"This is an old lady in the countryside sitting on the kang and holding the soles of her shoes." Meng Qingfei said helplessly.

All of a sudden, the two went into a dead end.

The patient behaved strangely, began to embroider, and the soles of his shoes were ghostly if they could be searched on the Internet.

Even Meng Qingfei didn't have the idea of picking up the phone.

Searching on the web also requires keywords, keywords.

Nowadays, mobile phones are not so advanced, but if you really shoot a video, your mobile phone can give the answer, and the profession of doctor will be gone.

Meng Qingfei and Ji Xiang were silent for a long time, until a patient came back with a test report.

After handling the patient, Meng Qingfei crumpled the paper into a ball and threw it into the paper basket, he stood up and put his hands behind his back, and kept wiping it in the dark position.

Seeing that Meng Qingfei was walking like an ant on a hot pot, Ji Xiang also began to use his brain.

If you go online to see a doctor, Ji Xiang will too.

With an idea, Ji Xiang felt that since embroidery and counting money could not be searched, the patient's high fever should be a breakthrough.

He picked up his phone and found the entry for the high fever that did not go away.

However, Ji Xiang did not look at it from the very beginning, but directly pulled to the position of differential diagnosis.

First, sepsis.

This should be ruled out because the maculopapular rash is not visible in the patient, and there are no outward manifestations such as rashes or skin bleeding spots.

Moreover, sepsis is about flaccid fever, and the patient's presentation is not the same.

Next, tuberculosis.

This is easier to diagnose, chest CT has been done, and no tuberculosis lesions have been seen. Although it is not possible to rule out rare tuberculosis of other organs, such as tuberculous meningitis, tuberculous pleurisy, peritoneal tuberculosis, lymph node tuberculosis, renal tuberculosis, etc., the patient does not have systemic toxicity.

Ji Xiang held his mobile phone and searched one by one.

"Xiao Ji, you're searching for a high fever that doesn't go away, where do you see it?" Although Meng Qingfei didn't look at Ji Xiang's mobile phone content, he also guessed what he was doing.

"I saw typhoid fever." Ji Xiang Road.

"Although there have been occasional cases of atypical typhoid fever in recent years, and I have met two cases, these patients have roseola and have a nonchalant expression. Did you see the look on his face when he was embroidering? ”

Meng Qingfei asked.

"Well, I didn't pay much attention."

"The girl who looks like Sichun is making clothes for Xiao Qinglang."

When Ji Xiang heard Meng Qingfei say this, goosebumps appeared on his back.

But that creepy sense of horror was instantly dispelled by the image of Shen Lang in Ji Xiang's mind.

Shen Lang

Brother Lang

Ji Xiang smiled.

"I didn't do the Feida test, write it down, and if you really don't have an idea, try it." Meng Qingfei said while thinking.

At this moment, he is like a nationally renowned old expert, full of pressure between his hands and feet.

Ji Xiang knew that Teacher Meng had entered the "state", which was similar to the [gaze of a senior doctor], but it was not as simple and direct as a system skill.

He honestly wrote the words of the Fertilization test on a piece of paper, and marked typhoid fever at the back, with a question mark.

"What about down there?" Meng Qingfei asked.

"Epidemic hemorrhagic fever."

"Bloodshot face and eyes?!" Meng Qingfei said suddenly.

Ji Xiang frowned and pondered carefully.

The patient's eyes were red, as if he had pink eye.

Ji Xiang felt that something was wrong, and as Meng Qingfei said that patients with epidemic hemorrhagic fever might have bloodshot facial and eye congestion, he chuckled in his heart.

Could it be an epidemic hemorrhagic fever?

"No, the patient is flushed all over his body, not on his chest, although he can't see it under his armpits, I'll take a look at it later, and see if there are any bleeding spots." Meng Qingfei said, "Xiaoji, remember it." ”

"Okay."

Ji Xiang wrote epidemic hemorrhagic fever on a piece of paper, put a question mark, and recorded what Meng Qingfei said about subcutaneous bleeding spots and the like.

"Next."

"Malaria."

After Ji Xiang finished speaking, Meng Qingfei was suddenly stunned.

"Teacher Meng?"

"You wait." Meng Qingfei was very distressed, he put his hands behind his back and rubbed the white clothes.

"Forgot ......"

After a few minutes, Meng Qingfei said distressedly.

"Forgot something?" Ji Xiang thought of the words of the system NPC, and suddenly felt ...... It's a bit of a problem.

It is rarer than a heart tumor, but malaria is very familiar, and Ji Xiang subconsciously ruled out this diagnosis.

"I haven't seen a malaria patient, and in 21 years the WHO had declared malaria in the country gone."

What Meng Qingfei said was very simple, but the meaning was very clear.

This......

Ji Xiang was stunned, Meng Qingfei's words were somewhat similar to the words of the system NPC.

He then picked up his phone.

Ji Xiang also began to search for malaria.

Incubation period, chill phase, fever phase......

[Some delirium, emptying, and even convulsions or unconscious ......]

When Ji Xiang saw this line of words, he asked, "Teacher Meng, what is emptying?" ”

Meng Qingfei didn't know either, but the symptoms he saw were basically correct.

Then the two of them began to look for the empty again.

Ji Xiang felt that this way of seeing a doctor was particularly strange, not like two experienced doctors, but like a family member of a patient who didn't understand anything.

Meng Qingfei found a description of the hollowing out of the line, and immediately matched the patient's symptoms.

However, instead of showing joy, he glanced at the time.

Picking up the phone, Meng Qingfei hesitated, and finally made a call.

"Teacher Shen, I'm sorry to disturb you so late." Meng Qingfei said politely.

"Xiao Meng, what's wrong? Is it difficult to diagnose me so late? The person on the other side of the phone asked gently.

"That's right, Mr. Shen, I met a strange patient and I suspected that he was infected with malaria. But I haven't seen a malaria patient, so I'm calling to talk to you. ”

Meng Qingfei held the phone in his hand, but as if he was facing the teacher Shen who didn't know where he was, he kept bowing, his expression was humble to the dust, and he looked guilty.

"Oh? Malaria? Does the patient have a history of exposure to tropical jungles? ”

When Ji Xiang heard this, he suddenly remembered the account of the patient's family.

This time, even Ji Xiang himself began to slander, medicine is really twisted and turned, drinking too much in Nanyang and lying in the woods, and the statement of medicine has become a history of exposure to the tropical jungle.

"Yes, there is!" Meng Qingfei replied immediately, and he then described the patient's symptoms.

"Oh, empty the line, there is a description in the Chinese medicine classics when malaria was epidemic in the past. You're talking about the thread management sign, which looks like embroidery. ”

"That ......"

"Your hospital...... It shouldn't be possible to detect the malaria parasite, so you can ask your local infectious disease hospital if it can be detected. In the last two decades, fewer and fewer people have contracted malaria, and most hospitals have stopped the test. ”

"Okay, Mr. Shen, what else can I do?"

"Chloroquine can be given as a diagnostic treatment."

(End of chapter)