After reading the medical records for a long time, the few young doctors only understood the general information. They were not sure, so they called Chen Xia to help explain.

Chen Xia took the medical record and explained it one by one to the lines above.

"Come on, let's take a look at the main complaint of the Second Hospital: the patient is a young man, 20 years old, has a healthy body, is thin, has weak limbs for 2 weeks, and has been admitted to the hospital for 4 days of mental abnormality. What can you tell from this main complaint?"

Wu Shaochen: "Limb weakness for 2 weeks. Does this suggest muscle weakness caused by various myopathies?"

Mo Yongfang: "Will mental abnormalities cause mental illness caused by love breakup? Or hysteria cannot be ruled out."

Chen Xia knocked his head alone, "Idiot, the previous pathological signs are positive, plus weakness in the limbs and mental abnormalities. Of course, first considering the abnormality of the central nervous system. Is it so simple and cannot be distinguished?"

Mo Yongfang was quite stubborn, "Old Chen, I'm not convinced. You can tell me in detail, see if I can convince us."

"Come on, I'll sort it out with you one by one,

The patient had subacute onset, and the course of the disease progressed. The symptoms ranged from 2 weeks of limb weakness to epilepsy attacks 4 days ago, to mental disorders, recent emotional problems in personal history, physical examinations showed consciousness disorders, advanced functional disorders, horizontal nystagmus, and positive pyramidal tract signs. Is this the overall situation?

Let’s pick the words again. After 2 weeks, the symptoms of limb fatigue gradually worsened after 2 weeks of inducing. Four days ago, there were convulsions, foaming on the mouth, eyelids rolling up, limb twitching, incontinence, positive horizontal nystagmus, bilateral pathological signs (+), meningeal irritation (-).

Did you see something?"

Wu Shaochen suddenly realized: "Oh~~~ I can see that the disease is indeed more likely to be in the brain."

Chen Xia nodded, "Based on the main positive symptoms, the lesion can basically be located from the spread of bilateral cerebral white matter to the cortex, affecting the vestibular center, which is a diffuse multifocal disease."

Mo Yongfang couldn't do anything to see a doctor, but he was the best at flattery and immediately gave him a thumbs up, "High, it's indeed high."

"Get out, do you think it's "Tunnel Warfare", are you the commander of the puppet army?"

Hahaha~~~~~

"Be careful, be serious, be careful when you are being complained about. Gu Weigra, the eldest brother of B society, will not let you go."

Hahaha~~~~~

Everyone covered their mouths and covered their faces with medical records. They wanted to laugh but dared not laugh, and it was very hard to hold them in.

Lin Jianjiang and Cao Liping stood beside each other, followed him with awkward smile, and began to admire Chen Xia in his heart.

As a qualified "old wet", although he was a little salty at the time, he had been a bachelor's degree for 5 years, studied for three years, and worked in the emergency department and surgery department for many years. His foundation was always there, and it was still easy to deal with a few young people.

"Smile, come on, let me test you, horizontal nystagmus, where is the lesion considered?"

Several young doctors looked confused, and the smarter ones had already taken a step back.

"Idiot, the lesion is in the brainstem. Come on, let's test you again. What do you suggest when the bilateral pathological signs are positive? Mo Yongfang, you don't need to retreat again. You can answer."

Mo Yongfang looked bitter: "Old Chen, the question you asked is too difficult. Can it be simpler?"

"Hehe, it's simple, okay, then I'll ask you again, clinically, what three categories can myasthenia be divided into according to the anatomical part of the lesion?"

"I know this, it is divided into central paralysis of upper motor neurons, peripheral paralysis of lower motor neurons, and myopathic paralysis."

"Then tell me the characteristics of motor neuron paralysis?"

"Damn, Chen Laoshi, it's easy for you to have no friends like this. Oh, can you not ask so many questions? I, I..."

"My nonsense, Gonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggonggong

Everyone just breathed a sigh of relief and looked at Mo Yongfang sympathetically. Suddenly, Chen Xia pointed at Wang Jinfa and asked: "It's just you, let's answer."

Wang Jinfa held it in for a long time and said one sentence: "I'll go buy popsicles."

Now everyone couldn't help it anymore, and almost laughed out loud, and could only cover their faces with their hands.

Chen Xia stopped talking, and he still had to teach what he should teach. These little fans may become business backbones and even directors of various departments in the future, and then he can become Chen Xia's direct descendants.

In the hospital, it is not normal to have no gangs or factions. There are people in the world. Since Chen Xianyu has been reborn, he can't continue to be lazy like he did in his previous life, right? Otherwise, this novel would not be well written.

"In fact, for this patient, we can use the SHMITT principle to diagnose and differential diagnosis."

When everyone saw that Section Chief Chen was about to teach formally, they took out paper and pens, and some of the medical knowledge he said was not something that could be learned in books.

For example, they have never heard of the SHMITT principle method. They think it must be created by Chen Laoshi. While admiring it, they also want to study hard.

"S vascular disease: the onset is rapid, the progress is rapid, and the lesions on one side are often changed, so this patient does not meet the conditions and can be ruled out;

H inheritance, M metabolic disease: the onset is slow and the course of the disease is long. It takes several years or even decades. This patient only has 2 weeks, so it is not in line with it;

Immunity in infection: The patient has no fever, and the blood is normal and does not meet the conditions;

T tumors and trauma: There is no headache or trauma history when the disease occurs, which is not consistent. Of course, vomiting after being drunk does not count;

T poisoning: The patient has a subacute disease, characterized by eye symptoms, ataxia, and mental disorders. So, guess, does Wernik's encephalopathy caused by alcohol feel like? The patient has no respiratory and circulatory symptoms, so does the drug's chronic poisoning look like?

Other systemic diseases: Is it possible for hysteria, psychosis, etc.? However, the pyramidal tract signs of these diseases will not be positive, so they do not meet the requirements.

So through this SHMITT principle, without the assistance of the inspection report, we can actually judge a general situation, which will also help us to be targeted when checking, rather than looking for needles in a haystack, touching an elephant in a blind man, and missing the best chance of rescue and treatment."

After talking for a long time, Chen Xia was a little thirsty. Nurse Lin Xingchen was very sensible and handed over the thermos cup and looked at him with admiration.

This made Lin Jianjiang and Cao Liping's glasses shattered all over the floor again.

After all, they graduated from high school, but they are the youngest employees in the unit. They usually do chores and do small workers for the masters. They usually don’t dare to do anything when they go to work.

Looking at Chen Xia, she hadn't finished high school, and probably went to the hospital after taking over his father's job. Two years later, she transformed herself into a completely old man, and even someone handed over a cup for drinking water.
Chapter completed!