"The wound isn't that big, and there's no intracranial bleeding. Does the patient have a history of high blood pressure, diabetes, or heart disease? Why is he unconscious?"

Huang Liyang and two others entered the emergency room and stood by to discuss.

The human body is very complex, and there are many causes of various diseases. For example, there are many factors that lead to a series of symptoms such as acute abdominal pain, headache, dizziness, and coma. However, most cases are within the clinical range. There are also cases where no cause can be found, after all, they are rare.

In modern medical clinical practice, the common causes of coma can usually be divided into two types. One is coma caused by intracranial lesions, the most common of which is epilepsy. In addition, cerebrovascular disease, cerebral hemorrhage, hypertensive encephalopathy, subarachnoid hemorrhage, viral encephalitis, meningitis, etc. can also cause coma.

The most common extracranial causes are diabetes, hypoglycemia, diabetic hyperosmolar coma, and heart disease. Severe arrhythmias, Asperger's syndrome, heart failure, and cardiogenic shock can also cause coma. Accidental physical injury, such as heatstroke, hypothermia, electric shock, altitude sickness, decompression sickness, acute poisoning, or severe infection, can also cause coma.

Based on the patient's condition, intracranial factors such as epilepsy can be ruled out. Intracranial examination also shows no signs of cerebral hemorrhage. Cerebral hemorrhage and subiris hemorrhage can also be ruled out. Judging from other examination results, viral encephalitis can also be ruled out. Extracranial causes such as hypoglycemia, diabetes, and heart disease can also be ruled out.

After eliminating all these factors, basically all the common clinical coma factors can be ruled out, but the patient is still unconscious. What's going on?

"What's going on?"

Gao Zhenxiang, director of the emergency department, walked in from outside.

"Director Gao."

Fan Jiangyuan and the other two hurriedly greeted them.

"What's the patient's condition?"

Gao Zhenxiang nodded to the three of them and asked directly about the patient's condition. He had just finished his work and heard that a patient with brain trauma and coma was sent there, so he came to check on him.

"Director Gao, the patient was hit by a teapot lid thrown from an upper building. He has a brain injury on the top of his head. It has been treated and the bleeding has stopped. We also just did a brain CT scan, which ruled out intracranial hemorrhage, but the patient remains comatose."

Fan Jiangyuan explained the situation in detail.

"Is there any concussion?" Gao Zhenxiang asked.

"According to the examination, there is a mild concussion, but the patient has been in a coma for forty minutes now and still shows no signs of waking up. It doesn't seem like a coma caused by concussion." Fan Jiangyuan said.

"Does the patient have a history of coma or other relevant medical history?"

Gao Zhenxiang asked while examining the patient in detail.

"No!" Fan Jiangyuan shook his head.

"We'll do another brain MRI and an EEG to further investigate the cause."

Gao Zhenxiang said.

"We've already done an EEG. I'll have an MRI done."

Fan Jiangyuan nodded and wrote another order for a brain MRI.

After the results came out, Gao Zhenxiang looked at the MRI examination results and found no obvious abnormalities.

After doing a CT scan, Gao Zhenxiang asked for an MRI to take into account factors such as cerebral infarction.

In terms of examination effect, MRI is better than CT in the qualitative examination of cerebral infarction, intracranial tumors and the examination of soft tissues, joints, ligaments, etc. throughout the body, while CT is better than MRI in the examination of cerebral hemorrhage and lung diseases.

Now there are no obvious abnormalities in the CT and MRI examinations, which is strange. It means that they still don’t understand the reason why the patient is in a coma.

"Director Gao, the patient's family just said that before the patient was brought to the hospital, a doctor at the community hospital examined him and said that he had a cold invading. Can we ask the Traditional Chinese Medicine Department to come and consult?"

Huang Liyang remembered what the patient's family had just said and mentioned it in passing.

They all subconsciously ignored this topic just now. Not to mention the cold weather, what about the community hospital?

Not to mention community hospitals, even among the top three hospitals, the only one in Xihua City that can be compared with their Xihua Hospital is Tanghua Hospital. Even so, Tanghua is only second, and their Xihua is first.

"Doctor Huang, do you take the judgment of the doctors in the community hospital seriously?"

Fan Jiangyuan couldn't help but retort.

“Not to mention community hospitals.”

Gao Zhenxiang thought for a moment and said, "Since we still can't determine the cause of the disease, let's ask someone from the Traditional Chinese Medicine Department to take a look."

Gao Zhenxiang added, "By the way, please notify the Department of Integrated Chinese and Western Medicine, the Department of Traditional Chinese Medicine, and the Department of Integrated Chinese and Western Medicine, and ask those with associate senior or higher qualifications to come. No small fry should come."

Huang Liyang and Lin Wenyun looked at each other. Little fry, are you talking about them?

......

Back in the clinic, Yun Heng continued to call out patients. Although he was worried about the patient he had just seen, once he got into the right state, Yun Heng could focus on it. He couldn't let the previous patient affect his state and be irresponsible to the next patient, right?

At 11:40, when they had almost finished seeing all the patients in the morning, Liang Wanming came again.

Liang Wanming entered the clinic without saying a word, watching Yun Heng treat the patient. Yun Heng just greeted Liang Wanming and continued to see patients.

After seeing the last patient, Liang Wanming smiled and asked, "I heard you prescribed a different Sijunzi Decoction a few days ago?"

"no the same?"

Yun Heng was stunned for a moment before he understood what Liang Wanming was talking about. He nodded and said, "Well, a few nights ago, a patient came in. You saw him before and prescribed Sijunzi Decoction..."

My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!