Chapter 1846: Intellectual "game"

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"You can't say that, we have ruled out at least a few possibilities." Zheng Ren's expression is as serious as when Su Yun and Zhou Litao gave their advice.
"What are you thinking about now?"
"The most common ones that can be affixed are formaldehyde poisoning." Zheng Rendao: "Slight poisoning has systemic symptoms such as blurred vision, dizziness, headache, fatigue, etc. Severe poisoning can lead to pulmonary edema and hypoxia. There may be symptoms such as convulsions."

It’s not like.
Su Yun shook his fingers.
First, after formaldehyde poisoning is separated from the toxic environment, it is difficult to continue to progress. We don’t say that it is directly relieved, it becomes the same thing, but it has to evolve from the sense of smell to the convulsion. It is unlikely."
Zheng Ren also felt that this diagnosis was a little reluctant, and Su Yun’s judgment was correct.
He continued to meditate and tapped his finger on the table. Su Yun thinks that if the goods are old, they will be the same as the director of the old Pan.
Or he may have intentionally or unintentionally imitating the director of the old Pan.
"Not formaldehyde poisoning, nor sulfur dioxide poisoning, intracranial tumors? This possibility..." Zheng Ren said while whispering.
"When you take the exam, you will recite it? It’s not annoying." Su Yun said, "Would you like to go to the hospital with your fifth edition of surgery, a paragraph of reading?"
"Well..." Zheng Ren did not hear Su Yun taunting and continued to sink. "There is, it is an illusion. I feel that I can't smell it, and then I have epilepsy."
"You can write fantasy. If there is such a situation, it will not appear early, it will not appear in the evening, but it will appear in the ct room. Is this not a nonsense?" Su Yundao.
"If it is smoked, will we think that this word is better if it is epilepsy? For example, reflex epilepsy syndrome.
Almost all episodes are caused by specific sensations or complex cognitive activities such as epilepsy, startle epilepsy, visual reflex epilepsy, thermal bath epilepsy, and cardic epilepsy. The predisposing factors were removed and the seizures disappeared.

"You mean..." Su Yun is also confused.
"Closus phobia, when doing nuclear magnetic is generally more obvious. But there are patients who develop ct when doing ct, in sci..."
"Don't show your data, epilepsy is possible, but can explain the sense of smell?" Su Yun continued to pick up the disease.
Indeed, Su Yun is right.
This is the result of the hoist floating up the scoop, and the olfactory failure and epilepsy cannot be brought together.
Besides, claus phobia is rare.
Zheng Ren took a deep breath and continued to think.
"Hey, would you like me to ask other medical history?" Su Yun said happily.
"Going to Zhou Litao?"
"Who knows, ask the little nurses first, in case they can provide useful information."
"You have to go to leisure, don't ask the head of the medical history." Zheng Rendao: "In fact, epilepsy and smell failure can also come together."
"For example?"
"Antihypertensive drugs can improve heart function and occasionally damage the olfactory nerve."
"It's too far-fetched."
"The brain cells are abnormally discharged... nerve damage..." Zheng Ren began to chanting again.
"Don't think that you can express the abnormal discharge of brain cells in epilepsy, you can be more professional." Su Yundao.
"Not like this..." Zheng Renyi raised his hand and said: "Nerve nerve damage may not necessarily be traumatic, and other factors may also cause nerve damage."
"Tumor invasion, chemical elements in the air, what else do you want to say? These have just been diagnosed."
"Parasites, such as amoeba, first enter the human nasal cavity, through the olfactory nerve epithelial support cells, ingestion by phagocytosis, and then along the unmyelinated olfactory nerve terminal silk mesenteric space, through the sieve plate After arriving,..."
Zheng Ren said, he was stunned.
Su Yun’s eyes were also somewhat doubtful. He looked at Zheng Ren with surprise.
Originally he wanted to refute, but the primary amoebic meningoencephalitis did have olfactory loss and symptoms of epilepsy. When the words came to the mouth, Su Yun swallowed back.
Uh……
"It is the primary amoebic meningoencephalitis!" Zheng Rendao, then added: "This diagnosis is more reliable, the possibility is 80%!"
"Is the primary amoebic meningoencephalitis? How do you get in?"
"Ask Zhou, there are no wounds near the patient's nose. Yes, how old is the patient? It may be that the acne is smashed and the infected amoeba."
Zheng Renyue said that confidence is getting better.
Because the previous diagnosis is too obvious, as long as there is basic logic, it can be ruled out. They are a kind of differential diagnosis, which is a diagnosis of sacrifice to find out why the reason is denied.
"There was an olfactory abnormality at first, but then dizziness, headache, nausea, jet-like vomiting, and then epilepsy." Su Yun frowned and said that he was not sure.
"The location of the infection is different, and the progress of the disease may be interlaced." Zheng Rendao: "The condition is very complicated, and the steps in the textbook are only one kind of probability."
Sure enough, Su Yun’s words were immediately refuted by Zheng Ren.
Zheng Ren then picked up his mobile phone and went out.
The phone ringing came at the door, and Zhou Litao then pushed in with his mobile phone.
"Zheng boss, Yun Geer, I am sorry, the patient has some unexpected situations, and it is late to come back." Zhou Litao said apologetically.
"Is there a trauma in the patient's mouth and nose triangle?" Zheng Ren asked directly.
"Oh... no." Zhou Litao said, "No trauma."
Zheng Ren was disappointed, but immediately asked: "How old is the patient?"
"A father in his sixties." Zhou Litao answered subconsciously.
Is it wrong?
"Zheng Boss ~ EbookFREE.me ~ What disease do you consider?" Zhou Litao saw Zheng Ren's face was not good, asked cautiously.

No trauma? What about rosacea?

"Hey..." Zhou Litao stunned and thought about what happened to Zheng Boss.
"There are rosacea, patients drink a lot of alcohol all the year round, and temporarily consider alcohol-induced convulsions." Zhou Litao said more immediately, saving Zheng boss and chasing his ass.
"No! It is primary amoebic meningoencephalitis." Zheng Rendao: "Give the patient a calm state, take time to do ct. Right, do cerebrospinal fluid examination."
"..."
Zhou Litao was just busy with a sweat. When he came back, he was stunned by Zheng Ren’s head. He was even more embarrassed when he was confused by Su Yun.
"The rosacea nose, when exposed to raw water, there is a very small probability of infection with amoeba. The incubation period is short and sudden." Zheng Ren said with certainty: "Let the inpatient department's doctor immediately check the cerebrospinal fluid, and then make a ct "(Surgery live room: 134134544) - (surgical live room)