(Thanks to my friend for the encouragement, thank you for your friend mangmangliu, food safety in the world, idler, idler monthly pass for encouragement)

"Mr. Liu, this is the result of thyroid function test, T3, T4, FT3, FT4 are significantly increased, and TSH is decreased, it can be determined that it is hyperthyroidism. ”

Wang Huan took Tang Feifei's thyroid function test report and ran to the orthopedic department happily.

Now Liu Banxia is working part-time in orthopedics again, anyway, Wu Mingyu now enjoys Liu Banxia coming over to work part-time, as long as there are more patients, he will call him.

"Brother Wang, wait a minute, this is a dislocated shoulder joint. Three numbers, one ...... Click, okay, let's take another film, and then wear a half-moon boom, don't mention heavy objects recently. Liu Banxia said.

"Doctor, didn't you say three? "The young man with a dislocated shoulder joint is holding his left arm, and he can't cry or laugh.

"Isn't that afraid you'll be nervous? Liu Banxia said with a smile.

"Then don't tell me, I'm scared too much, I'm going to start gritting your teeth when you count to two. The patient said.

"I still have to have a sense of anticipation, isn't my mood very comfortable and refreshing now?" asked Liu Banxia.

The patient was stunned, as if it was really like that. Even if Liu Banxia didn't tell him to count to three, he knew that his bones would hurt a lot, and he had played it on TV, so he would be worried.

Now after this kind of tension and excitement, it is indeed more refreshing and comfortable.

happily hugged his arms and went to film, and Liu Banxia took the diagnosis report.

This is a thyroid function test, and the data listed is clear. And the ultrasound he did himself, this can be matched.

"But this is just a new situation, and we can't connect with enuresis. What are the results of the new blood and urine tests?" Liu said.

"Still everything is normal. Prescribe some tabakazole first?" Wang Huan said with a wry smile.

What Liu Banxia said is also the actual situation, among all the diseases, I have not heard of enuresis caused by thyroid function problems.

It can only be said that Tang Feifei is a little unlucky, the disease of hyperthyroidism is not so easy to treat, even if her condition is relatively mild now, she also needs medicine, diet and work and rest to match.

Even if there is no need for radiation therapy and surgery, the drugs taken have certain side effects. It can only be increased and decreased with the monitoring of the dose, and the drug must be stopped if the body has obvious side effects.

Liu Banxia nodded, "I can only do this first, let's go back and touch it again." I'd like to give her a full body scan, or I wouldn't know what was wrong with her. ”

"This disease is also quite annoying, you talk to Jojo first, and then tell her. With Qiaoqiao on the side, he can be somewhat relieved. ”

"Mr. Liu, you should work hard, if you can cure the enuresis, you will be relieved more than anything else. Anyway, now I'm out of the question, and I've never encountered such a disease. Wang Huan said.

"I want to work hard, but I haven't encountered it either. I've looked up a lot of cases of enuresis, and none of them are like her. Liu Banxia said with a wry smile.

At this time, Liu Banxia's phone rang, and it was Wang Chao calling, "I'm Liu Banxia." ”

"Mr. Liu, if you're not busy, come back. I just received a patient, a foreigner, who couldn't communicate. Wang Chao's voice was a little hurried.

"Wait. ”

Liu Banxia hung up the phone after speaking.

"What's going on?"

After coming to the rescue room, Liu Banxia asked.

"It was delivered by a taxi driver, a foreigner in his 20s, who seemed to be from India, and couldn't understand what he said. Wang Chao hurriedly said.

"I had a high fever of 40 degrees, blood pressure of 80/150, heart rate of 115, and vomited twice. I'm a little sure, and he looks like he's having an infectious disease, but I've followed the prescribed process. ”

"The driver's eldest brother has already done isolation testing, and has also done blood routine, blood biochemistry, sputum test, rapid test for infectious diseases, and streptococcal test for this patient. X-rays show some inflammation of the lungs, crackles on auscultation, and normal heart sounds. ”

"What about you?" asked Liu Banxia.

"We also disinfected after we found out, but fortunately, we are very strict with the requirements for reception, and nothing happened. Wang Chao said.

Liu Banxia nodded and looked at Wang Huan, "Brother Wang, how do you handle it?"

"Let's hang some metronidazole first, it's hard to say about the ecological environment in India. Wang Huan said.

"Hang metronidazole first, find me a set of protective clothing, and I'll go in and have a look." Liu Banxia said.

Wang Chao nodded and hurriedly entered the rescue room.

"Brother Wang, do you need to report to the hospital now?" asked Liu Banxia.

Wang Huan shook his head, "It shouldn't be necessary, after all, there is no diagnosis yet, and we have also taken measures." I think it's also disinfecting in the aisles, so let's take a look at it first. ”

"Mainly, it is impossible to tell whether it is a febrile infection or a parasite, and it is difficult to communicate. Eh, doesn't Qingkova know English, and let her talk to the patient?"

"Yes, what about Qingkova?" Liu Banxia glanced at it and didn't see it.

"Teacher Liu, Qingkova and Dr. Wei have emergency surgery. Xu Yinuo hurriedly said.

"You tell her to come out, if you communicate orally, our dumb English is not good. Liu Banxia said.

If the patient had spoken English, he might have been able to figure it out. However, he is Indonesian-oriented, and English is also a third-party language, so he has to be as precise as possible.

came to the rescue room, where the isolation was also done, and Wang Chao and the others had just hung metronidazole on the patient.

"Let's do a physical cooling again, the eyelids are a little puffy, watery, and runny. Did you read it in your mouth?" asked Liu Banxia.

"Look, the pharynx is a little red and swollen, nothing else. Wang Chao said.

At this time, the patient lying on the bed said that Liu Banxia judged from his limited experience in watching the third brother's movies that he should be almost the same.

“Enelish？”

Liu Banxia asked tentatively.

The patient spoke again, then tilted his body and spit out twice.

"The vomit was sealed and sent for testing. Liu Banxia said.

The nurse on the side hurriedly operated.

It may be that after just vomiting, the patient is slightly more comfortable. But what he said was still incomprehensible to anyone.

Liu Banxia carefully observed again, in addition to the symptoms just now, the patient also had a cough. It is estimated that the current illness has affected the upper respiratory tract, but he can't tell what kind of infectious disease it is, or whether it is an infectious disease or not.

"Mr. Liu, it's still a little hot after using physical cooling. Wang Chao looked at it and said.

"Then hang some more Tylenol, this is a medicine for children, it can work more or less, and it is safer for him. Then urge the blood test results and do a lumbar puncture. Liu Banxia said.

This medicine is an antipyretic and analgesic medicine for children, but it is relatively safe to use children's drugs because I don't know the basic situation of this patient.

Otherwise, if the wrong medicine is used in the rescue process, it will cause international disputes.

"Teacher Liu, I'm here, I'll come in right away. At this time, Qingkova's voice sounded outside.

"The patient doesn't know English either, so if you want to be trained, you can come in. Liu Banxia said.

"Good. ”

Qingkova answered.

"Ahem, ahem, ahem......"

"Didi ......"

At this time, the patient coughed violently, and along with the patient's cough, the monitor also screamed violently, and then the patient showed difficulty breathing.

"Mr. Liu, I haven't started to wear my waist yet. Wang Chao said nervously.

"It should be bronchospasm, racemic epinephrine injection, 125 units of methylprednisolone intravenously. 20 units of etomidate, 100 units of succinylcholine, intubation set. Liu Banxia said.

Hearing his command, the nurses immediately took action.

"Blood oxygen has come up. ”

After Liu Banxia finished intubation, Wang Chao breathed a sigh of relief.

"Mr. Liu, the rapid streptococcal test result just came out was negative. Xu Yinuo shouted outside.

"Got it. Liu Banxia responded.

"Mr. Liu, how is the situation?" asked Wang Huan outside.

"It's hard to judge at the moment because I can't communicate and I don't know his past medical history. I also had bronchospasm just now, and I tested negative for streptococcus. Liu Banxia said.

"There are too many possible illnesses that are similar to the current performance, and the results of the cultivation seem to be a little impatient, and his current symptoms should be worsening. ”

"I'll take some more nasal secretions and test them again. Maybe now that the symptoms have worsened, I can see more clearly. ”

"Mr. Liu, if it's more serious, will you have to go on a ventilator?" asked Wang Chao with some concern.

"Let's see how it goes, wait for the effect of the medicine...... , Wang Chao, bring the flashlight and help me open the patient's nasal cavity. Liu Banxia, who was collecting the patient's nasal secretions, said with a hint of excitement.

Wang Chao didn't dare to delay, and hurriedly brought a flashlight.

Liu Banxia observed carefully, and there were signs of slight bleeding in the patient's nasal mucosa.

"Take blood and do a serum antibody test for measles. Liu Banxia said.

"What? Mr. Liu, no, he doesn't have a rash on his body, and there are no spots in his mouth, how can it be measles?" Wang Chao asked in surprise.

"Some people who have been vaccinated against measles may have a recurrence, and some people with severe measles will have mucosal bleeding. If this patient accounts for these two factors, let's test it first. Liu Banxia said.

"Anyway, there are too many suspicious conditions now, and none of them have a clear indication. If there is no measles, it is even more difficult to diagnose, and it can only be seen whether the antibody titers in the serum are high. ”

Wang Chao nodded, I know, the current Liu Banxia has no basis, and now he is in Meng. But it's a little more reliable, and it's a direction anyway.

In fact, Liu Banxia also had a headache, relying on Meng to make a diagnosis, and that mood was really not very good. If you make a mistake, it will really affect the time of treatment.