Zhou Yewu and Li Heiyun suddenly laughed at each other.

How can this fucking doctor-patient relationship get tense?

...

"Uncle, although you have AIDS, you should be cleansed and you should not be able to do so. But in the weather in Wuhan, dengue fever should be vigilant." Zhou Yewu reminded that dengue fever is still very terrible. Generally speaking, it is more summer, and now it is late spring, so you should be very cautious about this disease.

Li Heiyun said, "What does it mean to be gone? I just don't have AIDS. Doctor Zhou, you have to believe me. As for dengue fever, I really don't know. I live in the countryside."

"That's how..."

"Then check for a dengue antibody."

Zhou Yewu still wants to rule out dengue fever.

So he wrote the doctor's order on paper and was about to go back to the office and opened it.

After writing the doctor's instructions, Zhou Yewu lifted the quilt, asked Li Heiyun to take off her upper clothes, and carefully checked it.

Li Heiyun's naked upper body emitted a dark light, and his figure and muscles were not bad.

"Okay, you can wear clothes. Check it out. There is no rash and no one gathers at home to get sick. I don't support dengue fever very much." Zhou Yewu said with satisfaction.

He stared at Li Heiyun's muscles and couldn't move his eyes away.

This is the muscles of a real man.

It’s so different from the protein powder-filled muscles in the gym. You can tell how hard the muscles are at a glance!

Zhou Yewu began to think about the next diagnosis again: "What about scrub typhus? This disease is not common. Patients with high fever, limb pain, chest tightness and cough should be considered routinely. It is not a rare disease in Wuhan."

"Let's start another test." Zhou Yewu recorded this doctor's order.

He suddenly felt that he was the butler of this ward and that all doctors had to pass through his hands.

The Waifei test may help diagnose scrub typhus.

The bacterial antigens of strains of Proteobacteria have common antigens with typhimosis Rickettsia and scrub typhimosis Orientals, so instead, the antigens of these strains are used to perform cross-aggregation reactions with the patient's serum!

This can detect the corresponding antibodies in the patient's serum, which is of great significance to diagnosis.

Li Heiyun listened to the words popping out of Zhou Yewu's mouth and admired the young doctor: "You know too much, it's good for intellectuals. What kind of insect disease did you just say? Is there a bug on my body?"

Zhou Yewu said softly, "Yeah", it is actually okay to understand this way, it is convenient for memorization.

He slowly slid the flat screen and said: "The common people may hear less about scrub typhus. Animals like rats have chiggers. Chiggers are very small. The pathogenic microorganism of scrub typhus Rickettsia will infect chiggers. Chiggers parasitize these rats. These rats appear in weed forests... If farmers do farm work in the fields or rest in the wild, they may be bitten by chiggers, thus spreading scrub typhus Rickettsia and causing scrub typhus."

Li Heiyun nodded and said in surprise: "It's really a bug, it's so scary. When I went to work in the fields, I knew that schistosomiasis was terrible. Now there is another terrible thing."

It's really scary.

Zhou Yewu was also frightened when he thought of this thing in his hometown rural area.

After the scrub typhus disease Rickettsia invades the human body, it will soon cause inflammation of the small blood vessels throughout the body and cause fever.

If it invades the respiratory tract, it will cause cough and chest tightness. If it invades the heart, it will cause myocarditis.

If it invades the liver, there will also be hepatitis, increase in aminotransferase, etc.

Then compare Li Heiyun's fever and fatigue, so we must be wary of the possibility of infectious diseases such as scrub typhus.

Chen Riyuan also emphasized the possibility of this disease again.

The reason why he emphasized this scrub typhus so much is that Xu Lu misdiagnosed a scrub typhus in the department before, and everyone was so dirty... So he has been resentful!

If you misdiagnose again, it will be embarrassing to say it out.

After all, he is a superior doctor. He is the one who takes the blame for what the doctors do wrongly.

"Let's check it out." Chen Riyuan pointed at Li Heiyun, then looked at Zhou Yewu.

I don't know how to check this damn body.

Zhou Yewu was stunned.

He was like an Optimus Prime motionless.

After two minutes, Chen Riyuan saw that Zhou Yewu had not taken action, so he guessed that he might not know how to check the body, so he smiled and taught step by step.

But after walking forward a few steps, he walked back.

He said a few words next to Zhou Yewu's ear.

If you let Zhou Yewu do it yourself, you will have a deeper memory and the physical examination is actually relatively simple.

After hearing this, Zhou Yewu immediately did it.

He carefully checked his body according to Chen Riyuan's instructions, and then whispered: "Is there any eschar in the groin, armpits, etc."

This scrub typhus has a very, very typical feature, that is, the part where the scrub typhus Ricketts bites will first have red spots, and then it will appear as ulcers and eschars, and it is not painful or itchy. It is very special. The parts are often fine skin and tender flesh, wet and dark places, such as the perineum, groin, armpits, etc.

From the physical examination, it should not look like scrub typhus.

"I'll check it again." Chen Riyuan seemed a little worried.

This surprised both Sun Jun and Hu Huan. The person Lao Chen trusted the most was Zhou Yewu, but he didn't expect that a simple physical examination would suddenly have to do it again by himself.

Chen Riyuan checked the location of Li Heiyun's armpits and groin and said, "It's not that I don't believe Xiaowu, but I think this patient is a little fat and black, and I'm afraid that Xiaowu won't notice it."

Forget it if you are fat...

Black is the key point.

The dark skin color can easily cover up the physical examination!

The deputy director's face also eased. It was not easy for everyone to be busy with work, and it was difficult to blame anything. But the examinations that should be done must be done. If the patient really has eschar in the groin, then you can stop doing any other blood tests. If you directly diagnose scrub typhus, wouldn't it save time and effort?

After saying that, the deputy director led the team to the rounds, specifically looked at the patient, explained the condition to him, and told him to give him some more patience. Your condition may not be pneumonia, but there may be other problems. You don’t have to worry, just observe while treating.

The deputy director's words were not very generous, but the patient still enjoyed it after hearing it. His attitude immediately eased a lot.

The deputy director pulled up the curtain and told the patient that he wanted to see his lower body, his groin, his **, etc. to see if there were any ulcers, eschars, etc.
Chapter completed!