Chapter 229 This young man is really good!
"The third time, we conducted a comprehensive examination. At that time, the patient's fever symptoms included sore throat and dry cough. After a complete oral and respiratory tract screening, there seemed to be no corresponding infectious lesions that could explain the patient's repeated fever. Moreover, empirical anti-infection treatments such as metronidazole, ceftriaxone, and azithromycin had no effect on controlling body temperature." Luo Yuan said.
He seemed to accept the fact that Wei Ping had a consultation.
After all, this is what Dean Zhang asked for.
No matter what, the patient is the most important thing.
"Yes, we also conducted screening for latent infections, including cardiac ultrasound, abdominal ultrasound, and thyroid ultrasound, but there was no evidence of infective endocarditis, liver abscess, or thyroiditis," Hu Jianfang added.
At this time, Yang Ke was confused as he listened.
This is considered a specialized field, and she doesn't know much about it.
Wei Ping was looking at the report.
"My current condition is that I developed abdominal pain and paroxysmal dull pain around the umbilicus half a month ago, accompanied by diarrhea 3-4 times a day. Some of my stools are watery, and occasionally bloody. I have no fever, weight loss, perianal abscess, or rash. I went to another hospital for treatment: after receiving antibiotics and antidiarrheal treatment, the abdominal pain subsided, but the diarrhea persisted."
"Yes!"
After they finished talking, they were already outside the clinic.
At this time, I heard the sound of conversation inside.
It seems like an adult is persuading the little girl.
When they arrived.
A middle-aged woman stood up.
"Director, what's going on?"
"We're in consultation!"
At this time, the girl seemed to see Wei Ping.
"It's Doctor Sanquan, my idol, mom, my idol. Is he going to treat me?" the girl said excitedly.
It makes women feel a little embarrassed.
"I'm sorry, my child..."
"Hello!" Wei Ping greeted very politely.
"Doctor Sanquan, after you finish examining me, could you please sign for me?"
The girl requested this.
Luo Yuan and Hu Jianfang felt a little embarrassed.
But it seems we should get used to it.
"Okay, let's finish seeing the doctor first!"
"Thank you!"
"So these are all our reports. What do you think?" Hu Jianfang asked at this time.
"I think there are actually other diseases or co-infections."
"We have thought about this, but after improving the small intestinal MR enhancement, no abdominal abscess, intestinal fistula and other manifestations were found, and there was a significant improvement compared with the small intestinal CT scan before medication; the improved colonoscopy review showed that the mucosa had healed." Luo Yuan said.
These tests cannot detect everything.
You can tell just by looking through it.
You can quickly tell where the inflammation is.
Or where the disease is.
So he turned on the X-ray machine.
Looking at the girl, he saw inflammation in the arteries of her neck.
So he covered the right side of the girl's neck.
"pain!"
the girl cried.
"I think it's Crohn's disease combined with Takayasu's arteritis!"
APP prompts: "Congratulations on being diagnosed with Crohn's disease combined with Takayasu's arteritis, and receive RMB 3,000! Proficiency +300, /"
It really is this disease.
Takayasu arteritis is a chronic, nonspecific inflammatory disease of the aorta, its major branches, and the pulmonary arteries. It is most commonly found in the brachiocephalic vessels, renal arteries, thoracic and abdominal aorta, and superior mesenteric artery. Multiple lesions are common, and clinical manifestations vary depending on the location of the lesions. It can cause stenosis and occlusion of arteries at various locations, and in rare cases, may even lead to aneurysms. This disease is more common in young women.
This disease has complications, including cerebral hemorrhage, cerebral thrombosis, heart failure, renal failure, myocardial infarction, aortic valve insufficiency, blindness, etc.
It can be said that it is a relatively dangerous disease.
When he said this, both directors were stunned.
Hu Jianfa said, "I had suspected it was vasculitis before, but Director Luo insisted it was not!"
"Yes! Fever, high inflammation, neck pain, connective tissue disease, these key information added together, apart from vasculitis, there is little possibility of other diseases." Wei Ping said.
Luo Yuan was a little shocked.
Wei Ping just arrived and he made the diagnosis right away?
But he still sticks to his opinion.
"I think so. Could it be connective tissue disease?" Luo Yuan said.
"I suggest checking the neck MRI enhancement, and you'll know."
Wei Ping said.
They were chatting at the time, and the mother and daughter were silent.
"Okay, let's do it! What enhancement? I trust Doctor Wei!" said the girl.
"Okay, I'll arrange it expeditiously now!" Luo Jianfang made the arrangement directly.
So the girl was taken to do an MRI enhanced examination of her neck.
The report came out quickly.
When the report was placed in front of the clinic.
Luo Yuan's expression was not right.
Because he made an error in judgment.
Hu Jianfang, on the other hand, looked very satisfied.
After all, this solves the problem for the patient.
He said, "The walls of the right brachiocephalic trunk and common carotid artery, (left) vertebral artery, and subclavian artery are generally thickened, showing signs of arteritis. Further PET-CT scans revealed increased FDG metabolism in the aortic arch, right brachiocephalic trunk, common carotid artery, and right subclavian artery. Vasculitis is the first concern! It's Takayasu artery inflammation!"
At this time, the female doctor asked: "What are the clinical manifestations of Takayasu arteritis?"
Luo Yuan didn't say anything, as if he was deliberately letting Wei Ping speak.
Wei Ping said directly: "The clinical manifestations of Takayasu arteritis are non-specific and include systemic symptoms, including fatigue, low-grade fever, and weight loss.
This chapter is not over yet, please click on the next page to continue reading!
Continue read on readnovelmtl.com
