048 is a cerebral infarction

"Xiaoyun, the patient's condition looks like Henoch-Schonlein purpura, Henoch-Schonlein purpura, you know, right?" Dr. Shen asked Yuntian with some uncertainty.

Looking at Yuntian's frame style, Dr. Shen was very sure at this time that Xiaoyun was only familiar with the diseases in neurology. I don't know anything about dermatology.

Dr. Shen felt that it was necessary for him to remind Xiaoyun at this time.

After all, you can't watch Xiaoyun treat Henoch-Schonlein purpura as a neurology disease, the general direction is wrong, how can you get a diagnosis?

"Well, I know. Yun Tian was checking his body and casually responded to Dr. Shen's words, but the movements of his hands still did not mean to stop.

"That ......" Dr. Shen originally wanted to say that since he knew, why didn't he stop and continue to do a neurological physical examination?

But when the words came to his lips, Dr. Shen stopped again.

The young man may be a good face.

After all, the inspection is halfway done, because I stopped at one sentence, didn't I wait to admit my mistake?

Xiaoyun probably wanted to finish the inspection on his hand first.

So, Dr. Shen turned the words to his lips and swallowed them back.

Young people are inevitably arrogant, not to mention that they are patients who come specifically to find themselves, and it is understandable that they can't let go of their children all of a sudden.

Besides, there is no harm in a physical examination other than wasting a few minutes of your time.

It's up to the lads.

Dr. Shen feels that it is rare to find a teacher like himself.

But he probably forgot that this was against Yuntian, and if he was replaced by other interns, he would probably have been yelling at it a long time ago.

Waiting for so many patients, a person with Henoch-Schonlein purpura, actually wasting time doing a neurological examination?

Isn't it a stupid fork?

Yun Tian examined very carefully, and after the examination, he asked several questions to test the patient's language, calculation, memory, etc.

"Let's do a head MRI. Yun Tian finally gave his opinion.

"Xiaoyun! Your level of diagnosis of nervous system diseases is indeed very high, but you can't consider all diseases in your mind! A Henoch-Schonlein purpura, you need to do biochemical tests, you are not familiar with it, let me help you prescribe it." "Dr. Shen exploded when he heard that Yun Tian asked the patient to do an MRI of the head.

The lad is a little too much.

After all, a physical exam is just a waste of time.

But it is clear that the direction of diagnosis is wrong, and there is still a way to go dark, in order to protect his own face, it is a bit too much to let the patient do a head MRI again.

An MRI costs hundreds of dollars, and if the patient is not good at talking, it is going to cause a dispute.

"Doctor Yun, you see, I have also seen a lot of hospitals for this disease, and I have done a lot of examinations. I don't need to do an MRI of the head. This time, even patients who have always expressed their trust in Yuntian also questioned it.

The little doctor is still too young.

I can help my friend cure rhinitis, I'm afraid it's more than luck.

I was also confused, I believed it as soon as I heard what people said, and I came all the way over!

After watching so many experts and professors, I didn't see any fame, and I could expect a young doctor to show him any tricks.

Just perfunctory, just don't read it.

The patient has already retreated.

"You've got a lot of memory loss, and you're getting a bit less able to calculate. With the addition of gray spots on the skin, it would be better to do an MRI of the head. Yun Tian didn't care about the mental activities of the two, and explained.

"Forget it, Dr. Yun, thank you, I'll think about it again. "The patient has already decided, don't look at it, anyway, those blue spots don't have a big impact, why bother all the time, waste time and money!

"Your cyanomaes are not Henoch-Schonlein purpura, Henoch-Schonlein purpura is lumpy, and the bruising patches on your body are reticulated. It is caused by congestion of the subcutaneous blood vessels. ”

"This kind of reticular livedo will occur before cerebral infarction, plus your memory loss and numeracy ability decline, I recommend that you still do a head MRI to check it. Seeing that the patient didn't believe him, Yun Tian thought about it and explained carefully.

"Livedo reticularis?" Dr. Shen had also heard of, but such cases were very rare.

Even Dr. Shen has decades of clinical experience and has never seen it with his own eyes.

After listening to Yuntian's analysis, Dr. Shen quickly stood up, approached, and carefully checked the situation of the blue spots on the patient's receding legs.

Indeed, as Yuntian said, the blue spots on the patient's retreat are reticulated.

It's just because of the congestion, thickening and spasm of the blood vessels, so it looks bruised from a distance.

But if you look closer, you can still see that the bruised plaques are caused by the deformation of thick and swollen blood vessels.

"It's really reticular blue spots! But this appearance is much more exaggerated than the pictures in the book!" Regarding reticular blue spots, Dr. Shen has never seen them in so many years of medical practice.

Therefore, the memory of reticular blue spots is still in the vague memory of books.

The picture in the book Dr. Shen is still a little impressed, that is, the intertwined fishnet-like, very clear and typical.

It is still very different from the appearance of the thick and spasm of the blood vessels in front of me.

"So, what Dr. Yun said is right?" the patient had planned not to read.

But when he saw that Dr. Shen, who had the same opinion as himself, also agreed with Yun Tian's statement, the patient was a little hesitant again.

People have a herd mentality.

I believe that Yun Tian deliberately rushed to Xihua Hospital to see a doctor because everyone said that Dr. Yun was good and conformist.

I don't believe Yuntian because Dr. Shen doesn't believe in Yuntian, he has seen so many diseases, and what so many doctors say is different from what Yuntian said, and he is also conformist.

At this time, when I heard Dr. Shen's words, I thought about how many of my friends praised Yun Tian as having it in the sky and nothing on the earth, so I believed that Yun Tian's idea had the upper hand again.

Do you want to take a look?

I have watched it for so long, and it is the first time I have heard Dr. Yun say this.

Today, I was transferred to Xihua Hospital, and the taxi fare plus the salary deducted from the leave was also several hundred yuan. Usually, when I see a doctor, so much money is spent, and it shouldn't be much of a problem to spend a few hundred dollars more.

"Doctor Yun, just listen to you and do an examination. The patient thought about it for a moment and agreed to have it tested.

"Can we admit patients in the observation room?" the patient had just left, and Yun Tian asked Dr. Shen in a low voice.

"It should work. So confident?" Dr. Shen was completely convinced of Yun Tian.

This guy is a demon!

During this time, I went out of the clinic with this guy,

I've seen a lot of strange diseases.

Originally, I thought that the Department of Traditional Chinese Medicine was the Department of Incurable Diseases, and those that were difficult to treat and could not be diagnosed in various departments were thrown into the Department of Traditional Chinese Medicine. I have been in the Department of Traditional Chinese Medicine for so many years, and I am already well-informed.

Unexpectedly, as soon as this guy came, he opened his eyes a lot.

Still, think about the level of diagnosis this guy!

Aside from the word "convinced", Dr. Shen felt that he could not find any other words to describe it.

"Ninety percent. Yun Tian said modestly.