(Thanks to my friend I love sheep monthly pass encouragement)

"When did you start having diarrhea, what did you eat or drink?" asked Liu Banxia after pushing the patient to the bedside.

"Yesterday I went out with friends and had a barbecue. Ate some oysters and scallops and drank some beer. The girl said with her head down.

"Good guys, it's okay to eat meat skewers and drink some beer, seafood with beer is very frustrating. Liu Banxia said.

"Hmm...... Let's do a blood routine first, and then do a stool test. There are many kinds of diarrhea, I see that your body seems to be a little weak, do you have any other symptoms?"

The girl shook her head, "No, it's been fine." I may have eaten these yesterday, and it may have been blowing in the wind and getting cold. ”

"What about your hands, have you ever had such shaking before?" Liu Banxia asked again.

"Usually when you are hungry, do you have some low blood sugar? Recently, you may have an irregular diet, easy to panic, and some afraid of catching a cold. The girl said.

"I don't think your face is particularly good, is it like the usual one, or is it like this after makeup? Liu Banxia asked after hesitating.

This is also a difficulty that may be encountered when receiving female patients at present, girls love beauty and like to dress up. However, during the medical treatment, it is easy to miss the diagnosis if the makeup on the face is too thick.

Liu Banxia didn't have much research on makeup, but it could be seen that even if the girl had diarrhea, she was carefully cleaned up.

"My skin is white, and I haven't rubbed much powder. Hearing Liu Banxia's question, the girl was not only not angry, but also a little happy.

"Okay, then let's do a blood routine and stool test first, are your feet still weak? Liu Banxia asked.

The girl tried it and shook her head, with an embarrassed expression on her face.

"Make a promise, accompany the patient, collect blood from the patient for blood routine and stool test. Liu Banxia looked at Xu Yinuo.

Xu Yinuo was stunned for a moment, but he didn't expect Liu Banxia to let her do this. Even if there are doubts in his heart, Liu Banxia's authority can suppress people, and he can only accept orders if he promises.

"Dr. Liu, something is wrong, something is very wrong. Why the hell do you say?" When Xu Yinuo pushed the patient to the bathroom, Wang Huan came over.

"I always felt that this patient's feet and hands were a little abnormal, but the patient's complaint was diarrhea, and he could only do a blood routine and stool test first. Liu Banxia said.

"Then why did you let Xu Yinuo take care of this patient?" Wang Huan then asked.

"I want to see if she can detect it, whether the patient's symptoms are external manifestations or not, they are still a kind of symptoms, right? Liu Banxia said casually.

I broke out in a cold sweat when I heard it to the rest of the people on the side, but I didn't expect that the respected Teacher Liu would have such "sinister intentions".

Girls often have advantages, except for Liang Xiaolin and Qing Keva, who have long learned from Liu Banxia, and there are two girls in their six-person group, Xu Yipromise and Liu Yiqing.

Usually Liu Banxia will take care of the two of them, but he didn't expect to say just now that he would take everyone to the hotel, and his spirit was relaxed, and now his old man's test is anytime, anywhere, everywhere.

"Why are you looking at me like that? After a while, you will have to rotate with Dr. Wang, and you will have to go through all departments. Liu Banxia said with a smile.

A few people didn't dare to say anything, and now they realized that it didn't seem to be so easy to mess with Teacher Liu. Don't look at the usual easy way to get along, there is thunder everywhere.

Both blood routine and stool tests take time, and Xu Yinuo felt that something was wrong after pushing the patient back. What are the big guys' eyes always slipping to their side?

"Su Wenhao, you are honest, what happened when I left just now?" Xu Yinuo caught the most honest Su Wenhao.

"Nothing, really nothing. Su Wenhao tried to calm himself down as much as possible.

"Make a promise, come here. Liu Banxia beckoned to her.

"Teacher Liu, did I do something wrong?" asked after coming to Liu Banxia's side.

"No, you're doing well. You can do whatever you want, and you have to do it in the future, and when you are not busy, you should help the nurses share some of the work as much as possible. Liu Banxia said seriously.

Xu Yinuo was a little happy, but he found that everyone's eyes became strange again. This makes her worried, there must be a situation.

"What do you think of this patient, what are the symptoms?" asked Liu Banxia.

"It must be caused by E. coli, which is usually found in seafood. Xu Yinuo said.

After finishing speaking, she found that the eyes of these people became more strange, and Liu Yiqing kept squeezing her eyes.

"Teacher Liu, just say, what did I do wrong, I'm going crazy. Xu Yinuo said helplessly.

"Actually, I didn't make a mistake, at most I didn't observe carefully. Liu Banxia said with a smile.

"You see that the patient has been for so long, his feet are still weak, and his hands are still a little shaky. Did you give her chocolate too? It's not getting better, it has nothing to do with low blood sugar. ”

"Ah......" Xu Yinuo exclaimed, and then covered his mouth again, "Teacher, are you saying that the patient has other diseases?

Liu Banxia nodded very convincingly, "A girl who is about the same age as you, what kind of diarrhea does her physique have to be to cause such a result?"

"If it's okay, just accompany the patient to chat, you are all the same age, there should be more common language. Let's wait for the results of the blood routine and stool test to come back. ”

Xu Yinuo blinked, and a sly smile appeared on his face, "Teacher, are you saying that the patient is not telling the truth?"

Liu Banxia shrugged her shoulders, "This is not necessarily, the key is that sometimes the patient himself does not pay attention, so it does not attract her attention." ”

Xu Yinuo nodded understandingly, and then came to the patient's side and chatted with each other.

The stool test results and blood test results were sent one after another, and the stool test results showed that the E. coli exceeded the standard, and the diarrhea was almost the acute enteritis caused by this cause. Hemoglobin is 80 grams per liter, which has reached the criteria for severe anemia.

"Your diarrhea is not very serious, we can do it with an infusion. But what worries me most now is your anemia, which is already at the level of severe anemia. Liu Banxia said with the inspection sheet.

"People with anemia will have poor physical fitness, I suggest you do one of the four items of anemia, and this test can also be done during the infusion. ”

"Only when the type of anemia is identified can we supplement accordingly. Doesn't it mean that you can go home and get iron and blood, if it weren't for the anemia caused by the lack of serum ferritin?"

"Doctor, is it really that serious?" the patient asked, with some concern.

Liu Banxia nodded very seriously, "Combined with the fact that your feet are still weak and your hands are shaking, I strongly recommend that you make one." If you don't pay attention, you may induce more serious conditions in the future. ”

The patient nodded, and now she felt that something was wrong with her weak feet. I've had soft feet before, but they haven't lasted as long as they do today.

The infusion treatment for diarrhea began here, and Liu Banxia over there called Xu Yinuo to his side, "Did you find any useful information?"

Xu Yinuo shook his head, "It's useless, it's fun-loving." It's summer vacation.,I often party with my former high school classmates and friends I haven't seen for a long time.,My schedule is all messed up.。 ”

"Hey...... , I envy them, the holiday is a serious holiday. As for us, where have we had a serious holiday? I didn't have it when I was studying, and I won't have it when I work in the future. ”

Liu Banxia knocked on her skull, "This is this business, it's useless to complain." Monitor the patient at all times, and then accompany the chatter. ”

Xu Yinuo stuck out his tongue and walked back obediently.

In fact, Liu Banxia really wanted to do an electromyography for this patient, but there was no clear indication yet, and he didn't dare to do it indiscriminately. Nowadays, young people know a lot, people come with diarrhea, and you do an electromyography?

Before it was time for lunch, the results of the four items of anemia came out, and the patient's vitamin B12 content was super low. This means that the patient's anemia may be megaloblastic anemia or a blood-related disorder.

Liu Banxia walked over and first felt the patient's grip and then the patient's foot, and his hands were stronger than his feet.

"I can't take it anymore, you can do another electromyography. Your feet are even more boring now, didn't you feel anything when I picked the soles of your feet just now?" Liu Banxia asked with a frown.

The patient was stunned for a moment, and nodded a little embarrassedly.

"Then make one, and I'll call the neurology doctor to come and consult. Liu Banxia continued.

The patient looked at him and nodded.

"What's wrong? Do you still have to do an electromyography?" Wang Huan, who had finished the consultation, walked over.

"B12 missing, numb feet, unsteady hands, hopefully I guessed wrong. Otherwise, it is estimated that there will be no fewer patients in our city in the future. Liu Banxia said with a wry smile.

"Are you already numb?Peripheral nerve disorder?" Wang Huan also frowned.

"In order to be more accurate, after the electromyography is done, let's do a spinal cord MRI. Ay...... , young people now. Liu Banxia sighed.

Wang Huan's brows also furrowed, and he also thought of what Liu Banxia's speculation was, but this speculation was really not very good for patients.

The interns also took a look, trying to study the case. Something is obviously wrong, otherwise it won't be on the electromyography.

It's just that they don't know exactly what the disease is. Although they also knew that Wang Huan and Liu Banxia had a rough guess, they didn't want to go over and ask.

This is also a learning process, and asking questions in the past is similar to the meaning of directly turning the book to see the answers when answering questions.