(Thanks to my friend 08a for his encouragement)

Although there was nothing to do in the second half of the night in the emergency department, Liu Banxia did not sleep well. After walking around the room normally, I also paid attention to the laryngitis patient.

"You pack up and go home early, there are not so many things to do in the emergency department now, so you don't need to get stuck in time." Liu Banxia said to Liang Xiaolin.

"It's only six o'clock, so I won't be fooled by you. Liang Xiaolin said.

"You see, Dr. Chen said yesterday that you should go home early. If I don't let you go early, you won't give me my little shoes to wear. Even if my feet are straight, I'm afraid that his shoes will be crooked. Liu Banxia said.

"I'm too lazy to pay attention to you, full of gibberish. Liang Xiaolin glared at him.

"Dr. Liu, the inpatient you brought my attention to has also woken up. I just took my temperature, the fever has not gone away, and I still have cough symptoms. At this time, Xu Dan ran over

Liu Banxia was energetic all of a sudden, and he had already done anti-infection treatment, and the patient's condition not only did not improve, but worsened.

"Doctor, it's still hot. After seeing Liu Banxia, the patient took off the towel on his head.

"Don't worry, I'll do you an ECG again. Liu Banxia said.

It has been proven that acute laryngitis is not the main condition, otherwise the patient's condition would have been relieved by now.

After the ECG is done, it is still a normal result. This gave Liu Banxia a headache, what was the difference?

At present, the patient's apparent symptoms include fever, sore throat, vocal cord paralysis, and chest pain, and heart disease, myocardial infarction, and arterial dissection have been ruled out, and acute pharyngitis has been diagnosed again, but medication has no effect.

He picked up the stethoscope and listened carefully to the patient's heart and lungs, and as yesterday, there was no abnormality until now.

Is it caused by an infection of the bronchi? In that case, you can only do bronchoscopy. However, although it is an endoscopic examination, it is also somewhat invasive to the patient, especially if the patient has a history of hypertension.

"Fever, fever, fever, I just don't understand fever right now. Contrast-enhanced CT did not scan out new arterial dissection, what is the chest pain? Chest pain, chest pain...... There is also vocal cord paralysis, coughing. Liu Banxia muttered to himself on the side.

"Vocal cord paralysis is due to the recurrent laryngeal nerve being affected, which is why we are in the current situation. Fever indicates infection, vocal cord paralysis indicates that the recurrent laryngeal nerve is affected, and chest pain indicates changes in the blood vessels around the heart. ”

"Contrast-enhanced CT did not scan out arterial dissection, arterial dissection, arterial dissection...... Belch...... No, no? ”

Liu Banxia, who was babbling, was stunned.

"What's wrong? Figured it out?" Liang Xiaolin couldn't hold back, and directly grabbed Liu Banxia's arm.

"It's inappropriate for me to call Chen Xuehai at this time, you can contact him, just say that I suspect that the patient may have an aneurysm causing all the symptoms now. Liu Banxia said.

"Uh...... Wasn't the enhanced CT scan scanned yesterday?" Liang Xiaolin frowned.

"If the stent coincides with the aneurysm, will it affect the scan? And arterial dissection is often accompanied by an aneurysm. Liu Banxia said.

"Don't think about this yet, you should have been looking for a doctor in your heart. But the outside of the heart is not bad, he came over yesterday and understands the patient's situation. ”

Looking at Liu Banxia's expression, Liang Xiaolin frowned, "Isn't it too risky?

She has been messing with Liu Banxia for several days, and she knows that this product is not a loss. The reason why I insisted on calling Chen Xuehai over was to take revenge.

But this matter is really too dangerous, and she knows Chen Xuehai's character better. If Liu Banxia really misdiagnosed him again, he might be able to ridicule him.

"Don't worry, then who, that kid doesn't say it, all the possibilities are eliminated, and the rest is even if it's impossible?" Liu Banxia scratched his scalp.

Liang Xiaolin glared at him and went to the side to make a call.

Liu Banxia looked at the patient, "You can relax now, what I said shouldn't be bad, and you can cure the disease." By the way, I think you're coming by yourself, do you need to contact your family?"

"I came here on a business trip, so I didn't tell my family. Doctor, can you be diagnosed this time?" the patient asked.

Liu Banxia was a little embarrassed, but still nodded, "From my judgment, this is very possible." And at present, your body is indeed a little special, and the white blood cell count is not fed back. ”

"How can you judge that it is an aneurysm? Why does an aneurysm have vocal cord paralysis and high fever?" At this time, Chen Xuehai walked in from outside.

"Vocal cord paralysis is not a problem with the vocal cords, what if the aneurysm compresses the recurrent laryngeal nerve?" Liu Banxia said with a smile.

"As for the high fever, it can also be explained. If the aneurysm is too large and compresses certain layers of tissue, causing avascular necrosis, will it cause infection and lead to high fever?"

"We were so focused on the patient's throat that we thought it was a high fever caused by inflammation of the throat, when the real source of the infection was something we didn't find. ”

"Although my speculation is a bit outrageous, I think it is appropriate and the only one that can connect these symptoms in light of the current symptoms. ”

"The patient's blood pressure is elevated, and the aneurysm is impacted by the blood pressure, so there are symptoms of chest pain. We gave betalux to lower the heart rate and blood pressure, so the patient's chest pain disappeared. ”

"The patient is showing symptoms of coughing again today, and it is possible that the aneurysm has compressed the bronchi. That's the diagnosis we make in the emergency department, and if you can't, I'll go to the heart doctor. ”

Chen Xuehai stared at Liu Banxia, and Liu Banxia didn't have any idea of compromise, so he looked back at him.

"Okay, I'll take the patient for a check-up myself. Chen Xuehai said.

"Go slowly, don't send it, and give me a letter after the inspection." Liu Banxia said with a smile, and then looked at the patient again, "Now don't worry, such a powerful doctor has been told by me that he has no words, I guess it shouldn't be bad." ”

"Doctor, is the aneurysm dangerous? They mentioned it two years ago when I had the stent. The patient said.

"Don't worry, no matter what the disease is, I'm afraid that it won't be found, and after it is discovered, it will be a minor disease. Liu Banxia comforted.

Chen Xuehai didn't give Liu Banxia more time, and walked out directly with the nurse pushing the bed.

Although Liu Banxia said that he was very tough just now, this was also an inference made based on the knowledge he currently possessed. After Chen Xuehai left, he was also scratching his heart.

When it was almost seven o'clock, Liang Xiaolin's phone rang, and Liu Banxia came to her side with a "whoosh".

"It's information, huh...... Is it really an aneurysm?" Liang Xiaolin glanced at the screen, and her voice was much higher.

Ding! Sore throat patient mission completed

Gain 1,000 XP and 1,000 Diagnostics skill proficiency

This quest is rated Perfect, gaining 1000 XP points, 1500 Diagnostics skill proficiency points, and 5 Glory points

Congratulations to the host level for reaching level 25, 35255/36785, gaining 1 attribute point and 5 glory points

Looking at the system prompt, the corners of Liu Banxia's mouth were boundless. After being very happy, he hugged Liang Xiaolin for a spin by the way.