Chapter 214

Looking at the patient in front of him, Xu Ze frowned and scolded in the bottom of his heart. This boy is too insidious

"Cough cause..." On the bedside card of the patient, although Xu Ze did not go to see it specially, but with his eye power, or a glance at the words on the bedside card.

Most of the patients who can still hang the sign of "cause investigation" in Appendix 1 are patients with unclear etiology. With the strength of Appendix 1, what kind of investigation can be written, which shows that the patient's condition is extremely complex and difficult to distinguish.

Originally, a group of boys happily hugged Xu Ze, intending to wait for Xu Ze to give Li moling a lesson. At this time, they all looked at the sign of cough and Chayin, one by one in a daze. They all sighed that limoling was really overcast. They even made such a one for Xu Ze to see. What ability does Xu Ze have to turn the tables.

Xu Ze snorted, pointed to the bedside sign of the patient, raised his eyebrows and said, "Doctor Li, are you not even diagnosed, just show me..."

Seeing Xu Ze's gloomy face, Li moling was proud to smile, then looked at Xu Ze with a cold voice and said, "Xu Ze The patient just came in with a "cough check" and had already been diagnosed. Why are you afraid? Besides, I'm going to get a sign that says clearly about the patient. What else can I show you... "

Xu Ze chuckled, looking at Li moling, who was proud of himself, and said with a smile: "Dr. Li, the first person to come here is still a patient with cough. Let me see it. It seems that you really look up to me..."

Xu Ze was satirized by this dark voice. Li moling's face turned a little red, but it was still humming: "if I diagnosed before I came in, it's so simple, what else can I show you Do you want to see it? "

"Look Of course... " Xu Ze said with a sneer.

Xu Ze took out the stethoscope, asked the patient carefully, and then did a detailed examination. It took about ten minutes. After the examination, he gently frowned. The patient is really strange. No wonder Li moling is so confident.

Seeing Xu Ze's frown, Li moling's heart was filled with a smile. Although the patient had been diagnosed, he stayed here for more than a week. After consulting with director Qian and several doctors, he finally gave out the diagnosis. I want to see how you can see the disease.

At this time, Xu Ze really had some doubts. The patient was mainly due to cough for two months. After the treatment failed, he came to the First Affiliated Hospital for treatment, mainly dry cough without phlegm, chest pain, shortness of breath, no obvious fever and chills. However, in addition to the slightly lower breath sound, there was no other abnormal signs in the auscultation of the lung.

And the patient's age is only in his thirties, and he has no history of smoking before

Originally, based on the patient's symptoms and signs, in such a case, it may be mainly considered as Mycoplasma pneumonia; and it can also be considered as pulmonary tuberculosis, or even lung cancer.

But Xu Ze knows the patient's condition. Since he still needs to run Fu Yi for treatment, and when he comes in, he still has a cough. So, the condition is not so simple.

And according to common sense, since the First Affiliated Hospital has been diagnosed, but since the patient is still here for treatment, then tuberculosis should be excluded.

If it is tuberculosis, this infectious disease, it will definitely be transferred to the Department of infection for treatment, and will not stay in the Department of respiratory medicine.

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

Therefore, excluding these two diseases, Xu Ze can only consider whether it is possible for mycoplasma pneumonia, but since the patient has been coughing for two months, and it is a dry cough, then there must be a hospital that has already considered this disease, and conducted relevant treatment for mycoplasma pneumonia.

Since the treatment is ineffective and the diagnosis is made only after the first attachment, the possibility of the disease is very small. In this case, other problems have to be considered.

At present, Xu Ze's two handsome eyebrows are tightly wrinkled, and are rapidly analyzing and thinking.

The students next to him, Xu Ze, who had always been extremely fierce, frowned, but they were all nervous. Not only the male students, but also the female students were worried. They all held their breath and looked at Xu Ze for fear of disturbing his thinking.

Li moling beside him looks at Xu Ze's frown, but at the bottom of his heart, he laughs. You think slowly, hehe If you can think of it like this, I will admire you

Interstitial lung disease Mycoplasma disease Central cough? Or something else

Xu Ze thought for a moment, or decided to use X-ray to see if there was any problem with the patient's lung.

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

"Di X-ray start... " With Xu Ze's command, the system automatically responds and the system responds quickly.With the start of X-ray fluoroscopy, 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.

With Xu Ze scanning, but the patient's lung seems to be no problem, lung markings are still clear, there is no patchy shadow and so on.

Looking at these situations, Xu Ze can't help but raise his eyebrows. It's really not so simple. Since X-ray fluoroscopy can not see any problems, then it can only be a small lung lesions, or central nervous problems.

However, to exclude patients with lung nuances, only CT scan or magnetic resonance imaging can be performed.

But at present, I'm just afraid that I can't start the lung CT scan and MRI because I'm only a second level medical escort. I'm afraid that I can't start the lung CT scan and MRI. I'm afraid that I'm only afraid of level 4 or level 5. Even if I can override the level 3 authority, I still can't do anything about it.

Xu Ze sighed. If he can't see it, he can only analyze the relevant examination data with limoling. At the moment, he said to Li moling: "Doctor Li, can you explain the relevant examination data of patients?"

"Hum I really want to ask this question. I think you are so arrogant... " Li moling sneered, then said with a smile: "the data can tell you naturally, but you have to say what kind of information you need, otherwise I will report it to you. What else do you want? Just look at the results directly."

Looking at Li moling did not refuse at all, and still a face of self-confidence and complacency, Xu Ze's mind can not help but secretly frown, secretly thought: "are those inspection data not helpful?"

Although he thinks so, Xu Ze still nods: "good I need blood routine and chest X-ray, and lung CT and MRI... "

To Xu Ze's surprise, Li moling read these materials to Xu Ze at random

These data are not unexpected Xu Ze, blood routine, white blood cells and red blood cells are basically normal, only neutrophils slightly increased some, just represents a little infection.

The chest X-ray, as he had seen, was completely normal, and the CT and MRI of the lung showed no abnormality.

See these, Xu Ze can't help but raise eyebrow, is really like oneself imagine, consider central nervous sex cough?

Looking at Xu Ze's appearance, Li moling is laughing. All the questions Xu Ze asked were examined without any questions, but one of the bacterial cultures was not asked.

Generally like this situation, since so many tests are no problem, then no matter which doctor will first consider the possibility of mycoplasma pneumonia!

"If Xu Ze really has some abilities, he must also consider this disease. He should not consider other reasons. But if he really thinks about it, hehe Then he's doomed As for the real disease, he would never think of it. " Thinking of this, Li moling's heart is even more proud, but he did not think that Xu Ze in some medical experience and knowledge, is much stronger than many old doctors This possibility has already been thought of.

"Is it really central nervous cough?" Xu Ze frowns, is to think for a while, but still some are not so sure, after all, a young man, and there is no other abnormal, why this central nervous cough?

Xu Ze, who still has some worries, still decides to take a closer look at the patient's lungs when he thinks about it. This must be more careful. Xu Ze doesn't really lose to the limoling in front of him because of a little carelessness. Otherwise, he doesn't know how this guy will take advantage of this opportunity to bully himself.

As long as the patient's lungs do not have problems, then only according to the diagnosis of central nervous cough.

Through such analysis, Xu Ze is very confident, respiratory medicine should also be under this diagnosis, because according to his analysis combined with these examinations, and he has been able to rule out mycoplasma pneumonia, and no other abnormal situation has been found, there is no other more likely

Only this central nervous cough is possible

Start X-ray Xu Ze ordered again.

"Di X-ray fluoroscopy enabled... "

With the patient's chest gradually translucent up, Xu Ze began to stare at the patient's lungs carefully.

After watching for a long time, the patient's lung seemed to have no problem. Just as Xu Ze sighed and planned to stop, the system suddenly sounded a warning sound: "abnormal Lung silica reflex slightly exceeded the standard... "

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