"Moderate coma. Zhou Jun's judgment was consistent with Sun Lien's. "Call the neurology department for a consultation. Let's see what kind of evil ...... this guy has fallen into" He suddenly saw Sun Lien, who was holding a pen behind him, and frowned, "Who told you to get up? Go back and lie down! Love and dedication are not in a hurry at this time, do you know?"

"I'm here to look relieved. Sun Lien tried to pull his facial muscles and put on a hippie smiley expression. "I'm waiting for you to come back and write me a letter of compliment. ”

"If you are kicked to death by him, I can say two good things to you at the martyr's selection. Zhou Jun replied coldly, but he no longer asked Sun Lien to go back and lie down immediately. "Remember to do a B-ultrasound in half an hour. ”

Zhou Jun is a typical knife-mouthed tofu heart. Sun Lien, who has been receiving regular training in the emergency department for two months, has actually figured out his temper as a teacher for a long time. As soon as I saw him say that, I knew it was all right. Fortunately, there is no need to rest in bed, otherwise according to Zhou Jun's temper, his weekend rest will definitely be forced to be changed to duty.

It is very inhumane to ask a patient who may have internal organ damage to come to the clinic for consultation. Sun Lien walked to the duty desk, picked up the phone and began to call someone for consultation. Every time he called to request a consultation, he had the illusion that the old boy was ready to call someone to fight. Hey, Brother Pheasant, there's a rotten boy with Shenghe, come and help!

Brother Pheasant, oh no. The chief physician in God said it would be there soon. Sun Lien, who hung up the phone, began to ponder the cause of Zheng Xiaoyu, and the rate at which syphilis erodes the human body is relatively slow. But that doesn't mean syphilis doesn't attack the nervous system.

Wait...... Sun Lien had a flash of inspiration. The old professor who taught infectious diseases in the school once mentioned that before the liberation, many poor prostitutes had suffered from syphilis. Because there is no money for treatment, it can only be postponed again and again. Ten years or more after infection, syphilis will infect the brain. It's just that after liberation, with the gradual improvement of the medical and health system, this disease has almost completely disappeared. Even the old professor has not seen it with his own eyes, but he has only seen the corresponding description in the literature.

Could it be syphilitic encephalopathy?

The course of this disease is too slow, and it takes more than ten years of infection to appear, and looking at this middle-aged man driving a BMW, it doesn't look like a person who can't afford to be cured by lack of money. What's more, there are many diseases that can cause abnormal mental status, and hepatic encephalopathy caused by cirrhosis of the liver can also cause the same effect.

I don't have enough medical history. Sun Lien has a headache, if it can be proved that the middle-aged person has suffered from syphilis, at least he can lead Mr. Zhou's thinking in this direction. But now they don't know anything but names. Having said that, it was also thanks to Zheng Xiaoyu who had a seizure after parking her car in the hospital. How dangerous would it be to drive on a public road?

Wait a minute...... Sun Lien suddenly looked up at the computer in front of him.

What is Zheng Xiaoyu doing in the hospital?

"Inquire about registered information, Zheng Xiaoyu. Sun Lien has proficiently logged into the electronic medical system that has recently been fully used by the entire Ningyuan. Fill in Zheng Xiaoyu's name on the registered inquiry.

"Department of Dermatology and Venereology, Attending Doctor, Attending Physician Jiang Lun. Sun Lien slapped his thigh and picked up the phone.

"Doctor Jiang?" Sun Lien's voice sounded very proud, "I'm in the emergency room, did you see an appointment patient named Zheng Xiaoyu in the morning?"

"Is that one? I don't know. Dr. Jiang on the other end of the phone spoke in Sichuan dialect with the smell of sea pepper, "I've seen more than a dozen patients here in the morning, you can tell me about the appearance and characteristics." ”

"Eh, middle-aged man, Xie Ding, wearing a suit. Sun Lien briefly described it, thinking that it might not be enough, and added, "The temper is particularly violent. ”

"Oh oh!" Dr. Jiang suddenly realized, "I've seen it, this turtle grandson, I almost beat Lao Tzu in front of my head." He paused and asked, "What's the matter, he wounded someone?"

Sun Lien coughed twice, "He's unconscious." Could you please come over for a consultation?" Sichuan dialect sounds subdued and frustrated, but it is full of rhythm, but it is a pity that Sun Lien has lived in the East China Plain for a long time, and it is still a little difficult to understand. He could only reluctantly interrupt Dr. Jiang's words, and only hung up the phone after he promised that he would come to the consultation immediately after seeing the patient.

"Why do you want to invite someone from the dermatology department to come for a consultation?" Zhou Jun asked after Sun Lien hung up the phone, "If the patient just sees someone from the dermatology department, then let them pass the case over." ”

Sun Lien said with a smile, "The outpatient clinic has had direct communication with patients who are relatively normal and have not been in a coma. I think that since the patient has communicated directly with them, it will at least allow us to grasp some of the symptoms that a comatose person can't provide. ”

"Like a sore skin or a strange smell on your body. Zhou Jun nodded with some relief. "You have a great idea. ”

"The strange smell on your body?" Sun Lienqi said, "What kind of symptoms is this?"

Zhou Jun took Sun Lien to Zheng Xiaoyu's bed and opened his eyelids. "See for yourself. ”

The sclera, which was supposed to be white, was dyed a faint yellow.

"Jaundice?" Sun Lien was startled, "There is something wrong with his liver?" He sniffled, and indeed smelled a strange stench from Zheng Xiaoyu's body. It seems to smell like ammonia.

"If you take the attack on you as a symptom. Zhou Jun nodded and added, "This is a case of hepatic encephalopathy. The patient's liver is failing and is unable to filter and drain ammonia from the blood. This leads to confusion in the brain and produces psychiatric symptoms. ”

Hepatic encephalopathy?Sun Lien frowned slightly, this is not the same as the cause shown in the status bar.

"The question, then, is what caused his liver failure. Sun Lien looked at the unconscious patient and said to himself, "He was still seeing the outpatient clinic by himself just now, and now he has passed out." The disease progresses too quickly and doesn't look like a problem caused by a chronic disease. ”

"If we don't find out the cause of acute liver failure as soon as possible...... Zhou Jun said with his hands on his chest and looking at the patient, "it won't be long before he dies here—he can't get a liver transplant until the cause is identified." ”

Liver failure due to cirrhosis? Zheng Xiaoyu's psychiatric symptoms progressed too quickly, the development of liver cirrhosis was too slow, and the patient's own symptoms would be obvious, and it was almost impossible to ignore or misdiagnose. Sun Lien looked at the word "syphilis" on the top of Zheng Xiaoyu's head, and his eyes suddenly widened.

If it is a psychiatric symptom caused by syphilitic encephalopathy, then the syphilis that has been latent in the third stage must have also invaded Zheng Xiaoyu's internal organs.

Not only did he have syphilitic encephalopathy, but he also had syphilitic liver disease! Syphilitic liver failure and syphilitic encephalopathy combined with psychiatric symptoms!