Chapter 183: Coma for a Week
After seeing the three people off, Wei Ping glanced at the books on the bookshelf.
These books are indeed some good books.
It is not available in general places.
Then, he can read these books carefully to improve his medical skills.
At this moment, someone knocked on the door.
Wei Ping looked outside the door and saw an intern.
He is an intern taught by someone else.
His name is Yu Taisheng.
"Brother Wei, excuse me!"
"What's wrong?"
Wei Ping looked at him in a hurry.
At the same time, everyone was confused.
Yu Taisheng was previously taken care of by Wang Cang, but later when Wang Cang was sent to prison, he was taken care of by other doctors.
Generally speaking, he would not come to see Wei Ping.
But at this time, Wei Ping was found.
I saw that he was holding a report in his hand.
"Please help me look at this report!"
Wei Ping did not refuse.
The report above is from a seven-year-old child.
He fell into a coma a week ago and has not woken up yet.
Jaundice, CT and color ultrasound showed enlarged liver.
The blood test is normal.
The preliminary diagnosis was hepatitis.
"What's wrong? Is there something wrong with this report?"
This is a simple report.
Yu Taisheng said, "If it was just hepatitis, we'd be taking medication now, but the patient hasn't woken up yet. I think it's definitely not hepatitis, but they won't listen to my advice at all."
"Who are you to this child?"
"He's my nephew!"
Yu Taisheng said.
So that's how it is.
"So, what do you want to do?"
"I want Brother Wei to help. We can't let him go on like this. Otherwise..."
Yu Taisheng's eyes turned red.
He must be under a lot of pressure too.
After all, he was a doctor, but his nephew was sick and he was powerless to help.
The doctors' diagnosis was simply hepatitis.
But I took the medicine to treat hepatitis, but there was still no effect.
Logically speaking, people should wake up.
But still no.
Therefore, Yu Taisheng thought of Wei Ping.
"Because Senior Brother Wei's medical skills are excellent, and they will definitely listen to you, so..."
Given Wei Ping's status, other doctors really need to listen to him.
But if what he says doesn't make sense, no one will pay attention to you.
"Okay, take me to see it!"
Wei Ping was very interested in this disease and went to see it.
Furthermore, it’s really hard to understand that the child hasn’t woken up after seven days.
"Thank you, Brother Wei! Please follow me!"
Yu Taisheng walked to the front.
Yang Ke and others had no desire to sleep anymore.
Then he went out.
They kept following behind.
A group of people went directly to the first floor of the inpatient department.
There are many patients living here.
When they saw Wei Ping, some patients were extremely excited.
Whatever, I finally saw you in person today.
I'm more handsome in person than in the photo.
Wei Ping could only smile and gesture.
Because he has more important things to do.
When he arrived at Ward 105, he saw a child lying unconscious.
So he walked over.
Checking the child's condition carefully.
First listen to the stethoscope, then check the child's other conditions.
I can't find anything for the time being.
So he used perspective.
"Perspective Experience +1,405/1000"
There is no particular difference in the body, nor are there any inflammatory symptoms, except that the liver area is slightly enlarged.
So, he moved to the brain.
There is slight brain atrophy, and the cortex becomes thin and transparent.
He thought for a moment.
Yu Taisheng then asked, "Brother Wei, what's the situation?"
"I suspect it's hyperammonemia!"
Hyperammonemia is a clinical syndrome characterized by abnormally elevated blood ammonia levels and central nervous system dysfunction.
Due to the low incidence of this disease and the lack of specificity in clinical manifestations, misdiagnosis and missed diagnosis are easy to occur. Some patients cannot receive a correct diagnosis until clinical death.
"What is this?" Yu Taisheng was shocked.
How could I get such a disease?
Wei Ping continued, "It's also called urea cycle metabolic disease, and it's very easy to diagnose!"
Urea cycle metabolic diseases are a group of metabolic disorders in the neonatal period or childhood characterized by increased blood ammonia.
Most forms are inherited as recessive disorders, with a few exceptions. Clinical manifestations primarily include symptoms of ammonia poisoning, but vary significantly depending on the severity of the enzyme deficiency and the onset of symptoms. The incidence rate ranges from 1 in 70,000 to less than 100,000 live births, with argininosuccinic aciduria and hyperlysinemia being the most common.
This is a hereditary disease.
It can be said that it is difficult to cure.
But there are ways to help patients return to normal life.
"Why was it misdiagnosed?" Yang Ke asked.
"The liver is the body's most important metabolic organ and the second most susceptible organ to genetic metabolic diseases, after the nervous system. Common symptoms include liver enlargement, fatty liver, jaundice, and cholestasis, which can easily be misdiagnosed as hepatitis, fatty liver, cholestasis, and other diseases.
Under normal circumstances, protein in food is converted into urea through the liver's urea cycle. If the urea cycle is impaired, hyperammonemia can occur. Furthermore, due to ammonia's hepatotoxicity, patients often experience severe liver dysfunction, which can easily be misdiagnosed as hepatitis.
Wei Ping said so.
Everyone finally understood.
So that's how it is.
My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!
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