After a while, the results of the child's examination came out. The blood test is normal, the urine test is normal, and the CT scan is a little abnormal.

"Does this represent a lump in the surrounding visual area? I have to call God to come over, right? Do you need to make up another MRI?" asked Liu Banxia after looking at it.

Xu Hui nodded, "At present, I can only let the gods take a look at it first, and it is estimated that it is the loss of vision around the child caused by this reason." Let's let the gods take a look and see what they have to say. ”

"Doctor, is it a tumor?" the child's mother asked anxiously.

"It's not good to say yet, wait for us to call for a consultation. Liu Banxia said.

Zhang Xiao, who received the news, came over quickly, took the CT film and looked at it carefully for a while, "Let's make up an MRI again, I can see it more clearly." But is there a high probability that it is a craniopharyngioma, with diabetes insipidus and other neuropathic symptoms?"

The child's mother wiped her tears and shook her head, "There is nothing else, just a headache and tiredness." ”

"Let's do another MRI, it shouldn't have affected the function of the hypothalamic pituitary gland so far. Zhang Xiao said.

"Brother Zhang, do you still use lumbar puncture to measure intracranial pressure?" asked Liu Banxia.

Zhang Xiao shook his head, "Let's wait for now, and wait for the results of the MRI to come out." Nothing else has changed in the blood tests at the moment?"

Xu Hui nodded, "It's all normal at the moment, I don't know if it's because of the fact that it just became ill." ”

"It's also very likely, let's take an MRI first. There were no patients tonight, and there was no queue. Zhang Xiao said.

The child's mother nodded hurriedly and led the child to take an MRI again.

It was already past ten o'clock in the evening, but in order to clarify the child's symptoms and make the child more relaxed, they all had to follow the work.

Headaches, toothaches, these pains are really more difficult than wound pain. Otherwise, people wouldn't say that a toothache is not a disease, it hurts really badly.

The results of the MRI examination came out quickly, and they were consistent with the CT film.

"Basically, it can be judged as a craniopharyngioma, and it can only be removed by surgery. After reading it, Zhang Xiao said.

"These tumors are basically benign and will not affect your life after removal. As the tumor grows, it compresses the hypothalamic pituitary gland, causing more symptoms. ”

"Craniopharyngiomas are generally born, but they are more common in early childhood. Now the symptoms are relatively mild, only affecting the optic nerve. ”

"It can only be treated surgically. Admit to the hospital? And then I'll see if the director or deputy director has time, or will I go home and think about it first?"

The child's mother had no idea, so she could only look at Liu Banxia.

"It's true that the tumor can only be removed surgically, but I don't think the child's father is there? Can you also discuss it with the child's father? After all, it was a brain operation. Liu Banxia said.

"Here, we will also communicate with doctors who are good at this type of surgery to see how their surgery schedules are. There is no other way during this time? Need careful care at home? The impact of vision may be ......"

"Banxia, wait a minute. At this time, Xu Hui spoke.

"Let me ask? Has the child always been so thin, or has it only been like this in the last two years, or has it been like this in the recent past?"

The child's mother who just wiped her tears was stunned for a moment? "Always a little skinny? It was said that his stomach and intestines were not well absorbed. I also bought a lot of nutritional products at home, but they didn't work very well. ”

Xu Hui frowned, "Do you think it could be caused by endocrine problems?"

"No, if it's already affected by endocrine? You should all have symptoms of diabetes insipidus. Zhang Xiao said.

"But a normal craniopharyngioma? There will be some reaction on the blood test, and it will not be as stable as it is now. At present, there are more hyperthyroidism patients in China, and there are fewer hypothyroidism. ”

"Eh, don't really say it, the symptoms of these two diseases are really similar. But did we see the film first? That's why I thought of craniopharyngioma. Zhang Xiao touched his chin and said.

"Let's do another thyroid function test, but don't make a whole difference. Liu Banxia, who was listening on the side, added a sentence with a little weakness.

"Dr. Liu? That is to say, it may not be a tumor?" the child's mother also rekindled hope.

"I'll do a thyroid function test first, and I'll call the lab?" Let us know as soon as the results are out. Liu Banxia said comfortingly.

Although the situation has changed again, the child's mother is not annoyed at all. Listen to Liu Banxia's meaning? If I have a thyroid problem, I don't need to have a head surgery? That's better than anything else.

Wait for them to leave? The three of them glanced at each other, and Qi Qi showed a wry smile. Even if the test results are not available, they tend to have hypothyroidism.

Because patients with craniopharyngioma rarely have symptoms of thin and small body, if they are really misdiagnosed as craniopharyngioma, the location of the hyperplasia can indeed be cut off after surgery, but the root of the disease is not removed, and it will recur.

Because one of the manifestations of hypothyroidism is that it will make the organs bigger. If it is really hypothyroidism, after the adjustment of the drug, the hyperplastic tissue will be absorbed, and there is no need for surgery at all.

At worst, this is a misdiagnosis, and at worst, it is medical malpractice. Although it will not directly kill the patient, it will cause the patient to suffer a lot of crimes.

"Hey...... , almost misdiagnosed. Live to learn, Brother Hui, I'll add chicken legs to you tomorrow. Liu Banxia spoke.

"I'm a little weak now, but it seems that routine operations are still very important. The CT film came out first, and we all had preconceived notions that it was a tumor. Xu Hui said with a wry smile.

Liu Banxia nodded, "If I don't come over, it will be a routine check." In fact, if there is no film for reference, let's pay more attention to the blood test, and we can also find some clues. ”

"You two don't take the initiative to admit your mistakes, I also looked at the blood test results, and it's really not easy to notice. Coupled with the assistance of CT film and MRI, no one can imagine without noticing the patient's figure. Zhang Xiao said.

"Wait for the results, if it's really hypothyroidism, I'll add a chicken leg to Xu Hui tomorrow. Tsk, two chicken legs, you can have a good meal. ”

This is pure joking, the chicken leg terrier has been circulating in the second courtyard for so long, and it has always been so happy every time it is mentioned. However, Xu Hui is indeed worthy of praise, otherwise they all have to take responsibility, and no one can escape.

Sometimes that's the case, and there are only subtle differences between many conditions.

This time, even Liu Banxia didn't notice it, because he didn't know much about thyroid function, and he also had a preconceived idea that what was in his brain was a tumor.

Although this is not the patient he is responsible for, it is also very exciting now. Today, I have been talking about medical malpractice and doctor-patient relationship for a long time, and it was finally staged on them.

If this is inexplicably a skull for the child, can it be small to look back?

Wait, wait, wait, the test results are out. confirmed Xu Hui's guess that it was indeed hypothyroidism.

Ding! Completion of the consultation

Gain 100 XP and 50 Diagnostics Skill Mastery

Although it is pitiful, Liu Banxia doesn't care at all. Rejoice for yourself and be happy for your children. It's so suspenseful, the brothers are about to jump together.

The next step is as simple as admitting the child to the hospital and taking thyroid tablets or levothyroxine. During this time, I was hospitalized for observation, adjusted back to normal levels, and then took medicine at home.

The child is only the early stage symptom, and if it progresses to the middle and late stages, there may be a risk of heart failure. But as long as the disease is discovered, it is fine.

The child's mother didn't mind the slightest request for this hospitalization, after all, taking medicine, observation, and preparing for surgery are two completely different concepts.

Moreover, after the thyroid function will be regulated, the child may be able to develop another round. Although you will need to take medicine for the rest of your life, what impact can this have?

"What are you muttering inside?" After Liu Banxia and the others came out, Wang Chao asked curiously.

"I almost misdiagnosed it just now, but in the end, Brother Hui was very powerful and got it done all at once. Liu Banxia said.

"Is it really fake? You three such a strong person will have such a situation in the consultation?" Wang Chao asked in surprise.

"It also tells us to be vigilant at all times. Apply what you have learned to make the most accurate diagnosis possible. Liu Banxia said seriously.

"Originally, I was going to take a break, but now I'm a little excited. There aren't many patients left, you find time to rest, I'll keep an eye on it. ”

"Do you think I can sleep?" Zhang Xiao said with a wry smile.

"Let's talk a little longer, I'll be like the rest of my life. Xu Hui also added.

"Is it really so exciting?" Wang Chao was curious again.

The three of them glared at him in unison, such a thing is really who knows who has experienced it. It's related to your own job, if this job is gone, your future life will be a problem.

This kind of work of a doctor is not like anything else, and you can't wash it off with a stain on your back.

Even so, they went upstairs to the hospital room to take a look. And this incident also reminded them that whether they know patients or not, they must close the door when they discuss the consultation, so as not to cause bad effects.

The result of this matter today is good, but if a patient with a bad temper complains, they will not be able to run away from the criticism of the report.

And even if the hospital gives punishment, they have to be honest and continue. After all, there was negligence in the process of receiving the treatment, but there were no consequences.

Liu Banxia also used this incident as a negative teaching material to teach the interns a lesson, which is a valuable experience. After all, in the process of treating patients, it is best to cause the least harm to the patients.

It is common for children to be small, but they should not be ignored and judged together.