The patient's illness was divided into three stages by Coent.

Relying on years of experience in practicing medicine, he vaguely felt that yellow fever would be a key point, so he entered the first stage alone. Then various hospital infections were divided into the second stage by him. When the soy sauce-colored pleural fluid appeared, the lesions began to transfer to important organs, and the third stage began.

"Is there any pleural hydration cultivation?" Qi Jing asked, "It should be caused by infection."

Before Coent's answer, Beth said: "I had done sputum culture before and it was confirmed that it was Klebsiella pneumoniae. Now this change in the color of the pleural fluid is present. I don't think it is an infection. Instead, it may be the cause of the entire course of the disease, and it may be a tumor."

There is no problem with this statement. Many tumors will be hidden in normal tissues at the beginning. But as the disease progresses, they will slowly appear. Coent also considered this before, and all of them had another systemic examination, with the focus on the lungs.

But the test results were only pneumonia.

"It is possible that the tumor is hidden in the pneumonia disease." Beth is still sticking to his point of view.

"There is no sign of tumors throughout the entire course of the disease. When the tumor cannot be detected repeatedly, you should not be on it." Coenter shook his head: "We did think of what Mr. Qi said about the combined infection and changed the direction of the examination. We did three consecutive pleural hydration cultures, but the bacteria were not detected in the first two times."

"Did you find it for the third time?" Qi Jing heard this answer and the first gear that knew his answer was buckled. "I guess it's Pseudomonas aeruginosa, a regular customer."

"It's pus aerugus again?" Xu Jiakang looked at him in surprise, a little unbelievable.

“It’s Pseudomonas aeruginosa.”

Coent took out two bacterial cultures, the first one was from urinary tract infection, and the second one was from the third pleural hydration culture. Both were exactly the same whether they were colonization formation or subsequent drug sensitivity reports, and they were clearly the same bacteria.

"No, I just solved it a month ago, why is it coming again?"

"Yes, the patient should already have its antibodies..."

Speaking of antibodies, several people remembered the previous situation of the vaccine failure. Because they followed Coenter's ideas and the amount of information was too large, they had never considered the vaccine. Now, seeing the results report on pleural hydration culture reminded these people of this key factor.

"The antibodies of the yellow fever vaccine have failed, and the antibodies of the influenza vaccine have also failed. Now is Pseudomonas aeruginosa?"

Previously, they thought that there was something wrong with the vaccine stimulating the production of antibodies. It may be that the vaccine itself has a problem, or it may be that the patient's immune system does not respond strong enough to stimulate antibodies.

However, Pseudomonas aeruginosa is a pathogenic bacteria that is likely to be infected later and has not been vaccinated. According to the normal immune process, antibodies must have been produced in the body for such a long course of infection, and the antibodies of aeruginosa have always been long-lasting.

Now the antibody has disappeared again...

After being affirmed by Coent, all Qi Jing's ideas were connected together, and even some of the subsequent course of the disease could be vaguely guessed.

The patient is like a small county town, with bandits everywhere outside the city. Fortunately, the officers and soldiers with the immune system are good at strength, and the calculations are successful everywhere. Every time a bandit nest is enforced, the immune system will lock the bandit leader in a death row and be supervised by a special antibody prisoner.

But now the problem lies with the prison guarding the bandit leader.

A month ago, a group of vicious bandits named "Penglu" were wiped out, and even used cannons to level the mountain village. The bandit leader was taken to death and sentenced to life. If he dared to escape, he would be beaten by the prison guard. It was originally quite harmonious, but who knew that a month later, the prison guard who was incarcerated died inexplicably. The fleeing bandit leader actually changed to a mountain and started another team.

It has no mutation or evolution, and it still has the original taste of the original formula.

Now the yamen discovered that it was not that he had not managed the county town well, but that there was something wrong with his prison. Looking back, he found that there were three prisoners who had already died in front of him.

"Something must have killed the prisoner, and the bandit leader took the opportunity to escape..."

Xu Jiakang looked at Qi Jing who was silently writing something, frowned: Here comes again, this inexplicable metaphor, I can't understand anything without any prior or post.

After the first gear was matched, Qi Jing began to head towards the second gear: "Teacher, have any neurological symptoms such as convulsions, muscle stiffness and spasms reappear in the third stage?"

"Now we are still talking about soy sauce-colored breast fluid, why are we asking about the third stage again?"

"Mr. Qi, should I put it in the third stage first and wait until the breast fluid is solved?" Beth's thinking became quick, but he still felt that this guy was too thrust and could no longer keep up.

"It's just an opportunity to cause pathogenic bacteria. Treatment is to follow the drug sensitivity, and there's nothing to discuss." Qi Jing explained, "Our team should not only have regular troops fighting head-on, but also have a field surprise attack force that penetrates directly behind enemy lines to destroy the opponent's command. When asking about the condition of the third stage, it's about looking for the command."

It was the first time Coenter met a young doctor who did not follow his thoughts, and he convinced him with vivid metaphors: "It did appear, how did you know?"

"I think this viral encephalitis is the key." The second gear is in place.

Coenter was very pleased that Qi Jing was able to think of viral encephalitis. After all, this encephalitis is the key protagonist in the third stage and often pops up from time to time.

But the seemingly reliable questions only appeared this time, and after that, a large number of questions began to deviate.

"Teacher, is the patient's skin a little dry?" Qi Jing lifted up his sleeve and pointed to the outside of his forearm and said, "Is there any keratinization of hair follicles on the surface of the skin?"

"Hair follicle keratinization..."

This was the first time Coent was asked about skin problems. He didn't care much about this situation after thinking about it for so many months. He thought about it for a while and picked up his cell phone and shot the emergency number of the hospital: "I'm Coent, let Jack listen to the phone."

"Hey, teacher, are you asking me for something?"

"Jack, look at d t's skin."

"Skin?" The young doctor on the other end of the phone didn't understand. "Is there anything wrong with his skin?"

"Look, are there any hair follicles... keratinization of hair follicles?"

After all, Coent is not a dermatologist. Although he has heard of some remote dermatologist terms, he doesn't know much about it. Qi Jing helped to supplement it in time: "The small papules with follicles have white dot-shaped keratinous tumours inside."

After he explained, the emergency doctor named Jack said, "Yes, there are still many on the arms. It turns out that this is called keratinization of hair follicles..."

After ending the skin problem, Qi Jing got the third gear and asked a question that jumped from the skin to the diet: "Did the patient eat by himself some time ago?"

"After correcting the urinary tract infection, the urinary catheter was removed. Although the patient's condition was not optimistic, he still had the ability to take care of himself. Previously, he used rehydration for maintenance treatment due to high fever, nausea and vomiting due to high fever, nausea and vomiting, but his body temperature was not too high after that. He insisted on eating his own."

Qi Jing's dietary questions made Coenter feel very strange, "We have checked the electrolytes and the situation is not bad, there is no problem."

"No, it's not an electrolyte, it's a vitamin."
Chapter completed!