After raising a cat, the goddess doctor became popular in the interstellar

Chapter 514 Vestibular Neuronitis
The patient's head was still dizzy, and any slight movement would cause her to moan, making it difficult to transfer her to the CT room.

But fortunately, Mio Technology also donated several bedside movable CT machines this time, which are smaller than those seen on the market, have no radiation, and are easy to operate.

Leng Qi instructed everyone to do a head CT directly beside the bed.

The CT results came out on the spot, and it was all right and there was no problem.

Then there are only two possibilities left.

If it is an acute cerebral infarction, then it is likely that CT cannot be visualized in real time. Instead, it is MRI of the head, which can detect the problem immediately.

However, Leng Qi didn't want to open this checklist for the time being.Not only because moving old Maura over would increase her suffering, but also because another etiology was more likely.

"Contact the otolaryngology department and ask them to send someone down for consultation. By the way, the patient is not easy to move, so let them bring the vestibular function evaluation equipment over."

When the nurse went to make a call, Leng Qi reassured the family members: "Don't worry too much, maybe it's not a big problem. But we still need to use some equipment for further testing."

"We all follow your arrangement." The patient's son clasped his hands together and bowed to Leng Qi: "My mother will be entrusted to you!"

Dundup Jiapa translated this sentence, and Leng Qi hurriedly helped him up, feeling a little emotional in her heart.

I have long heard that Tibetan compatriots are kind and honest, and they respect doctors very much. Now that I have seen it with my own eyes, I know that this statement is true.

Faced with this kind of trust and sincerity, she must wholeheartedly treat patients, and at the same time bring out more good doctors who can take root in Tibet, so as to live up to their expectations.

While waiting for the ophthalmologist to come down for consultation, Leng Qi raced against time and explained the condition to Tao Le and the other three.

"Everyone knows the situation." She said: "The electrocardiogram and brain CT are all fine, blood pressure and blood sugar are normal, blood test results show high blood lipids, liver and kidney function, and myocardial enzymes are also normal."

"You have also seen the physical examination I did just now. As clinicians, what do you think about it?"

Hearing her question, Dundju Jiapa immediately lowered his head, but Chang Shengnan, after thinking for a while, spoke first.

"Patients with dizziness, vomiting, and acute cerebral infarction are very likely." She said with great confidence: "For acute cerebral infarction, it takes 24 hours for CT to develop, so MRI should be checked immediately."

Leng Qi nodded encouragingly: "The thinking is correct, this may not be impossible."

"Thank you, Teacher Leng, for your affirmation." Chang Shengnan said, "So I don't quite understand why you called the ENT department for consultation?"

Leng Qi didn't answer directly, but asked Dundrup Jiapa, "What do you think?"

"I, my thoughts are the same as Dr. Chang's." He scratched his neck and said.

"What about you, little Tao?" Leng Qi asked Tao Le.

"I think the possibility of cerebral infarction is not high. The patient's blood pressure is not that high"

As soon as Tao Le said this, Chang Shengnan interrupted her: "If the patient's cerebral infarction is accompanied by mild cerebral hemorrhage, it may not be so clear on CT, and the blood pressure can be appropriately lowered."

Tao Le just smiled: "The event you mentioned is a very low probability event. There is another situation, and the possibility is very high."

Leng Qi waved her hand and stopped Chang Shengnan who was full of disbelief: "Tell me."

"Mr. Leng, my judgment is the same as yours. I think there is a high probability that it is a vestibular neuropathy." Tao Le said.

"Oh?" On Leng Qi's face, there was a smile for the first time in half a day: "How do you think about it?"

"The various examinations just now are one of the supporting evidences. There are two most critical evidences." Tao Le talked eloquently: "First, the patient dared not shake his head, and when he moved, he became very dizzy and even vomited."

"Intense vertigo caused by a change in head position is peripheral vertigo, which is distinguished from central vertigo caused by stroke - the latter vertigo is often unrelated to head position change."

"Peripheral vertigo is more common in benign paroxysmal vertigo, which is otolithiasis."

"Very good." Leng Qi nodded to show encouragement: "This is the first point. What about the second reason?"

"During your physical examination just now, I looked carefully at the side. The patient had strong spontaneous nystagmus, and the eyeballs showed horizontal torsional tremor. This kind of nystagmus is often caused by vestibular neuronitis. Shock makes a difference."

"Based on the above two points, I think the patient should be suffering from vestibular neuronitis, followed by otolithiasis, which caused nausea and vomiting."

Such words, in the ears of different people, feel completely different.

Leng Qi was very happy.She really did not expect that Tao Le, an inheritor of traditional Chinese medicine, would have a solid theoretical foundation, as well as keen clinical observation and judgment in Western medicine.

No wonder he can be so good at Chinese medicine at such a young age. This earnestness and willingness to learn alone make people like him.

If there were all such students, she wouldn't be tired if she took a few.

Chang Shengnan's previous views were stuffed into his mind bit by bit by Corey's former Tibet aid experts.I was not too eager to learn, but it is much more blunt to apply.

As for what Tao Le just said, there are many nouns in it, which she doesn't understand at all.

What peripheral, central vertigo, what horizontal twisting nystagmus.Chang Shengnan had never heard of it, and he instinctively thought that someone was deliberately showing off to show off his presence.

And this teacher Leng is really serious, why can't he ask less questions and speak clearly like the teacher Ma Dong who brought him earlier?

This question wasted time, not to mention, but also gave her a chance to show off for no reason, and stepped down both herself and Dunzhu by the way.

It's just a regular training, it's a bit worse than my own resident doctor, what's the point!
In contrast, Dundup Jiapa's ideas are much simpler than hers.

He didn't quite understand what everyone said just now.But what does that matter?

The experts from Beijing are all very powerful.Coupled with the addition of a lot of advanced instruments in the hospital, the old Mora in front of me, and the patients who will come later, will definitely receive the most meticulous care, and that's enough.

As for myself, I have no ambitions at all.It is good to learn as much as you can learn, and to the extent you can learn.

Not long after, the ENT department arrived.Dr. Sang, the attending physician of the Beijing Ear, Nose and Throat Specialist Hospital, was one of the first batch of doctors who helped build the Sasha Central Hospital.

(End of this chapter)