I Can See Health

   Chapter 570 Sudden hemianopia

   Originally it was a twenty-minute journey, but Lu Chen arrived at the ward in the first district of his heart in less than ten minutes.

In the    department, in addition to the doctor on duty, Xiao Shikang and Qin Sifeng are all there.

   "Mr. Xiao, Teacher Qin, what happened to the patient?" Lu Chen put on a white coat and came to the doctor's office.

   "Since you are here, let's go see the patient together." Qin Sifeng's face was quite serious.

   "Okay." Lu Chen nodded slightly.

   So, he followed Xiao Shikang and Qin Sifeng to the ward of the "big relationship".

   in the ward.

  The woman is lying on the hospital bed with her eyes closed.

   In addition to the "big relationship", there is another young woman who looks a bit like the patient, and the two should be in a mother-daughter relationship.

   "Professor Qin, Director Xiao, you are here." The young woman immediately stood up when she saw the three of them entering the room. .

   The woman on the hospital bed also slowly opened her eyes.

   It's just that her current state of expression was completely different from when she saw Lu Chen in the afternoon, and she didn't seem to have any energy.

   The HP on her head has also changed from 73(-) in the afternoon to 68(--) now!

   The changing trend of the two minus signs further confirms that her condition is not optimistic.

   "Professor Qin, I, I still can't see on the right side..." The woman said extremely weakly.

  Lu Chen was stunned when he heard this, can't see on the right?

What does it mean?

At this time, Xiao Shikang whispered to Lu Chen: "The patient was sleeping at home at night, and the headache suddenly aggravated, followed by hemianopia and impaired vision on the right side. Because this patient is relatively special, we think that you are the doctor in charge of the bed. So I called you over."

  Lu Chen was amazed, could it really be a stroke?

   Or is the intracranial tumor aggravated?

  Lu Chen thought this was too dramatic.

   He has been worried about the other two patients, but he did not expect that there was a problem with this "big relationship"!

   He immediately stepped forward and began to conduct a more detailed inquiries and neurological examinations for the woman.

   Seeing that it was Lu Chen, the patient on the bed was also very cooperative at this time, "Doctor Lu, you are here."

   "When did the vision loss occur?" Lu Chen asked.

"Around nine o'clock at night, but my migraine has been attacking for half an hour." The woman said, "I took painkillers and was going to sleep, but the painkillers didn't work, the pain got worse, and after a while, I felt my eyes I can't see anything."

At this time, the patient's daughter explained: "How can I put it, my mother can't see it at all, or I stand on her right side, and she can't see it at all, even if her eyes are wide open, she just can't see it. I, can't see me unless I turn my head and let my eyes look straight at me."

   "Then after a few minutes, my mother felt that her left hand felt abnormal, but she couldn't feel her left hand moving. She clearly saw that this hand was her, but she didn't feel it, and it didn't hurt to pinch hard."

   Hearing this, Lu Chen's mood instantly hit rock bottom.

   There is a greater chance of such typical symptoms of hemianopia, limb sensory disturbance, stroke, or intracranial tumor!

At this time, the woman said again: "Doctor Lu, do you think I really have a brain tumor? I went online on Baidu. The most common type of brain tumor is glioma, and many gliomas are disgusting. , the mortality rate is still high. The most common are headache, nausea, and many people also affect limb sensation, movement, and even loss of vision."

The more she spoke, the more the woman's voice trembled.

   These symptoms are all exactly right!

  Lu Chen couldn't guarantee anything, so he could only comfort him a few words.

   At this time, Xiao Shikang said on the side: "We have invited an emergency neurology consultation. We cannot rule out the possibility of cerebral hemorrhage, cerebral infarction, and craniocerebral tumor for the time being. It is recommended to improve cranial CT and DWI in the emergency."

  The duration of ordinary cranial MRI examination is very long, and the patient may not be able to complete it.

   Therefore, in general emergency MRI examinations, DWI examinations are performed. The time is short, and it can be completed in about five minutes, but the results may be inaccurate.

   "Mr. Xiao, I'm a bed doctor, I'll accompany her." Lu Chen said.

  According to common sense, this should be accompanied by the doctor on duty.

   However, there was a trace of guilt in Lu Chen's heart. The occurrence of such a problem in a "big relationship" has something to do with his failure to correctly assess the patient's condition.

   But to be honest, he never thought that a woman in her 40s could have a stroke...

   out of the ward.

   "In five minutes, when the MRI side is ready, you can take the patient out for an examination." Xiao Shikang said to Lu Chen next to him.

   "Mr. Xiao, Teacher Qin, this patient is my responsibility." Lu Chen said.

   This is the first time that Lu Chen has experienced such an unexpected change in his condition since he came to clinical work.

  The most important thing is that Lu Chen told the patient yesterday that the possibility of a stroke is not high...

  A doctor must not only diagnose and treat patients properly, but also correctly judge the condition and prognosis. This is also a very important point.

Qin Sifeng came to Lu Chen's side and patted his shoulder lightly, "Don't blame yourself, I knew about her condition this morning, even I didn't expect that such a young patient would have a stroke and a brain tumor. the possibility of..."

  Lu Chen forced a smile, he knew that it was Qin Sifeng comforting him.

  Because the patient is a "big relationship", several deans and leaders in the hospital have called to express condolences.

   But it's getting late, and these leaders haven't come, but it is foreseeable that tomorrow morning, many leaders will come to say hello.

  …

   Five minutes later, Lu Chen and a nurse on duty took the patient and their family members to the CT room and the MRI room for examination.

   After the inspection, there are less than ten kinds, and the result is out.

  The woman was lying on the bed and turned her head to one side, not daring to see the final result. She said to her daughter, "Xiao Lan, look at it, and tell me after seeing the result."

   The patient's daughter took the two checklists, glanced at them, and a look of joy flashed in her eyes.

   "Mom, nothing happened, no cerebral hemorrhage or cerebral infarction! No brain tumor either!"

   Hearing this, the woman lying on the hospital bed mentioned the heart in her throat and finally fell to the ground!

  The rest of the life!

   The happiest thing in the world may be a false alarm.

   However, Lu Chen poured a ladle of cold water at this time, "CT and DWI in the emergency are not necessarily accurate, they need to be reviewed and observed. Because you have hemianopia and sensory impairment on one limb, there must be something wrong with your head!"

   The test results may be deceiving, but the patient's symptoms are real.

   Back to the ward.

   The doctor on duty called for another emergency consultation in the neurology department.

   The neurologist's statement is similar to that of Lu Chen.

"Cerebral hemorrhage, cerebral infarction and brain tumor are temporarily excluded. However, many small tumors cannot be seen by head CT and DWI. Tomorrow, the patient will have to complete MRI and MRA examinations, as well as a transcranial Doppler ultrasound. an examination."

   The results of the inspection are temporarily normal, which is a fortune in misfortune.

  Lu Chen, Xiao Shikang and Qin Sifeng explained a few words to the patient and left.

   It's just that Lu Chen still has doubts in his heart.

  If the results of ordinary MRI+MRA are normal tomorrow, what is the reason for the patient's hemianopia and limb sensory impairment?

  …

   Back to the bedroom, it was almost twelve o'clock in the evening.

   The roommates were all asleep, and Lu Chen carefully washed up before going to bed.

   Lying on the bed, he slowly closed his eyes.

   All the medical history information of the patient just now appeared in Lu Chen's mind.

   "Huh, I'm still careless."

  Lu Chen is reflecting on his diagnosis and treatment behavior. His previous clinical experience was so smooth that his judgment is now a bit arbitrary.

  Fortunately, there was no serious accident. If the patient does suffer from a stroke, as the doctor in charge, he would be dereliction of duty.

   On the other hand, the system's health value and changing trend also "deceived" him.

   This is not to say that the system is down.

   However, due to the rapid changes in the patient's condition, the temporary health value and change trend may not be able to keep up with the speed of the disease change.

   What's more, he couldn't keep an eye on the patient's health 24 hours a day.

   It is still necessary to maintain a reverence for life at all times, so as to avoid these neglects as much as possible.

   (end of this chapter)