Chapter 1559 Dangerous Nurse!

In fact, I have been a doctor for a long time.

Habitual automatic disbelief of some of the patient's answers.

Not because of mistrust.

But because of the opponent's lack of cooperation.

In fact, Chen Cang asked deliberately about the history of Yeyou just now, instead of saying "the life history of unclean niches" or other straightforward names.

To be honest, there are really not many people who know the name Ye Youshi, but it makes sense for Chen Cang to ask.

When the man was sent to have his blood drawn, Chen Cang said hello to Huang Binhai: "Go and collect family history with their parents, and then make an appointment for a head CT."

Huang Binhai nodded, while Chen Cang followed the nurse who collected the blood.

"Be careful when you draw his blood later, don't puncture yourself."

How long has the little nurse been here, and seeing Chen Cang caring about her so much, she couldn't help but blush. After all, being cared by Professor Chen personally, the little nurse's heart is full of satisfaction and happiness!

"Thank you Professor Chen!"

The nurse on the side was also a little envious.

Who is Chen Cang?

Lao Ma has to admit that this is the male god of the emergency center.

The head nurse at the side came over: "What's the matter, Professor Chen?"

The head nurse is different from this group of young nurses. She has rich experience and knows that it is impossible for Chen Cang to come here to ask his relatives.

She seemed to realize that Chen Cang had something to say!

Chen Cang nodded: "Well, there is a little problem."

"I can't rule out whether he is HIV-infected now, so...you ask the nurse to pay attention, and of course, it will be pointed out."

After hearing this, the head nurse frowned slightly and nodded.

In fact, many times, the risk of nurses is greater than that of doctors.

After all, nurses are required to do daily infusion and injection treatments and so on.

In many cases, the doctor will give a doctor's order at most. If there is no operation, the risk is not that great.

So, sometimes the stakes are really high for nurses.

This requires a good communication between the doctor and the responsible nurse, otherwise... It is not uncommon for the blood needle of the infusion set to pierce one's own hand.

Many protection measures and protection awareness must be improved.

After Chen Cang settled down with the nurse, he got up and walked to the boy.

Can't help but ask: "Do you have a history of being unclean?"

The man stopped suddenly.

Looking at Chen Cang, after a moment of silence, he shook his head: "No."

Chen Cang nodded.

Believe it or not, let's wait for the test results, anyway, the test results will not lie.

Enlarged lymph nodes all over the body are rarely seen, but...most of them are dangerous, and most common clinically are caused by infection.

But in the case of the patient, a student, 19 years old, how could you be infected?

So, the next things to consider are: lymphatic tuberculosis, leukemia, malignant tumors, and... AIDS!

Apart from these few clinical situations, Chen Cang could no longer think of other possibilities.

When Chen Cang first heard about the patient's situation in the operating room, Chen Cang, like most people, was dumbfounded.

After all, even if it is a bunch of diseases, there must be a cause, right?

Or there has to be a major symptom, right?

That is the so-called chief complaint.

In fact, the chief complaint seems very simple, just like the patient just now, what do you think is the chief complaint?

Body pain?

epilepsy?

or something else?

Neither can be used as the main clue.

And Chen Cang directly grasped the key link in the middle - enlarged lymph nodes all over the body.

Chen Cang thinks this is a clue.

After the patient's blood was drawn, he was temporarily sent to the ward for further examination.

Sometimes, for such difficult and miscellaneous diseases, it is necessary to have a clear thinking and know how to deal with them.

It will take a while to wait for the test results.

At this time, the patient had just arrived at the radiology department, and not long after lying in bed, the epilepsy suddenly occurred again.

At this time, the bed hadn't been sent to the instrument, and the patient rolled over convulsively and fell to the ground!

Huang Binhai's expression changed, he ignored the examination and sent the patient directly to the emergency room for anti-epileptic sedation treatment.

When Chen Cang arrived, the patient was already asleep.

But blood was oozing from the corner of his mouth.

When Huang Binhai was about to open his mouth to see the situation, Chen Cang put on his gloves and said to Huang Binhai, "Let me do it!"

While speaking, Chen Cang opened his mouth to see, even though the treatment was timely, he still bit his tongue.

The patient's parents were a little nervous standing at the door when they learned that their child was ill again.

The cause of epilepsy is now under investigation.

Chen Cang frowned: "Continue to push for the inspection, but... this time, I will do the MRI, just to see what's going on, and you can take care of it."

Now the cause is unknown, and there is no way to start treatment.

Rescue measures can only be given by symptomatic treatment.

In this way, although the patient's symptoms seem to be effectively suppressed in a short period of time, in the long run, the cause must be found.

How could a nineteen-year-old patient have such a disease?

There must be a cause!

Huang Binhai nodded, and after the patient stabilized, he took him to the radiology department again.

This time, Huang Binhai watched the man enter the machine himself, and he was relieved.

The family members saw Chen Cang coming out at this time, and asked anxiously.

"Professor Chen...what happened? What happened to my son?"

Chen Cang shook his head: "It's hard to be sure now, no test results have come out yet."

"But... I think you should still be mentally prepared!"

In a word, the family members of patients are not calm!

Be mentally prepared for such words to come out, can it be simple?

When the family members heard this, the first reaction must be that they couldn't believe it!

"Doctor, did you make a mistake? This child is only 19 years old. You have to be mentally prepared for any illness!"

"Yes, doctor, don't scare us!"

Chen Cang shook his head: "I'm not scaring you, I'm just telling the truth. All the patients I've seen so far with enlarged lymph nodes all over the body are at higher risk."

"And... the patient also has intracranial lesions, which is the most critical."

Chen Cang now suspects that the malignant tumor has metastasized to multiple organs!

Because only this situation can explain the patient's performance clearly.

Pain all over the body, could it be cancer pain?

Could the seizures be caused by abnormal intracranial discharges caused by the brain metastasis of the tumor?

It cannot be ruled out!

There are also patients with headaches, general fatigue, and decreased resistance...

Wait, all the predisposing factors forced Chen Cang to think about this question.

The possibility of lymphatic tuberculosis is relatively low.

Because lymphatic tuberculosis does not cause seizures.

Diagnosis, that's it, every condition is a clue.

As a doctor, you have to figure out patiently and carefully.