"Sit down!" Guo Xiang pointed to the chair in front of him, and when he stood and waited, he would drop the thermometer if he didn't pay attention.

After five minutes, Guo Xiang stretched out his hand, "It's okay!" ”

The girl took out the thermometer and looked at it, 38 degrees 8, fever?

There is a rash and fever, which is really a symptom of meningitis.

"Is there anything else uncomfortable?" Guo Xiang frowned.

"Uh-huh...... my head hurts a little." The girl said.

Guo Xiang's brows furrowed even tighter, and there was one more symptom that was in line with it.

The girl was a little scared and nervously asked, "Doctor, do I also have meningitis?" ”

"Not sure yet." Guo Xiang shook his head and picked up a pen, "Look at my pen!" ”

Guo Xiang raised the pen, the girl looked up at the pen, Guo Xiang lowered the pen again, and the girl looked down.

Guo Xiang turned the pen to the left again, and the girl twisted her neck and screamed.

"What's wrong?" Guo Xiang hurriedly asked.

"It hurts a little!" The girl subconsciously touched her neck.

"Look over here!" Guo Xiang turned the pen to the right again, and the girl turned her head to the right, saying that it hurt again.

Guo Xiang looked at her, it's okay to move up and down, only it hurts to move left and right, so strange?

Meningitis is a symptom of neck stiffness, but it can't just be left and right, up and down and no problem?

"Doctor, am I really infected?" The girl was so anxious that she was about to cry.

Guo Xiang shook his head, "Further tests are needed." ”

Picking up the medical record and writing it down, suddenly the girl screamed, looked at her hand, and touched the corner of her eye again, "Why am I bleeding?" ”

Guo Xiang hurriedly looked over, there were some orange tears in the corners of the girl's eyes, and hurriedly said: "This is not blood, you have taken rifampicin This is a side effect, tears, sweat, etc. may be orange, open my mouth and let me see, the gums may also bleed." ”

The girl opened her mouth, and the blood flowed from the girl's mouth.

Guo Xiang was taken aback, that is, the bleeding gums caused by rifampicin were a little sticky to the teeth at most, how could it be so much, and there were dozens of high-rise in the few yards that flowed out.

Guo Xiang hurriedly took the sterilized gauze on the side to wipe the girl's blood, and called at the door, "Xu Wei!" ”

"What's wrong?" Xu Wei next door walked out of the consultation room.

"Quick, go and push me over on a moving bed!"

"Good!" Xu Wei ran out and quickly pushed a moving bed over, and Guo Xiang helped the girl to the bed and lay down.

"What's wrong?" Xu Wei asked.

Guo Xiang asked the girl's mouth to open and let Xu Wei look at it, Xu Wei was taken aback, "Is this vomiting blood?" ”

"It could be gastrointestinal bleeding!" Guo Xiang pushed the bed to move, "Let's go to have a stomach first." ”

"What's the situation?" Xu Wei asked Guo Xiang while pushing the bed.

"It was said that her classmate had meningitis, and she was afraid of being infected, so she secretly ate rifampicin. I had a rash and I had a fever. Guo Xiang said briefly.

"Rifampicin? That wouldn't have been able to produce so much blood. Xu Wei said.

"So there's a problem, there's internal bleeding, and we're going to find the bleeding point." Guo Xiang said.

When you get to the gastroenterology department, there is a gastroscopy here, which can be examined.

Guo Xiang brought the endoscope and gave the girl a little anesthetic, so that she would not be so uncomfortable later.

The endoscope is a long tube with a small camera at the top, and the tube is inserted into the stomach, and the camera can take pictures of the inside of the stomach, and the situation inside can be seen through the connected monitor.

The tube slowly enters the girl's esophagus and then into the stomach.

Guo Xiang turned the endoscope, but he didn't see it, and there was no bleeding.

"Maybe it's intestinal bleeding?" Xu Wei asked.

"The endoscope is not long enough." Guo Xiang shook his head.

"What about a colonoscopy?" Xu Wei asked.

Guo Xiang still shook his head, "The colonoscopy may not be able to see the small intestine." ”

Colonoscopy is generally entered from the anus, first the patient should have an empty stomach, and then eat salt to excrete all the feces and food debris in the intestines.

It's too late now, and colonoscopy is generally to look at the large intestine, in case it is bleeding from the small intestine, it is not easy to see.

There is no gastroscope capsule yet, if there is a gastroscope capsule, it is convenient, swallow, the camera in the capsule can take a good picture of the situation in the gastrointestinal tract, and the examination of the small intestine is the best method.

But not yet.

Intestinal bleeding cannot be seen clearly with B-ultrasound and CT, and only enteroscopy is used.

However, the enteroscope is more painful than the gastroscope, which is to put the endoscope from the mouth and anus at the same time, and then the two mirrors are docked, but the same is done to clean the stomach first.

Guo Xiang simply opened the perspective and looked into the girl's intestines, the intestines were several meters, Guo Xiang had a hard time, because if you had to look at it a little closely, it was possible that the bleeding point was very small.

"Dean Guo?" Xu Wei screamed, he naturally didn't know that Guo Xiang was looking at it from perspective, and he thought why she was suddenly in a daze?

Guo Xiang straightened up and closed his eyes, his eyes were a little painful, "I'm fine." ”

I don't seem to see any bleeding spots, what's going on?

"Let's do a spinal puncture first, if the brain is infected, you can see it." Guo Xiang said.

Pushed the girl to the operating room, gave her anesthetic, applied iodophor to her back, and "put your hands on your knees and your head in it." Guo Xiang said.

The girl was very obedient, and Guo Xiang took a spinal needle and pierced it through the back of the girl's spine.

"It hurts!" The girl screamed and bit her lip.

"Take it easy, it'll be fine soon." Guo Xiang said.

Then I took it for a test, "I'll draw a little blood for her." Xu Wei said.

While waiting for the results, Guo Xiang kept thinking, what caused the girl's neck to hurt?

If you list the causes of neck pain from the textbook, you can list two large sheets.

But if you have these symptoms, you can't remember what it will be for a while.

The test results were expedited, and the results came out, and there was no meningitis.

However, the girl's condition was not normal and she had to be hospitalized.

"What about your parents, call here, your situation is complicated and dangerous, and you must be hospitalized for examination." Guo Xiang said.

The girl was lying on the bed, her eyes were red, "I don't have a family." ”

"Huh?" Guo Xiang looked at her in surprise, wearing a school uniform, she was still a student, how could she have no family? Who's going to read it?

"My parents are long gone, I live with a distant aunt, she was also gone last year, and I am almost an adult, so I didn't go to the welfare home, and I live on a little relief from the community."

Guo Xiang sighed, is this actually the case?

However, it is impossible for the girl to let her go in this situation, and she may pass out of a profuse hemorrhage not long after she goes out.

"Then you stay first, and I'll apply for a fee waiver for you." Guo Xiang said.

"Thank you, doctor!" The girl said with tears in her eyes.

Guo Xiang sent the girl into the ward and connected the various instruments, Xu Wei also walked over here, holding the blood test sheet, "There seems to be no problem." ”

Guo Xiang frowned and locked his head tightly, this is not easy to do.

"But don't worry, we'll find out. At least now we know that you don't have meningitis, that's good news, isn't it? Guo Xiang smiled at the girl.

"Thank you, doctor, can I go back to school if it's okay? I'm a sophomore in high school, and I'm nervous about studying now......" The girl spoke, and the instrument next to her suddenly beeped.

Guo Xiang hurriedly looked at the girl, she didn't move, but her eyes didn't close, she just kept her eyes open and motionless.

"Kid, kid!" Guo Xiang patted the girl's face, she was like she was in shock, but her eyes were open, Guo Xiang hurriedly took a small flashlight to shine on the girl's eyes, and saw her pupil reaction, there was no reaction at all, no perception at all.

"Is this a distraction?" Xu Wei was shocked, and the instrument was still beeping.