Chapter 4107 [196] Fear

It should be mentioned here that it is difficult for patients with simple emphysema to cause brain diseases.

Heart failure may cause cerebral hemorrhage.

The close connection between the heart and the brain has been mentioned in many typical cases before.

Is this patient suffering from cerebral hemorrhage now?

Dr. Liu didn't know, so he was careful not to take the initiative and send the patient to the CT room, waiting for the specialist to assess the situation.

Dr. Yue Wentong ignored everything else and asked them: "What are the results of the pupil examination you performed on the patient?"

Dr. Liu already knew that he must have made a mistake, so he didn't say anything.

Doctor Li Qian continued to yell: "Squad leader, it directly reflects light."

"With such a bright light, can you clearly see the patient's pupil light reflex?"

Dr. Liu quickly covered his face with his hands: God, this is so embarrassing.

Classmate Li looked at Monitor Yue with desperate eyes: Am I a fool?

The nurse helped turn off the headlights.

Leaving aside whether there are errors in the pupil examination operation, monitor Yue asked Li a basic question, which is what was mentioned above: Does brain disease really have to be an abnormal pupil examination?

"That's the question." Dr. Li Qian tried hard to inhale through his nostrils. He had no choice but to do it. He had just been beaten too hard by the squad leader, which made him so emotional that his brain was a little starved of oxygen.

Dr. Liu adjusted his attitude and replied: "Most patients with cerebral infarction will not have pupil abnormalities."

I just talked about the anatomy of the pupil, and we can know that the main thing that affects the pupil is the neural circuit. In addition to the disease of the nerve route itself, the other most common clinical situation is that the intracranial mass squeezes the nerve route and causes pupillary abnormalities.

Cerebral hemorrhage will cause intracranial space occupation as long as the amount of bleeding is large, and the above conditions will occur.

If a cerebral infarction wants to affect the relevant neural circuits, it is usually a large-area cerebral infarction. In a large-area cerebral infarction, hydrocephalus may squeeze the neural circuits.

Another more frightening situation is brainstem infarction.

Associating relevant knowledge points, Dr. Liu became more and more frightened the more he thought about it.

The patient belongs to her, and her first diagnosis of the patient does not include brain diseases. She also explains the same to the patient's family members.

You said that she suddenly went to tell the patient's family that your relative had other diseases besides emphysema, and that these other diseases were more dangerous and fatal.

The patient's family members are not allowed to jump in and question whether you, the doctor, have treated the patient well! Otherwise, they will question whether the doctors and nurses in your hospital have treated the patients properly, or whether they have treated the patients incorrectly and made the patients die. Otherwise, how could it be that the patient was not told that he had this disease at the beginning, and only a few hours later he was told that the patient might die from this disease.

Fortunately at that stage, this situation was not discovered in advance before the patient suddenly died.

I have to thank the imperial envoy! Dr. Liu thought.

According to legend, Xie Qincha’s eyes were clairvoyant, so that’s probably it.

Because she, Dr. Liu, has not been able to tell that the patient has a brain disease, Xie Qincha did not use any examination methods to determine that the patient had a brain disease. It cannot be justified without fluoroscopy.

Xie Wanying could not tell, but Xie Wanying knew that if she asked Boss Zhang to wait for the old doctor to come over, the doctor's old intuition would be able to sense, like her, which part of the patient's body was most likely to be faulty.

The specific determination of whether it is cerebral hemorrhage or cerebral infarction or something else requires further mechanical examination. This is something that Dr. Xie Wanying, who is not a sage or a clairvoyant, does not know.

To put it simply, the patient's sleeping state gave the veteran doctors the feeling that something was wrong, like something was wrong with his brain.

Thank you for your support, good night, dear friends~