Chapter 1845: Zheng Ren's 123

"Let's just say, why do I say that it is the most crucial step and a half? It is because the most common thing is to see death. Of course, this means web chat. If you look at your face value and you can go to the appointment, it is estimated that most of you can ""
"..." Zheng Renzhen wants to kill this cargo.
"Don't be nervous, just talk and talk about something that makes her happy." Su Yun continued: "After that, it is the most crucial step - a second invitation. If you can come out for the second time, then you can prove No problem, as long as you don't die, you should be."
"Oh..." Zhou Litao looked at the record on the a4 paper, and the headline of the bitter melon face was coming out.
"Basic is the way to understand the spirit and study hard."
"Cloud brother, that's it..."
"Zhou, the patient has something!" A nurse knocked at the door.
"Well, go right away." Zhou Litao's tangled, distressed expression immediately dissipated, replaced with a very focused, serious expression, and folded the paper that recorded Su Yun's words and put it on.
"Cloud brother, Zheng boss, the two wait for me."
"What patient?" Zheng Ren asked.
"A patient who suddenly lost his sense of smell." Zhou Litao said: "I asked him to do the head ct."
"Oh, let's go." Zheng Ren listened to this medical history and knew that there was nothing wrong with it, and he was lazy to see it.
Olfactory ability is the characteristic of olfactory cells in the nasal mucosa. Damage to the nasal mucosa, olfactory bulb, olfactory silk or central nervous system junction may affect the sense of smell.
The clinical manifestations are decreased olfactory sensation, olfactory loss, olfactory loss, olfactory inversion, phantom olfactory and olfactory stimuli.
There are many common causes of olfactory loss.
Including allergic sinusitis, nasal polyps, cold virus infection, rhinitis virus infection, head trauma, sulfur dioxide, nitrides, and residual formaldehyde in the interior of the house can be caused.
Then there is the long-term spray of perfume, which can also lead to olfactory failure.
Zheng Ren’s mind is pondering what the patient is causing. It may be a factor of formaldehyde. Because of the renovation at home, the situation of excessive formaldehyde is too common.
Zhou Litao immediately ran out.
"Boss, professional," Su Yun said with a smile.
"I think Zhou Litao can believe this kind of words." Zheng Rendao: "You don't even have a girlfriend, do you have a face?"
"Cut!" Su Yundao: "I don't want to find it well? The girl doesn't have it. Girlfriend, just look for it on the street!"
Zheng Ren is too lazy to take care of him. When Zhou Litao returns, he is bored. Time does not know the length. There is still a word sitting next to him. From time to time, he can say two sentences. He wants to go to the system library to read books.
After waiting for a long time, Zhou Litao did not come back, Zheng Ren felt strange.
He was really bored, stood up and pushed the door out.
Seeing a nurse in the corridor is busy, Zheng Ren asked: "If you have trouble, where did Zhou go?"
"Teacher, I just came, I don't know who Zhou is always, sorry." The nurse replied immediately.
Oh, Zheng Ren, who came to 912 for training, smiled.
Su Yun saw the nurse in the treatment room. It was estimated that he was going to change the medicine. He smiled and said: "I will ask."
Zheng Ren glanced at him and saw that the goods turned around and went to the treatment room. Like no bones, he leaned on the door frame and began to laugh and laugh.
Really familiar, Zheng Ren thought.
However, it was very troublesome for him to ask a question. After waiting for a few minutes, Su Yun came back and looked proud.
"where?"
"I said that the patient who had a problem with the smell had just taken the ct room." Su Yundao.
"Is it?" Zheng Ren wondered, "Is epilepsy or paralysis?"
"No one saw it. You asked why it was so detailed." Su Yundao: "When you come back, you will know."
"What about Zhou Litao?" Zheng Ren wondered.
"It is an emergency rescue, and it is very powerful. There is no way to do ct."
When you sway, the ct images are all artifacts, and they do the same.
This patient is estimated to be sent to the Department of Neurology, saving nothing in the ct room, suddenly a respiratory cycle sudden stop, people have to lick that.
But the patient with a problem with the smell suddenly smoked...
There is something wrong with this history.
Zheng Ren began to think about it.
"Boss, if you can make a diagnosis now, I will be convinced." Su Yun said happily.
Zheng Ren also knows what he is saying, he knows that a sense of smell is out of order, and then goes to the ct room to twitch. If you want to make inferences based on these two points, you can't do it at all.
However, idle is also idle, Zheng Ren went back to the house and began to lick his fingers.
"First, when the patient has a craniocerebral trauma, the olfactory olfactory wire through the sieve plate can be torn, or the olfactory bulb is torn off because of the contusion."
Su Yun looked at him with a serious look and thought it was interesting. He sat across from him and said: "From a logical point of view, the patient is not traumatic, or else Zhou Litao's personality will definitely say that the smell is dysfunctional after trauma."
Zheng Ren nodded and Su Yun’s judgment was correct.
"The second point is that meningiomas, metastases, or invasive tumors of the anterior cranial fossa or frontal lobe can oppress the olfactory bulb and the olfactory tract, causing olfactory damage."
"This is not reliable. If there is a meningioma, the olfactory failure will not be the main complaint. And if the patient does not know it, generally it will not be accompanied by sudden convulsions." Su Yundao.
"You can't say that, it's just a big probability. This is doubtful." Zheng Rendao: "The probability is about 5 percent."
"Almost, I think there will be less, you continue." Su Yun is very interested in this air-oriented case discussion.
"Thirdly, the olfactory damage caused by influenza is temporary, and there is basically no convulsion, which is also ruled out."
"Fourth, occasional temporal lobe lesions with temporary or paroxysmal olfactory ~ EbookFREE.me ~ olfactory loss often combined with taste damage, depending on the volatile substances in food and beverages."
"What are the symptoms of temporal lobe?" Su Yun asked.
"Just saying this, it should not be a symptom of the symptoms of the temporal lobe." Zheng Rendao: "Volatile substances can cause olfactory failure, but convulsions, need to be rescued is too outrageous, temporarily not considered."
Su Yun feels that it is very interesting to do this diagnosis and differential diagnosis, just like playing a puzzle game.
"Fifth, congenital factors are not considered, and then nasal mucosa, olfactory bulb, olfactory neuropathy cause decreased or lost olfactory function; and central nervous system joint damage, usually without any detectable olfactory loss."

Is the fifth point likely?

"It's hard to say, it's not a big estimate, or because you can't have convulsions at the same time."
"Speaking for a long time, do you have a diagnosis? The biggest possibility is the intracranial tumor, the probability is less than 5 percent." Su Yundao. (Surgery live room..134134544)--(Surgery live room)