It should be mentioned here that it is difficult for patients with simple emphysema to develop brain diseases.
Heart failure may cause cerebral hemorrhage.
Many typical examples of the close connection between the heart and the brain have been mentioned in previous articles.
Is this patient suffering from cerebral hemorrhage now?
Doctor Liu didn't know, so he was cautious and didn't dare to make the decision to send the patient to the CT room. He had to wait for the specialist to assess the situation.
Dr. Yue Wentong ignored everything else and asked them, "What was the result of your pupil examination on the patient?"
Doctor Liu already knew that he had made a mistake, so he didn't say anything.
Doctor Li Qi'an continued to shout anxiously: "Squad leader, direct light reflex exists."
"With such a bright light, can you see the patient's pupil's light reflex clearly?"
...
...
Dr. Liu quickly covered his face with his hands: God, this is so embarrassing.
Student Li looked at squad leader Yue with despair: Am I a fool?
The nurse helped turn off the headlights.
Without discussing whether there were any errors in the pupil examination, squad leader Yue asked Li another basic question, which is what was mentioned in the previous article: Does brain disease really require an abnormal pupil examination?
"Let's talk about this question." Doctor Li Qian'an tried hard to breathe in through his nostrils. There was no other way. He had just been beaten too hard by the squad leader, and his emotions were so shattered that his brain was a little deprived of oxygen.
Doctor Liu adjusted his attitude and replied: "Most patients with cerebral infarction will not have pupil abnormalities."
We have just discussed the anatomy of the pupil, and we know that the pupil is mainly affected by the neural circuit. In addition to the pathological changes in the neural circuit itself, another common clinical situation is that the intracranial mass squeezes the neural circuit and then causes pupil abnormalities.
As long as the amount of bleeding in cerebral hemorrhage is large, intracranial mass will appear, leading to the above situation.
Cerebral infarction usually affects the related neural circuits, which usually occurs over a large area. A large area of cerebral infarction may cause hydrocephalus and squeeze the neural circuits.
Another more terrifying situation is brainstem infarction.
Associating the related knowledge points with his mind, Dr. Liu became more and more frightened.
The patient was hers, and her first diagnosis of the patient did not include brain disease, and she told the patient's family the same thing.
You said that she suddenly told the patient's family that your relative had other diseases in addition to emphysema, and that these other diseases were more dangerous and fatal.
The patient's family members must be jumping up and down, questioning whether you, the doctor, have treated the patient properly! Otherwise, they will question whether the doctors and nurses in your hospital have treated the patient properly, or whether they have treated the patient incorrectly, causing the patient to die. Otherwise, why didn't you say that the patient had this disease at the beginning, but only a few hours later said that the patient might die from this disease.
We should be thankful that we didn't discover this situation in advance before the patient suddenly died.
I have to thank the Imperial Envoy! Doctor Liu thought.
It is said that Envoy Xie’s eyes have the ability to see through things, so that must be the case.
Because Doctor Liu has not been able to find out that the patient has a brain disease, it is unacceptable for Xie Qincha to determine that the patient has a brain disease without any examination methods and without X-ray vision.
It’s hard to say whether she has X-ray vision, but Xie Wanying knows that if she asks Zhang Da Lao or other experienced doctors to come over, they can use their trained medical intuition to sense, just like her, which part of the patient’s body is most likely to have a problem.
To determine whether it is cerebral hemorrhage, cerebral infarction or something else, further machine examination is needed to confirm. Dr. Xie Wanying, who is not a god and does not have X-ray eyes, knows this.
Simply put, the veteran doctors felt that something was wrong with the patient's sleeping state, as if something was wrong with his brain.
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