Chapter 213: Abnormal perspective

Xu Ze looked at the patient in front of him. Can't help frowning, and scolding in the heart, this kid is too sinister...
"Cough Chayin..." Although Xu Ze didn't specifically look at the patient's bedside card, he used his eyesight to see the words on the bedside card at a glance.
Most of the patients who are able to hang the "Chain" brand name in Fuyi are patients with unclear etiology. With the strength of Fuyi, what kind of causation can be written? This shows that the patient's condition is extremely complicated and difficult Identified.
A group of boys happily embraced Xu Ze, intending to wait for Xu Ze to give a lesson to Li Moling. At this time, they all looked at the brand of coughing Chain, one by one in a daze, all sighed that this Li Moling really was It was so cloudy that Xu Ze could come up with this one, and what ability did Xu Ze have to turn over.
Xu Ze snorted lightly, pointing at the patient's bedside sign and raising his eyebrows: "Dr. Li, you haven't even got a diagnosis, just come out and show me..."
Seeing Xu Ze's somber face, Li Moling smiled proudly. Then he looked at Xu Ze and said with a cold smile: "Xu Ze... This patient just hanged a "cough checkup" when he first came in. It has already been diagnosed, why are you afraid? Then I want to get a brand to write clearly Sick patient, what else do I let you see..."
Xu Ze smiled lightly and looked at the smug Li Moling with a smile: "Dr. Li, this is the first patient who came here, and he is still a cough-cain patient. If you let me see it, it seems that you still I really look up to me..."
It was ironic by Xu Ze's secret voice, but Li Moling's face turned a little red, but he still hummed: "If the diagnosis was confirmed before coming in, it's that simple, I'll let you see what...you're Can't you see it?"
"Look...of course..." Xu Ze sneered, then said.
Xu Ze took out his stethoscope and asked the patient carefully, and then did the examination in detail. It took ten minutes. After the examination, he frowned gently. This patient was really strange. No wonder this Li Moling looks so confident.
Seeing Xu Ze's frowning look, Li Moling laughed secretly. Although this patient has been diagnosed, he stayed here for more than a week and passed the consultation with Director Qian and several doctors before finally taking Out of the diagnosis, I want to see how you kid can see the disease.
Xu Ze was really puzzled at this time. The patient in front of him was mainly due to a cough for two months. After the treatment was ineffective, he came to the First Affiliated Hospital for treatment, mainly due to dry cough and no sputum, no chest pain and shortness of breath, no obvious fever and chills; but the lung auscultation Apart from the slightly lower breath sounds, there were no other abnormal signs.
And the patient is only in his thirties and has no history of smoking. The reason for this cough is a bit strange...
Originally based on the symptoms and signs of this patient, in this case, it may generally be considered pneumonia infected by mycoplasma; and it can also be considered as tuberculosis, and even lung cancer is not excluded.
However, Xu Ze knew the patient's condition, and since he still had to run it for treatment, and when he came in, he still had a cough to check the cause, so this condition is not so simple.
And according to the common sense, since the attached one has been diagnosed, but since this patient is still here for treatment, then the disease of tuberculosis should be ruled out.
If it is an infectious disease such as tuberculosis. Will definitely be transferred to the infectious department for treatment, and will not stay in the respiratory medicine department.
As for lung cancer, the patient is only 30 years old, and has no history of smoking, nor the related symptoms and signs of lung cancer, so this possibility is extremely small. Besides, if diagnosed with lung cancer, most will also be transferred to oncology treatment.
So excluding these two diseases, Xu Ze can only consider whether mycoplasma pneumonia is possible, but since the patient has been coughing for two months, and it is dry cough, then there must be a hospital that has already considered this disease, and Relevant treatment for mycoplasma pneumonia.
Since the treatment is ineffective and the diagnosis is made only after the first year, the possibility of this disease is naturally very small. In this way, other issues must be considered.
At present, Xu Ze's two Qingjun's eyebrows are tightly wrinkled, and he is quickly analyzing and thinking.
The students next to me, Xu Ze, who has always been extremely powerful, now frowned, but they all became nervous one after another. Not only the male students, but the female students also worried, and they all held their breath and watched. With Xu Ze, he was afraid to disturb his thinking.
Li Moling next to him looked at Xu Ze's frown, but he smiled secretly. You slowly think, hey... if you can come up with this, then I will admire you...
Pulmonary interstitial disease... Mycoplasma disease... Central cough? Or something else...
Xu Ze thought for a moment, but decided to first use X-ray to determine whether there is any problem with the patient's lungs.
"X-ray perspective started..." Xu Ze ordered softly in his mind.
"Di... X-ray perspective start..." With Xu Ze's order, the system automatically responded quickly.
With the start of X-ray fluoroscopy, the patient's lungs gradually became translucent in Xu Ze's field of vision. In the dark field of vision, Xu Ze began to carefully scan the patient's lungs.
With Xu Ze's glance, the patient's lungs seemed to have no problem, the lung texture was still clear, and there were no patchy shadows.
Looking at these situations, Xu Ze couldn't help raising his eyebrows, but it was not that simple. Since X-ray fluoroscopy can't see any problems, it may be only a slight lesion of the lungs, or a central nervous system problem.
However, to exclude patients with subtle lungs, only CT scans or MRI of the lungs can be performed.
But for now, I think that I am only a second-level medical guard. I am afraid that the CT scan and MRI of the lungs cannot be activated. It is estimated that this permission is only a fourth or fifth level. Extreme authority. But there is still no way for those above level four.
Xu Ze sighed lightly. If the secret road could not be seen, then he could only analyze it with the relevant examination data required by Li Moling. Now he said to Li Moling aside: "Dr. Li, about the patient Check the information, can you explain it?"
"Huh... Sure enough to ask this, I thought you were so arrogant..." Li Moling sneered, but then laughed: "The information can naturally tell you, but you have to say what you need. Information, otherwise I will report it to you, so what else do you read. Just look at the result directly..."
Seeing Li Moling didn't refuse at all, and still looked confident and proud, Xu Ze frowned secretly in his mind, secretly thinking: "Doesn't the inspection data help?"
Despite thinking this way, Xu Ze nodded and said, "Well...I need blood routine and chest radiography, as well as lung CT and MRI..."
Very unexpected to Xu Ze, Li Moling casually read these materials to Xu Ze one by one...
These data are not beyond Xu Ze's expectations. In blood routine, white blood cells and red blood cells are basically normal. Only the neutrophils are slightly increased, which only represents a little infection.
The chest radiograph was as normal as he saw it. CT scan of the lungs and MRI of the lungs did not reveal any abnormalities.
Seeing this, Xu Ze couldn't help raising his eyebrows. Is it really like thinking about central nervous cough?
Looking at Xu Ze's appearance, Li Moling laughed secretly. The questions Xu Ze asked were all examined without any problems, but one of the bacterial cultures was not asked.
In a situation like this, since there are no problems with so many tests, no matter which doctor will first consider the possibility of mycoplasma pneumonia!
"If Xu Ze is really tolerant, he must also consider this disease, and he should not consider other reasons. But if he really thinks about this disease, hehe... then he will be planted... As for the real disease, only I’m afraid he would never think of going up here.
Li Moling thought more proudly of this, but he did not expect that Xu Ze was older than many in terms of certain medical experience and knowledge. Physicians are much better... already thought of this possibility.
"Is it really a central nervous cough printed?" Xu Ze frowned, thinking for a while, but still not so sure, after all, a young man, and there are no other abnormalities. Why is there such a central nervous cough?
There are still some uneasy Xu Ze. Thinking of this, he still decided to take a closer look at the patient’s lungs. This must be careful. Xu Ze is not like a little carelessness~EbookFREE.me~ Lost to the Limo Ridge in front of me, otherwise I don’t know how this guy will take the opportunity to bully himself.
As long as the patient's lungs are indeed no problem, then it can only be based on the diagnosis of this central nervous cough.
Through this analysis, Xu Ze is very confident that the diagnosis of respiratory medicine should also be the next diagnosis, because according to his analysis of these tests, he has been able to rule out mycoplasma pneumonia and found no other abnormal conditions. There is no other possibility...
Only this central nervous cough is possible...
"Start X-ray perspective..." Xu Ze ordered again.
"Di... X-ray perspective function is activated..."
As the patient's chest gradually became translucent, Xu Ze began to stare at the patient's lungs again.
After watching it for a long time, the patient's lungs still seemed to be ok. Just when Xu Ze sighed, he was about to stop. Suddenly, the system sounded a warning sound: "An abnormality was found...the silicon reflex in the lungs slightly exceeded the standard..."