My medical skills add experience

Chapter 42 Beware of Misdiagnosis
"Hmph! When I was studying for a Ph. D. abroad, I had an internship in a very high-ranked medical center in the United States, and it was not as bad as you said. After the fainting pregnant woman is cured, I will prove that it is not just a theory. When the time comes You must apologize to me too."

Du Leng claimed to be a top medical genius, but Zhou Can said in public that he was talking on paper.

How could he stand it.

Just use this pregnant woman to prove your diagnostic ability.

What's more, Zhou Can should apologize to him in public.

Zhou Can grinned with an unpredictable and profound smile.

"Okay, no problem! I just have to remind Dr. Du that misdiagnosis is the scariest thing!"

Du Leng's face turned from blue to red, and his breathing also became heavy.

"What do you mean? That my diagnosis of this pregnant woman was a misdiagnosis?"

Anyone can feel that Du Leng is extremely angry.

Doctors are most afraid of hearing the word misdiagnosis.

Once a misdiagnosis occurs, it will be slapped in the face at least, and it will lead to medical accidents at worst.

It's no wonder that Du Leng would jump after hearing this.

Director Xie was also furious when he saw that the newly erected surgical signboard was about to be smashed.

"Director Lou, your doctor is really arrogant. Director Shen Neiyin and Du Leng of our surgery department both diagnosed the cause of the patient's fainting as an intracranial aneurysm compressing the brainstem. He came here casually and said that our joint consultation Opinions are wrong."

Director Xie held his own identity and directly protested to Director Lou.

This is for Director Lou to teach Zhou Can a lesson.

By the way, Director Yin was also drawn into his camp.

"Young man, although you got No.1 in the regular training exam, you must be humble. The cases I have diagnosed are ten thousand times better than yours. You have only worked for a few days? Don't be too superficial. Otherwise, you will lose yourself It also lost the face of the emergency department."

Director Yin was also a little angry.

There is no falsehood under the reputation.

His authority in the field of internal medicine has already been challenged by Du Leng once.Now a small undergraduate student, who is still a regular doctor who has only been working for two days, dares to refute his diagnosis opinion.

This wind must not rise.

Director Lou faced the protests of the two big bosses at the same time, and he was under a lot of pressure.

"Xiao Zhou, be strict with your words!"

He reprimanded Zhou Can without pain, which was an explanation to the two directors.

Zhou Can didn't say anything more, the facts speak louder than words.

As long as the real cause of the disease is found, whether it is Director Yin or Du Leng, they all have to bow their heads.

He dared to remind Du Leng to be careful about misdiagnosis, but he already had some confidence.

The lesions are also sometimes camouflaged.

For example, it is often joked that headaches and feet are treated.According to normal logic, for headaches, the lesion must be in the head.In fact, the lesion may really be on the foot.

Eye diseases caused by heat foot disease can lead to headache symptoms.

If you meet a quack doctor and prescribe a prescription for headache, it will definitely not work.

The pregnant woman's fainting may indeed be caused by a hemangioma in the head, but the real cause may not be the hemangioma.

Zhou Can felt that the sudden increase in the blood pressure of the pregnant woman was very strange.

It is likely that this is the real cause.

As for the head hemangioma, it was just an appearance.

If the treatment of a disease only treats the appearance, it is like whack-a-mole. After you hit one, another one pops up again.

There are many examples of this.

Many patients had only one disease when they were first admitted to the hospital, and the result became worse as they were treated.From one disease, five or six diseases are cured, which is called a complication in medicine.

Some complications may indeed be unavoidable, and some so-called complications are purely caused by doctors' wrong treatment.

Zhou Can bowed his head in thought.

The pregnant woman has been pregnant for nearly six months, and her blood pressure has been well controlled, and nothing happened.

Why did my blood pressure suddenly rise?

It is said that a long illness makes a good doctor.

The pregnant woman has a history of high blood pressure for more than 15 years, and she may be no worse than a professional doctor on how to control blood pressure.

It can be inferred from this that low-level mistakes such as forgetting to take antihypertensive drugs and excessive behaviors that raise blood pressure can basically be ruled out.

What's more, she regards the child in her stomach as more important than life, so she will definitely be more careful.

She fell ill suddenly in a taxi.

It means that she didn't notice the abnormality before she went out, otherwise she would not take a taxi, but an ambulance.

But what danger can there be in taking a taxi?Even if the driver slammed on the brakes ten times in a row, it would not cause her blood pressure to rise out of control.

Judging by her dress, she is very intellectual and elegant, and her face is also very kind. The possibility of quarreling with the driver and causing blood pressure to rise is also very small.

Since all the above are ruled out, let's make a bold guess, could it be because she ate something she shouldn't have before going out?
Such as taking the wrong medicine.

This possibility is very high.

Because she painted her eyebrows in such a mess before going out, but she didn't notice it, it was enough to show that she had a problem with her eyesight at that time.

Habitually taking antihypertensive drugs before going out, resulting in vision problems, leading to taking the wrong medicine.

After taking it, go out in a hurry.

The drug enters the stomach, dissolves over time, is absorbed by the body, and causes an increase in blood pressure.

From taking the medicine to onset, it takes about 10 minutes.

The timing of the onset was just right.

"Yes, it must be so!"

Zhou Can's eyes became brighter and firmer.

Clear the clouds and see the sun.

He deduced the reason why the pregnant woman's blood pressure suddenly rose and became out of control.

The next step is the evidence from the medical test data.

You can't just rely on guesswork for anything, right?There has to be a scientific basis.

What medicine did she take wrongly?

There are many drugs that can increase blood pressure.

Look at her blood test report, maybe you can find some clues.

Because the pregnant woman is now in a coma and cannot communicate.

If you want to find the ultimate cause, you must rely on a doctor to diagnose and dialectically.

Zhou Can walked to the locker, picked up the patient's examination results on it, and checked it.

This move immediately attracted everyone's attention.

Several senior doctors in the emergency department looked at Zhou Can with admiration.

It is a good thing that young doctors love to learn.

Only by seeing more and thinking more can we improve the level of diagnosis.

"Doctor Zhou seems to have different diagnostic opinions!" Gao Jian came over with a smile and took the initiative to talk.

Others look down on Zhou Can as an undergraduate, but Gao Jian thinks that Zhou Can has real talents and learning.

After coming to the emergency room, Gao Jian has been thinking about the cause of the pregnant woman.

I want to win back a round in the contest with Zhou Can.

But he didn't have a clue.

Now Zhou Can suddenly took the test results to check, which made Gao Jian feel bad.

"I just have a learning attitude, just take a look."

After Zhou Can picked up the blood test report of the pregnant woman and read it, he was a little disappointed.

This is just a routine blood test report.

To find out the drug ingredients in the patient's blood, blood must be collected and sent to a specialist laboratory.

At this time, the pregnant woman pushed back after finishing the head color Doppler ultrasound.

Du Leng couldn't wait to have a color ultrasound examination.

"That's right, the intracranial aneurysm is pressing on the brainstem." Du Leng looked extremely excited.

It's just not screaming.

I can't wait to announce to the world that his diagnosis is correct.

(End of this chapter)