"Moderate coma." Zhou Jun's judgment was consistent with Sun Lien's. "Call the neurology department for consultation. Let's see what kind of evil this guy has been..." He suddenly saw Sun Lien writing notes behind him and frowned.
"Who told you to get up? Go back and lie down! Do you know that you are dedicated to your job and not in a hurry at this moment?"
"I came here to relieve my anger." Sun Lien tried hard to stretch his facial muscles and put on a playful expression. "I'm still waiting for you to write me a letter of praise later."
"If you are kicked to death by him, I can give you a few good words at the martyr selection." Zhou Jun replied coldly, but no longer asked Sun Lien to go back and lie down immediately. "Remember to do it in half an hour.
A B-ultrasound examination.”
Zhou Jun is a typical talkative person. Sun Lien, who has been receiving training in the emergency department for two months, has actually figured out the temper of his teaching teacher. When he saw him say this, he knew that it was okay.
It's better not to stay in bed, otherwise according to Zhou Jun's temper, his weekend rest will definitely be forced to be on duty.
It is very inhumane to ask a patient who may have internal organ damage to call for consultation. Sun Lien walked to the duty desk, picked up the phone and started calling for consultation. Every time he called for consultation, he had a kind of
The young and Dangerous boy is under the illusion that he is about to start a fight. Hello? Brother Pheasant? You are causing trouble with Shenghe's bad boy, come here to help!
Brother Pheasant, oh no. The attending doctor in Shennai said he would be here soon. After hanging up the phone, Sun Lien began to think about the cause of Zheng Xiaoyu's illness. Syphilis erodes the human body relatively slowly. But this does not mean that syphilis will not invade the nervous system.
Wait a minute... Sun Lien had a flash of inspiration. An old professor who taught infectious diseases in the school once mentioned that before liberation, many poor prostitutes suffered from syphilis. Because they had no money to treat the disease, they could only postpone it again and again until they were infected.
Ten years or more later, syphilis will infect the brain. However, with the gradual improvement of the medical and health system after liberation, this disease has almost completely disappeared. Even the old professor has never seen it with his own eyes, but
I have seen corresponding descriptions in the literature.
Could it be syphilitic encephalopathy?
The course of this disease is too slow, and it takes more than ten years of infection to appear. And looking at the behavior of this middle-aged man driving a BMW, it doesn't look like he is short of money and can't afford treatment. What's more, it can cause mental abnormalities.
There are also many diseases, and hepatic encephalopathy caused by liver cirrhosis can also cause the same effect.
There is not enough medical history information. Sun Lien has a headache. If it can be proved that the middle-aged man once suffered from syphilis, it can at least lead Teacher Zhou's thinking in this direction. But now they don't know anything except his name. By the way,
When we came back, it was fortunate that Zheng Xiaoyu had the attack after parking her car in the hospital. How dangerous would it be to drive on a public road?
Wait... Sun Lien suddenly raised his head and looked at the computer in front of him.
What did Zheng Xiaoyu come to the hospital for?
"Check the registration information, Zheng Xiaoyu." Sun Lien skillfully logged into the electronic medical system that has recently been fully used throughout Ningyuan. He filled in Zheng Xiaoyu's name in the registration inquiry.
"Dermatology and Venereology Department, receiving doctor, attending physician Jiang Lun." Sun Lien slapped his thigh and picked up the phone.
"Doctor Jiang?" Sun Lien's voice sounded very proud, "I am in the emergency room. Did you see a patient with an appointment this morning named Zheng Xiaoyu?"
"That one? I don't know." Dr. Jiang on the other end of the phone spoke in Sichuan dialect that smelled like sea pepper. "I have seen more than a dozen patients here this morning. Please tell me about their appearance and characteristics."
"Um, middle-aged man, bald, wearing a suit." Sun Lien gave a brief description, then thought about it for a moment, it might not be enough, and added, "He has a particularly bad temper."
"Oh!" Dr. Jiang suddenly realized, "I've seen this little grandson before, and he almost beat me up on the head." He paused and asked, "Why, did he hurt someone?
"
Sun Lien coughed twice and said, "He is in a coma. Could you please come over for a consultation?" The Sichuan dialect sounded cadenced and full of rhythm. Unfortunately, Sun Lien had lived in the East China Plain for a long time, so it was still difficult to understand. He had no choice but to
I interrupted Dr. Jiang and waited until he promised that he would come for consultation immediately after seeing the patient before hanging up the phone.
"Why do we need to invite people from the dermatology department for consultation?" Zhou Jun asked after Sun Lien hung up the phone. "If the patient only seeks treatment from the dermatology department, then just let them pass on the case."
Sun Lien said with a smile, "The outpatient clinic has direct communication with patients who are relatively normal and not in a coma. I think since the patients have communicated directly with them, it can at least allow us to understand some symptoms that comatose people cannot provide.
"
"Such as skin pain or a strange smell on your body." Zhou Jun nodded with some relief. "Your idea is very good."
"A strange smell on your body?" Sun Lien asked curiously, "What symptoms are these?"
Zhou Jun took Sun Lien to Zheng Xiaoyu's bedside and opened his eyelids. "See for yourself."
The sclera, which should have been white, was stained with a light yellow color.
"Jaundice?" Sun Lien was surprised, "Is there something wrong with his liver?" He sniffed and indeed smelled a strange odor from Zheng Xiaoyu's body. It seemed like the smell of ammonia.
"If the attack on you is regarded as a symptom." Zhou Jun nodded and added, "This is a case of hepatic encephalopathy. The patient's liver has failed and cannot filter and excrete ammonia in the blood. This causes brain disorders and produces
Psychiatric symptoms.”
Hepatic encephalopathy? Sun Lien frowned slightly. This was different from the cause shown in the status bar.
"So, the question now is, what caused his liver failure." Sun Lien looked at the comatose patient and said to himself, "He was still seeing a clinic by himself just now, and now he has passed out. The course of the disease
The progress is too rapid and it doesn’t seem like a problem caused by a chronic disease.”
"If we don't find out the cause of acute liver failure as soon as possible..." Zhou Jun crossed his arms and looked at the patient and said, "It won't take long for him to die here. Until the cause is found, it's impossible for him to get a liver transplant."
index."
Liver failure caused by cirrhosis? Impossible. Zheng Xiaoyu’s mental symptoms progressed too fast, the development rate of cirrhosis was too slow, and the patient’s own symptoms would be obvious, making it almost impossible to ignore or misdiagnose. Sun Lien looked at Zheng Xiaoyu’s head
The word "syphilis" appeared on the label, and his eyes suddenly widened.
If it was mental symptoms caused by syphilitic encephalopathy, then the syphilis that had lurked in the third stage must have invaded Zheng Xiaoyu's internal organs.
Not only did he have syphilitic encephalopathy, he also had syphilitic liver disease! Hepatic failure and syphilitic encephalopathy caused by syphilitic liver disease also combined with mental symptoms!