Chapter 972: The child whose voice was taken away? The truth about the disease!
If it is a brainstem tumor, then the patient's current situation is not so simple.
There are often other accompanying symptoms.
For example, crossed paralysis... including ipsilateral cranial nerve damage, contralateral limb sensory and motor disorders, etc.
Moreover, in this case, a neurological examination can generally elicit a positive result.
However, the patient's nervous system is not abnormal.
So... this is a simple primary lesion?
In other words, the pharyngeal reflex is reduced!
Xu Qiu lived the patient's situation in his mind.
Unlike adults, although children cannot express accurately, their bodies are the most honest narrators.
As long as they can understand body language, doctors can filter out more accurate information from it!
"Intermittent tinnitus is clear.
Secondly, it is very resistant to dressing and undressing... What does this mean?
The inability to hold a toothbrush should be related to diseases such as muscle tension, but the patient's grasping ability is not a problem. Is it really a mental illness?
As for vomiting, it is very likely that it is simply a weakened pharyngeal reflex. How it is caused is not yet clear."
Xu Qiu frowned, and his mind kept replaying the postures of dressing and undressing and holding a toothbrush.
The next moment, he suddenly raised his head, with a hint of surprise in his expression.
"Is it because of the shrug?"
When this thought came to him, Xu Qiu could no longer suppress it.
Shrug?
The pediatrician and Chen Jia looked at each other and saw the confusion in each other's eyes.
"What does shrug mean..." Chen Jia was a little confused.
"I don't know." The pediatrician was also a little confused.
Chen Jia snorted and said, "You are not as good as our Director Xu Qiu."
"You can say this to the director of your emergency department." The chief doctor of pediatrics did not feel offended.
Compared with Xu Qiu, is he worthy?
The director of his own department did not dare to say that he would compete with Xu Qiu, and he had no temper at all.
"But I understand what Director Xu means. To dress and undress and brush teeth, you have to shrug your shoulders... Well, maybe the child can't hold the toothbrush because he can't shrug his shoulders and brush his teeth?"
After that, the pediatrician shook his head again and said, "It's just my guess, and I can't guarantee its accuracy."
...
"Go to the ward and have a look."
At this time, Xu Qiu seemed to have figured it out all of a sudden, and hurried back to the ward.
The pediatrician's idea was correct.
At least, it was completely consistent with Xu Qiu's idea.
All the actions of children are external manifestations of the disease.
They don't know how to hide, and if they feel uncomfortable, they will follow their instincts to make corresponding actions.
And the inability to shrug can just make the patient unable to dress and undress, let alone brush his teeth.
Now, he has to make the last confirmation!
While talking, Xu Qiu has already arrived in the ward.
He glanced at Jia Jia on the bed, shone the pupils and throat with the examination light, and finally said: "Are you feeling uncomfortable now?"
Hearing this, Chen Jia and the pediatrician were both stunned.
In fact, the patient's condition was very bad and her mind was very confused.
Therefore, the doctor basically did not ask her any questions, and all the symptoms were relayed by Jia Jia's mother.
As for the various symptoms, they were recorded by the family members' oral statements and the doctor's observations.
Xu Qiu came to ask the patient again, what was the purpose?
Both of them had a flash of doubt in their minds.
However, this confusion disappeared after a few seconds.
The little girl on the bed struggled for a while and coughed a few times.
Her voice seemed a little hoarse, and she sounded like an old lady in her sixties or seventies.
At this moment, Chen Jia and the pediatrician widened their eyes in astonishment.
This voice is not right!
The family members were also distressed, wiping their tears and said: "Her voice is so hoarse... Doctor Xu, you must save my daughter!"
"Is there anything else that is uncomfortable?" At this time, Xu Qiu asked again.
The girl finally spoke, her voice was very hoarse, her throat kept rolling, and in the end she only made a hoarse sound, and she couldn't say a word.
"Don't want to talk?" Chen Jia was a little confused.
But the pediatrician next to him widened his eyes instantly, breathing a little faster, and said: "She is... really hoarse?!"
Hoarse vocal cords?
Chen Jia was also shocked... Children don't have so many twists and turns. They don't want to talk, sometimes they really can't talk!
"What does this mean?" Chen Jia's mood suddenly became nervous.
The excitement on the pediatrician's face quickly faded, and he said lightly: "I don't know..."
The patient's condition is still very complicated. The various systems seem to have no connection. Can this be related to a disease?
But Xu Qiu already had the answer at this time.
He looked at Chen Jia and said: "Go and arrange for an emergency blood and blood gas.
In addition, do a fiber otoscope and a temporal bone mastoid CT examination."
Chen Jia hurriedly wrote it down.
But his brows also frowned... These examinations all point to the ear canal. Emergency blood is a routine examination, and blood gas is often prepared for comatose patients...
What does it have to do with the child's illness?
The pediatrician was also a little confused.
Based on Xu Qiu's examination, he could guess that it was an ear canal disease.
But he just couldn't think of any other disease that could cause such complicated symptoms...
...
...
Tiandu at this time.
Inside the auditorium of Union Hospital.
The whole venue was unusually quiet, with only the sound of contestants clacking.
Needles, needle holders and alloy instruments kept colliding.
Many contestants stared with their eyes wide open, concentrating on suturing.
Kessler suture is not the most difficult method.
Even in tendon suture, there are many methods that can surpass it.
For example, the double-needle intratendon suture method, which is comparable to Chen's pancreatic suture.
However, the abnormality of this test is not Kessler suture.
It is to complete a hundred continuous sutures within fifty minutes!
Each stitch must be controlled within thirty seconds.
Moreover, the shape of the wound may be strange, but there must be no stagnation during the period!
This is a great challenge for any doctor!
Click--
Just then, a doctor's suture came out from the edge of the wound.
Seeing this, the examiner immediately wrote a number on the sign and then raised the sign.
"31" was written in black on a red background.
This is already a very impressive result.
Being able to complete thirty stitches already shows that he has made great achievements in the field of suturing.
It was at this time that the second, third... one after another contestant ended the competition early.
This is also in line with expectations.
Although these people are elite doctors selected from various provinces, they also have a limit.
The average level is about thirty or forty stitches.
At this point, most people should have been eliminated.
After the first batch of people finished the assessment, five or six minutes later, the second batch of people began to fail intensively again.
This time it was about forty-five stitches.
The third batch of people who failed intensively was fifty-five stitches.
After this, those who remained on the field basically completely opened up the gap with others.
At this time, the scene also changed dramatically.
