On this issue, Tao Le is confident.

In her previous life, she followed her teacher and saw all kinds of radiological images. Because traditional Chinese medicine also needs to keep pace with the times, it is more conducive to prescribing the right medicine with detailed test results.

Although she has her own golden finger, she must learn well under the guidance of the teacher; Second, she also took this opportunity to use her golden finger to correct her ability to solve the map.

Over the decades, the CT, MRI, electrocardiogram she has seen and verified, various laboratory test sheets, and more advanced test maps in the future have been very impressive.

So at this moment she said it, and she also said:

"The CT scan showed a small number of linear hyperdense opacities along the left cerebellar tentorial area and the cisterna of the longitudinal fissure—indicating a small amount of subarachnoid hemorrhage."

“…… It could also be a small subdural hematoma, how can you determine that it is a subarachnoid hemorrhage? Qin Feng asked.

He wanted to know if Tao Le really knew how to distinguish between them, or if he happened to be blind.

Tao Le understood why Qin Feng asked like this. The two conditions are similar on CT images, so it is easy to misdiagnose.

She has a very good reason for this: "Subdural hematomas, which are generally well-defined and have a mild mass effect. ”

The so-called mass refers to the tumor, whether benign or malignant, that squeezes other tissues and organs.

"At the same time, the bands of hyperdense opacities of subdural hematomas are generally narrow. With a little care, it is completely possible to distinguish it. ”

Qin Feng felt depressed in his heart. Tao Le said it easily, but how to define the so-called "clear boundaries" and "relatively narrow" is difficult to easily distinguish without years of clinical experience.

If it were really that easy, there wouldn't be so many doctors.

Even he himself came to a high probability conclusion after combining the patient's symptoms with other indicators.

In order to inspire Tao Le to think actively, he also gave her a CT image, but he didn't expect her to make a correct diagnosis based on it.

What a lot of experience, what a keen sense of observation! How did she get out?

Wait, isn't she too arbitrary to form a conclusion based on just a CT image? Nor is it a commendable quality for doctors.

"So, if in the clinic, after getting the patient's CT image, what will you do?" Qin Feng asked very skillfully.

He didn't say that you should draw conclusions based on the results of this one test alone, which will make people immediately aware of the problem and fix it.

Asking directly what will happen after the treatment sounds like asking how to treat it, but in fact, he wants to see if Tao Le will do further tests to support his judgment.

You know, a lot of work can be fault-tolerant, but medicine can't. Because human beings only have one life, and if they make a mistake, they may kill the sick.

To his surprise, Tao Le replied very rigorously: "If it is clinical, I will do further tests according to the patient's condition." ”

"Subarachnoid hemorrhage, most of which is caused by a ruptured cystic aneurysm, but also trauma and other causes, the patient will have a severe headache, followed by vomiting, and may also have irritability, impaired consciousness and convulsions."

Tao Le said more and more smoothly: "Some patients will also have fever, elevated blood pressure, and bloody cerebrospinal fluid. ”

"So what are you going to do next?" A voice interjected and asked.

When Qin Feng and Tao Le looked at the same time, they found that they all knew each other.

Dong Cheng, Dong Dafu. He was followed by several white coats, one of whom was familiar.

Hey, isn't that her classmate Yang Ruixue?

Yang Ruixue is not the same as other classmates, she is a real academic bully.

During college, the only one in their second clinical class who has won the special scholarship for five consecutive years is Yang Ruixue.

Tao Le knew in his previous life that Yang Ruixue was admitted to a hospital's regular training doctor, and later stayed in a hospital and became a well-known expert in a certain subject.

The relationship between Tao Le and Yang Ruixue is only about understanding. Those who can get into Yang Ruixue's eyes are either medical authorities, professors and experts, or geniuses who are better than her, or classmates with superior family backgrounds.

Seeing Tao Le here was beyond Yang Ruixue's expectations. Tao Le in her eyes is mediocre, born in a working family, and her studies are not as good as her, and she belongs to the kind that has no social value.

But how could such an excellent senior Qin Feng know Tao Le? And judging from the few words he just heard, he was still discussing the diagnosis of CT imaging with her. But how is this possible? And why should she?

What made her even more incomprehensible was that Dr. Dong had been busy all day, and he was not in a hurry to summarize and sort out and get off work quickly, but he still had the leisure to ask questions.

He didn't want to think about how Tao Le could know about this kind of problem that could only be encountered in clinical practice.

When she was uncertain here, Tao Le had already begun to answer Dr. Dong's question:

"If it is confirmed to be a subarachnoid hemorrhage, an angiogram must be done immediately to determine the cause of the disease, and then the right medicine can be given."

Tao Le said it succinctly, she already wanted to stop the topic.

Both she and Qin Feng realized that it was a bit unwise to tell this case in the elevator room.

Last time Hou Bo asked Qin Feng to give Tao Lotto questions, Dr. Dong was also present, but he didn't hear the cattiness between them.

He is a person with a straight personality, and he only thinks that Qin Feng wants to teach his junior sister Xiao Tao, since he has encountered it, he will ask by the way.

Just a question and an answer, Dr. Dong was very satisfied. is worthy of Dr. Tao, this basic skill is really solid!

Maybe it was the newcomers he brought in the past two days, and he was used to asking questions, so he threw out the next question with great interest:

"What are the possible complications of this disease?"

Tao Le didn't think twice. She had encountered this problem before, and more than once: "One of the big reasons for the high mortality rate of subarachnoid hemorrhage is that there are too many complications. ”

She spoke eloquently, with a confident light on her face: "About half of the patients will have delayed cerebral ischemia and then die; In addition, rebleeding within 24 hours, hydrocephalus, epilepsy and hyponaemia, and increased intracranial pressure are common complications. ”

Textbook-like answers! Doctor Dong nodded frequently, gave Tao Le a thumbs up, and then beckoned to the white coats behind him:

"This little Doctor Tao is also the senior sister of your medical university. The same picture, you can't understand it, you can't understand it, people are not only clear, but also have a lot of clinical experience, you have to learn from others. ”

As soon as he said this, the interns immediately became active: It turns out that this knowledgeable young lady is the senior sister of this school! Then there is no sense of loss at all!

"Hello senior sister! Senior sister looks so young! ”

"We are fourth-year students in clinical medicine, which class are the senior sisters?"

"Senior sister, you are so powerful, which hospital are you in now?"

"What level is Senior Sister now? At least it's already a resident doctor, right? Ouch! Who's beating me? ”

"It's you who hit, although the senior sister looks young, but she has such rich clinical experience, she must be the indicator!"

Yang Ruixue was stunned on the spot and didn't say a word. She was still thinking about what Dr. Dong had just said.