My medical skills are a billion points

The matter of discussing the illness was brought up by Zhou Ziqiang.

Because so far, he has not had a clear diagnosis of the man's condition.

Gao Yingjun sighed and said: "Just now I went to talk to the family members, but I didn't ask anything substantive.

The family members were very emotional and did not understand why the patient had not been diagnosed until now. "

Gao Yingjun let out another long sigh, and then said: "It's really hard to do our job. If you can't make a clear diagnosis in a short period of time, you will be scolded. Who can you talk to?"

"Big sisters and brothers, hurry up and express your opinions, help me, and tell me what's wrong with this patient that caused the convulsions. It's not a problem to keep calm."

Zhou Ziqiang thought for a while and said: "According to the patient's symptoms and examination, hypoxic encephalopathy, renal failure, and electrolyte imbalance can be ruled out. CT and MRI are normal, and brain tumors are also ruled out. Could it be an intracranial tumor?" What about infection?"

Zhao Fangshu said: "It should not be an infection, because the white blood cell count is normal.

The CT scan showed no problems, and the patient did not have a fever. I don't think the possibility of intracranial infection is too great. "

Including the trainee doctor, everyone expressed their views on this patient.

But in the end, there is no unified opinion to clearly diagnose this patient.

All considered diagnostic results were rejected.

Gao Yingjun looked at Xiao Chu who had been silent all this time.

"Director Xiao, God Xiao, don't just sit there and say nothing, this patient needs you to stand up and preside over the work!"

Xiao Chu sat on the chair and listened to everyone's discussion, but he didn't find anyone who got to the point.

However, Xiao Chu would not blame them for their lack of clinical experience.

But this patient's disease is really too secretive.

Too goofy!

If he didn't have cheats and discovered the patient's condition, he wouldn't be able to diagnose the cause.

Looking at everyone's expectant eyes, Xiao Chu said slowly: "What if the convulsions are caused by bleeding caused by a ruptured cerebral aneurysm? Is this possible?"

Although Xiao Chu knew the real cause of the patient, since it was a discussion, he couldn't speak too harshly.

After all, there is no evidence to prove that what he said is correct.

"Improbable! The patient's head CT showed no bleeding, and the patient did not have a headache. It is unlikely that the aneurysm is bleeding!"

As soon as Xiao Chu said it, Zhou Ziqiang denied it.

He thought that this patient could not have a brain aneurysm.

"Then what if?"

Xiao Chu said lightly.

"No, no, your idea is not in the right direction."

Zhou Ziqiang waved his hands again and again.

"I have long considered the possibility of an aneurysm, but the head CT we did showed no sign of cerebral hemorrhage at all. How could it be a ruptured cerebral aneurysm?!"

"So, your diagnosis is not valid, and it is estimated that you have to start from other aspects."

Zhou Ziqiang did not deny Xiao Chu's ability.

Instead, he denied Xiao Chu's judgment based on the test results and symptoms he saw.

After all, no one has a clear diagnosis of this patient's disease.

It's just a discussion stage right now.

Of course, each expresses his own views and uses his own imagination.

Even if it's wrong, it doesn't hurt.

Xiao Chu smiled, and continued: "Is it a ruptured cerebral aneurysm? Let's do a DSA (Digital Subtraction Angiography) for him, won't it be clear at a glance?"

Zhao Fangshu thought for a while and said: "The patient has no symptoms and signs in this regard, if we do DSA for him, is it over-examination?

Now his parents are very dissatisfied with our treatment.If we do this test again, the patient's parents may not be able to explain it, right? "

Zhao Fangshu raised his own doubts.

In fact, Xiao Chu has already made it very clear.

This patient had epilepsy caused by a ruptured cerebral aneurysm.

Everyone didn't consider this reason because no cerebral hemorrhage was shown on the head CT.

As we all know, the head CT scans each layer with a distance of one centimeter.

If the patient's brain aneurysm is very small, it is right in the middle of this centimeter.

And the amount of blood it ruptured was very small.

Then CT plain scan, nothing can be scanned at all.

Therefore, in this case, it is easy to cause misdiagnosis and missed diagnosis.

The probability of this kind of lesion just in the middle of the plain scan is extremely small, but it is not impossible.

And this patient just happened to have this special situation.

It can only be said that Gao Yingjun opened his mouth, and his luck is not ordinary!

The patient had a very small cerebral aneurysm, which happened to be in the blind spot of the plain CT scan.

And the amount of bleeding is very small, so the CT scan can't show it at all.

Only do cerebral angiography, in order to confirm the diagnosis.

Chapter 255 I Can Do This Surgery

If it wasn't for Xiao Chu's cheating, no one would have guessed that the patient was a common ruptured aneurysm bleeding.

It's normal for Zhou Ziqiang not to believe in Xiao Chu's diagnosis.

If it was Xiao Chu who didn't have cheats, he wouldn't believe it either.

When Xiao Chu returned to the office, he went to the patient's parents and asked about the patient's illness in detail.

He will now explain his views to everyone present.

"This patient fell while playing basketball yesterday, and then developed convulsions a day later.

Although he had no headache or neck pain, and the CT scan was normal, medically it cannot be ruled out that he has an aneurysm! "

"What if he does have an aneurysm? We're missing out on the cause!"

"This patient has a history of trauma. Although he didn't take it seriously at the time and didn't fall on his head, it can't be ruled out that it was because of his fall that the cerebral aneurysm ruptured and hemorrhaged."

Zhou Ziqiang insisted on his opinion.

"The chance of a brain aneurysm rupture and bleeding due to a fall is theoretically only one in a million. Are you really sure that he is a rupture and bleeding aneurysm?"

Xiao Chu spread his hands.

"Didn't we find out the cause of the disease now? So further examination is needed!"

"What we need to do now is to perform a cerebral angiography on him, and everything will be revealed!"

After hearing Xiao Chu's explanation, Zhou Ziqiang also fell into deep thought for a while, and remained silent.

He thought carefully for a while, and felt that what Xiao Chu said was not completely unreasonable.

Then he nodded and said, "In this case, let's do a cerebral angiography for him now!"

Because of the patient's father, he did not understand the doctor's examination behavior.

This time, Xiao Chu didn't let Gao Yingjun continue to communicate with his family members.

He went out in person and had a detailed exchange with the patient's father.

In the end, under Xiao Chuxiao's affection and reason, the man's father finally agreed to give the patient a cerebral angiography examination.

In fact, he also knows in his heart that doctors are not gods, and they can find out what's wrong with a patient at a glance.

But his son's repeated convulsions made him feel pain in his heart.

He couldn't see his son suffering, so he lost his temper with Gao Yingjun.

Now after Xiao Chu's detailed explanation, he finally agrees with the doctor's current examination and treatment.

Soon, the man was wheeled to the cath lab.

After imaging, the image is displayed on the computer.

Zhou Ziqiang looked at each picture carefully.

Suddenly, he froze!

Shortness of breath.The heartbeat also accelerated a little.

"Xiao Chu, you are amazing! You are right, he has a ruptured cerebral aneurysm. Although it is small, it does exist."

"He is now suffering from subarachnoid hemorrhage, and the bleeding tends to increase. He has had multiple grand mal seizures, which are caused by the bleeding."

Having said that, Zhou Ziqiang finally let out a sigh of relief, and finally let go of his worries.

The cause of the patient has been clarified, so the next treatment is very simple.

Gao Yingjun also breathed a sigh of relief.

He could finally be proud and tell the man's father the real cause of the disease.

After being happy for a while, Gao Yingjun calmed down again.

This patient has a ruptured cerebral aneurysm, so interventional surgery is required in the neurointerventional department.

Most of the doctors in their emergency department specialize in general surgery.

For neurointerventional surgery, there is basically no contact.

After so much effort, the cause was finally found out.

Should this patient be transferred to the neurointerventional department?

Gao Yingjun was also a little unhappy in his heart.

After thinking about it, Gao Yingjun looked at Xiao Chu.

"Xiao Chu, since this patient has been diagnosed, does he need interventional surgery? Should he be transferred to the neurointerventional department?"

He knew that Xiao Chu had undergone coronary artery stent implantation before, but he had never undergone cerebral aneurysm embolization.

But judging from Xiao Chu's performance in the emergency department for so long, Gao Yingjun felt that it would be better to consult his opinion.

Xiao Chu is now Corey's all-round doctor.

If Xiao Chu could also perform cerebral aneurysm embolization, then this patient would not need to be transferred to the neurointerventional department.

Hearing Gao Yingjun's question, Xiao Chu didn't answer, but silently opened his own system panel.

It has been a long time since he has seen his attribute skills.

Because he received one patient, he could get one hundred points and one hundred yuan.

He sees dozens of patients every day, and the beeps appear frequently, so Xiao Chu blocks the beeps.

And every time he rescues, as long as he saves a patient who died suddenly, the system will reward him with a world-class surgical skill.

When Xiao Chu opened his system panel, he was surprised to find that he had already mastered more than 30 world-class surgical skills.

Because there are too many skills, the system panel chooses to hide these skills, and you need to click to open them to view them all.

And the total points are close to 40.

These more than 30 world-class surgical skills also include cerebral aneurysm embolization.

Xiao Chu has long been familiar with the operation skills of cerebral aneurysm embolization.

He opened the panel to see how many world-class skills he has now.

I don’t know, I’m scared.

More than 30 world-class skills, it can be said to be a super expert in more than 30 fields!

Seeing that Xiao Chu didn't answer, Gao Yingjun thought he didn't hear clearly.