Chapter 42: Beware of Misdiagnosis
"Hmph! When I was studying for a Ph.D. abroad, I interned at a very high-ranking medical center in the United States, and it was not as unbearable as you said. After this fainting pregnant woman is cured, I will prove that it is not just talk on paper.
You must apologize to me too."
Du Leng claimed to be a top medical genius, but Zhou Can publicly said that he was just talking on paper.
How could he bear it?
He directly used this pregnant woman to prove his diagnostic ability.
What's more, Zhou Can was asked to apologize to him in public.
Zhou Can grinned with an unpredictable smile.
"Okay, no problem! But I have to remind Dr. Du that misdiagnosis is the most terrifying thing!"
Du Leng's face turned from green to red, and his breathing became heavy.
"What do you mean? That my diagnosis of this pregnant woman was a misdiagnosis?"
Anyone could feel that Du Leng was extremely angry.
Doctors are most afraid of hearing the word misdiagnosis.
Once a misdiagnosis occurs, it can range from a slap in the face to a serious medical accident.
No wonder Du Leng jumped after hearing this.
Director Xie was furious when he saw that the newly erected surgical signboard was about to be smashed.
"Director Lou, your doctors are really arrogant. Director Shinuchi Yin, Du Lengjun from our surgery department diagnosed that the patient's fainting was caused by an intracranial artery hemangioma compressing the brainstem. He actually came casually and said that our joint consultation
The opinion is wrong.”
Director Xie maintained his identity and directly protested to Director Lou.
This is for Director Lou to teach Zhou Can a lesson.
By the way, Director Yin was also brought into his camp.
"Young man, although you won the first place in the regulatory training examination, you must be humble. The cases I have diagnosed are ten thousand times better than yours. How many days have you worked? Don't be too superficial. Otherwise, you will lose yourself.
It also disgraces the face of the emergency department.”
Director Yin was also a little angry.
There is no false person under the great reputation.
His authority in the field of internal medicine had already been challenged once by Du Leng. Now a young undergraduate and a trained doctor who had just worked for two days dared to refute his diagnostic opinion.
This wind must not rise.
Director Lou faced the protests of two big bosses at the same time and was under great pressure.
"Xiao Zhou, speak more carefully!"
He scolded Zhou Can calmly, giving the two directors an explanation.
Zhou Can said nothing more, facts speak louder than words.
As long as the real cause of the disease is found, both Director Yin and Du Leng will have to bow their heads.
He dared to warn Du Leng to be careful about misdiagnosis, but he was already somewhat sure.
Lesions can sometimes be disguised.
For example, there is often a joke about treating headaches and feet. According to normal logic, the focus of a headache must be on the head. In fact, the focus may really be on the feet.
Eye diseases caused by heat foot disease can lead to headache symptoms.
If you meet a quack doctor and prescribe a headache medicine, it will definitely not be effective.
The pregnant woman's fainting may indeed be caused by a hemangioma in her head, but the real cause may not be the hemangioma.
Zhou Can felt that the sudden increase in blood pressure in pregnant women was particularly strange.
It is possible that this is the real cause.
As for the hemangioma in the head, it is just a symptom.
If you only treat the symptoms, it's like playing whack-a-mole. After you beat one, another one pops up.
There are quite a few examples of this.
Many patients only have one disease when they are first admitted to the hospital, and the results get worse the more they are treated. From one disease, five or six diseases are treated, which is called a complication in medicine.
Some complications may indeed be unavoidable, and some so-called complications are simply caused by wrong treatment by doctors.
Zhou Can lowered his head and thought.
The pregnant woman has been pregnant for nearly six months, and her blood pressure has been well controlled, and nothing has happened.
Why does blood pressure suddenly rise?
They say a long illness makes a good doctor.
A pregnant woman has a history of hypertension for more than fifteen years, and she may be no worse than a professional doctor on how to control blood pressure.
It can be inferred from this that low-level errors such as forgetting to take antihypertensive drugs and excessive behavior to raise blood pressure can basically be ruled out.
What's more, she regards the child in her belly as more important than life, so she will definitely be more careful.
She suddenly fell ill in a taxi.
It means that she didn't notice any abnormality in her body before going out, otherwise she would have taken an ambulance instead of a taxi.
But what dangers can there be in taking a taxi? Even if the driver brakes suddenly ten times in a row, it is unlikely that her blood pressure will rise out of control.
Her dress is very intellectual and elegant, and her face is very kind. The possibility of her quarreling with the driver causing her blood pressure to rise is also very small.
Since the above are ruled out, let’s make a bold guess, could it be because she ate something she shouldn’t have eaten before going out?
For example, taking the wrong medicine.
This possibility is very high.
Because she painted her eyebrows so messily before going out but didn't notice it, it shows that she had a vision problem at the time.
I habitually took antihypertensive medication before going out. As a result, I had vision problems and took the wrong medication.
After taking it, go out in a hurry.
The drug enters the stomach, dissolves over a period of time, and is absorbed by the body, causing blood pressure to rise.
It takes about twenty minutes from taking the medicine to onset of symptoms.
The time of onset was also just right.
"Yes, that must be the case!"
Zhou Can's eyes became brighter and firmer.
Clear the clouds and see the sun.
Now the pregnant woman's blood pressure suddenly increased, and he deduced the reason for the loss of control.
Next is the supporting evidence from medical testing data.
You can't just rely on conjecture for anything, right? There must be scientific basis.
What medicine did she take wrongly?
There are many drugs that can increase blood pressure.
If you look at her blood test report, you may be able to find some clues, but not necessarily.
Because the pregnant woman is now in a coma and unable to communicate.
If you want to find the final cause, you must rely on doctors to diagnose and diagnose.
Zhou Can walked to the locker and picked up the patient's examination results placed on it to check.
This move immediately attracted everyone's attention.
Several senior doctors in the emergency department looked at Zhou Can with admiration.
Young doctors love to learn, which is a good thing.
Only by looking more and thinking more can we improve our diagnostic skills.
"Dr. Zhou seems to have different diagnostic opinions!" Gao Jian walked over with a smile and took the initiative to chat.
Others looked down on Zhou Can as an undergraduate, but Gao Jian felt that Zhou Can had real talent and learning.
After arriving at the emergency room, Takami kept thinking about the cause of the pregnant woman's illness.
I want to win back the battle with Zhou Can.
But he had no idea.
Now Zhou Can suddenly took the test results to check, which made Gao Jian feel a little bad.
"I just have a learning attitude and just take a look."
After Zhou Can picked up the blood test report of the pregnant woman and read it, he felt a little disappointed.
This is just a routine blood test report.
If you want to find out the drug components in the patient's blood, you must collect blood and send it to a specialist for testing.
At this time, the pregnant woman came back from the head color ultrasound.
Du Leng couldn't wait to check the color ultrasound film.
"That's right, the intracranial hemangioma is compressing the brainstem." Du Leng looked extremely excited.
Just no howling.
Chapter completed!