Lianhai First People's Hospital, Department of Infectious Diseases.

Gu Jiashu held the case in his hand and stood beside Gao Peng's bedside.

Gao Peng's face was flushed, his breath was short, and he still had a few blisters on his face.

Gao Peng's whole body convulsed in pain, "Doctor, give me some painkillers, I can't stand it." ”

After a shot of antipyretic analgesics, Gao Peng's pain did not lessen at all.

Gu Jiashu frowned slightly, and with a shot of morphine, Gao Peng's pain was reduced.

A young female counselor also stood by the bedside, and first comforted Gao Peng, "This is our best hospital in Lianhai City, you will definitely be fine." ”

After Gao Peng was assigned to the infectious disease department, because it was determined to be meningitis, but the specific pathogen was not identified, Gu Jiashu gave a third-generation cephalosporin drip.

Gao Peng's mental state was a little better than when he was in the dormitory before, and responded to the counselor, "Teacher Ni, I feel much better, except for a little pain in my body, everything else is fine." ”

"Where does it hurt?" Gu Jiashu asked.

"My elbows, knees, and thighs hurt."

According to Gao Peng's description, it is the pain in the large joints of the body.

"What kind of pain?"

"Sometimes it hurts, sometimes it's like a pinprick, it's fine when you don't move, but it hurts even more when you move."

Gu Jiashu's brows furrowed slightly, and he attached himself to check Gao Peng's knee joints and elbow joints.

"There is a slight effusion in the joint cavity."

"Is this serious?" The counselor asked.

"It's not a good sign, the pathogen has already started to attack his osteoarticular system."

"What is the pathogen? Is it a flu virus? Our school doctor said it was a cold. Gao Peng also discussed.

"It's not a flu virus." Gu Jiashu replied in the affirmative, "Haemophilus influenzae is possible, but we have to wait for the laboratory results, and then I will give you cerebrospinal fluid and joint effusion and send it to the laboratory for bacterial culture, it will be a little painful, bear with it." ”

"Well, as long as it can be cured, I can bear the pain."

The elongated needle passes through the flesh and a cloudy fluid is sucked out.

"Send cerebrospinal fluid and joint effusion to the laboratory department." Gu Jiashu instructed the nurse who followed him.

After checking the room, Gu Jiashu returned to the doctor's office.

In the office, several doctors gathered around Gu Jiashu to discuss his condition.

"Gao Peng's symptoms are very strange, in addition to meningeal irritation, there are bone and joint pain, swollen lymph nodes, and blood test results are much higher in white blood cells and neutrophils."

"His pain is wandering, could it be rheumatic fever?"

"It won't be rheumatic fever, rheumatic fever generally has special heart changes, rheumatic nodules, Gao Peng doesn't."

"Test for antistreptolysin O to confirm rheumatic fever."

"It can also be typhoid fever or paratyphoid fever, and such patients also have fever, hepatosplenomegaly, and skin vesicular rash or rosacea."

"It's possible, let the laboratory do a serum fertilizer reaction."

"Could it be tuberculosis of the lungs and lymph nodes? Such patients also have swollen lymph nodes, which are consistent with Gao Peng's current symptoms. ”

"Do a chest X-ray, do a lymph node biopsy, check for Mycobacterium tuberculosis."

"Rheumatoid arthritis? Gao Peng has severe joint pain. ”

"This is unlikely, and these patients often have a history of rheumatic fever."

According to the results of the discussion, Gao Peng's blood sample was collected and sent to the laboratory again.

The results of various serological tests came out quickly.

Antistreptolysin O negative to exclude rheumatic fever and rheumatoid arthritis.

Fertida reaction is negative, typhoid fever and paratyphoid fever are excluded.

Mycobacterium tuberculosis is negative, and pulmonary and lymph node tuberculosis are excluded.

Chest x-ray shows pneumonia.

Gu Jiashu was looking at the various test reports from the laboratory department, and suddenly the nurse called urgently.

"Doctor Gu, Gao Peng, a patient in bed No. 3, fell down when he went to the bathroom, and now he is rolling on the ground in pain."

Gu Jiashu trotted towards Gao Peng's hospital room.

Before he arrived at the ward, he heard Gao Peng's screams of pain.

In the ward, Gu Jiashu and several other doctors and nurses carried Gao Peng to the bed.

Gao Peng covered the outside of his left thigh and howled.

Bedside x-ray revealed a bone necrotic lesion in the left thigh.

Gao Peng's condition deteriorated and he began to experience symptoms of bone necrosis.

The tests just done ruled out several causes.

Next, it is necessary to wait for the results of bacterial culture of blood and cerebrospinal fluid to determine the specific cause.

——

Saturday morning.

The eastern suburbs of Lianhai City, a hot spring villa.

Gu Yanan and her cousin Li Xinran soaked in the steaming open-air hot spring.

Li Xinran came to her cousin Gu Yanan's bachelor apartment on Friday night, and the two lived together at night.

Xinran often came to Gu Yanan's house to live when she was a child, so she had a good relationship with her cousin.

Gu Yanan proposed to take her cousin to the suburban hot spring villa on Saturday, and happily agreed.

At this time, the two were soaking in the hot spring, and Gu Yanan was wearing a swimsuit, with his shoulders exposed above the water.

Cousin Li Xinran sat next to Gu Yanan, looked at her cousin Gu Yanan's figure, and exclaimed: "Cousin, you have such a good figure, do you usually have any good exercise methods?" Recommend it to me. ”

"My usual exercise is basically jogging, and there is no special exercise, in fact, in addition to the maintenance of acquired exercise, the most important thing for everyone's body is the congenital genetic decision."

"Genetically determined?"

"Well, for example, height, skeleton, face shape."

Li Xinran looked down at his chest, there was only a slight bulge, and every time he bought underwear, it was an A cup.

Look at cousin Gu Yanan's, at least C, Li Xinran muttered in a low voice: "This is also genetically determined?" ”

Gu Yanan nodded, "Hmm." ”

Li Xinran's face was lost, and Gu Yanan explained in time, "Your current proportion is already very good, and you are very healthy, don't care about the eyes of the world, the bigger it is, the higher the chance of getting sick." ”

Li Xinran still sighed, "Cousin, you said that I have a little blood relationship with you, why do we look a little different?" You have broad shoulders and long legs, convex and backward, and I am flat and short. ”

"We are glad to be typical Jiangnan delicate little beauties."

Li Xinran looked at his cousin next to him again, and suddenly found a circular scar next to the shoulder strap of the swimsuit.

The scar is obscured by the shoulder straps and looms.

Li Xinran approached and looked closely, and sure enough, it was a scar.

The scar is located close to the heart.

"Cousin, how did you get this scar? The scar is so big, it's in the heart, like a gunshot wound. ”

Gu Yanan smiled, "You, a top student of the School of Economics and Business, how come you still know about gunshot wounds?" ”

"It's not because of your cousin, I've seen all kinds of pictures of wounds in your bookcase, this is a scar on your chest from a typical gunshot wound, cousin, how did I not know that you had a gunshot wound?"

"I don't know how I got hurt, I just remember that when I went to Africa with my mentor to do a project, I got lost in the rainforest for a few days, and after I was rescued, I had this wound on my chest, but I can't remember what happened in the days when I got lost in the rainforest."

"Africa? Tropical rainforest? Get lost? Gunshot wound? Amnesia...... Li Xinran was extremely surprised, "Cousin, you still have such an exciting and dangerous experience?" Can't really remember anything about it? I'm so curious. ”