And Lin Lin dared to say this, and dared to carry out "psychological treatment" for patients like this, which shows that Lin Lin has a good idea of the diagnosis and future treatment of patients.

Back in the office, sit down, and the discussion began.

Everyone looked at each other and didn't dare to speak first. Lin Lin's medical history and physical examination, as before, made everyone feel at a loss.

"If you don't talk about it, then Dr. Tan will say it first." Lin Lin took the roll call.

"This patient started with a seizure, and subsequent tests revealed brain lesions. However, the patient's brain lesion is very specific and does not fit the blood supply range of any arterial distribution area."

"So, I don't really have any new ideas in terms of diagnosing the cause."

"Then what do you think will cause this patient's lesion?" Lin Lin asked.

"In my ability, I can only judge based on the results of the magnetic resonance that the lesion may be due to brain damage caused by the lack of oxygen caused by the seizure."

"Okay, at least you have to have your own ideas, but you can't have no ideas. Other teachers and doctors, please continue."

"Dean Lin, every time, we are looking forward to your coming back for ward rounds, and every time you make rounds, you have taught us a lot of knowledge. However, to be honest, I am a little afraid that you will come back for a round, because every time you make a round, I feel ashamed." Li Yun'e's words may have spoken the hearts of many people.

Lin Lin listened, and a stirring spirit was in her heart. Isn't all what happened to him in his previous life because he was too good? An excellent person, but without power, will become a thorn in the side of many people, a thorn in the flesh, and it is no wonder that he is not excluded.

"Teacher Li's words make me ashamed!" Lin Lin didn't know how to answer Li Yun'e.

"Hey, Dr. Li, although you are telling the truth, there are some things that may not be right. Dean Lin's ability is above all of us, and as long as we admit it, there is nothing to be afraid of. You say, what is there to be afraid of making a fool of yourself in front of Dean Lin?" Ling Xiaoyun came forward for Lin Lin everywhere.

"Well, I also agree with Director Ling's words, Dean Lin is too powerful, and we can't surpass him at all. On the contrary, with the support of Dean Lin, our neurology department can develop better."

"Isn't it good to be like a person walking on a long, dark road, and suddenly there is a light that leads us out of the darkness?"

Lin Lin couldn't have imagined that Ding Feng, who has always thought in science and engineering, would say such literary and artistic words.

"Teacher Li, please say, don't worry about anything. In fact, I have learned a lot from your speeches. Learning is a two-way street, never a one-way way to learning. When we read books, it's actually a two-way street."

"Thank you, Dean Lin! I don't know what to do with this patient. From the medical history and physical examination of Dean Lin, I have a conjecture, hehe, I can only guess that the patient's brain lesions are the cause of the seizures, not the result of epilepsy. And this lesion may be related to inflammation." Li Yun'e is not Tan Xiaomin after all.

"Dr. Lee's opinion, I agree. At present, the most important thing is to find out the cause of this patient. So, the next step is to do a lumbar puncture and take the cerebrospinal fluid for examination to see if there are any changes in the cerebrospinal fluid where the inflammation exists."

Ling Xiaoyun also agreed with Li Yun'e's point of view, and of course, Ling Xiaoyun was also inspired by Lin Lin's medical history and physical examination.

"I also agree with Director Ling and Teacher Li." Ding Feng is simple and straightforward.

"In addition to the opinions of several teachers, I think it is also important to pay attention to whether the patient has a brain tumor, and this tumor is likely to have it very early, and this time, the postpartum seizure was detected. Of course, that's just another point of view for me."

Ye Xiu's clinical time is too short, and there are not many cases, so it is difficult to have eye-catching insights.

Lin Lin sighed secretly in her heart: Neurology, it really needs a strong person to lead. Ding Feng's ability is really limited.

"Let me tell you what I think." Lin Lin spoke.

"This patient is very distinctive. First, young women, postpartum

Onset at 2 weeks, with epilepsy as the @ first symptom."

"Second, the patient is still in the puerperium, I don't know if you have noticed it, the patient has postpartum depression, please pay more attention to it, and usually be more considerate of the patient."

"Thirdly, the physical examination revealed that the patient had mild fundus edema, and in addition, the patient's left lower limb was swollen, which spread above the knee. There are no visible inflammatory changes in the skull."

"Fourthly, the patient's brain MRI showed that the lesions were mainly located in the white matter, but the edema spread to the cortex. The shape of the lesions is irregular, and it is true that it does not conform to the lesional manifestations of any arterial distribution."

"Fifth, the patient had no signs of inflammation before or after the disease. I looked at the medical records, and the white blood cells were not high, and the erythrocyte sedimentation rate was not happy."

"Sixth, the patient had symptoms of intracranial hypertension, and the cause did not seem to have been eliminated, so that the condition rebounded when the dehydrating agent was stopped."

"Combined with what I just said, the patient's localization diagnosis is in the brain, and it spreads to the cortical functional area. This, from the symptoms, signs and MRI results, has been confirmed, and I will not say more."

"I'm going to focus on the cause, which is qualitative diagnosis."

"I am particularly sorry that people have neglected the current situation of the patient. What is the patient's current condition? Puerperium!"

"During the puerperium, seizures occur, intracranial hypertension, and the lesions are mainly damaged to the white matter. Think about it, what kind of neurology diseases will appear in this situation?"

Lin Lin said this, and deliberately paused. In the doctor's office, there was still silence.

"Okay, let me give you a hint, the patient's left lower limb is swollen. Why does the patient have edema of the left lower limb?"

"Venous thrombosis." Ye Xiu blurted out.

"Yes, why do people always like to stare at their own "one acre and three points of land"? If you leave neurology, there is no other cause for the disease or cause?"

"When I talk about it in general, I say that neurology is very important, but other disciplines are also important. Therefore, when you encounter a case in doubt, you should think outside the thinking of a neurologist and take more possible factors into account."

"Like this patient, puerperium. What does puerperium mean for the patient? Hypercoagulability. But why am I so concerned about whether the patient has inflammation? I'm trying to rule out a potential cause."

"Why should I rule out inflammation? Because of the qualitative diagnosis I was staring at, inflammation was a common precipitating factor. Now, this factor has been ruled out, the patient has no inflammation, and the patient's brain lesions have nothing to do with inflammation."