Chapter 1844 Zheng Ren's One Two Three (Monthly Ticket 32500 Plus More × 65)

"Let's be honest, why I say it's the most critical step and a half is because the most common thing is to die at the sight of light. Of course, this refers to online chatting. If you can still go to the appointment after seeing your appearance, it is estimated that most of them will be successful." .”

"..." Zheng Ren really wanted to kill this guy.

"Don't be nervous when we meet, chat casually, and say something to make her happy." Su Yun continued: "After that, the most critical step is the second invitation. If you can make a second appointment, it will prove that There is no problem, as long as you don't die, it should be done."

"Uh..." Zhou Litao looked at the records on the A4 paper, his face wrinkled so much that wrinkles appeared on his forehead.

"It's basically like this, understand the spirit and study hard."

"Brother Yun, what..."

"President Zhou, the patient is busy!" A nurse knocked on the door.

"Okay, let's go right away." The tangled and distressed expression on Zhou Litao's face immediately disappeared, and he changed into an extremely focused and serious expression, folded the piece of paper that recorded Su Yun's words, and put it away.

"Brother Yun, Boss Zheng, wait for me a moment, both of you."

"What patient?" Zheng Ren asked.

"Talk about a patient who suddenly lost his sense of smell." Zhou Litao said, "I asked him to have a head CT scan."

"Oh, let's go." Zheng Ren knew from the medical history that there was probably nothing wrong, so he didn't bother to look at it.

Smell ability is the characteristic of olfactory cells in the nasal mucosa, and damage to the nasal mucosa, olfactory bulbs, olfactory filaments, or central nervous system connections may affect the sense of smell.

Clinical manifestations include hyposmia, anosmia, anosmia, perversion, phantom smell, and increased sensitivity to olfactory stimuli.

The most common causes of anosmia are several.

Including allergic sinusitis, nasal polyps, cold virus infection, rhinitis virus infection, head trauma, sulfur dioxide, nitrogen compounds, and residual formaldehyde in the house after decoration, etc. can all cause it.

Another thing is to spray perfume for a long time, which will also lead to loss of smell.

Zheng Ren was thinking about what caused the patient. It might be the factor of formaldehyde, because it is too common for home decoration to exceed the standard of formaldehyde.

Zhou Litao ran out immediately.

"Boss, let's be professional." Su Yun said with a smile.

"I think only Zhou Litao can believe such words." Zheng Ren said, "You don't even have a girlfriend, how dare you say that?"

"Cut!" Su Yun said: "I don't want to look for it, okay? Girls don't have it. Girlfriends, just look for them on the street!"

Zheng Ren didn't bother to talk to him, it was so boring to wait for Zhou Litao to come back, the time was unknown, and there was a chatterbox sitting next to him, talking a few words from time to time, even if he wanted to go to the system library to read.

After waiting for a long time, Zhou Litao did not come back, Zheng Ren felt strange.

He was really bored, so he stood up and opened the door to go out.

Seeing a nurse busy in the corridor, Zheng Ren asked, "Excuse me, where did Mr. Zhou go?"

"Teacher, I just came here. I don't know who Mr. Zhou is. I'm sorry." The nurse replied immediately.

Oh, a nurse who just came to 912 for training, Zheng Ren smiled.

Seeing the nurse entering the treatment room, Su Yun probably went to change the dressing, so he smiled and said, "I'll ask."

Zheng Ren glanced at him, and saw that this guy turned around and went to the treatment room, leaning against the door frame as if he had no bones, and started talking and laughing.

Really familiar, Zheng Ren thought to himself.

But asking him to ask something was quite troublesome. After waiting for a few minutes, Su Yun came back with a proud face.

"where?"

"It is said that the patient who had a problem with his sense of smell was smoked when he went to the CT room." Su Yun said.

"Ticked?" Zheng Ren wondered, "Is it epilepsy or convulsion?"

"No one has seen it, why are you asking in such detail." Su Yun said, "I'll find out when Mr. Zhou comes back."

"Where is Zhou Litao from?" Zheng Ren was puzzled.

"It is said that it is an emergency rescue, and the smoke is so severe that there is no way to do a CT."

When I became restless, the CT images were full of artifacts, and it was the same as not doing it.

This patient is probably sent to the neurology department, so as not to ask for anything in the CT room, and suddenly a respiratory cycle arrest, the person has to be left there.

However, the patient with a problem with the sense of smell suddenly twitched...

Something is wrong with this medical history.

Zheng Ren began to think.

"Boss, if you can make a diagnosis now, I will be convinced." Su Yun said with a smile.

Zheng Ren also knew what he meant, he knew that a sense of smell was lost, and then he went to the CT room to convulse. If you want to make inferences based on these two points, you can't do it at all.

But idleness is idleness, Zheng Ren went back to the room and sat down, and began to count on his fingers.

"First, when a patient has traumatic brain injury, the olfactory filament of the olfactory nerve passing through the cribriform plate can be torn, or the olfactory bulb can be shredded due to contusion."

Seeing his serious appearance, Su Yun found it interesting, sat opposite him and said, "Analysed logically, the patient is not traumatized, otherwise with Zhou Litao's personality, he would definitely say that he lost his sense of smell after the trauma."

Zheng Ren nodded, Su Yun's judgment was correct.

"Secondly, meningiomas, metastases, or infiltrating tumors of the anterior cranial fossa arteries or the frontal lobe can compress the olfactory bulb and olfactory tract, resulting in olfactory impairment."

"This is unreliable. If there is a meningioma, loss of sense of smell will not be the main complaint. And if the patient does not know it, generally speaking, it will not be accompanied by sudden convulsions." Su Yun said.

"You can't say that, it's just a high probability, which is doubtful." Zheng Ren said: "The possibility is about five percent."

"Almost, I think it needs to be a little less, you continue." Su Yun is very interested in this kind of discussion of cases facing the air.

"Third, it is also ruled out that the olfactory impairment caused by influenza is temporary and that convulsions are basically absent."

"Fourth, temporal lobe lesions are occasionally associated with transient or paroxysmal phantoms. Anosmia is often associated with impaired taste, depending on the volatile substances in food and drink."

"Temporal lobe syndrome?" Su Yun asked.

"Just saying that, it shouldn't be a symptom of the temporal lobe syndrome." Zheng Ren said: "Volatile substances can cause loss of sense of smell, but convulsions, needing rescue is too outrageous, and we will not consider it for the time being."

Su Yun felt more and more interesting to do diagnosis and differential diagnosis, just like playing an intellectual game.

"Fifth, congenital factors are not considered, and there is a decrease in or loss of olfactory function caused by neuropathy of the nasal mucosa, olfactory bulb, and olfactory filament; and damage to the central nervous system connection is usually not accompanied by any detectable loss of smell."

"Is the fifth point more likely?"

"It's hard to say, it's probably not big, it's because it can't be accompanied by convulsions at the same time."

"After talking for a long time, you have a diagnosis? The biggest possibility is an intracranial tumor, the probability is less than 5%." Su Yun said.