Chapter 213 Abnormal Perspective

Xu Ze looked at the patient in front of him. He couldn't help frowning, and couldn't help cursing secretly in his heart, this kid is really too insidious...

"Cough Cha Yin..." On the patient's bedside card, although Xu Ze didn't look at it specifically, with his sharp eyesight, he still saw the words on the bedside card at a glance.

Most of the patients who can hang the sign of "Cha Yin" on Attached One are patients with unclear etiology. With the strength of Attached One, if they can write what Cha Yin is, it means that the patient's condition is extremely complicated and difficult to treat. discerned.

Originally, a group of boys happily embraced Xu Ze, and planned to wait for Xu Ze to teach Li Moling a lesson, but at this moment, they all looked at the sign of Coughing Cha Yin, and all of them were in a daze, sighing secretly that Li Moling really It's bad enough to show Xu Ze such a thing, what ability does Xu Ze have to make a comeback now?

Xu Ze snorted softly, pointed at the patient's bedside card and raised his eyebrows: "Doctor Li, you haven't even been diagnosed yet, so just get it out and show it to me..."

Seeing Xu Ze's gloomy face, Li Moling smiled triumphantly. Then he looked at Xu Ze and said with a sneer: "Xu Ze... this patient just got a "cough check" when he first came in. He has already been diagnosed, why are you afraid? Besides, I want to get a sign to clearly write it down. Sick patient, what else should I show you..."

Xu Ze smiled lightly, looked at the smug Li Moling and said with a light smile: "Doctor Li, when you come here first, you are still a patient with a cough and Cha Yin, please let me see, it seems that you are still sick." You really think highly of me..."

Being ridiculed by Xu Ze's secret voice, Li Moling blushed a little, but he still hummed and said, "If you were diagnosed before you came in, it's so simple, why should I show you... you Do you want to see it?"

"Look...of course..." Xu Ze sneered and said.

Xu Ze took out his stethoscope, questioned the patient carefully, and then did a detailed examination. It took about ten minutes. After the examination, he frowned slightly. This patient is really weird. No wonder Li Moling looked so confident.

Seeing Xu Ze's frown, Li Moling secretly laughed in his heart. Although this patient has been diagnosed, he has stayed with us for more than a week. After being consulted by Director Qian and several doctors, he finally got it. Diagnosis, I want to see how you kid can see this disease.

Xu Ze was really a little confused at this moment. The patient in front of me came to the First Affiliated Hospital mainly because of a cough for two months. After the treatment was ineffective, he mainly had a dry cough without sputum, no chest pain and shortness of breath, no obvious fever or chills, etc.; but lung auscultation except Other than the slightly lower breathing sound, there were no other abnormal signs.

And the patient is only in his thirties,

There is no history of smoking in the past, so the reason for this cough is a bit strange...

Originally based on the symptoms and signs of this patient, in this case, it is generally considered to be pneumonia caused by mycoplasma infection; it can also be considered as tuberculosis, and even lung cancer cannot be ruled out.

But Xu Ze knew the patient's condition, since he had to go to Fuyi for treatment, and when he came in, he was still suffering from a cough, so the condition might not be that simple.

And according to common sense, since Attached One has already been diagnosed, but since this patient is still staying here for treatment, tuberculosis should be ruled out.

If it is an infectious disease such as tuberculosis. It will definitely be transferred to the Department of Infectious Diseases for treatment, and will not stay in the Department of Respiratory Medicine.

As for lung cancer, the patient is only 30 years old, has no smoking history, and has no related symptoms and signs of lung cancer, so this possibility is extremely small. Besides, if lung cancer is diagnosed, most of them will be transferred to the oncology department for treatment.

So after excluding these two diseases, Xu Ze can only consider whether it is mycoplasma pneumonia, but since the patient has been coughing for two months, and if it is a dry cough, then there must be a hospital that has already considered this disease, and did not Related treatment for mycoplasma pneumonia.

Since the treatment was ineffective, and the diagnosis was not made until the attached first, the possibility of this disease is naturally extremely small. In this way, some other issues have to be considered.

At present, Xu Ze's two handsome eyebrows were tightly frowned, and he was analyzing and thinking quickly.

The students next to him, Xu Ze, who has always been extremely powerful, frowned now, and everyone became nervous, not only the male students, but also the female students were also worried, holding their breath, watching Looking at Xu Ze, for fear of disturbing his thinking.

Li Moling next to him looked at Xu Ze's frown, but secretly smiled in his heart. Just think about it slowly, hehe... If you can figure it out like this, then I admire you too...

Pulmonary interstitial disease...mycoplasma disease...central cough? or something else...

Xu Ze thought about it for a while, and decided to take an X-ray to see if there was any problem with the patient's lungs.

"Start X-ray perspective..." Xu Ze ordered softly in his mind.

"Beep... X-ray fluoroscopy is activated..." Following Xu Ze's order, the system's automatic response system quickly responded.

With the activation of X-ray perspective, the patient's lungs gradually became translucent in Xu Ze's field of vision. In the dark field of vision, Xu Ze began to scan the patient's lungs carefully.

Following Xu Ze's scan, there seemed to be nothing wrong with the patient's lungs. The lung texture was fairly clear, and there were no patchy shadows.

Looking at these situations, Xu Ze couldn't help raising his eyebrows, it really wasn't that simple. Since no problem can be seen through X-ray fluoroscopy, it may only be a subtle lung lesion or a problem of the central nervous system.

However, to exclude patients with subtle lungs, only CT scans or MRIs of the lungs can be performed.

But at present, given that I am only a second-level medical soldier, I am afraid that the lung CT scan and MRI cannot be activated. I guess this authority is only at the fourth or fifth level. extreme authority. But there is still no way for those above level four.

Xu Ze sighed lightly, secretly thought that if he couldn't see it, then he could only ask Li Moling for relevant examination data for analysis, and immediately said to Li Moling beside him: "Doctor Li, regarding the patient's Check the information, can you explain it?"

"Huh... I really want to ask this, I think you are still so arrogant..." Li Moling sneered, and then said with a smile: "Of course I can tell you the information, but you have to say what you need information, otherwise I have reported it to you, so what else do you want to read. Just look at the results directly..."

Seeing that Li Moling didn't refuse at all, and still looked confident and proud, Xu Ze couldn't help frowning secretly in his mind, thinking to himself: "Isn't the inspection information helpful?"

Although he thought so, Xu Ze nodded and said, "Okay... I need blood routine and chest X-ray, as well as lung CT and MRI..."

Quite beyond Xu Ze's expectation, Li Moling casually read these materials to Xu Ze one by one...

These data were not beyond Xu Ze's expectations. In terms of routine blood tests, the white blood cells and red blood cells were basically normal. Only the neutrophils were slightly increased, which only meant that there was a small amount of infection.

The chest X-ray was completely normal as he saw it himself, and the CT scan of the lungs, as well as the MRI examination of the lungs, did not reveal any abnormalities.

Seeing this, Xu Ze couldn't help raising his eyebrows. Could it be that he was thinking about central nervous cough as he imagined?

Looking at Xu Ze's appearance, Li Moling laughed secretly. The questions Xu Ze asked were all inspections without any problems, but one of the bacterial cultures was not asked.

Generally in a situation like this, since there are no problems with so many tests, no matter which doctor will first consider the possibility of mycoplasma pneumonia!

"If this Xu Ze is really capable, he must also consider this disease, and he should not consider other reasons. But if he really considers this disease, hehe... then he is doomed... As for the real disease, only 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 better than many seniors in terms of medical experience and knowledge. Physicians are much stronger... I have already thought of this possibility.

"Could it really be caused by a central nervous cough?" Xu Ze frowned and thought for a while, but he was still not so sure. After all, he was still a young man, and there was no other abnormality. Why does this central nervous cough occur?

Xu Ze was still a little worried. Thinking of this, he decided to take a closer look at the patient's lungs. This must be done carefully. It's not like Xu Ze lost to Li in front of him because of a little carelessness. Mo Ling, otherwise I don't know how this guy will take the opportunity to bully him.

As long as there is really no problem with the patient's lungs, then the diagnosis of central nervous cough can only be made.

Through such an analysis, Xu Ze is very confident that the respiratory medicine department should also make this diagnosis, because according to his analysis combined with these examinations, he has been able to rule out mycoplasma pneumonia and found no other abnormalities. There is no other possibility...

Only this CNS cough is possible...

"Start X-ray perspective..." Xu Ze ordered again.

"Beep... The X-ray perspective function is activated..."

As the patient's chest gradually became translucent, Xu Ze began to stare at the patient's lungs again.

After watching for a long time, the patient's lungs still seemed to be fine. Just when Xu Ze sighed and was about to stop, the system suddenly sounded a warning sound: "An abnormality was found...the silicon reflex in the lungs slightly exceeded the standard..."