"Oops"

Liu Banxia and Xu Hui glanced at each other, this was a common thought in their hearts.

"I'll start by recording the time of the seizure. Liu Banxia took out his mobile phone and started timer.

"Doctor, wasn't everything all right just now, why did it become like this again? The child's father said anxiously.

Liu Banxia was very entangled, and he didn't know whether to take an enema, but in fact, according to the normal process, he should have done another blood test. Because some diseases may not have corresponding indicators at the time of the first blood test, many diseases have a development process.

When the time was counting, Liu Banxia touched the pulse of the little guy again. Very powerful, the heart rate should be slightly faster now. However, it is also from the normal range, such a painful abdominal pain, replaced by anyone who has an increased heart rate.

Then he auscultated his heart and lungs again, and the auscultation was normal.

"Did you find anything?" asked Xu Hui after seeing him take off the stethoscope.

Liu Banxia shook his head, "It's still normal." Or do you want to get an enema? and then do a stool test, a CT?"

"If you look at it again, you can't do it like this now. Xu Hui said.

Liu Banxia gritted his teeth, and it was true. If it's an adult, you can bear it, but it's a child, and your body will writhe back and forth after it hurts.

The waiting time is very worrying, although it is a doctor, but seeing the symptoms worsen in the baby's body, the feeling is not so easy to digest.

This time the pain was a little long, and it took twenty-three minutes for the little one to slowly stabilize. The sweat on his head and the expression on his face were also sickly.

"Brother Xu, do you think the intestinal spasms are caused by neuropathy?" Liu Banxia said.

"It's not the intestinal spasm caused by gas accumulation, but the intestinal spasm caused by neuropathy? Although the intestinal cause is the main cause of intestinal spasm, the child has just passed gas, and it still hurts. ”

"Dr. Liu, my advice is to do an abdominal CT first to see if it has reached the level of intestinal obstruction. Xu Hui said.

"If there is no intestinal obstruction, we can do anything. If there is an intestinal obstruction that cannot be identified, we may delay the matter. ”

"Yes, you have to do a CT scan to make sure you do it. I went with me and looked directly in the observation room. Liu Banxia nodded vigorously.

"Then do a CT first. The father of the child who listened did not hesitate at all.

"Brother Xu, you call the CT room, I'll take the child over, I can run faster." Liu Banxia said.

He had a bad premonition in his heart, as if he had made a mistake in the diagnosis from the beginning, which made the child's condition worsen and delayed the diagnosis and treatment.

Although he said that he followed the process, he couldn't find any other faults in the rules. But there is a hurdle in everyone's heart, and this hurdle has to be overcome by themselves.

He picked up the little one, but instead of running fast, he walked fast. It is to reduce the vibration as much as possible so that the child does not suffer more.

"Uncle, are you flying with me?" the little guy asked crisply.

"Uncle is taking you on a flight, and in a moment you will go to a more powerful machine. After a few spins, you'll be as powerful as the awesome, awesome astronauts on TV. Liu Banxia coaxed the little guy and said.

"That uncle slows down, his body hurts. The little one closed his eyes.

Liu Banxia frowned and slowed down slightly.

He also noticed that the expression on the little guy's face was a little painful, but the little guy was still very well-behaved, and maybe the pain now couldn't be compared to the colic just now.

When I came to the CT room, the patient at the back of the line saw that he was coming with a child in his arms, and he didn't say anything about his urgency.

After waiting for less than ten minutes, the child was finally sent to the machine, and then Liu Banxia went headlong into the observation room.

After scanning, this made Liu Banxia's brows furrow even tighter.

The results are the same as those on X-ray, except that there is some gas in the small intestine. The only difference is that there is a little more gas accumulation now, which may have been caused by these two intestinal spasms.

"Why did you come here in person?" Wu Bo from the radiology department walked in.

"Angkor, you can take a look now, the child should have intestinal spasms. Is there no other performance than qi accumulation?" asked Liu Banxia.

Wu Bo took a closer look and nodded, "It's okay, you better find other causes." In fact, parents of children nowadays are very concerned, and even children in rural areas rarely find intestinal parasites. ”

"Okay, I'll go back and do an EEG for him. Liu Banxia nodded.

Now I am somewhat relieved, although the symptoms are still developing, the situation in the intestines has not deteriorated. Stool tests are not so important now, and you have to do an electroencephalogram first to see if it is caused by neurological causes of intestinal spasm and abdominal pain.

I was also a little anxious in my heart, and then when I ran back with the child, the speed was a little happy, and the father of the child who followed was chasing after me.

"I received a call from Wu Bo, and the EEG machine is ready. Xu Hui, who was waiting in the emergency room, said.

"Good. Liu Banxia responded, and then began to do EEG for the child.

Although the current children do not show the same severe pain as abdominal pain, their expressions are not so relaxed now. The eyes are always closed, and the nose occasionally wrinkles.

"Child, listen to your uncle, don't wrinkle your nose now, your uncle is checking you. Liu Banxia leaned into the little guy's ear and whispered.

The little guy nodded, and then he was very obedient and did not wrinkle his nose.

The time for doing EEG can be long or short, Liu Banxia and they do it in the emergency department is a routine ordinary EEG, which can be done in more than ten minutes.

Just now he asked the little guy not to wrinkle his nose, just to see if the child's action is autonomous, or neuroreflex. Because it has been reflected from the electroencephalogram, the child has mild diffuse abnormalities.

It is now certain that wrinkling the nose is an autonomic response. Then the child's intestinal spasm may really be caused by a neuropathic lesion.

"Okay, you can open your eyes, and Uncle will check your eyesight again. Liu Banxia said to the child again.

Although the little guy was very well-behaved, this time he did not obey, but shook his head vigorously, and his eyes were closed.

"Can you tell my uncle what's wrong?" asked Liu Banxia.

"Blind, can't open. The little guy said crisply, snorting back and forth.

Liu Banxia turned his head to see that the little guy's nose was quite smart, and it turned out that Liang Xiaolin had called a boxed lunch and put it there.

But now he doesn't dare to let the little guy eat, the current condition is unknown, and he has to figure it out first.

It's just that he was stunned for a moment after he turned around, and hurriedly turned his head to look at the lunch box. There is a box with two chicken thighs on the side, and the fragrance just now is emitted by the braised chicken thighs.

"Brother Xu, I probably know what's going on. After Liu Banxia looked at Xu Hui, the smile on his face became very entangled.

"What's going on?" Xu Hui asked in surprise.

"Neuropathy, abdominal pain, photophobia, high porphyrinogen in urine tests. Liu Banxia said with a smile.

"Holy, it's really possible. Xu Hui was not calm.

"Doctor, do you know what's wrong with it this time?" the child's father was not calm.

"It's almost the same, we have to take the little one to pee. After peeing, Meimei gnawed on a big chicken leg, and the illness was almost cured. Liu Banxia said with a smile.

"Uncle, can you eat chicken legs? Mom won't let you eat them. The little one asked.

"Of course you can eat it, my uncle is a doctor, and my mother has to listen to my uncle. Let's play a little game and cats into my uncle's coat together. After Liu Banxia finished speaking, he took off his white coat and put it on the little guy's body.

The little guy was still quite curious, and then secretly opened his eyes. Immediately after that, he saw Liu Banxia's big face, and he thought it was funny.

Then Liu Banxia walked to the bathroom with the little guy in a white coat, even if he was urinating for the little guy, he was covered like this.

After coming back, Liu Banxia carried the little guy to the lounge and let him lie inside. Then put the little one's freshly baked baby urine in the sun.

It didn't take long for the color of this cup of urine to slowly start darkening, like a strong cup of tea.

Xu Hui, who was watching with him, patted Liu Banxia's shoulder vigorously, "It's okay, it can be diagnosed." ”

"Doctor, is the child terminally ill, why did he become like this?"

"It's a genetic condition called acute intermittent porphyria. The main manifestations are photophobia, abdominal pain, abnormal urine color, and some neurological symptoms. Liu Banxia said.

"The discoloration of urine when exposed to sunlight is actually mainly the ultraviolet rays in the sun. The child is a little photophobic, and this is also for this reason. We're checking ...... at the beginning."

"Doctor, you tell me if there is still salvation or not, no matter how much it costs. The child's father interrupted him.

"Eat some meat first to give your child an appetite. Drinking some glucose water after a while can meet the calories required by your child's body. In the future, try not to control your child's diet too much. Liu Banxia said.

"This time, because the child doesn't like to eat very much, he didn't eat much. There is an imbalance of calories and electrolytes stored in the body, leading to the onset of the disease. In the future, if you encounter a similar situation, you can timely replenish grains, fruits, root vegetables, these carbohydrate-rich foods. ”

Ding! Unexplained abdominal pain mission completed

Gain 300 XP and 400 Diagnostics Skill Mastery

This mission is rated as Perfect, gaining 500 XP points, 600 diagnostic skill proficiency points, and 10 glory points

"It's okay to eat well at home?" the child's father asked in disbelief.

"Of course, you can't just do that, you have to go to the hospital for a urine test at any time when your child is not feeling well. Even if it's not us, go somewhere else and tell him about the child. Liu Banxia said.

"Let's eat first, talk while eating, and I'll explain to you what this disease is all about. It's not as serious as you might think, but it's also dangerous. ”

The child's father nodded vigorously.

Now he really doesn't have any other ideas, what Liu Banxia says is what. That glass of urine changes color when it changes color, what is there to doubt.