Actually, I''ve been a doctor for a long time.


    Habitually and automatically do not believe some of the patient''s answers.


    Not because of distrust.


    It''s because the other party doesn''t cooperate.


    In fact, Chen canggang deliberately asked about the history of metallurgical travel, rather than "the life history of unclean Xiaosheng" or other straightforward names.


    To tell the truth, not many people know the name of metallurgical travel history, but Chen Cang''s question is reasonable.


    When the man was sent to draw blood, Chen Cang said hello to Huang Binhai: "go and collect family history with their parents, and then make an appointment for the patient''s head CT."


    Huang Binhai nodded, while Chen Cang directly followed the nurse who collected blood.


    "Pay attention when you draw blood for him later. Don''t pierce yourself."


    How long has the little nurse been here? Seeing that Chen Cang cares about himself so much, she couldn''t help blushing. After all, she can be cared for by Professor Chen personally. The little nurse''s inner satisfaction and happiness burst out!


    "Thank you, Professor Chen!"


    The nurses on one side are also a little envious.


    Who is Chen Cang?


    Old ma has to admit that this is the male god of the emergency center.


    The head nurse came over: "what''s the matter, Professor Chen?"


    The head nurse is different from this group of young nurses. She has rich experience and knows that Chen Cang can''t come to ask for help.


    She seems to realize that Chen Cang has something to say!


    Chen Cang nodded: "well, there''s a little problem."


    "I can''t rule out whether he is infected with HIV now, so... You ask the nurse to pay attention. Of course, he was also punctured."


    After hearing this, the head nurse frowned slightly and nodded.


    In fact, many times, the risk of nurses is greater than that of doctors.


    After all, daily infusion and injection treatment need nurses to do.


    Most of the time, the doctor will give the doctor''s order at most. If there is no operation, the risk is not so great.


    So sometimes nurses are really at high risk.


    This requires that there must be a good communication between doctors and responsible nurses, otherwise... There are really not a few people whose hands are punctured by blood drawing needles of infusion sets.


    Many protective measures and awareness must be improved.


    After settling down with the nurse, Chen Cang got up and walked to the boy.


    He couldn''t help asking, "do you have a history of unclean students?"


    The man stopped at once.


    Looking at Chen Cang, after a moment of silence, he shook his head: "No."


    Chen Cang nodded.


    Believe it or not, wait for the inspection results. Anyway, the inspection results won''t lie.


    General lymphadenopathy is rare in Chen Cang, but... Most of them are dangerous. Most of them are caused by infection.


    But the patient, student, 19 years old, how can you be infected?


    Therefore, the following considerations are: lymphatic tuberculosis, leukemia, malignant tumor, and... AIDS!


    In addition to these clinical situations, Chen Cang can''t think of any other possibilities.


    When Chen Cang first heard about the patient in the operating room, Chen Cang, like most people, was ignorant.


    After all, even a bunch of diseases must have a cause, right?


    Or must there be a major symptom?


    That is, the so-called principal complaint.


    In fact, the seemingly simple main complaint, like the patient just now, what do you think will be accommodation?


    Whole body pain?


    Epilepsy?


    Or something else?


    Can''t be the main clue.


    Chen Cang directly grasped the key link in the middle - systemic lymphadenopathy.


    Chen Cang thinks this is a clue.


    After blood was drawn, the patient was temporarily sent to the ward, and the examination needs to be further improved.


    Sometimes, for such difficult and miscellaneous diseases, we must have a clear idea of regulations and know how to deal with them.


    It will take some time to wait for the inspection results.


    At this time, the patient had just arrived at the radiology department and was lying in bed for a short time. He had a sudden seizure again.


    At this time, the bed has not been sent to the instrument, and the patient directly convulsed and fell to the ground!


    Huang Binhai''s face changed. Ignoring the examination, he directly sent the patient to the rescue room for antiepileptic sedation treatment.


    When Chen Cang arrived, the patient had fallen asleep.


    But blood oozed from the corners of the mouth.


    When Huang Binhai was about to open his mouth to see the situation, Chen Cang put on his gloves and said to Huang Binhai, "I''ll come!"


    While talking, Chen Cang opened his mouth. Even if the treatment was timely, he still bit his tongue.


    The patient''s parents were nervous when they learned that the child was ill again.


    Now the cause of epilepsy remains to be found.


    Chen Cang frowned: "continue to push it for examination, but... This time for MRI, just look at what''s going on. You can take care of it."


    Now the reason is unknown, there is no way to start treatment.


    Rescue means can only be treated symptomatically.


    In this way, although the symptoms of patients seem to be effectively suppressed in a short time, in the long run, the cause must be found.


    How can a 19-year-old patient have such a disease?


    There must be a cause!


    Huang Binhai nodded. After the patient was stable, he took him to the radiology department again.


    This time, Huang Binhai personally watched the man enter the machine, which was relieved.


    When the family saw Chen Cang coming out at this time, they asked nervously.


    "Professor Chen... What happened? What happened to my son?"


    Chen Cang shook his head: "it''s hard to be sure now. No inspection results have come out."


    "But... I think you should be prepared!"


    In a word, let the patient''s family not calm down!


    Be prepared. If all these words come out, can it be simple?


    When the family heard this, the first reaction must be disbelief!


    "Doctor, is there a mistake? The child is only 19 years old. You have to be mentally prepared for any disease!"


    "Yes, doctor, don''t scare us!"


    Chen Cang shook his head: "I didn''t scare you. I just tell you the truth. So far, all the patients with systemic lymphadenopathy I have seen are at high risk."


    "Moreover... The patient is also accompanied by intracranial lesions, which is the most critical."


    Chen Cang is now suspected of multiple organ metastasis of malignant tumor!


    Because only this situation can explain the patient''s performance clearly.


    Whole body pain, can it be cancer pain?


    Epilepsy, can it be because of the abnormal intracranial discharge caused by brain metastasis of tumor to induce epilepsy?


    Can''t rule it out!


    There are also patients with headache, general fatigue and decreased resistance


    Wait, all the inducing factors made Chen Cang have to think of this problem.


    The possibility of lymphatic tuberculosis is relatively low.


    Because lymphotuberculosis does not cause seizures.


    Diagnosis, that''s it. Every condition is a clue.


    As a doctor, you must be patient and careful.