebrows, bit her lips and said, "It was eight months ago, when I was in the third grade of junior high school and nervously preparing for the entrance exam...

..”

As Ling Feifei narrated, Tian Lu referred to previous records, and at the same time he started writing.

Eight months ago, without obvious triggers, Ling Feifei began to have headache symptoms. The symptoms were most obvious in the occipital area, and sometimes spread to the forehead. Most of the symptoms were swelling and pain, without nausea or vomiting. The headaches were more likely to occur after sitting for a long time and after resting.

Remission. Because he was facing the entrance examination, he was not diagnosed and treated.

Two months ago, I developed persistent swelling and pain in the whole brain, which could not be relieved after rest. A cranial MRI examination was performed at a local hospital, which showed mixed neurocysticercosis and obstructive hydrocephalus. I was hospitalized and given a total of 12g of praziquantel for deworming.

As well as dehydration and lowering of intracranial pressure and other treatments, the headache basically disappeared and I was discharged from the hospital a month later.

When Ling Feifei said this, Tian Lu waved his hand to signal her to stop for now, and then took out the MRI films.

I put it on the film viewing lamp and looked at it. According to the results of the film, it suggested mixed cerebral cysticercosis, cysticercosis survival period, and obstructive hydrocephalus. I looked back at the medical record and based on the examination posted on the medical record book

As a result, cysticercosis antibodies were positive, cerebrospinal fluid pressure increased, and eosinophils also increased.

Judging from the results at hand, the diagnosis should be fine.

After nodding, Tian Lu signaled Ling Feifei to continue.

On the fifth day after discharge, the headache worsened, and Ling Feifei was admitted again. The doctor gave her 0.9 bid of cysticercosis pills, prednisone, and glycerin saline for oral treatment. The headache disappeared half a month later and she was discharged.

Six days ago, Ling Feifei had another headache, and her body temperature also rose to 38.5°C, along with symptoms of sore throat and cough. This time, her parents were really worried and went to the local hospital for treatment. After discussion, they decided to let Yue Hua take her.

My daughter came to Kyoto.

In a short time, Ling Feifei explained the cause and effect. What made Tian Lu very satisfied was that although the little girl's expression was a little indifferent, her words were very clear and organized, and he did not need to remind and question repeatedly.

"Well, that's very good!"

He smiled and praised the little girl. Ling Feifei was a little surprised by Tian Lu's encouragement, and she couldn't help but have a blush on her always pale face, which made her look cuter.

"Then, I will ask some more specific questions below. You must think carefully before answering, okay?" After the encouragement, Tian Lu said with a smile.

Ling Feifei nodded silently.

"Have you had any twitches since you got sick?" Tian Lu asked.

Ling Feifei shook her head: "No."

"Have you ever felt weak or sleepy in your limbs?"

"No."

"When you see things with your eyes, do you see things clearly or blurryly? Also, do you have any problems with your memory? Is there any problem that you can't remember things that happened not long ago?"

"No."

"When you usually go to the toilet, are there any obstacles? Both big and small!"

When this question was asked, Yue Hua just twitched the corner of his eye, but Ling Feifei's face suddenly turned red, and the indifference on her face finally disappeared.

It was as if someone had scattered a handful of small nails under her buttocks. Ling Feifei's body twisted slightly uneasily. When Tian Lu asked again, she lowered her head and her voice was as low as a mosquito's hum.

He shook his head and said, "No."

With his face still calm, Tian Lu wrote down the results of the consultation in the medical record: "Since the onset of the disease, the patient has had no convulsions, limb weakness, vision loss, memory loss, and urinary and defecation difficulties."

At this time, the more natural the doctor's expression is, the easier it is for the patient to recover from the embarrassment, especially for a teenage girl like this. Tian Lu looks natural and wants to make her relax as much as possible.

"correct!"

While Tian Lu was recording, Ling Feifei's expression gradually returned to normal, and then she seemed to suddenly think of something, raised her head and said: "Sometimes, when walking, I feel as if my body is tilted!"

"Do you walk diagonally?"

Yue Hua was obviously surprised by his daughter's words. He couldn't help but widen his eyes and exclaimed: "Feifei, what's the matter with you? How can you, a girl, not tell your mother about such an important matter?"

Ling Feifei didn't respond, just looked at Tian Lu in front of her. However, Tian Lu could tell from the stubbornness flashing in her eyes that this little girl might have done this on purpose.

Tian Lu sighed secretly in his heart, and Tian Lu hurriedly coughed heavily!

"Ms. Yue, I just said that I want to communicate with your daughter, not you! I hope you will not interrupt casually. This will not only disrespect us both, but also affect my understanding of her condition.

Correct judgment, do you understand? I will tell you directly when I need to ask you!" Tian Lu said with a very serious expression on his face. He didn't know what happened between the two mother and daughter, but at this time

At this moment, the little girl Ling Feifei is his patient.

"ah?"

Yue Hua was stunned again.

She doesn't understand. She is Feifei's mother and one of the people who knows the situation best. Why can't she speak? Besides, Feifei is a teenage girl, what does she know? Can she speak clearly?

But this is a hospital, this room is a consulting room, and the man in white sitting behind the table has authority in this environment that cannot be questioned by others!

Feeling Tian Lu's slightly stern gaze, Yue Hua nodded involuntarily and said, "Okay, doctor, let's talk."

The mother gave in so quickly, which made Ling Feifei's expression look quite strange, and the look she looked at Tian Lu was very different from before, with a hint of surprise and gratitude.

After asking a long list of questions, Tian Lu finally asked casually: "Have you ever eaten raw pork, or rice pork, or anything like that before?"

"No!"

Blinking her eyes, Ling Feifei puffed her lips and said: "Not only have I never eaten it, but I also have no history of contact with epidemic water in epidemic areas."

It was obvious that Ling Feifei had received similar inquiries before, and she was able to speak more professional vocabulary, which made Tian Lu couldn't help but smile. At the same time, he was also very pleased to see that this little girl was slightly better than when she first came in.

She is a little more lively. Originally, a fifteen-year-old girl might not be able to change her original character even if she has been suffering from illness for several months.

The questions that should be asked have basically been finished. Tian Lu checked the contents of the record and stood up with a smile.

"That's almost it. Now, let's do some simple physical examinations, okay?"
Chapter completed!