Chen Cang looked at the young man with a smile.
Then I took a look at the young doctors and interns, regular students, graduate students and doctoral students around me.
He said lightly, "if you have any questions, please ask them! Don''t be afraid."
With that, Chen Cang explained: "in fact, this question is very high-level and valuable, because the problem of significant reduction of leukocytes confused me at the beginning!"
"But!"
"We need to consider several problems according to our circumstances. First, there is infection in the patient, leading to leukocyte decline. Second! AIDS has already caused myelosuppression."
Hearing this, everyone suddenly realized.
Contact the patient, we all have a feeling of sudden enlightenment!
Chen Cang continued, "OK, now follow my ideas!"
"Since AIDS cannot be ruled out, we continue to see the disease. Now we will see the doctor with AIDS and malignant tumors.
Now the results of the patient''s head MRI show that there are multiple low-density shadows. What should we consider at this time? Tumors? That''s right! Tumors should be considered at this time. "
"But is there any other possibility?" Chen Cang asked.
The doctors around didn''t speak.
But the students spoke enthusiastically.
"It could be a parasite!"
"It may be bleeding!"
"It may be intracranial infection and calcification!"
……
After Chen Cang''s advice, the train of thought opened in an instant.
Chen Cang nodded: "well, the idea is open. Let''s see. At this time, I found that these low-density shadows on the MRI film may transfer, so... It may not be parasites?"
"Then we have to contact the patient''s condition. If the patient''s tumor, may it be a parasite? It''s not realistic!"
"But... If the patient is AIDS?"
Chen Cang stared at the crowd and asked, "what do you think of parasites and AIDS?"
Suddenly!
The whole audience is boiling!
"I see!"
"Awesome! Suddenly, Professor Chen is so awesome!"
"Yes, I can think of it!"
Several directors were filled with emotion.
But the students are still confused!
Zhao Furun couldn''t help but say, "just now Professor Chen asked his family if they have a cat. In fact, Professor Chen has guessed that the patient may be a parasite."
"And cats, parasites, AIDS... These clues together, the answer is coming out!"
Toxoplasma gondii joint AIDS infected patients!
"Because after the occurrence of AIDS, the HIV virus will reduce the immunity of the patients, kill a large number of T lymphocytes, and the virus will start attacking the brain. At this time, there is a parasite which is easily infected with the Toxoplasma gondii."
"This parasite is mainly parasitic on cats. After the human body barrier disappears, it will take the opportunity to capture the human body!"
"Basically, if Toxoplasma gondii is found in the head, it basically means AIDS."
"I believe this is also the reason why Professor Chen suspects that the HIV test results are wrong."
"If so, it''s really... Incredible! It''s incredible!"
After Zhao Furun dredged the follow-up results, Chen Cang nodded: "yes, this is my idea!"
Just then, the nurse hurried in!
Ignoring the greeting, he pushed the door in and said loudly, "Professor Chen, Professor Chen! The pathology department came out. The result is Toxoplasma gondii, and the intracranial is Toxoplasma gondii!"
Once you say that!
Suddenly the room was quiet!
I''m Cao!
All right?
Sure enough, the diagnosis was right!
That''s too strong!
Everyone looked at Chen Cang in disbelief, full of excitement and excitement.
The students had a fanatical look in their eyes.
Too strong!
Sometimes, it''s too difficult to smooth out such a complex group of signs and conditions!
But Chen Cang always seems to find that line!
This makes people really jealous.
This is real talent!
These students look at Chen Cang with envy and longing, which is their respect for the strong.
But
This is just the beginning!
Clinical practice is not a performance, nor is it an examination.
If you diagnose the disease clearly, maybe this is just the beginning!
Because the next treatment is the most complex.
The patient''s parents rushed over.
"Professor Chen... Child... What should I do?"
After a long hesitation, Chen Cang sighed.
He really has no confidence!
The patient''s situation is not optimistic.
Up to now, it''s time for the oil to run out and the lamp to dry up.
Chen Cang said, "it''s hard to say. Let''s see it while treating. No one can be sure."
Hearing this sentence, my parents are helpless now!
Today is a painful struggle for them.
The malignant tumor at the beginning made them collapse!
But
By contrast, AIDS is even more difficult for them to speak out.
Man is a social creature.
How does a family member of AIDS say to a parent?
"Professor Chen, we want to check whether we are infected, can we?"
Chen Cang nodded: "well, check it, just in case."
Here, Chen Cang and his family entered the patient''s room.
After I came in, my parents looked very complicated.
But
Chen Cang obviously felt that they were a step farther from the child than just now.
Although he approached again soon.
But
It''s really so obvious.
Chen Cang looked at the man and continued to ask, "we already know your situation. It''s dangerous."
"The results showed that the acquired immunodeficiency syndrome was referred to as AIDS."
Hearing this, the man suddenly changed his face and turned over!
"No... no... it''s impossible! I must have had a bad rest recently!"
"Don''t lie to me, will you?"
The man be frightened and change color. Obviously, the three words of AIDS frighten the boy.
Let him lose his mind in an instant!
It''s impossible!
"Doctor, you must have made a wrong diagnosis, right? It must be so!"
"Mom and Dad, I really don''t!"
The boy was hysterical. Fortunately, he was the only patient in the ward.
But
Even so, it still doesn''t help!
Chen Cang continued to ask, "so at the beginning, I asked you if you had a history of metallurgical travel, and you denied it."
The boy couldn''t help saying, "I must have got sick while swimming or taking a bath, or I didn''t... I really didn''t..."
The man is still denying it.
But
Chen Cang doesn''t care anymore.
These are not important.
Yeyou history is only a basis for diagnosing sexually transmitted diseases. Now it has been diagnosed. Chen Cang has no interest in men''s private life.
As for what men call AIDS, it is a disease in the hotel bathing.
Chen Cang couldn''t help laughing.
This kind of lying to children is just a joke in the doctor''s ears.