"Monitor it and call me when the serum results come out. Liu Banxia said.

Wang Chao nodded, this can only be the case for now. I can't communicate with the patient, and I don't have his family.

"What's the matter?

After Liu Banxia dealt with it, Wang Huan asked.

"The mood is not beautiful, there are no clear indications for the two patients, and they all have to guess. Liu Banxia said with a wry smile.

"It can only be said that it caught up, at least don't you have a guess about this first aid. Did the VIP upstairs still do an instrument check that night?" asked Wang Huan.

"I'm a little hesitant right now, and I don't know if I should look at it again. Liu Banxia frowned and said.

"Her situation is too complicated, and we are really in the dark at the moment. Doing some more tests on her can help us verify, but I think it's useful enough. ”

"Mr. Liu, my patient with intestinal brewing syndrome has a new situation. At this time, Huang Bo came over again.

"We didn't seem to have any effect on fluconazole, and today we had mild brain fog symptoms again. Does this mean that you are not very sensitive to drugs?"

Liu Banxia rubbed his face, this is another bad news.

Brain fog symptoms can occasionally occur even in normal people, which is manifested as confusion in the brain, difficulty in concentrating, and dizziness, which will naturally have some impact on mood.

In fact, many times we sit and work for a long time, and we will also have similar feelings. When we get up and move, have a chat with a colleague, or take a look at the scenery in the distance, that's pretty much alleviated.

However, there is also a situation that alcohol lovers can also cause such a situation because of long-term drinking.

This patient is in a special situation, does not drink alcohol, and produces alcohol in his own intestines. Even if he hasn't been drinking alcohol for a long time, the amount in his body is a little high now, so he has such a performance.

This is what Huang Bo said just now, and he is not very sensitive to the drug fluconazole.

"Try itraconazole, same amount. It is also necessary to see the patient, and the diet high in carbohydrates must not be eaten. Liu Banxia thought for a while and said.

Huang Bo nodded and ran back again.

"Teacher Liu, come over and help me see if this patient's cervical spine is injured. At this time, Liu Yiqing shouted again.

"I'll be right here. Liu Banxia responded.

"Brother Wang, there are a lot of things on my side. When Brother Hui comes over to take over, I will do a joint examination of the chest, abdomen and pelvis upstairs, if you don't do it, you can't do it, you have to rule it out. ”

Wang Huan nodded, "I know, you can go over quickly." ”

Liu Banxia hurriedly walked to Liu Yiqing's side again, and then he found that Liu Yiqing was squeezing his eyes at him vigorously.

He's a little confused, what does that mean?

"Teacher Liu, the patient is a 15-year-old girl who fell on the way home yesterday and hit her neck. Liu Yiqing said.

Liu Banxia nodded vaguely, lifted the curtain and walked in.

The little girl sat on the consultation bed with her back to him, her down jacket put aside, and looked at the bruises on her neck, but Liu Banxia frowned.

"I'll do a hand check to see if there is any damage to the cervical spine. Sometimes the injury of the cervical spine is not very obvious in terms of feeling, but it is easy to cause major problems. ”

Although I still don't understand why Liu Yiqing let herself come for a consultation instead of filming directly, let's cooperate first.

Liu Yiqing hurriedly came to the edge of the bed, and took the opportunity of Liu Banxia to check the cervical spine and pulled down the collar of the sweater worn by the little girl.

Liu Banxia checked the cervical spine, looked at it, and sighed in his heart.

The injuries on the little girl's body were definitely not falling, and there were three bruises on the back of her neck that extended downward.

"There's nothing wrong with the cervical spine, but I see a knock on my head, right? Do you feel dizzy?" asked Liu Banxia.

"Doctor, a little bit, I didn't eat in the morning. The child's mother said.

"In that case, I'll arrange for the nurse to take a CT scan of the head. Some head trauma will delay bleeding, let's take a look first, and we can be more reassuring. Liu Banxia said.

"Okay, you can open it, I'll pay the bill. The child's mother said.

"Zhou Qian, take this little girl to the CT room. Liu Banxia shouted.

Liu Yiqing glanced at him and didn't speak.

"Teacher Liu, do you think it's domestic violence? I didn't dare to say that her mother was here just now. ”

After Zhou Qian led the little girl away, Liu Yiqing said.

"How did their mother and daughter behave during the consultation?" asked Liu Banxia.

"The performance should be okay, right? But the child didn't speak, it was her mother. Liu Yiqing said.

"It's hard to tell whether it's domestic violence or school violence, and I prefer the latter. If it was domestic violence, her mother would not have brought her to the hospital. Liu Banxia said.

But this matter is not certain, and it may also be domestic violence that her mother does not know. You can talk to her mother again in a moment, don't ask so bluntly. ”

"This is also a part of communication with the patient's family, and unnecessary conflicts should be avoided as much as possible. And we only have the obligation to remind us of this matter, and we must pay attention to ways and means when communicating. ”

Liu Yiqing nodded.

Liu Banxia frowned, Liu Yiqing gave him a different feeling today, as if he was preoccupied.

In the past, she was not like this, as two flowers among the interns in the general foreign industry, she and Xu Yinuo lived very happily every day. It's the same everywhere, and girls will enjoy some convenience.

"Mr. Liu, Mr. Liu, it was diagnosed, it was measles. ”

He was still thinking about it, and Wang Chao ran over excitedly.

Ding! The task of receiving the consultation is completed

Gain 200 XP and 100 Diagnostics Skill Mastery

"This is the first good news I heard this morning, normal treatment is fine, fortunately it is not some other infectious disease. Liu Banxia said with a smile.

"Although it is blindfolded, we also admire it tightly. Wang Chao gave a thumbs up.

"Hey...... , don't praise me. After transferring the patient, let's disinfect the rescue room. Liu Banxia said.

Measles is actually not a terrible infectious disease in China, and everyone will be vaccinated. It's just that some people have special physical qualities, or some children will be infected.

And compared to other infectious diseases, this disease is really nothing at present.

It's just that the driver who pulled him was a little unlucky, and he also needed to be quarantined and observed. He can only be released after making sure that he is not infected, including that his car needs to be fully disinfected.

And this guy also needs to be reported, which is a necessary process, not to mention that he is also an international friend.

"Teacher Liu, that kid may have been bullied. ”

Just wanted to take a breath and drink saliva, Liu Yiqing ran over again.

"Zhou Qian sent me a message, and the child kept his head down when he walked, not daring to look at people. And when you meet a man, your body will shiver and lean to the side. ”

"Grass. ”

Liu Banxia burst into foul language.

A little girl who was just 15 years old had met with such a terrible thing.

"Have you communicated with the child's mother?" Liu Banxia asked in a deep voice.

Before it passed, Zhou Qian sent a message. Liu Yiqing hurriedly said.

"It's not good for our male doctor to come forward in this matter, so you go to Zhou Li and let Zhou Li communicate. Liu Banxia said.

The degree of this matter is no longer the same, it has risen to the level of criminal law.

But this matter is not something they can handle, they can only ask the patient's family for advice to see if they need to call the police next.

The little good mood that just emerged was disturbed by this incident again.

"Car accident patient, male, about forty years old. In the car, blood pressure plummeted, 50/80, heart rate 120, conscious, but unable to provide information. ”

At this time, the first responder rushed in from the outside with a gurney.

"Rescue the second room. Liu Banxia hurriedly said.

"The patient has jaundice in the eyes and skin. The first responder said.

Liu Banxia nodded.

"One, two, three, move the bed. Even the monitor, the abdomen is slightly hard, rapid blood test, cross-matching. An additional intravenous line is opened to prepare for blood and fluids. Wang Chao examines the head and prepares for bedside ultrasound. ”

After moving the bed, Liu Banxia said.

"The head was examined and the wound was not serious. However, the patient's cervical spine cannot be examined, and the patient is unable to respond effectively. ”

Liu Banxia is still auscultating, Wang Chao said.

"Lung and heart sounds normal, bedside ultrasound. Liu Banxia withdrew the stethoscope.

After applying the couplant, Liu Banxia frowned after sweeping it twice, "There is a large amount of fluid in the abdominal cavity, I will try again to see if I can scan the liver and make an appointment in the operating room." ”

"No, I can't see clearly in my liver. Xu Yipromise to come to the stage with me and contact the family as soon as possible to confirm the patient's name. After a few more sweeps, Liu Banxia said.

Hearing his words, Xu Yinuo and the nurse hurriedly pushed the gurney to the operating room.

"Teacher Liu, why are you in such a hurry to determine the patient's name?" asked Xu Yinuo when he brushed his hand.

"I'm worried about his liver, the jaundice is too serious, I'm afraid there is a major disease in the liver, and if I don't do it this time, I may break the liver. Liu Banxia said.

Xu Yinuo was stunned for a moment, of course, knowing that if the patient's liver was injured, for patients with liver disease, it would be tantamount to a death notice.

After brushing his hands, Liu Banxia shook his head, making his somewhat chaotic brain clearer, and there was no serious good news today.

Tang Feifei's illness had no clue, only a measles.

The condition of the patient with intestinal brewing syndrome deteriorated, and the 15-year-old girl who had just been treated suffered such a terrible thing again. The patient's life and death are not guaranteed at this time.

It's a black day, and even though not every patient who works in the emergency center can be saved, he doesn't want to allow himself to accumulate so many negative emotions.

Otherwise, it will affect your own judgment.

After calming down for less than a minute, Liu Banxia walked into the operating room, and the next time was this patient.