The oak stick flew up and hit the boy on the head with a muffled sound. Jeffrey covered his head and screamed:
"teacher!"
He was originally the proud disciple of Elder Knox. He could stagger around at the age of three and follow his parents to plant flowers and grass. At the age of five, he began to draw shapes and patterns of insects, flowers and plants. He was praised by the elders and everyone in the sect as a "natural born".
"naturalist".
He officially entered the profession at the age of fourteen and was promoted to a first-level priest that year. At that time, his oak staff had not yet begun to be planted, so Elder Knox had to personally help him use divine magic to grow the oak staff...
However, soon, Jeffrey, a standard "other people's kid", met someone who was more other people's family than him.
"Look at Pastor Nordmark... At such a young age, even in a small place like Heartland City, people can still find bacteria!"
"Look at Pastor Nordmark! This is only Level 1, and he has already revealed the principle of epidemics!"
"Look at Pastor Nordmark..."
Jeffrey really wanted to say that he was not only a priest, but also a magician. However, the first time he spoke out, he was slapped on the head by the teacher:
"You still dare to say that! I advance to two professions at the same time, both at the same level every year. The priest has not fallen behind, and the mage has not fallen behind either! What about you? If you just practice one profession, you may not be much faster than others!"
Jeffrey was really a little unconvinced. Of course, he admired him. After all, his achievements were clearly there. But his admiration did not prevent him from seizing the opportunity and exploring his head to see what Gretel was like.
people.
The result of coming to investigate was that within the first minute of meeting the person, the mask, gloves, and visor were all covered in...
He was also beaten by the teacher.
After the beating, the teacher turned to Pastor Nordmark with a smile and waved:
"Little Grete, don't pay attention to that little guy. Come on, come and see, what is this disease?"
Jeffrey:T_T
Teacher, you don’t love me anymore!
Teacher, if you have someone else’s child, you don’t love me anymore!
Gretel also shrank his neck. A level 1 priest who cannot feel the cold breath of the vampires will be beaten by the teacher;
A level 6 mid-level priest still can't feel the cold aura of the vampires. He relies on Cerela to provide answers to cheat. I wonder what kind of beating he will get?
It’s okay, okay, someone came out to blame...
He smiled quickly at the young man and continued to see the doctor. As he looked, his mind was racing at full speed, thinking hard:
To be honest, he really didn’t invest many skill points in dermatology. The distance between emergency surgery and dermatology is almost the furthest distance in the hospital.
There is a joke in the hospital that the chain of contempt between departments is basically based on the number of times they are called for consultation by the emergency department.
The more times who is called, the higher the position will be. So the highest position is in the heart, in the mind, and in the tumor. The implication is, look, I can’t do it without me, right? Is it going to kill someone?
What about respiration, liver and gallbladder, etc., then gastrointestinal and urinary care. As for dermatology? Come on, the emergency department is called consultation, why is it called dermatology?
The serious disease of scabies is cured, just go to the outpatient clinic and treat it slowly by yourself!
Emergency internal medicine may need to know a little more. What emergency surgery needs to know is to quickly identify the in vitro symptoms of infectious diseases such as syphilis so that we can better protect ourselves during emergency operations...
Grete tried hard to search through his few memories about dermatology and the possible symptoms of other diseases on the skin. To be honest, the first time he saw this patient, he thought of a vampire.
Then, my thoughts quickly went from vampires to porphyria.
Porphyria, also known as hemoporphyria, is a group of porphyrin metabolism disorders caused by the lack of a certain enzyme or reduced enzyme activity in the heme synthesis pathway.
The clinical manifestations are non-inflammatory blisters and bullae on the exposed parts, and erosion, scabs, and ulcers can be seen. Repeated rashes can make the patient's face look weathered, with pigmentation and hypopigmentation...
"You, take off your pants and let me take a look." He took a [Spell of Glossary] for himself so that he could speak Carolingian and communicate with patients and order the patients in front of him.
The refugee glanced at him hesitantly, stood up, turned his back to him, and lowered his head to unbuckle his belt. Gretel quickly corrected his order:
"Outer pants! Just outer pants! No need to take off your underwear!"
It's too late. The refugees' fear of spellcasters obviously exceeds the shame of exposing their bodies. Besides, several people in the shed are all men, so there is nothing to be ashamed of.
Before Grete could finish speaking, he had already taken off his clothes. The dirty clothes fell to the ground, and Grete could see at a glance that there were flaky red spots symmetrically distributed on his sacrum, knee and popliteal fossa, and behind his ankle joints.
The condition was clear, and the surface was covered with dark brown dry scabs, and some of the scabs fell off. It was obvious that he had recovered and relapsed, and that he had relapsed and recovered again.
If it is the popliteal fossa and ankle joint, they may be exposed to the sun from time to time. But the sacral area, which is the connection between the buttocks and the back of the thigh, is not in the sun all day long for no reason!
Moreover, the weather is still very cold now. Grete could see clearly when this group of refugees came over. Everyone was wrapped up in their rags as tightly as possible. Gretel was the first to believe that these red spots were caused by the sun.
.
This symptom is not consistent with porphyria, it should be another disease. When Grete made this judgment, he breathed a sigh of relief:
Thank God, he doesn't have to test the patient's urine to see if there is increased urinary porphyria, nor does he have to figure out how to differentiate between cutaneous porphyria delayed-onset and erythropoietic protoporphyria... let alone finding hydroxychloroquine to give to the patient...
…
"Is this disease contagious?"
The Baroness asked from a distance outside the shed. Gretel was still thinking hard and did not answer. Elder Knox pondered for a moment:
"Not sure. Let me treat it and see..."
He raised his oak staff and recited the incantation in a low voice. On the vines that formed the shed, the light green leaves swayed silently, and the weeds around the shed rustled. The whole nature seemed to be singing along in a low voice, echoing the movements of the elders.
The force of nature.
Gretel held his breath and watched. For a moment, a green light shot into the patient's body, healing the skin lesions and smoothing the wounds. The rough, swollen, and mottled marks on the patient's face were wiped away by an invisible hand.
No trace visible.
"Strange." The elder muttered lowly. He turned to look at Gretel:
"The root of the disease is still not removed. I feel that the root of the disease is buried deep in the body. To completely cure him, something else is needed..."
So, what other diseases do porphyria need to be differentially diagnosed with? Or, which diseases may cause vampire-like symptoms?
Gretel was thinking hard. At the same time, an exclamation sounded outside:
"No, Wally is crazy again!"
****
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