The Surgeon’s Studio

“You can’t say that. We’ve at least ruled out a few possibilities.” Zheng Ren’s expression was as serious as when Su Yun and Zhou Litao were teaching him.

“What are you considering now?”

“It’s possible to put it on. The most common one is probably formaldehyde poisoning. ” “Mild poisoning has blurry vision, dizziness, headache, fatigue, and other general symptoms,” Zheng Ren said. Severe poisoning can cause pulmonary edema, and oxygen deficiency can also cause spasms and other symptoms. “

“It doesn’t look like it.” Su Yun wagged her finger.”First of all, once formaldehyde poisoning leaves the toxic environment, it’s very difficult for it to continue progressing. Let’s not talk about immediate relief and becoming like a normal person, but it’s unlikely that the loss of smell will develop into convulsions. “

Zheng Ren also felt that this diagnosis was a little forced. Su Yun’s judgment was right.

He continued to ponder, his fingers tapping on the table. Su Yun felt that if this patient were to get older, he would also become someone like Department Director pan.

Or perhaps he was intentionally imitating old Department Director pan.

“It’s not formaldehyde poisoning, nor sulfur dioxide poisoning. “This possibility …” Zheng Ren thought as he spoke softly.

“You will say it during the exam? You’re so annoying. ” Su Yun said disdainfully,”do you want to bring your fifth edition of the ‘book of foreign medicine’ to the hospital for consultations in the future? do you want to recite it section by section?”

“Hmm …” Zheng Ren acted as if he did not hear Su Yun’s sarcasm and continued to Mutter,”also, it’s an illusion.” He felt that he couldn’t smell it, and then suddenly had a seizure. “

“You can start writing fantasy novels. If such a situation happened, it would be ridiculous if it happened in the CT room. ” Su Yun said.

“If we had a seizure, wouldn’t it be better if we interpreted it as epilepsy? For example, reflex epilepsy.

Almost all of the relapses were induced by specific feelings or complex cognitive activities, such as reading epilepsy, shock epilepsy, visual reflex epilepsy, hot bath epilepsy, card epilepsy, and so on. After removing the trigger, the relapse will also disappear. “

“You’re saying …” Su Yun was also confused.

“Claustrophobia is usually more obvious during an MRI scan. But there are also patients who suffer from it when they do CT scans, and when they do SCI …”

“Don’t show off your data. It’s possible that you have epilepsy, but can you explain the loss of your sense of smell?” Su Yun continued to find fault with him.

Indeed, Su Yun was right.

This was the same as pushing the gourd to rise up, losing the sense of smell and epilepsy could not be combined together.

Moreover, claustrophobia was a rare thing.

Zheng Ren heaved a long sigh of relief and continued to think.

“Hehe, do you want me to ask about the other medical history?” Su Yun chuckled.

“To find Zhou Li Tao?”

“Who knows? let’s ask the nurses first. What if they can provide us with some useful information?”

“If you want to flirt, go. Don’t use medical history as an excuse.” “Actually, epilepsy and loss of smell can be put together,” Zheng Ren said.

“For example?”

“It’s a blood – pressure drug that can improve heart function and occasionally damage the olfactory nerve.”

“It’s too far – fetched. “

“Abnormal electrical discharge in the neurons of the brain cells … Nerve damage …” Zheng Ren started to mumble.

“Don’t think that you’ll look more professional by saying that you’re having epilepsy because your brain cells and neurons are abnormally discharging. ” Su Yun said.

“It’s not like that …” Zheng Ren waved his hand and said,””Nerve damage doesn’t necessarily have to be an external injury. Other factors can also cause nerve damage.”

“Tumor invasion, chemical elements in the air, what else do you want to say? I’ve just diagnosed them. “

“Parasites, such as the amoeba parasite, first enter the human nasal cavity. They are devoured by the supporting cells of the olfactory nerve epidermis. Then, they follow the space of the Maryland of the olfactory nerve without any myyeline line, pass through the screen deck, and reach …”

As Zheng Ren spoke, he was stunned.

Su Yun’s gaze was filled with doubt as well. He looked at Zheng Ren in shock.

Originally, he wanted to refute, but primary encephaloids did cause loss of smell and symptoms of epilepsy. Su Yun swallowed the words that were on the tip of her tongue.

Uh …

“It’s primary AMIBA meningotomies!” Zheng Ren said, then added,””This diagnosis is more reliable. The possibility is 80%!”

“Primary AMIBA mencephalon inflammation? How did you get in?”

“Ask general manager Zhou if there are any wounds near the patient’s nose. By the way, how old is the patient? It’s possible that her pimple burst and she got infected with the amoeba. “

The more Zheng Ren spoke, the more confident he became.

As the flaws in the previous diagnosis were too obvious, as long as there was basic logic, they could be eliminated. They were a type of differential diagnosis, a kind of sacrificial diagnosis where the patient had to find a reason to reject the diagnosis.

“At first, there was an abnormality in the sense of smell, but then it was followed by dizziness, headache, nausea, spurting – like vomiting, and then epilepsy.” Su Yun frowned and gave a reason that even she was not sure about.

“The locations of the infections are different, so the progress of the disease may be staggered.” “The condition is very complicated,” Zheng Ren said.”The steps in the textbooks are just one of the most likely ones to appear.”

As expected, Su Yun’s words were immediately retorted by Zheng Ren.

Zheng Ren then picked up his phone and made a call.

The phone rang at the door, and Zhou Litao pushed the door open with his phone.

“Boss Zheng, big brother Yun, I’m sorry. The patient had an emergency, so I came back late.” Zhou Litao said apologetically.

“Does the patient have any external injuries in the triangular area of his mouth and nose?” Zheng Ren asked directly.

“Uh … No,” Zhou Litao said,”no external injuries.”

Zheng Ren was a little disappointed, but he immediately asked,””How old is the patient?”

“An old man in his 60s.” Zhou Litao answered subconsciously.

Could he have been wrong?

“Boss Zheng, what illness are you considering?” Zhou Litao saw Zheng Ren’s unkind expression and asked carefully.

“No external injuries? Where’s the rosacea?”

“Uh …” Zhou Litao was stunned for a moment, wondering what was wrong with boss Zheng?

“She has rosacea – ridden nose. The patient has been drinking a lot all year round. For the time being, it is considered to be a convulsion caused by alcohol.” Zhou Litao immediately said more, so that boss Zheng wouldn’t chase after his butt and ask.

“Something’s wrong! It’s primary encephalotomy. ” Zheng Ren said,”calm the patient down and hurry up with the CT scan.” By the way, we also need to do a cerebral fluid examination. “

“……”

Zhou Litao had just been busy sweating, and when he came back, he was stunned by Zheng Ren’s words. He was even more confused than when Su Yun had explained his doubts.

“When rosacea – nosed people come into contact with raw water, there is a very small probability of having an AMIBA parasite infection. The incubation period is short, and it acts up suddenly. ” “Yes,” Zheng Ren said with certainty.”Ask the doctor in the inpatient department to check his cerebral fluid and do a CT scan.”