"Headache, fever, and at the same time sore throat and cough!"

Before the pale little girl could react, the middle-aged woman had already rushed to speak. As he spoke, he handed over a large bag in his hand to Tian Lu.

After entering the consultation room, the two people, who were obviously mother and daughter, looked at Tian Lu with different eyes. The little girl's eyes still had a sickly look, while the middle-aged woman flashed a hint of disappointment.

The first patient is purely to open a list of examinations, so naturally he doesn't care about Tian Lu's age or image or anything, but this second one is different. Tian Lu's age is not very old, and because of his excellent skin, he looks younger, so the middle-aged woman's heart can't help but drum.

However, the middle-aged woman's control is much better than that of Fang Cai, and from the expression on her face, she can't see anything, and she still looks like she respects the doctor very much.

The middle-aged woman's account seemed to be a symptom of a cold, but Tian Lu knew in his heart that since the other party came to the neurosurgery department, it must not be such a simple matter. And Tian Lu knew when he saw the big and thin appearance of the bag that it was probably a piece of examination in other hospitals.

I took the bag handed over by the middle-aged woman, opened it, and sure enough, it was a stack of films, all of which were MRI of the brain.

"Some time ago, I was diagnosed with mixed neurocysticercosis, which is the result of the examination done in our local hospital, as well as the medical record book for you, which we have used to see a doctor before, why don't you take a look at it first?"

The middle-aged woman owed her body and said eagerly.

"There's no rush for this!"

After just glancing at the film, Tian Lu smiled and put it back in the bag, and said softly: "Let's start with the beginning, okay? Take your time, don't rush." ”

There were only five outpatients in one afternoon, so there was plenty of time.

Although Tian Lu's age made the middle-aged woman a little uneasy, the calmness and calmness on his face at the moment gave her a strange sense of reassurance, and her impatience gradually calmed down, and she nodded and said, "Okay, I'll start from the beginning, eight months ago。。。。。。 ”

"This lady,"

The middle-aged woman had just started when she was interrupted by Tian Lu's words: "May I ask who you are。。。。。。 ”

"Oh, my name is Yue Hua, and I'm Fei Fei's mother. The middle-aged woman replied with some doubts.

Tian Lu smiled, shook his head, and said, "That's the case, Ms. Yue, I just looked at the medical record book, Fei Fei should be fifteen years old, right?

"Huh?"

Seemingly a little surprised by Tian Lu's request, Yue Hua was slightly stunned, then nodded and said, "Of course you can." After speaking, he turned his head to his daughter and said softly: "Feifei, the doctor can answer whatever you ask, do you know?"

Glancing at Tian Lu, Ling Feifei still didn't have a trace of expression, and nodded indifferently.

The little girl is not short, about 1.6 meters, but probably because of the torture of illness, her body is very thin, and she is only 60 pounds. The complexion is also extremely pale, almost transparent, and the blood vessels under the skin are clearly visible, and the appearance is very pitiful.

After glancing at the little girl encouragingly, and smiling, Tian Lu opened the medical record book in front of him.

"When did you first feel sick?"

While asking the little girl in front of him in a gentle voice, Tian Lu scanned the medical record book in his hand, carefully identifying the words written by the doctors who treated Ling Feifei in front of him. This is a habit he has formed a long time ago, if he asks about the medical history, he never simply listens to the patient's narrative, nor simply looks at the case data written by the doctors, but compares the two with each other to find out if there is any inconsistency between them.

Tilting her head and thinking about it, Ling Feifei's faint eyebrows twisted slightly, bit her lip and said, "It was eight months ago, when I was in my third year of junior high school, and I was nervously preparing for the entrance exam。。。。。。 ”

Ling Feifei narrated, Tian Lu referred to the previous records, and at the same time wrote it himself.

Eight months ago, with no obvious trigger, Ling Feifei began to experience headache symptoms. The occipital region is the most obvious in the future, sometimes affecting the forehead, mostly swelling pain, no nausea and vomiting, headache is more than after sitting and exertion, and is relieved after rest. Because he was facing entrance exams, he was not treated.

Two months ago, he had persistent pain in the whole brain, which could not be relieved after rest, and a brain MRI examination was performed in a local hospital, which showed mixed neurocysticercosis and obstructive hydrocephalus. Hospitalization, with a total of 12g of praziquantel deworming, as well as dehydration and cranial pressure reduction, the headache basically disappeared, and he was discharged from the hospital one month later.

When Ling Feifei said this, Tian Lu waved her hand, signaling her to stop for the time being, and then took out the MRI films.

I looked at it on the viewing light, and according to the results of the film, it suggested mixed neurocysticercosis, cyst survival, and obstructive hydrocephalus. I looked back at the medical records, and according to the test results posted on the medical records, the cyst antibody was positive, the cerebrospinal fluid pressure was increased, and the eosinophilic white blood cells were also increased.

Judging by the results at hand, there should be nothing wrong with the diagnosis.

After nodding, Tian Lu motioned for Ling Feifei to continue.

On the fifth day after being discharged from the hospital, the headache worsened, and Ling Feifei was admitted to the hospital again. The doctor gave cyst pills 0.9 bid, prednisone and glycerin saline oral treatment, and the headache disappeared for half a month and he was discharged from the hospital.

Six days ago, Ling Feifei had another headache and an increase in body temperature, 38.5 °C, accompanied by symptoms of sore throat and cough. This time, the parents really didn't worry about seeing it in the local hospital, and after discussing it, Yue Hua simply took their daughter to Kyoto.

It didn't take much effort, Ling Feifei told the cause and effect again, and what made Tian Lu very satisfied was that although the little girl's expression was a little indifferent, what she said was very clear and organized, and she didn't need him to remind and ask questions repeatedly.

"Well, that's a great story!"

smiled and praised the little girl. Tian Lu's encouragement made Ling Feifei a little surprised, and her pale face couldn't help but flush a little, which made her look cute.

"So, I'll ask some more specific questions, and you must think about it carefully before answering, okay?" After encouraging him, Tian Lu said with a smile.

Ling Feifei nodded silently.

"Have you had any convulsions since the onset of the disease?" Tian Lu asked.

Ling Feifei shook her head: "No." ”

"Have you ever had a lack of energy in your limbs, or a lot of sleepiness?"

"Nope. ”

"Is there a situation where you can't see things clearly, is there a blurry situation? Also, is there a problem with memory? Is there a situation where you can't remember things not long ago? ”

"Nope. ”

"Are there any obstacles to going to the toilet, both big and small!"

As soon as this question was asked, Yue Hua only twitched the corners of his eyes, but Ling Feifei's little face suddenly turned red, and the indifference on his face finally disappeared.

It was like someone had sprinkled a small nail under her buttocks, Ling Feifei's body was a little uneasy and writhed slightly, knowing that under Tian Lu's questioning again, she lowered her head, and shook her head in a low voice like a mosquito humming: "No." ”

His face was still calm, and Tian Lu wrote down the results of the consultation in the medical record book: "Since the onset of the patient, there have been no convulsions, no limb weakness, no vision, memory loss, and no urine and fecal disorders. ”

At this time, the more natural the doctor's expression, the easier it is for the patient to recover from the embarrassment, especially such a teenage girl, Tian Lu looks natural, and wants to make her relax as much as possible.

"That's right!"

When Tian Lu was recording, Ling Feifei's expression gradually returned to normal, and then as if she suddenly thought of something, she raised her head and said, "Sometimes, when I walk, I feel as if my body is oblique!"

"When you walk, it's diagonal?"

Yue Hua's daughter's words obviously surprised Yue Hua, and he couldn't help but widen his eyes and exclaimed, "Feifei, what's the matter with you?

Ling Feifei didn't respond, just looked at the field in front of her. However, Tian Lu could see from the stubbornness that flashed in her eyes that this little girl was probably doing this on purpose.

Sighing secretly in his heart, Tian Lu hurriedly coughed heavily!

"Ms. Yue, as I said just now, I want to communicate with your daughter, not you! I hope you don't interject casually, this is not only disrespectful to the two of us, but also affects my correct judgment of her condition, understand? I will tell you directly when I need to ask you!" Tian Lu said with a very serious expression on his face. He didn't know what was going on between the two mothers and daughters, but at this moment, the little girl Ling Feifei was his patient.

"Huh?"

Yue Hua was stunned again.

She didn't understand that she was Fei Fei's mother and one of the people who knew the situation best, so why couldn't she speak? Besides, Fei Fei, a teenage girl, what did she know? Can she say it clearly?

But this is a hospital, this room is a consultation room, and the man in white sitting behind the table has an authority that cannot be questioned by others in this environment!

Feeling Tian Lu's slightly forced gaze, Yue Hua involuntarily nodded and said, "Okay, doctor, let's talk." ”

Mother gave in so quickly, which made Ling Feifei's expression look quite strange, and the gaze that looked at Tian Lu was very different from just now, faintly, with a hint of surprise and gratitude.

After asking a long list of questions, Tian Lu finally asked casually, "Have you ever eaten raw pork, or rice pork or something like that?"

"Nope!"

Blinking her eyes, Ling Feifei puffed out her lips and said, "Not only have I not eaten it, but I also have no history of contact with epidemic water in the epidemic area." ”

Obviously, Ling Feifei had received similar inquiries before, and she was able to say more specialized words, which made Tian Lu couldn't help but smile dumbly. At the same time, he was also very pleased to see that this little girl was a little more lively than when she first came in. Originally, a fifteen-year-old girl, even if she was tortured by illness for a few months, I am afraid that she would not be able to change her original character.

It's time to ask, basically finished asking, Tian Lu checked the contents of the record, and stood up with a smile.

"Almost, let's do some simple physical check-ups, shall we?"