The emergency department of the Affiliated Hospital of Ningyuan Medical College is much smaller than the fourth hospital, a specialized large emergency center, at least they do not have an emergency building of their own, nor do they have an emergency room with dozens of beds like the fourth hospital. Their emergency room is divided into three sections, one for stroke, one for chest pain, and one for general emergency patients. Although the distribution of circulation lines is reasonable, after all, it is a facility built many years ago, and the emergency department is the most intensively used department in the entire hospital, so even if there are medical staff and property management carefully cared for, the traces of use all over the place still show a sense of dilapidation that cannot be concealed.

Sun Lien looked at this familiar place, and felt a little emotion in his heart - he didn't feel any dilapidated feeling here before. At that time, all his thoughts were on the internship, and he was so busy that he didn't have the time to pay attention to these.

"Isabella, we're here. Xu Yourong quickly spotted Isabella who was looking anxious at the registration window, and then ran over with Sun Lien. She took the case and registration notice from Isabella's hand and directly took her place, "I'll line up, how is Todd?"

"The doctor has taken him for a CT scan. "Isabella finally waited for reinforcements, which made her nerves that had been tense relax a lot," he ...... He was still in pain, and the doctor refused to give him any type of painkiller. ”

Constant and intense headaches are unbearable for adults, let alone a child who is about to enter the fourth grade of elementary school. Sun Lien sighed a little helplessly, and he also understood the reason why his colleagues in the affiliated hospital refused to use painkillers. For such a young child, the dosage of effective painkillers is difficult to estimate precisely. At the same time, Todd, who is still showing severe pain, can also give doctors a certain indication of the location of his lesions.

In the experience of the emergency department, such a severe and persistent headache is usually closely related to the cerebrovascular system. If Todd were to be treated with painkillers, the overly strong drugs could mask his main symptoms and even make it difficult for doctors to notice the worsening condition.

It may seem cruel, but it does have a very important practical significance.

After comforting Isabella, Sun Lien left Xu Yourong and Isabella to continue to deal with these related matters, and ran towards the imaging department of the affiliated hospital. CT scans are fast, but the CT rooms of affiliated hospitals have always had a heavy workload. He should be able to see Todd before he is taken back to the emergency department.

Soon, he ran to the imaging department of the affiliated hospital, which now seemed a little unfamiliar. And successfully found Todd who was about to be pushed into the CT examination room.

"Todd, male, 9 years old, cerebrospinal fluid lymphocytosis (11.32.18), fever (09.21.33), meningitis (08.11.32), facial peripheral neuritis (00.55.32), mild pericarditis (00.31.52)"

"Hey, lad. After reading the status bar, Sun Lien gently patted Todd's shoulder, and then said in a calmest tone as much as possible, "Yourong and I are here, are you okay?"

"Hurt ......" little Todd's appearance looks really distressing. The neat hairstyle he is usually most proud of is now messy like a chicken nest, and his whole body is wet, and he can't tell whether it is the mineral water poured by the physical education teacher to treat "heat stroke" before, or his own sweat that hurts. Todd, whose face was deformed by pain, struggled to squeeze a word out of his throat, "Help me......"

"I'll figure it out. Sun Lien patted the back of his hand, raised his head and was about to look to see if there were any acquaintances present, but when he looked up, he saw the director of the imaging department who had eaten with him beckoning to him.

"Do you know this kid?" Director Wei commanded people to push Todd into the room, and then took Sun Lien to the side of the operation room. "Why didn't you send it directly to your four courtyards?"

Sun Lien sighed, "This child is the child of an American expert at our diagnostic center, and he suddenly became ill today. The school called 120, and it should have sent people to our annex first. He looked at little Todd who was holding his head through the window of the operation room, "His parents are both Americans, and they are not familiar with the process on our side, so I came over to help take a look...... And I do know their whole family quite well, and we still spent the Chinese New Year together this year. ”

Director Wei silently glanced at the image on the computer screen, "Such a serious headache, maybe it's a cerebrovascular accident." ”

Although the symptoms have been clarified through the status bar, Sun Lien himself is still a little uncertain just by looking at the symptoms. The headache caused by meningitis should not be so severe, and the symptom of facial peripheral neuritis should be facial paralysis rather than such severe pain. He could only use what he had already learned to guide Director Wei's opinion, "This kid had a brain MRI in the United States two years ago, and the results of the examination at that time were normal. ”

Just like when Sun Lien first heard the news, Director Wei also specifically asked about the reason for this examination. When he heard the reason for this examination, he was stunned for a while, like Sun Lien, before sighing.

"There was nothing wrong with the CT scan. There were no particularly noticeable signs of hematoma and hemorrhage. "The biggest advantage of CT examination is that it is fast enough, but Todd is moving in pain all the time, and the imaging is a little mushy. "It's not okay to go east like this, Xiao Sun, why don't you change into a lead suit to fix it?"

Of course, Sun Lien would not refuse this kind of proposal, he stood up, took off a set of lead suits from the wall behind him, and said to Director Wei while putting it on his body, "Director Wei, since you are here, why don't you give him another MRI later?" ”

"Both of our MRIs are in use now, so it's a bit difficult to plug them up temporarily. Even if it is to be done in the emergency department, you have to wait for 40 minutes at the earliest. Director Wei was a little helpless, "There are a lot of MRIs in your hospital, and the MRIs we have here are really fragrant - everyone is waiting to use them." He thought for a moment and proposed, "Otherwise, just transfer this kid to the hospital!

In the CT room, holding Todd's head for a few minutes, Sun Lien had been pondering the matter of getting him transferred to the hospital. Personally, he wasn't really willing to get involved in Todd's case. To what extent his face is black, Sun Lien now not only knows it in his heart, he is even a little afraid of his own black face. If Todd really has a rare disease, what will it do?

He is now in a more definite state, with meningitis and inflammation of the peripheral nerves of the face, as well as pericarditis. This is due to some kind of infection, and the suggestion of lymphocytosis in the cerebrospinal fluid is duplicated with meningitis, which is not particularly significant. Judging from the time, his high fever should have been caused by meningitis, which was not very related to the mild pericarditis that only occurred for about 50 minutes.

The greatest risk for the entire transfer process is undoubtedly meningitis, which is causing significant symptoms. This has led to significant meningeal irritation in Todd. He needs to be treated as soon as possible, and the type and source of the infection need to be identified as soon as possible.

After thinking about it, Sun Lien made a decision - to do a lumbar puncture for Todd in the affiliated hospital immediately [567 Chinese] to clarify the type of infection, if the type of infection cannot be determined, then see if the affiliated hospital can arrange MRI immediately. If not, transfer to the fourth hospital, then complete the examination and develop a treatment plan.

Anyway, Qian Hongjun is also in the diagnosis group now, and there is such a pediatric director in the group, so there is no need to use it in vain.