The patient's head was still very dizzy, and any slight movement would cause her to moan and it would be difficult to transfer her to the CT room.

But fortunately, Miao Technology also donated several bedside mobile CT machines, which are smaller than those seen on the market, have no radiation at all, and are easy to operate.

Leng Qi instructed everyone and did a head CT directly at the bedside.

The CT results came out on the spot, and there was no problem.

Then there are only two possibilities left.

If it is an acute cerebral infarction, then it is likely that the CT scan will not be able to develop immediately, but the MRI of the brain can detect the problem at the first time.

However, Leng Qi didn't want to open this checklist for the time being. This is not only because moving the elder Mora over would increase her suffering, but also because another cause is more likely.

"Contact the otolaryngology department and ask them to send someone down for a consultation. By the way, the patient is not easy to move, so let them bring the vestibular function evaluation equipment to them. ”

When the nurse went to call, Leng Qi comforted the family: "Don't worry too much, maybe it's not a big problem." But it also needs to be further tested with the help of some instruments. ”

"We're all up to you." The patient's son folded his hands and saluted Leng Qi, "My mother will ask you!" ”

Dunzhu Jiaba translated this sentence, and Leng Qi hurriedly helped him up, feeling a little emotional.

I have long heard that the Tibetan compatriots are kind and simple, and they have great respect for the doctor.

In the face of this trust and sincerity, she must treat patients wholeheartedly and bring out more good doctors who can take root in Tibetan Province to live up to their expectations.

While waiting for the ophthalmologist to come down for consultation, Leng Qi raced against time and explained the condition to Tao Le.

"Everyone knows the situation." She said: "There is no problem with electrocardiogram and brain CT, blood pressure and blood sugar are normal, blood tests report high blood lipids, and liver, kidney function, and cardiac enzymes are also normal." ”

"You also saw the physical examination I did just now. As a clinician, what are your thoughts on this? ”

Hearing her question, Dunzhu Jiaba lowered his head for the first time, but Chang Shengnan, after thinking for a while, opened his mouth first.

"Patients with acute dizziness, vomiting, and acute cerebral infarction are extremely likely." "For acute cerebral infarction, CT doesn't develop until 24 hours later, so it's time to repeat the MRI right now," she says with great confidence. ”

Leng Qi nodded and encouraged: "The idea is right, this may not be nothing." ”

"Thank you, Mr. Leng, for your affirmation." Chang Shengnan said: "So I don't understand, why did you call the otolaryngology department for consultation?" ”

Leng Qi didn't answer directly, but asked Dunzhu Jiaba, "What do you think?" ”

"I, my thoughts are the same as Dr. Chang's." He said, scratching his neck.

"What about you, Xiao Tao?" Leng Qi asked Tao Ledao.

"I don't think it's very likely to have a cerebral infarction. The patient's blood pressure is not that high"

As soon as Tao Le said this, Chang Shengnan interrupted her: "If the patient has a cerebral infarction, accompanied by a mild cerebral hemorrhage, he may not be able to see clearly on the CT, and he can lower his blood pressure appropriately." ”

Tao Le smiled: "What you said is a very small probability event. There is another scenario, which is very likely. ”

Leng Qi waved his hand and stopped the unconvinced Chang Shengnan: "Tell me about it." ”

"Teacher Leng, my judgment is the same as yours, and I think there is a high probability that it is vestibular neuropathy." Tao Le said.

"Oh?" Leng Qi's face showed the first smile in the past half a day: "What do you think?" ”

"The inspections just now are one of the supporting evidences, and there are two key pieces of evidence." Tao Le talked eloquently: "First, the patient's head does not dare to shake, and when he moves, he is dizzy and even vomits. ”

"Changes in head position that bring about intense vertigo are peripheral vertigo and are distinguished from central vertigo caused by stroke, which is often not associated with changes in head position."

"Peripheral vertigo, on the other hand, is more common in benign paroxysmal vertigo, which is otolithiasis."

"Good." Leng Qi nodded in encouragement: "This is the first point. And what about the second reason? ”

"When you had a physical examination just now, I took a closer look at it. The patient has strong spontaneous nystagmus with a horizontal torsional tremor of the globe. This type of nystagmus is often caused by vestibular neuritis and is different from the nystagmus of cerebral infarction. ”

"Based on the above two points, I think the patient should have suffered from vestibular neuronitis, which was followed by otolithiasis, which caused nausea and vomiting."

Such a remark is heard in the ears of different people, and the feeling is completely different.

Leng Qi was very pleased. She really didn't expect that Tao Le, a descendant of traditional Chinese medicine, would also have a solid theoretical foundation in the clinical aspects of Western medicine, as well as keen clinical observation and judgment.

It's no wonder that at such a young age, Chinese medicine can be so good, just with this seriousness and studiousness, people can't help but dislike it.

If they were all such students, she wouldn't get tired of taking a few.

Chang Shengnan's previous views were stuffed into the minds of the Tibetan aid experts before Corey, little by little. It's not too active to learn, and it's much more blunt to apply.

As for what Tao Le said just now, there are many nouns in the middle, and she doesn't understand them at all.

What peripheral, central vertigo, what horizontal distorted nystagmus. Chang Shengnan has never heard of it, and instinctively thinks that someone is deliberately selling and brushing up on his sense of existence.

And this Teacher Leng is really, why can't he be like Teacher Ma Gu who brought him before, ask fewer questions and directly explain it clearly?

This question came and went, not to mention the time, but also gave her a chance to show off, and also stepped on herself and Dunzhu by the way.

It's just a regular training, it's a little worse than my own resident doctor, what's the matter!

In contrast, Dunzhu Jiaba's idea was much simpler than hers.

He didn't really understand what everyone said just now. But what does it matter?

The experts from Beijing are all very powerful. In addition, there are a lot of advanced instruments in the hospital, and the old Mora in front of him, as well as the patients in the future, will definitely be able to get the most meticulous care, and that is enough.

As for himself, he has no ambitions at all. It's good to learn as much as you can and learn as much as you can, and mix it up slowly.

After a while, an attending doctor came down from the otolaryngology department. Dr. Sang of Beijing Eye Hospital, one of the first doctors to help build Sa Central Hospital.