I can see the status bar

Chapter 67 Two Terminal Illnesses
Sun Li'en gave Feng Ming a guarantee, and Feng Ming, who had calmed down, finally felt a little relieved.Turn around and go out to help the future father-in-law and mother-in-law.

"The nurse has finished taking blood." Xu Yourong reported the progress to Sun Lien, and then asked with some doubts, "You don't think it's lupus?"

Sun Li'en wondered, "How do you know?" When he communicated with Feng Ming just now, he was more than 20 meters away from what Xu Yourong said.With such a long distance, the two of them deliberately lowered their voices while talking, so it was impossible for Xu Yourong to hear what they were saying.

"Your expression is not quite right." Xu Yourong recalled a little, and continued, "Yesterday when you diagnosed Xiaolin Xun with hyperthyroidism, your eyes lit up. It seemed like you found some treasure, but now, you are wondering."

Sun Lien nodded with a wry smile, "I really... think that the possibility of lupus is unlikely."

If Xiaolin Xun's case is included, this is the second time that Xu Yourong's diagnosis has been vetoed by Sun Lien.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?"

"Three reasons. First, systemic lupus erythematosus tends to cluster in families." Sun Lien's brain was running at full speed, and he began to fabricate three reasons why he thought it was not lupus. "Looking at the performance of the patient's mother just now, she has obviously never heard of the word lupus erythematosus. This is what made me doubt the diagnosis."

Xu Yourong frowned and said, "There is no reason."

"It's enough as an introduction." Sun Lien continued to make up nonsense, "Secondly, the symptoms are not right. You heard it too, Feng Ming said that the patient needs to ride an electric car to work."

Xu Yourong was even more confused, "I don't understand the relationship between this way of traveling and symptoms."

Although Sun Lien was making up nonsense, as the nonsense came out smoothly, he actually started to gain some confidence. "Riding an electric bike means you need to be exposed to the outdoors for a long time. If she really has lupus, the ultraviolet radiation will make the skin symptoms of the disease appear earlier, rather than delaying it until the systemic symptoms affect the nerves. come out."

Lupus gets its name because of the characteristic skin symptoms of the disease.After exposure to ultraviolet light, bright red spots will appear on the patient's skin, and the spots will soon begin to fester and break, and last forever, just like a wound bitten by a wolf.This is the origin of the name "lupus erythematosus".

When nonsense has sufficient medical reasons and logical support, it can be transformed into a reason for diagnosis.Looking at Xu Yourong who suddenly realized, Sun Li'en felt an ulterior complacency in his heart.It is indeed easy to make people feel complacent that it can make a doctor of medicine who graduated from Hopkins University stunned for a while.

"Then what about the third reason?" Xu Yourong asked.

"The third one..." Sun Lien was still immersed in complacency, a little dazed by such a sudden question.After pondering for a while, he continued, "The third reason is that the symptoms are not obvious. Although the diagnosis of systemic lupus erythematosus is indeed consistent with the symptoms displayed by the patient, these symptoms are not typical of systemic lupus erythematosus."

A disease may have many symptoms.Some symptoms, however, appear only in extremely rare cases.For example, fainting caused by systemic lupus erythematosus, nervous system damage manifested by hemiplegia, and transient ischemic attack indicated by the status bar.These symptoms can indeed appear in people with systemic lupus erythematosus, but they occur very rarely.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 was a wrong diagnosis than a coincidence.There will be no coincidences in medical diagnosis, nor will coincidence be allowed to diagnose and explain cases.

Xu Yourong thought for a long time, then nodded, "You're right. I've only recently seen the rare manifestations of systemic lupus erythematosus in the literature. It's not appropriate to use these rare manifestations to deduce 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 that a five-item rheumatism examination should be done to confirm the diagnosis."

Although he usually likes to use the power saving mode, Xu Yourong still understands that Sun Lien is showing his favor.She nodded with a smile, and continued, "You insist on doing an MRI because you suspect she has brain damage?"

The transient ischemic attack indicated in the status bar is actually the main reason why Sun Lien insisted on doing the MRI examination.But this reason cannot be put on the table, he can only smile wryly, "I am not sure whether she has brain damage, but the fainting and non-traumatic hemiplegia do make me suspect that she has brain problems. Anyway, there is no other diagnosis now direction, why not give it a try.”

"Bang!" Suddenly there was a loud noise beside Qin Ya's bed.Sun Li'en was taken aback. When he looked up, he found that the heart and lung monitor beside Qin Ya's bed had been pushed to the ground.The display of the monitor fell face down on the floor, and after rolling twice, the surface of the display covered with cobwebs was exposed.

"Bang!" There was another sound, and Qin Ya's right hand, which was supposed to be immobile due to hemiplegia, swung violently and hit the guardrail next to the emergency bed.

Sun Li'en was shocked, and rushed towards Qin Ya, shouting while running, "Push 10 mg of diazepam, Xiao Guo, come and help!"

Qin Ya lay on the bed, her voice trembling, "No...it's not me..."

She cried out suddenly, "I didn't do anything, it moved by itself!"

Feng Ming looked at the shattered monitor screen with a grim expression.

"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 Li'en looked at Qin Ya, who fell into a deep sleep because of her stability, and showed an unbearable expression, "If it's not a mental illness, then it's a new symptom."

"Involuntary movements of limbs..." Feng Ming cursed in a low voice, "There are only organic diseases."

"The waving of that arm is like a dance-like movement. It may be a neostriatal tumor..." Xu Yourong whispered, she paused, and said the following words, "It may also be Huntington's disease."

Feng Ming groaned in despair.

The neostriatum of the brain includes the putamen and caudate nucleus.However, these two parts are located too close to the brainstem, and the lenticular nucleus is even a structure completely wrapped in the gray matter of the brain, so there are few surgical options for neostriatal tumors.

Even more desperate is Huntington's disease, a genetic disease for which there is no cure.Most patients are women.The patient's neostriatum will gradually shrink as the disease progresses, and the patient will gradually lose the ability to walk, talk, move, and even swallow in the later stages of the disease.Finally, he died of muscle weakness and malnutrition.Since most sufferers have involuntary dance-like movements, the disease also has a name - Huntington's disease.

Either way, it's terminal illness.

　Academician Yu Min passed away today, and the country lost its pillars, so sad.

　　I hope that the torch will be passed on, and all the younger generations will uphold Academician Yu Min's heart of serving the country, unswervingly, to bless the family and the country!

　　
　
(End of this chapter)