I can see health

Chapter 570 Sudden Hemiblindness (Leader Xuantengluo Gagen 6)

There was originally a 10-minute journey, but in less than 10 minutes, Lu Chen arrived at the first ward in the heart.

In the department, apart from the doctor on duty, Xiao Shikang and Qin Sifeng were there.

"Mr. Xiao, Mr. Qin, what happened to the patient?" Lu Chen changed into a white coat and came to the doctor's office.

"Since you're here, let's go see the patient together." Qin Sifeng looked serious.

"Okay." Lu Chen nodded slightly.

So, he followed Xiao Shikang and Qin Sifeng to the ward of the "well-connected family".

in the ward.

The woman was lying on the hospital bed with her eyes closed.

In addition to the "well-connected family", there is another young woman who looks a bit like the patient, and the two should be a mother-daughter relationship.

"Professor Qin, Director Xiao, you are here." The young woman stood up immediately when she saw the three of them entering the room. .

The woman on the hospital bed also slowly opened her eyes.

It's just that her current expression is completely different from when Lu Chen saw her in the afternoon, and she doesn't look energetic at all.

The HP on her head has also changed from 73 (-) in the afternoon to 68 (--) now!
The changing trend of the two minus signs further confirms that her condition is not optimistic.

"Professor Qin, I, I still can't see on my right side..." the woman said very weakly.

When Lu Chen heard this, he was stunned, can't see the right side?

What does it mean?
At this time, Xiao Shikang whispered to Lu Chen: "The patient was sleeping at home at night, and suddenly he had a severe headache, and then hemianopia appeared, and the vision on the right side was impaired. Because this patient is special, we think you are the doctor in charge of the bed. So I called you over."

Lu Chen was very surprised, did he really have a stroke?

Or is the intracranial tumor aggravated?
Lu Chen felt that this was too dramatic.

He was always worried about the other two patients, but he didn't expect that there was a problem with this "big relationship"!

He immediately stepped forward and began to conduct a more detailed questioning and neurological examination of the woman.

Seeing that it was Lu Chen, the patients on the hospital bed were also very cooperative at this time, "Dr. Lu, you are here."

"When did the vision damage occur?" Lu Chen asked.

"About nine o'clock in the evening, but my migraine has been attacking for half an hour." The woman said, "I took painkillers and prepared to go to bed, but the painkillers didn't work, and the pain got worse. After a while, I felt my eyes Can't see anything."

At this time, the patient's daughter explained: "How should I put it, my mother can't see it at all, or if I stand on her right, she can't see it anyway, even if her eyes are wide open, she just can't see it." I can't see me unless I turn my head so that my eyes are looking directly at me."

"After a few minutes, my mother felt that her left hand felt abnormal. She just couldn't feel her left hand moving. She clearly saw that this hand was hers, but she just didn't feel it, and it didn't hurt when she pinched it hard."

Hearing this, Lu Chen's mood instantly fell to the bottom.

Such typical symptoms of hemianopia, limb sensory disturbance, stroke, or intracranial tumor are more likely!
At this time, the woman said again: "Doctor Lu, do you think I really have a brain tumor? I went to Baidu, and the most common type of brain tumor is glioma, and many gliomas are disgusting." , The mortality rate is still high. The most common ones are headache and nausea, and many people will also affect limb sensation, activities, and even loss of vision.”

The more she said, the more trembling the woman's voice became.

All these symptoms are completely correct!
Lu Chen himself can't promise anything now, he can only offer a few words of comfort.

At this time, Xiao Shikang said from the side: "We have called for an emergency consultation with the neurology department. The possibility of cerebral hemorrhage, cerebral infarction, and brain tumors cannot be ruled out for the time being. It is recommended that the emergency department should complete brain CT and DWI."

The duration of ordinary brain MRI examination is very long, and patients may not be able to persist in completing it.

Therefore, in general emergency MRI examinations, DWI examinations will be performed. The time is short, and it can be completed in about 5 minutes, but the results may not be accurate.

"Ms. Xiao, I'm the bed doctor, I'll go with her." Lu Chen said.

According to common sense, this should be accompanied by the doctor on duty.

However, Lu Chen felt a tinge of guilt in his heart. This kind of problem with the "well-connected family" had something to do with his failure to correctly assess the patient's condition.

But to be honest, he never thought that a woman in her 40s would have the possibility of having a stroke...

Get out of the ward.

"In another 5 minutes, when the MRI is ready, you can take the patient out for an examination." Xiao Shikang said to Lu Chen beside him.

"Mr. Xiao, Mr. Qin, this patient is my responsibility." Lu Chen said.

It was the first time for Lu Chen to experience such unexpected changes in his condition since he came to clinical work.

The most important thing is that Lu Chen told the patient yesterday that the possibility of a stroke is unlikely...

It is also very important for a doctor not only to properly diagnose and treat patients, but also to correctly judge the condition and prognosis.

Qin Sifeng came to Lu Chen's side and patted him on the shoulder lightly, "Don't blame yourself, I knew about her condition this morning, even I didn't expect that such a young patient would have stroke and brain tumor The possibility of..."

Lu Chen forced a smile, he knew it was Qin Sifeng comforting himself.

Because the patient is a "well-connected family", several deans and leaders in the hospital have already called to express their condolences.

However, it is getting late now, and these leaders have not come over, but it is foreseeable that many leaders will come to say hello tomorrow morning.

……

Five minutes later, Lu Chen and a nurse on duty took the patient and his family to the CT room and MRI room for examination.

After the inspection, the result came out in less than ten minutes.

The woman lay on the bed and turned her head to one side, not daring to look at the final result. She said to her daughter: "Xiaolan, you can read the result and tell me."

The patient's daughter took the two checklists, glanced at them, and a look of joy flashed in her eyes.

"Mom, nothing happened, no cerebral hemorrhage, cerebral infarction! No brain tumor!"

Hearing this, the woman lying on the hospital bed mentioned the heart in her throat, and finally landed!
After the catastrophe!

The happiest thing in the world may be a false alarm.

However, Lu Chen poured cold water on it at this time, "The CT and DWI in the emergency department may not be accurate, and need to be reexamined and observed. Because you have hemianopia and sensory impairment on one side of your limbs, there must be something wrong with your head!"

The test results may be deceiving, but the patient's symptoms are real.

Back to the ward.

The doctor on duty called for an emergency consultation from the Department of Neurology.

The neurologist's statement was similar to Lu Chen's.

"Cerebral hemorrhage, cerebral infarction, and brain tumors have been ruled out for the time being. However, many small tumors cannot be seen on CT and DWI of the head. Tomorrow, the patient needs to complete MRI and MRA examinations, as well as a transcranial Doppler ultrasound. examine."

The test results are normal for the time being, which can be considered a blessing in misfortune.

Lu Chen, Xiao Shikang and Qin Sifeng explained a few words to the patient and left.

It's just that Lu Chen still has doubts in his heart.

If the result of ordinary MRI+MRA is normal tomorrow, what will be the reason for the patient's hemianopia and limb sensory disturbance?

……

Back in the dormitory, it was almost twelve o'clock in the evening.

The roommates were all asleep, and Lu Chen carefully washed up before going to bed.

Lying on the bed, he slowly closed his eyes.

All the medical history data of the patient just now appeared in Lu Chen's mind.

"Huh, I'm still being careless."

Lu Chen was reflecting on his diagnosis and treatment behavior. The previous clinical experience was so smooth that his judgment is now somewhat arbitrary.

Fortunately, there was no serious accident. If the patient really had a stroke, as the doctor in charge, he would be negligent.

On the other hand, the system's life value and changing trend also "deceived" him.

That's not to say the system is down.

It is because the patient's condition changes rapidly, and the temporary life value and change trend may not be able to keep up with the rate of change of the condition.

What's more, it is impossible for him to keep an eye on the change of the patient's life value 24 hours a day.

It is still necessary to maintain a reverence for life at all times, so as to avoid these negligence as much as possible.

(End of this chapter)