Chapter 1710 Weird Key!
A farce made the whole emergency morning suddenly full of vitality.
With this set of theories from grandpa and aunt, Chen Cang suddenly discovered that what a luxury is, it is not as good as an ordinary patient in our ICU.
There are tens of thousands for any support or bridge.
Tut tut.
Thinking of this, Chen Cang felt that he had learned a lot this morning.
However, in the morning, while Chen Cang was in the office, a special patient came to the emergency room.
"Professor Chen, there is an intractable disease." Wu Hui hurried out and said to Chen Cang.
Chen Cang was taken aback: "What's going on?"
After finishing speaking, he followed Chen Cang and walked outside.
"Doctor, doctor, come and see my hand!"
A great god who was about sixty years old was sitting in the office with a face full of pain, surrounded by a group of doctors, all of them were frowning, as if they were stumped by this aunt!
Chen Cang couldn't help asking: "Auntie, what's wrong with you?"
When the aunt heard this, she stretched out her hand full of pain: "Doctor, look, my hand hurts so much!"
Chen Cang immediately asked, "What's going on?"
The aunt pointed at Luo Zhou and said, "He broke it for me!"
Luo Zhou looked helpless.
Chen Cang frowned suddenly, and asked, "What's going on?"
Luo Zhou explained helplessly: "An ambulance came over just now, and there was a patient on the cart who was rushing to the emergency room. Where was this aunt standing, so I just helped her."
"As a result, the aunt touched the doorknob with her hand."
"Director Chen... I, I'm sorry." Luozhou really didn't want to cause trouble for Chen Cang, so he apologized.
The aunt quickly said: "Young man, I don't blame you. I also understand that you are probably busy. Don't worry, Auntie is not a blackmailer!"
"I felt like I was being pricked by a needle. It was a sting. It really hurt."
"I'm not worried about other things. I'm worried about being infected with those strange diseases. You know, in this world, look, look! A few days ago, I read on WeChat that there are many bad people now! Put it on those buses, vending machines! And the doorknobs of the hospital, some AIDS patients like to do it!"
This aunt's tone was very fast, and Barabara said a lot!
Chen Cang was helpless, the door of the emergency department was opened and closed every day, how could there be needles?
Who is free!
However, just to be on the safe side, Chen Cang took the aunt's hand and carefully checked her right palm, and found no needle holes or wounds.
And if it was needled, there would definitely be trauma, Chen Cang started to stare, and he didn't see the wool!
Chen Cang looked at the nervous Luo Zhou, patted him on the shoulder and said, "It's okay!"
"Here, Yali, take your aunt to get an x-ray of your hands!"
"Auntie, don't worry, we will give you a free inspection!"
When the aunt heard this, she nodded quickly: "Okay, I'm not taking advantage of it."
Half an hour later, the X-ray results came out, and the X-ray of the right hand showed nothing abnormal!
Fractures, bone and joint abnormalities, soft tissue abnormalities, foreign bodies, etc. are not seen...
Could it be nerve damage?
Thinking of this, Chen Cang gave her a detailed neurological examination.
However, there was nothing wrong with it!
The tingling pain of this aunt is not radiating pain, nor does it extend to places other than the palm. The pain does not change when the posture is changed, and there is no tenderness and percussion pain, unlike nerve damage.
Chen Cang suddenly thought of a possibility, would it be... Pengci?
Thinking of this, Chen Cang felt it was possible!
After all, there must be a reason for the inexplicable hand pain, right?
Chen Cang suddenly said: "Auntie, this is more troublesome, we may have to have an operation to check it!"
"This may be a dangerous and complex nervous system entanglement and irritating pain. There are not many in the world. It is so serious that you even cut the nerves in your hands short!"
I heard what Chen Cang said.
The aunt suddenly said that the pain was gone, and she refused to have another surgery.
After the aunt finished speaking, she said to Chen Cang, "Are you the director?"
Chen Cang nodded: "Yes."
The aunt said: "Director, I'm from another place. I'm not familiar with the place where I live. I don't know where to go. Besides, I'm also worried that my hand will suddenly hurt, or...you let me live in the hospital and observe observe?"
When Chen Cang heard this, he was immediately helpless.
Co-author The hospital is a hotel, so you can live if you want?
It suddenly dawned on everyone, did you meet Pengci now?
Chen Cang said: "We don't have any extra hospital beds here, they are all for patients and rescue."
Chen Cang also didn't want to cause trouble, so he asked the nurse to take the patient away quickly, so as not to delay seeing other patients.
Qin Yali is a nicer person, she hurriedly dragged the aunt away, and kindly took out her mobile app, checked a bunch of nearby hotels for her, and persuaded her to leave.
I thought it was over.
However, no one expected that at night, the aunt came again!
Everyone was getting ready to get off work, and when they saw her, their hearts skipped a beat.
It was Qin Yali who had quick eyes and quick hands, and was the first to go up to her and asked her what happened.
The aunt immediately started complaining mode.
"Doctor, you can't live in a hotel, it's not safe. Think about it, there is an organization called the Darknet, who just finds us, arrests us for human experiments, and... think about it, if I am cut What should I do if I have a kidney?”
"What if there are cameras in the hotel?"
"Also, some AIDS will deliberately put needles on the bed..."
Chen Cang frowned suddenly!
here we go again!
Do you have any misconceptions about needles?
Chang Lina had changed shifts. After hearing that, she couldn't help herself, and blurted out: "I'm sick! You're delusional! You're delusional!"
As soon as this remark came out, everyone was stunned. Maybe... this aunt really has a mental problem?
Chen Cang took a deep breath at this time, his neurology diagnosis was perfect!
However, I still didn't see anything unusual from this aunt.
Afterwards, Chen Cang gave the aunt a head CT and MRI, and some blood tests.
Then the aunt was settled down, and the formalities were completed.
The point is, the aunt is very cooperative, and even took the initiative to pay for the procedures.
In this way, the night passed.
Chen Cang asked him to work on the night shift in Luozhou, maybe this aunt might be mentally ill.
But Chen Cang has not been diagnosed yet.
Although Luo Zhou was nervous, he still nodded in agreement.
The next day, the result came out and it was still normal!
Head CT and MRI: no obvious abnormalities were found.
In the blood test, except for a little anemia and low white blood cells, liver and kidney function, electrolytes, thyroid function, blood sugar, blood ammonia, vitamin B1, infection indicators, AIDS and syphilis were all normal.
Chen Cang even asked to take a urine sample to test whether the aunt had taken drugs, and the results were all negative.
It seems that this aunt with abnormal mental behavior does not seem to be a patient in the mind.
Thinking of this, Chen Cang gave her some simple cognitive checks.
"Which city are you in now?"
"Bac Ha Province"
"Where is the capital?"
"Tianjin"
"What is 100 minus 20 minus 20 plus 20?"
"200!"
This time, the situation became complicated.
Chen Cang decisively made a MoCA scale for her, and only scored 21 points.
Reminiscent of her messy speech before, it seems that she really has a cognitive impairment.
However, unexpectedly, the aunt became more and more excited as she chatted, saying that she grew up in the United States and was very talented since she was a child.
I skipped grades in elementary and high school, went to work as a special agent for the FBI, and then went to NASA to work on a mysterious study.
Returning to China now is to join China's national security department!
In order to keep "state secrets", she has never been married, has no family or friends.
Finally, she also mentioned that she had volunteered in a mental hospital, but was not hospitalized.
Definitely mentally ill.
Here, Luozhou is going to contact the mental hospital.
However, Chen Cang hesitated suddenly, he vaguely felt something was wrong.
What is missing?
At this time, it happened that the mental hospital called and said that the diagnosis of mental illness could not be made casually. The most critical one was: the mental symptoms must be present for most of the time for 1 month or more.
But it has been less than a day since this aunt entered the hospital, and no one can prove whether she has a mental illness or not.
However, now that the organic ones have been ruled out, wouldn't that leave the primary psychosis?
"Didn't she say that she had been in a mental hospital? Maybe she escaped from there." Luo Zhou was even more convinced that she was mentally ill.
"That's right, and her blood test showed an increase in prolactin, maybe it was caused by the antipsychotic drugs used before." Chen Bingsheng said directly.
"I was thinking, why is she anemic?" Chen Cang said suddenly.
"Anemia? It's normal!"
"Yes, mental illness is a bit anemic at the same time. Originally, a mental patient has an unbalanced diet, so mild anemia is normal, right?"
Everyone was talking about it, and when they were about to send the patient away.
Chen Cang's brain told him to spin, and suddenly, a clue came through, and a message came to his mind!
"Yes, I remembered!"
"It is written in the chapter of the textbook on giant infantile poverty that patients with giant infantile poverty caused by vitamin B12 deficiency may have neuropsychiatric symptoms, such as numbness of distal limbs, unsteady gait, ataxia, depression, memory loss, hallucinations, Delusional and even insane!"
As soon as these words came out, everyone was stunned!
Chen Cang quickly said: "Give me some iron and vitamin B12 to check and see the effect!"
On the 29th of the twelfth lunar month, suddenly the aunt recovered miraculously.
This news made everyone in the emergency department feel emotional.
The old horse glanced at Chen Cang, and couldn't help asking: "Cang, why do you know everything!"
【Ding! Diagnosis of anemia insanity syndrome, the difficulty judgment is higher, and the neurology skill tree key x1 is obtained! 】
Chen Cang was overjoyed immediately, so that's the case?
After the diagnosis is clear, you can get a key?
And the key happens to be able to unlock the skills on the skill tree?
If so...
Chen Cang suddenly found out that this job change really made a lot of money.
However, looking at the difficulty judgment, Chen Cang frowned slightly, maybe... there are other clues?
But no matter what!
When a doctor really can't take the details seriously, he must always be alert to us.
Any clues may lead to different results!
It's better to get to the root of the crime.
...
ps: I think this medical record is very interesting and I would like to share it with you.
Anemia can cause mental illness.
Please ask for a monthly pass. It's the end of the month. Please help me!