Sun Lien gave Feng Ming a guarantee, and Feng Ming, who calmed down, finally felt a little more relieved. He turned around and went out to help his future father-in-law and mother-in-law.
"The nurse has finished collecting blood." Xu Yourong reported the progress to Sun Li'en, and then asked with some confusion, "Do you think it's not lupus erythematosus?"
Sun Lien asked curiously, "How do you know?" When he was communicating with Feng Ming just now, he was more than 20 meters away from Xu Yourong Shao. At such a long distance, the two of them deliberately lowered their voices when talking. Ordinarily, Xu Yourong could not listen.
You have to see what they are saying.
"Your expression is not right." Xu Yourong recalled for a moment and continued, "Yesterday when you diagnosed Xiao Linxun with hyperthyroidism, your eyes shone brightly. It was as if you had found some treasure, but now, you are wondering."
Sun Lien smiled bitterly and nodded, "I do... think the possibility of lupus erythematosus is unlikely."
If Xiao Linxun's case is included, this is the second time that Xu Yourong's diagnosis has been rejected by Sun Li'en. But she didn't mean to be angry at all, but asked curiously, "What's the reason? I don't think your diagnosis is just based on feeling, right?"
"
"Three reasons. First, systemic lupus erythematosus has a tendency to agglomerate in families." Sun Lien's brain was working at full speed and he began to make up three reasons why he thought it was not lupus erythematosus. "Looking at the performance of the patient's mother just now, she has obviously never had lupus erythematosus.
I have heard the word lupus erythematosus. This is what made me doubt the diagnosis."
Xu Yourong frowned and said, "The reason is not sufficient."
"That's enough as an introduction." Sun Lien continued to make up lies, "Secondly, the symptoms are wrong. You also heard that Feng Ming said that the patient needs to ride an electric bike to go to work."
Xu Yourong was even more confused, "I don't understand the relationship between this way of traveling and the symptoms."
Although Sun Lien was making up lies, as the lies started to come out smoothly, he actually began to gain some confidence. "Riding an electric bike means being exposed outdoors for a longer period of time. If she really has lupus erythematosus, ultraviolet rays will
Irradiation will cause the skin symptoms of the disease to appear earlier, instead of delaying them until systemic symptoms affect the nerves."
Lupus erythematosus is named because of the unique skin symptoms of this disease. After ultraviolet rays are irradiated, bright red marks will appear on the patient's skin, and the marks will soon begin to fester and break, and will not heal for a long time, as if they were bitten by a wolf.
The wounds are the same. This is the origin of the name "lupus erythematosus".
When the lie has sufficient medical reasons and logical support, it can be transformed into a reason for diagnosis. Looking at Xu Yourong who suddenly realized it, Sun Lien felt an ulterior sense of pride in his heart. He could graduate from Hopkins University.
The medical doctor was stunned for a moment, which indeed makes people feel complacent.
"What about the third reason?" Xu Yourong asked.
"The third reason..." Sun Lien was still immersed in complacency and was a little dazed by such a sudden question. After pondering for a moment, he continued, "The third reason is that the symptoms are not obvious. Although systemic erythema
The diagnosis of lupus does fit the patient's symptoms, but these symptoms are not typical of systemic lupus erythematosus."
A disease may have many symptoms. Some symptoms will only appear in extremely rare cases. For example, syncope caused by systemic lupus erythematosus, neurological damage manifested by hemiplegia, and status bar prompts
Transient ischemic attack. These symptoms may indeed appear in patients with systemic lupus erythematosus, but the frequency of their occurrence is too rare. Skin damage and kidney damage are the most typical symptoms of systemic lupus erythematosus.
A patient with systemic lupus erythematosus showed three rare reactions without typical symptoms? Sun Lien would rather believe that this is a diagnostic error than a coincidence. There are no coincidences in medical diagnosis, nor are they
Allows coincidence to be used to diagnose and explain cases.
Xu Yourong thought for a long time and nodded, "What you said makes sense. I have indeed seen rare manifestations of systemic lupus erythematosus in the literature recently. It is inappropriate to use these rare manifestations to infer the disease."
"Although the probability is very low, the possibility of lupus erythematosus still exists." Sun Lien began to smooth things over, "so I still think we should do a rheumatism five-item examination to confirm the diagnosis."
Although she usually likes to use the power-saving mode, Xu Yourong still understands that Sun Lien is trying to show his kindness. She nodded with a smile and continued, "Do you insist on doing an MRI examination because you suspect she has brain damage?"
The transient ischemic attack prompted by the status bar was actually the main reason why Sun Lien insisted on taking an MRI examination. But this reason could not be put on the table. He could only smile bitterly and said, "I am not sure whether she has brain damage now, but she fainted
The non-traumatic hemiplegia really makes me suspect that she has a brain problem. Anyway, there is no other diagnostic direction now, so I might as well give it a try."
"Bang!" Suddenly there was a loud noise next to Qin Ya's bed. Sun Lien was startled. When he looked up, he found that the cardiopulmonary monitor next to Qin Ya's bed had been pushed to the ground. The monitor of the monitor was facing forward.
It hit the floor and rolled twice, revealing the surface of the monitor covered with cobwebs.
"Bang!" There was another sound, and Qin Ya's right hand, which should have been unable to move due to hemiplegia, swung violently and hit the guardrail next to the rescue bed.
Sun Lien was shocked, and rushed towards Qin Ya, shouting as he ran, "Take 10 mg of Diazepam, Xiao Guo, come here and help!"
Qin Ya lay on the bed, her voice trembling, "No...it's not me..."
She suddenly cried, "I didn't do anything, it moved by itself!"
Feng Ming looked at the broken monitor screen with a serious look on his face.
"It can't be a mental illness." He gritted his teeth and said, "I can still tell the difference between normal people and mania."
Sun Lien looked at Qin Ya, who was sleeping deeply because of the tranquility, with a look of unbearable expression on his face, "If it's not a mental illness, then it's a new symptom."
"Involuntary movements of the limbs..." Feng Ming cursed in a low voice, "Only organic disease."
"The waving of the arms is like a dance. It may be a neostriatum tumor..." Xu Yourong whispered, she paused, and then said the next words, "It may also be Huntington's disease."
Feng Ming let out a desperate groan.
The neostriatum of the brain includes the lentiform nucleus and the caudate nucleus. These two parts are located too close to the brainstem, and the lentiform nucleus is even a structure completely wrapped by the gray matter of the brain, so neostriatal tumors are almost
There are no surgical options available.
Huntington's disease is even more despairing. It is an incurable hereditary disease. Most of the patients are women. The patient's new striatum will gradually shrink as the disease progresses, and eventually the patient will lose the ability to walk, talk, and
Movement, and even swallowing ability. Finally, death due to muscle weakness and malnutrition. Since most patients have unconscious dance-like movements, this disease is also known as Huntington's disease.