"What I want to say is that whether it's a neurology problem or an ophthalmology problem, some diseases eventually return to monism to explain."

"So, I don't think it's easy to jump to conclusions that this patient is an ophthalmic disease. Because I haven't seen patients, it's hard to make too many speeches. ”

Fang Hua's words seemed to tear a hole in Xia Shifa's thinking.

"Because this patient is not predetermined to be discussed, therefore, everyone is not prepared, and this cannot be blamed on everyone. I would like to ask a few questions for Dr. Lee to answer. Lin Lin didn't want to delay it too long.

"Just now, when Dr. Li reported his medical history, he said that the patient's condition did not worsen after being admitted to the hospital, isn't that so?"

"Yes, no more aggravation."

"The patient's eyelid is red and swollen, may I ask, have you ever touched the eyelid on the patient's affected side?" Did you feel a nodule on your red and swollen eyelids? ”

"Uh...... No, I haven't touched it. "Li Yanhong is very honest.

"Director Xia, have you ever touched it?"

"I didn't touch it either, the redness and swelling were obvious, I could see it, why did I have to touch it?" Xia Shifa was dismissive.

"Well, now we're not going to argue about that. Dr. Lee, your debriefing was limited to the symptoms and signs of the eyelids and the relevant examinations. ”

"I want to ask you, did you ask about the patient's whole body? For example, whether there is a problem with the joints and so on. ”

"Hmm...... No. Lin Lin's series of questions made Li Yanhong's heart beat a drum: "This Director Lin, what problem has come to mind?" ”

"Okay, I've looked at all the examination items after admission, and your goal is very clear, I want to find out if there is a possibility of myasthenia gravis."

"Dr. Li, what kind of disease does myasthenia gravis belong to?"

"Autoimmune diseases."

"Good, good. Can the patient walk around, and if so, ask the patient to come to the office for a while, I want to see it. ”

"Yes, I'll go." Li Yanhong immediately stood up and walked out.

"Director Lin, you don't believe our reports and inspections?" Xia Shifa couldn't sit still.

"Believe, why not? I believe in myself more, though. Lin Lin replied crisply.

Lin Lin remembers that during the internship in the past, the old director often invited patients who could walk to the office for medical history and physical examination. This has the advantage of preventing other patients in the ward from learning about the privacy of the patient being investigated.

Lin Lin saw that a lathe he was familiar with was still placed in the office. However, looking at the appearance of the lathe, it should have been unused for a long time.

Soon, Li Yanhong walked into the office with the patient and asked the patient to lie down on the lathe.

"Teacher Fang, borrow your tools and use them." Lin Lin said to Fang Hua. When the people next to him heard this, they couldn't help but look at Lin Lin and Fang Hua in surprise.

Lin Lin also felt the strangeness in everyone's eyes, so she smiled and said, "When I interned in the Department of Neurology in college, it was Teacher Fang who took me. A teacher for one day, a teacher for life, Mr. Fang will always be my teacher. ”

"Director Lin is always so polite. He was so polite when he was the dean, and he is still so polite now. Fang Hua also responded with a smile.

Lin Lin's words are for everyone to hear, and they are telling them that they must not forget their roots when they are a man!

"Eldest sister, I'll ask you some questions, and you can answer me." Coming to the lathe, Lin Lin said to the patient.

"Okay, thank you!" The patient saw a young and handsome doctor, and brought the director and the doctors in charge of her to see her, and with her superficial knowledge, she could also judge that this young doctor was not simple.

"From the beginning of the illness to the present, do you think your condition has worsened?"

"I think it's aggravated."

"What kind of aggravation method, you can tell me."

"The main thing is that the swelling in the right eye is more pronounced, and at the same time, there is a feeling that seems to be the same in the left eye."

"Have you ever touched the swollen part of your right eye with your own hands?"

"Yes."

"Did you touch anything?"

"Looks like a thumb-sized lump."

"Does it hurt?"

"It doesn't hurt."

"When you open your eyes, see if there's any ghosting."

"Yes, however, this ghosting only appears when I look straight ahead, looking in other directions, and there is no ghosting."

"Well, that's good. It's been almost 10 days since you got sick, and have you ever felt uncomfortable in other parts of your body, such as your joints? ”

"Yes, it only appeared in the past two days, you see." The patient said, holding out his hands.

I saw that the patient's wrist joints and knuckles were red and swollen on both sides, especially the wrist joints, which were more obvious.

"Does the joint hurt?"

"It's a little bit more obvious when it's active."

"There is no feeling of dry mouth."

"Hmm...... One thing, yes, one thing, especially when eating bread and steamed buns, I feel like I need to drink more water than usual. ”

"Is menstruation normal?"

"It's okay, I come on time every month, but in recent months, the amount has been less."

"I'm asking you a more private question, if it's not convenient for you to answer, you can leave it out."

"Excuse me, it's okay." The patient was very cooperative.

"In recent months, have you lived as a couple any differently than before?"

"Hehe, doctor, you are amazing, even you have noticed this problem, it also means that I have a disease, you can figure it out, I believe you."

"Indeed, in the past few months, when I was living as a couple, I was in a lot of pain, a kind of pain caused by dryness. I say this, I don't know if you understand? ”

"Understood, you said it very clearly, thank you. By the way, has your weight changed recently? ”

"Yes, it's a lot lighter. I didn't feel good eating before I had eye problems, and the reason was the question you just asked me about dry mouth. Because of the lack of food and poor appetite, I lost a lot of weight, about 5 pounds lighter. ”

"Is there a problem with urinating and urinating?"

"No problem."

"Okay, I'll do a check-up for you, please lie down." After Lin Lin finished speaking, she began a set of standard nervous system physical examination methods and internal medicine physical examination methods.

All the doctors and students who watched from the sidelines felt refreshed and even more comfortable. When Fang Hua saw it, he also secretly admired: "This Xiaolin is really not simple. The previous contact was only a very superficial contact, and now I really understand why he is so powerful. ”

This also gave Xia Shifa, who was embarrassed by Lin Lin, a wake-up call, so that he would not dare to go against Lin Lin clinically in the future. Xia Shifa is smart, but Jing Dongqiang doesn't think so. In Jing Dongqiang's eyes, these techniques are simple and easy to understand, and anyone can master them.

"Let's see if you need to check more." After Lin Lin finished the physical examination, she turned to ask questions to the doctors.