Start From Emergency Doctor

Chapter 188

To put it simply, it means “treating the head with a headache, treating the foot with aching feet”. Although Li Mei’s left upper extremity showed a problem, the lesion was not in the left upper extremity.

Zhou Yuan frowned and glanced at Li Mei.

Suddenly, he found a blood-red plaque under Li Mei’s collarbone.

“Wait, let me check your body.”

Li Mei was stunned for a moment, followed Zhou Yuan’s gaze, and looked at her fierce mouth.

“That…I…” Li Mei hesitated.

“I am a doctor.” Zhou Yuan frowned.

“Wait, let me call a nurse for you.”

Zhou Yuan sighed.

His age itself is too young. A twenty-six-year-old doctor is different from those forty or fifty-year-old senior directors. Such an age is really difficult for patients of the opposite sex to accept.

What’s more, the sensitive Hungarian Ministry was inspected.

When Zhou Yuan returned with Zhang Ling, Li Mei was already flushed.

“Zhang Ling, please check her front and back.”

Zhang Ling nodded and took a peek at Zhou Yuan.

There is finally something that needs my help!

Zhang Ling led Li Mei to the observation area next to her and pulled the curtain up.

After a while, Zhang Ling’s voice sounded.

“Take off your shirt.”

“What’s the matter with these blood spots? Why are there still underneath? They are covered by underwear. Take off your underwear…”

“There are also blood spots on the fierce mouth? What’s wrong with you?”

Li Mei kept silent, but made oops from time to time, indicating that it was painful to press.

After a while, Zhang Ling walked out, and Li Mei behind her straightened her shoulder straps and sat back on the chair with her face flushed and red.

Zhou Yuan noticed that when Li Mei first came out, her expression seemed a bit wrong. She subconsciously helped Zhang Ling, as if she was about to faint.

“What’s the situation?” Zhou Yuan sat down and asked.

“After I checked, she found multiple blood spots on her body. There were small blood spots on the superficial skin of the sternocleidomastoid muscle on the right side, also near the collarbone, as well as the mouth. There is nothing wrong with the skin on her back, and there are no blood spots on her There are no other abnormal manifestations.”

After speaking, Zhang Ling seemed to have guessed something, and stood beside Zhou Yuan, staring at Li Mei closely.

Zhou Yuan became more confused as he listened.

I have never heard of any disease with scattered blood spots…

Zhang Ling saw Zhou Yuan embarrassed, smiled, and patted Zhou Yuan on the shoulder, “Don’t think too much!”

Then Zhang Ling looked at Li Mei: “Tell Doctor Zhou, how did your blood spots form? We can’t help you without telling me.”(Read more @ wuxiax.com)

Zhou Yuan frowned: “You did it yourself?”

Li Mei lowered her head, nodded and shook her head.

“What’s the situation?” Zhou Yuan was stunned.

“Yes… it’s my boyfriend’s hickey…”

After a long time, Li Mei’s low voice came over.

Zhou Yuan was taken aback.

Zhang Ling chuckled, and whispered in Zhou Yuan’s ear: “It’s a strawberry print! Don’t think too much, there is no such disease with blood spots!”

After speaking, Zhang Ling bounced and ran out.

In the consulting room, Zhou Yuan looked embarrassed.

“Ah… your boyfriend is good at playing…”

Zhou Yuan flipped through the previous medical record book to relieve the embarrassment, and said, “Are you feeling dizzy now?”

Li Mei nodded, “Um… dizzy, I feel a little unable to walk, especially when I suddenly stood up during the check-up, I almost fell into a coma.”

Zhou Yuan nodded: “I need to judge your consciousness. You answer a few questions.”

Zhou Yuan plans to conduct the Glasgow coma score scale.

This is a method of judging the patient’s consciousness. The content of the measurement includes three aspects: eye opening response, language response and limb movement. The sum of the scores of the three aspects is the coma index. The higher the coma index, the clearer the patient’s consciousness.

Zhou Yuan must make sure that Li Mei has no problems with consciousness now before proceeding with the next test.

“Close your eyes. If you feel that I am approaching you, open them.” Zhou Yuan said.

Li Mei nodded and closed her eyes.

Zhou Yuan stood up, and as soon as he approached Li Mei, Li Mei opened his eyes.

“Yes.” Zhou Yuan wrote four points.

Four points means that the patient can open his eyes naturally when he can approach the patient.

The third point is that the patient does not feel close to the patient, and the patient opens his eyes after calling the patient. Two points and one point require more stimulation.

“What’s your name?”

“…”

Li Mei was silent for a moment, showing a “Are you kidding me?” expression, but thinking that Zhou Yuan was doing the test, Li Mei still answered.

“Where to live?”

“Today’s date.”

“Where are you now?”

Zhou Yuan’s speech is fast, and Li Mei’s reaction is also fast.

“Also normal.”

Speaking in a structured manner, with correct orientation, and being able to clearly express one’s name, city of residence or current location, year and month of the year can be counted as five points.

Zhou Yuan took another physical ability test.

The final score is fifteen points.

Li Meiyile: “Am I great?”

Zhou Yuan did not raise his head: “The full score and the passing score are both fifteen points. If you score 14 points, it means that you have a consciousness disorder, which means that you have damaged not only your left upper limb, but also your brain.”

Li Mei curled her lips.

“Also, when I just tested the activity of my limbs, I found that the motor neurons on your left upper limb were injured, moderately injured. Now you go to do a Doppler ultrasound of the carotid artery. I need to look at the blood vessels of your carotid artery. any questions……”

Zhou Yuan now strongly suspects that there is a thrombus in the carotid artery, which has caused insufficient blood supply to the left upper limb, decreased skin temperature, and motor nerve damage.

Of course, it’s just a guess, and the specific cause will have to wait until the test results come out.

Li Mei quickly picked up the medical record and ran to pay the fee, and then went for an examination.

Zhou Yuan sighed, “It’s another new case… can it be so fierce to grow strawberries?”

He easily searched on the computer, and actually found a similar case, but it was much more miserable than Li Mei.

“In country M, a 26-year-old young man suddenly convulsed while blowing candles at a birthday party, and finally died of ineffective rescue. Not long before the birthday party, the man had just finished dating with his girlfriend. According to the doctor, accidental death is very likely It has to do with the hickey his girlfriend left on the man’s neck.”

Zhou Yuan was silent.

Strawberry print has another name in medicine called mechanical purpura.

Mechanical purpura usually occurs when one party sucks on the skin of the other party’s body. When sucking, negative pressure is formed due to the vacuum state in the oral cavity, which leads to the rupture of capillaries, blood overflowing from the blood vessels, and flowing into the interstitial spaces. Blood stasis phenomenon.

If the mechanical purple spot, that is, the position of the strawberry print is wrong, just in the internal carotid artery, it may cause blunt trauma to many important blood vessels in the neck…