"But what? Don't leave your words halfway," Hua Chenan asked anxiously.
"There are many cases of baby's breath, including tuberculoma, steroid-responsive chronic lymphocytic inflammation with pontine perivascular enhancement, abscess, toxoplasmosis, fungal granuloma, low-grade astrocytoma, and cystic brain metastasis."
When Chen Xia announced the names of the diseases, several doctors on the scene were stunned. Many of the diseases had never been heard of.
But Chen Xia didn't finish his words, "The most likely diagnosis is brain cysticercosis."
Everyone couldn't help but swallow their saliva. Brain cysticercosis had not appeared in Zhijiang Province for many years, and those young doctors had never even encountered it.
Moreover, this disease is very difficult to diagnose, and often requires an autopsy to confirm the diagnosis. Could it be that CT has such a magical effect?
Dean Gu asked, "Chen Xia, are you sure?"
Chen Xia shook his head like a rattle. "How can I confirm that? I still need to ask the patient's medical history and do a physical examination. Oh, and I have to call my master over, because we can't rule out the possibility that it's an infectious disease."
After all, he was just a surgeon in his previous life. Although he had learned about every disease when he was studying or taking the professional qualification exam, and he also read books on it, he had never seen it with his own eyes, so he couldn't be sure.
At this time, the advantage of multi-disciplinary consultation is reflected, and everyone can work together.
After hearing what Chen Xia said, Dean Gu felt relieved.
"Let's go and call Lao Ren over right away. We'll go to the ward right now and thoroughly examine the patient's condition and perform a physical examination. Also, let me emphasize again that this patient is the first referral from Yuezhou People's Hospital. We must succeed, not fail."
Everyone was under a lot of pressure, but the pressure was not on Chen Xia. He was from the General Affairs Department and was just there to make up the numbers.
Could it be that if the patient is cured, he can also send a banner to the General Affairs Department, saying something like "Miraculous doctor brings back the dead, is Hua Tuo alive?", "Excellent medical skills, saving lives and healing the wounded"?
That would be a disastrous outcome for the clinical department and would be laughable.
An aspiring doctor will often have a great interest in difficult and complicated diseases, just like a child who finds a fun toy and must study it thoroughly.
As soon as Ren Yuanfei heard that a strange patient had come to the cardiovascular department and they wanted him to go for a consultation, he immediately ran over and participated in the multi-department ward rounds.
Hua Chenan is the main person in charge of ward rounds, after all, he is the boss of this department.
The patient was lying on the bed and fast asleep. Several family members were standing beside the bed with worried looks on their faces, and a person who looked like his daughter was sobbing.
"Doctor, please save my dad. He's a cadre, and all his medical expenses can be reimbursed. We won't owe you any money."
Director Hua made a stop gesture and said, "This isn't a matter of money. Treating the patient is what's most important right now. Tell me about the patient's condition over the past six months."
"Okay, okay," the family members wiped away their tears and repeated the patient's condition.
"My father started having headaches six months ago. It started as a migraine. He went to the health center and got some headache powder, which helped. But then his memory got worse and worse, and he often forgot things that happened earlier.
In the past half month, he has always been irritable and depressed. We thought he was not used to the new job. My mother often took him out to play. Oh, by the way, during this period he would say from time to time that he had a headache.
About a week ago, my dad suddenly collapsed to the ground and started convulsing. It was terrifying. When he woke up, he couldn't speak properly and couldn't move half of his body. We went to Jianzhou People's Hospital, wondering if he had a stroke.
Stroke?
Everyone's eyes suddenly lit up, as if the symptoms of the patients who came this week were indeed like cerebral infarction.
Chen Xia suddenly said, "It can't be a cerebral infarction. It doesn't show up on the CT scan. Furthermore, a cerebral infarction would be a patchy low-density lesion, but this patient's scan shows scattered white spots. This doesn't fit the pattern of blood supply distribution, so it's wrong."
This is the advantage of CT. In the past, everyone could only guess based on symptoms, and in fact, the diagnosis of brain diseases could not be said to be "confirmed."
Now that we have CT, Chen Xia can categorically deny the diagnosis of cerebral infarction, and the other old directors can no longer get angry. In the past, who would believe what you, the head of the General Affairs Section, said?
Now, everyone shook their heads in both joy and disappointment.
I'm happy that now that I have CT scans, I can speak with more confidence and the diagnosis is more clear. But I'm disappointed that my guess was directly rejected by the CT scan, which is a bit embarrassing.
Tan Zhigui thought for a long time and suddenly asked, "Is it possible that it's a brain abscess? Abscesses can also appear in various parts of the head. Is it possible that the CT scan will also show the baby's breath pattern you mentioned?"
Chen Xia replied, "The abscess you mentioned, Director Tan, does have similar appearances on CT scans. However, brain abscesses are usually accompanied by a history of fever, and the source of infection can be found, such as suppurative otitis media, brain trauma, or infection elsewhere in the body. Abscesses can also show ring-like enhancement, and single abscesses are common. Extensive edema is often seen around the abscess."
Dean Gu asked, "Is tuberculosis a high possibility? There are also such spots on the chest X-ray."
"The CT findings of tuberculosis are somewhat similar, but tuberculosis often has clinical symptoms such as afternoon fever, night sweats, and poor appetite. This patient doesn't seem to fit the bill."
The family member also nodded quickly: "Yes, my father doesn't have these symptoms."
This is not it, and that is not it. Several directors fell into deep thought again...
In fact, Chen Xia personally tends to believe that it is brain cysticercosis caused by parasites, but there have been no reports of related diseases in Zhijiang Province for so many years, which makes him a little unconfident.
So he picked up the film again and looked at it carefully, and this time he found that these white spots all had "bull's eye syndrome".
This made Chen Xia excitedly slap his thigh. Damn, the more I look at it, the more it looks like cysticercosis.
Because the bull's eye sign is generally caused by the degeneration of the parasite cyst, the edema is reduced, and the cyst is transformed into a nodule or mixed tissue. The lesion appears as a high signal, while the center of the nodule appears as a low signal due to calcification of the head segment. This CT appearance is called the "bull's eye sign."
There is still one disease that needs to be ruled out. Chen Xia looked at the family members and the doctor in Jianzhou.
"Does the patient have a malignant tumor? In other words, cancer?"
The doctor from Jianzhou quickly shook his head. "The patient doesn't have cancer. We initially suspected the headaches and mental changes might be caused by cancer metastasizing to the brain, but after a thorough examination of the entire body, no cancer was found."
Several family members of the patient also shook their heads in denial.
Then there is only one truth left.
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