(Thanks to my friends for waiting in place, can't wake up, book phagogues, book friends, book friends, 20170515074927677, Xingyu, and Star Shower SDC monthly pass encouragement)

Liu Banxia's patient had just had a seizure, so he could take the expedited route. The results came out quickly, and looking at the results on the monitor, Wang Chao gave a thumbs up.

Liu Banxia's prediction was not bad at all, and the patient's brain had symptoms of edema. Although no more sophisticated tests have been performed, it can be diagnosed as urea cycle disorder.

Ding! Completion of the consultation.

Gain 200 XP points, 100 Diagnostics Skill Proficiency, and 100 Osteopathy Skill Proficiency

The rewards given are a little small, and they don't even give glory points, because this disease is very easy to diagnose after the appearance of high blood ammonia.

"Doctor, what kind of illness am I? I heard the doctor over there say that I seem to have a genetic disease? How is it possible?" The patient who was pushed back recovered a little, and he did not understand his own illness.

"This is indeed a genetic disease, and we can do a detailed examination to confirm it later. The scientific name is urea cycle disorder, which means that there is a problem with an enzyme in your body, so you can't get ammonia from your body to produce urea. Liu Banxia said.

"You passed out while running today, also because of the effects of high blood ammonia symptoms on your brain, including your epilepsy just now. ”

"No way, if it's a genetic disease, why didn't I have anything before?" the patient asked rhetorically.

"Meimei, what's wrong with you? Is it serious?" At this time, the patient's boyfriend ran over.

"I'm fine, but the doctor said I had a genetic disorder. How is that possible, we've known each other for more than a year, haven't we? I've always been healthy. The patient said.

"It should have something to do with your recent diet, if you eat too much protein, you will get sick. Liu Banxia said.

"In the future, we should also try not to eat protein, as long as it is controlled, it will have no impact on life. ”

"Impossible, absolutely impossible. I'm losing weight now, and I eat healthy meals every day, and I don't eat meat at all, and I don't eat soy products. The patient said firmly.

The patient's attitude stunned Liu Banxia, if it weren't for excessive protein intake, then the patient would definitely have other reasons physically.

"So, let's do a test to see what kind of enzyme is wrong in the body. Liu Banxia said.

"If it's not for the problem with protein intake, there may be something else in your body. We may do more tests, or you may get sick at any time in the future. ”

The patient frowned, "Doctor, you must check it out, we are still planning to get married on May Day." ”

Liu Banxia nodded, then looked at the patient's boyfriend, "I'll ask the nurse to take your girlfriend to the queue first, and you wait here for me to make a bill and pay the bill." ”

"Okay, you go. The patient's boyfriend hurriedly said.

Wang Chao blinked, he was about to leave, and kept his feet on him again.

The normal situation is for the patient's family to take the patient for examination, and now that the emergency center is so busy, how can a nurse be wasted.

"Is the process of losing weight very hard, is she trying to lose weight for your wedding?" asked Liu Banxia.

"Yes and no, in fact, she wants to lose weight, but I don't think she's fat. The patient's boyfriend said with some hesitation.

Liu Banxia frowned, "The inspection on the instrument will not be wrong, and the source of stimulation of this disease is a large intake of protein." If you know anything about it, please let me know so that it will be helpful in the following diagnosis and treatment. ”

"Her symptoms are not very serious now, but they are getting worse and worse with similar diseases. Hemodialysis may be required for the next episode to remove ammonia from the blood. ”

"If we can't identify the cause and give the patient an accurate will, the patient will not be able to avoid this risk later in life. ”

The patient's boyfriend scratched his scalp with some annoyance, "Actually...... Actually, I mixed protein powder into her dish, and she really worked so hard to lose weight. ”

And they all said that if fat people lose weight too quickly, their bodies will become very poor in the future due to nutrient loss. I...... , I don't dislike her for being fat, isn't it good that she's chubby, what are you doing to lose weight. ”

"It's all my fault, it's all my fault......"

The patient's boyfriend squatted on the ground and cried as he spoke.

Liu Banxia sighed in her heart and patted him on the shoulder, "You have to tell her these things clearly, maybe in her heart, she thinks that only by successfully losing weight can she be worthy of your love." ”

"I'm saying this a little awkwardly, I don't feel a little embarrassed to listen to it, and it's not a movie. But that's really the case, I'm also in a relationship now, and I know it's not a one-sided thing. ”

"There are some things that the two of them make sense and explain thoroughly, so that they will get along more smoothly in the future. Otherwise, what you or she thinks is good, it is just a one-sided opinion, and the other party may not be able to accept it. ”

"My girlfriend is very rich, and others say that I eat soft rice. We talked about it, and I told her to buy whatever she liked, and that she didn't have to worry so much, and that she didn't have to worry about too many luxury goods. ”

"I won't mention this to the patient, you will pay attention to it in the future, this time it is a good intention to do bad things." Okay, let's pay the fee, you can't do the inspection without paying. Pay attention in the future as it will not affect your body. ”

The patient's boyfriend wiped away a handful of tears and a smile appeared on his face. Even if he knew that his girlfriend's body was not too serious, he was amused by Liu Banxia's words.

It's the first time I've heard that a doctor would be so comforting, but this thing sounds very real, and I can listen to it in my heart.

"Hey...... , this is true love, and it didn't run away. It's just that there is less communication, when can I meet such a person? Wang Chao said with emotion.

"Who do you blame for not working hard?" Liu Banxia said.

"It seems that you have worked hard, and I am not much worse, right? Isn't it just that your business ability is a little worse than yours, and your appearance is a little worse than yours. Wang Chao said depressedly.

This is also a chain of contempt, Liu Banxia is now a person with a girlfriend, and he can happily despise himself when he is out of the big family of single dogs.

"Completely blown with the bank?" Liu Banxia asked curiously.

Wang Chao nodded, "My mother is still trying to find her future daughter-in-law, and the next time I take a break from work, there will be a three-level blind date." Mr. Liu, can I apply to continue working overtime? We've been too busy here lately. ”

Liu Banxia was happy, "That's not good, you have to rest after a certain amount of time." Isn't it the same for these interns, who can't stand the high load of work for a long time. ”

"I hate you, how can you treat this patient next? I didn't bother to turn the book, so I stole the teacher. Wang Chao said.

"Intravenous glucose and insulin, and for cerebral edema, you can also give some mannitol for dehydration treatment. Liu Banxia said casually.

"Although the patient is in the acute phase, it is not very serious. It is true that the blood ammonia level is very high, and it has not reached the point of dialysis. ”

"I wondered, you have to manage the emergency center, you have to treat patients, and you have to fall in love, where do you have the time to study? Mr. Liu, why are you so powerful? Wang Chao asked.

"I'm also studying hard, and I'm thinking that even if I can't compare to you, I can't be left too far behind by you. Otherwise, if you ascend in the future, will you be able to bring me with you?"

Hearing this, Liu Banxia couldn't cry or laugh, "What are you talking about, just reading books." There are many diseases that I can just look at at and finish, where can I remember so many diseases. ”

"What about the celiac artery vascular compression in front and today's urea cycle disorder?" Wang Chao asked.

"The day I noticed the day he was sick was about the same as the day his father trained him rigorously, and the intensity of training must have taken a lot of toll on his body. Liu Banxia said.

"You've looked at this one, is there any other explanation for hyperammonemia? If the blood ammonia is too high, the way to get rid of it is dialysis, right?"

"It's normal for patients with cerebral edema to use mannitol, right? This is a treatment that can't be used anymore, if you use your brain a little more, will you still make such a fuss?"

Wang Chao was even more depressed, just now he really felt that Liu Banxia was full of magic, and the corresponding treatment came as soon as he opened his mouth. But now that I heard Liu Banxia's in-depth analysis, it seems that it is really such a thing.

Liu Banxia let out a sigh of relief, and finally flickered over.

Of course, I don't have that much time, isn't there room for dreams? And with the improvement of diagnostic skills, I have indeed become more rich in "association".

It can be regarded as complementing my own practice, after all, my time in the dream space is not in vain.

At this time, Wang Chao's patient was also pushed back after the CT scan, Wang Chao picked up the film and looked at it, but there was no problem.

"We're lucky that we didn't have any brain damage. Now take care of the wound on our back, and we can go home." Wang Chao said with a smile.

"The house is also geothermic, right? Try to move around as little as possible, and it's best if you don't sweat. Otherwise, it may affect the healing of the wound, and it is not a very serious injury, and it can be healed in three or two days. ”

"Thank you, doctor, why did my dad get confused before he fell?" asked the patient's son.

"This can be caused by a variety of reasons, and blood pressure is one thing. Your father's blood pressure is a little high, and the house is often hot these days, so he feels dizzy. Wang Chao said as he debrided the wound on the patient's back.

Liu Banxia on the side frowned after glancing at it, leaned over to Wang Chao's side and stepped on his foot gently, "Doctor Wang, this wound is very strange, the skin is not very broken, but there are many bruises on the back." ”

Quest Release: Strange Wounds

Open-ended task, in which the host notices that the patient's wound is strangely present, suspects an underlying condition, and requires further investigation. Task rewards will be awarded based on the diagnosis results