Although no one was sure whether the diagnosis of the first patient was correct, the conclusion was obvious.
Do we still need to discuss it?
Therefore, Professor Shortfoot said: "I ask you to stay one more day to help this patient operate."
Zhao Yilin squinted at Liu Muqiao.
Didn’t you fucking say a long time ago that you want surgery to treat epilepsy? I didn’t expect that you would realize this wish here!
Zhao Yilin really doesn’t understand Liu Muqiao.
In the past few months, he has never shown any talent or knowledge about epilepsy. At most, he has been talked about needing surgery to treat epilepsy.
Just now, he also noticed that Liu Miqiao was like sleepwalking again, poking and poking. Every time, this time meant to him that he was going to have a miracle.
Every time, after pretending to be mysterious and mysterious like this, he will show off his special skills.
I don’t understand.
Zhao Yilin shook his head. He still doesn't understand Liu Miqiao.
At this time, Dr. Zou was also thinking that by pointing and drawing like this, Liu Miqiao was lifting the ban and unlocking skills.
Of course, he just thought about it and was not superstitious.
Dr. Zou has a habit of reading a few chapters of online novels every night before going to bed, otherwise he will not feel at ease even after falling asleep. The characters in the online novels are also a real part of his life.
Just as he was thinking about it, Liu Maqiao spoke.
"The second patient,"
Liu Muqiao pointed to the MRI film and said loudly.
"It should be an intracranial infection. As for what kind of infection it is, based on the imaging characteristics, I prefer to diagnose it as an actinomycete infection."
At this time, many professors frowned.
Infection, that's no problem. Almost everyone is sure that this child has an infection, an intracranial infection.
But what kind of infection is it? It’s no wonder.
Bacterial infection?
Strong antibiotics were used, but they had no effect. Besides, the tests did not support it.
Fungal infection?
Diflucan, a specific antifungal drug, has also been used, but it has no effect. It can be ruled out.
Mycobacterium tuberculosis?
Tuberculous encephalitis is very similar, but anti-tuberculosis drugs have been used for three months without any effect, so it can basically be ruled out.
Actinomycete infection?
This guy came up with a new diagnosis, actinomycete infection, at the very beginning. Was he just making random speculations, or was he based on it? If so, what was his basis for?
Generally speaking, actinomycetes rarely cause infections, and infections only occur in people with low immunity or immune deficiency.
However, this guy is a little strange, so we can’t deny his diagnosis rashly.
"Excuse me, Dr. Liu, what is your basis?"
The person who raised this question was the chief physician of the pediatric neurology department. He was a fat man, weighing more than 200 kilograms. He was not very tall, less than 1.7 meters tall, and his belly was very high.
"In fact, I am not sure that the diagnosis is 100% accurate. The information in my hand is incomplete. The reason why I make this diagnosis is mainly based on experience."
Liu Muqiao searched 300,000 cases and found 7 cases of the same type with very similar imaging data.
Based on experience?
The buzzing started again.
If in other consultation situations, Liu Muqiao had been replaced by another person, a resident doctor, an attending physician, or a deputy chief physician, it would be strange if these professors did not scold him!
Will kick him out!
You say based on experience?
Do you think we are all dead?
At such a young age, you say you rely on experience in front of us? You are not afraid of dropping your jaw when you say big things!
However, today, no one scolded me.
The fat chief physician said: "How many similar patients have you seen?"
Liu Miqiao felt that this was inappropriate and said: "The expression is a bit inaccurate and cannot be said to be based on experience. I have data on 7 similar patients, and the imaging is very similar. I have no other data on this patient, so I cannot be sure."
"I'll bring over other information for you to see." Dr. Fatty turned on the computer and entered a set of numbers. Soon, the patient's data was uploaded to the screen.
Liu Muqiao glanced at the general situation, and then focused on the test results, especially the three cerebrospinal fluid tests.
After about 10 minutes, Liu Miqiao said: "You can treat actinomycetes. I guess the diagnosis is correct. This is the 8th case of actinomycete meningoencephalitis that I have seen."
The fat doctor suddenly felt weak all over. How come, a little brother actually has the advantage of rolling over.
He couldn't stand still and fell down.
"Click!"
The wooden sofa collapsed.
Professors, you look at me and I look at you.
Go home and farm!
I’d better go home and sell rice noodles!
After a while, the host asked according to procedure, "Professor Zeng, do you agree with this conclusion?"
The fat professor still covered his back and said, "I have no reason not to agree."
Liu Muqiao is already looking at the MRI film of the third patient.
"You are right to consider this patient. He is a secondary mental patient. The lesion is on the left temporal lobe. The nature of the lesion is not yet clear. It is a low-density shadow. However, this low density is difficult to detect. It is a viral infection.
It's still a prion infection, I dare not draw a conclusion, because I am not expert in this kind of neurological disease, so I dare not draw a conclusion."
"Can you mark where the lesion is?" asked a tall and lanky professor, who is the chief physician of the encephalology department.
Liu Muqiao projected this MRI film onto the wall, "Here, there is such an oval shape."
Oh!
Hiss!
Maigo!
Why didn't you notice?
"Difficult! It's hard for me to determine the difference in grayscale here now."
"He is really knowledgeable about imaging."
"Brother, you're an imaging student, so your food is not good."
"Ashamed, before him, I was just a primary school student."
……
Liu Muqiao picked up the MRI film of the fourth patient and said.
"I have little knowledge about this patient. I basically only have some book knowledge about surgery and have never practiced. On this MRI, except for the obvious space-occupying lesions in the brain, I found no abnormalities elsewhere. So, this
Patient, I have no good advice."
Finally, Liu Muqiao encountered a problem. He had no suggestions for the fourth patient.
Liu Muqiao was thinking, no, in the next stage, I have to practice seriously. Neurology alone has great limitations, and there are many departments that I have not been to.
After I go back, I will have to change my internship in another department.
If you don’t hurry up now, it will be very troublesome to make up for it in the future.
It has been more than three months and I have only practiced in two departments, which is far from enough.
He calculated and found that the departments he had not yet visited include cardiovascular medicine, gastroenterology, respiratory medicine, endocrinology, and nephrology in the internal medicine department; general surgery, hepatobiliary surgery, urology, and orthopedics in the surgical department; in addition, obstetrics and gynecology, ear and nose
Laryngology, Stomatology, Ophthalmology, Dermatology.
Of course, it is a bit difficult to do internships in all of them, but you must go and experience the main departments, and at least have a process of familiarity and understanding.
Maybe we can even open a few intermediate treasure boxes!
Or, activate a few basic skills!
When the time comes, we can become a general practitioner and become experts in every subject. In the medical field, we won’t just be able to master everything. How beautiful would that be?
It’s beautiful!
When he thought of Tong Chi, he thought of braised pork.
Thinking of braised pork, his saliva flowed down involuntarily.
"Tick tock!"
Another drop of saliva fell.
Dropped on the MRI film.
"Liu Muqiao!"
Zhao Yilin gave a light drink.
"Oh yeah!"
Liu Muqiao was awakened.
This chapter has been completed!