The Enhanced Doctor

Chapter 1166: Chapter 1166: Confirmed Diagnosis

(Thanks to Yuan the Younger for the encouragement)

The examination is a must, and this matter should be left to Xu Yino to handle the communication.

If she can’t even arrange a gynecological ultrasound, it would be a waste of her experience in the emergency center.

As time goes on, the number of intoxicated patients has noticeably increased. Also, the ages are trending younger.

Drinking alcohol is essentially not allowed for teenagers. But in today’s society, cigarettes and alcohol are really too easy to buy, available whenever desired.

There is no effective regulation in this area, so when seeing underage patients, all we can do is advise them and contact their parents.

"I have a patient here who got stabbed, follow me to the operating room, you’ll keep an eye on things down here." Qi Wentai walked over.

"Alright, leave it to me, call me if there’s anything." Liu Banxia nodded.

He took a glance, and the resuscitation room was being tidied up, indicating there had been a wave of emergency patients just delivered.

"Teacher Liu, why do I feel we’re much busier this year than last year?"

After issuing medical orders for another intoxicated patient, Li Hao came to his side.

"Our emergency center has gained more fame, so more patients are being referred here." Liu Banxia said with a smile.

"Let’s just hope there are no major accidents, that would be the best. Hope we can have a peaceful year. We’re kind of starting to celebrate the year now, every day feels like a holiday."

"Teacher Liu, how about the patient Xu Yino was handling, any diagnosis?" Li Hao asked.

"Not yet, she’s getting a gynecological ultrasound, let’s see if there’s any new discovery." Liu Banxia said.

"Just thinking about it gives me a headache. It’s reached the point where we don’t know how to check anymore, do you have any thoughts?"

Li Hao shook his head decisively.

No kidding, for this case, it’s only to watch the excitement. No thought of stepping up, it’s too bizarre.

Some patients present with complex symptoms, but you can unravel the complexity, tracing the clues step by step.

But this patient? It’s just a single symptom, yet an allergen screening can dizzy you.

"Director Liu, a 17-year-old patient is being sent over right away, high fever, vomiting, dizziness, unconscious after the ambulance ride." At this moment, the dispatch nurse shouted.

"OK, I’ll take over, Li Hao be ready to receive." Liu Banxia said.

"Teacher Liu, could it be that they took cold medicine and then drank alcohol? Kids these days don’t care about these things." Li Hao asked.

"Who knows, and who knows how long we’ll be fighting tonight. Hope everyone gets a chance to catch up on sleep." Liu Banxia mumbled.

"Zhou Qian, let’s sanitize our hall again later, the smell is getting strong. Hang in there everybody, the number of patients these two days will be higher."

"Alright, Director Liu." Zhou Qian promptly responded.

At the doorway, in less than ten minutes, the ambulance came roaring in.

"Patient is a 17-year-old male, headache, dizziness, projectile vomiting before coma. Temperature 39.6 degrees, blood pressure 140/90, heart rate 110." The paramedic pushing the patient reported.

"Whoa, what a strong smell of alcohol." Li Hao murmured.

But Liu Banxia frowned because he noticed the patient had a lot of acne on his face.

Acne, commonly known as pimples, occurs during puberty when hormone secretion stimulates the development of sebaceous glands to produce more sebum.

If these oils cannot be discharged smoothly, they accumulate in the pores, causing an inflammatory reaction.

What caught his attention was the patient’s excessive acne, and seemingly habitual picking, with several spots on the face and danger zone already scabbed.

This raised his concern, as the facial danger zone is notoriously risky.

However, he didn’t alert Li Hao, figuring the patient’s reception is part of his evaluation.

"Transfer the bed, one, two, three, hook up the monitor."

Coming into the resuscitation room, Li Hao instructed, then proceeded with the physical examination.

"Lungs and heart sound fine, but this temperature is unusually high. CBC, Biochemical Panel, maybe alcohol...but something feels off." Li Hao commented and paused for thorough checking.

Liu Banxia said nothing, and continued observing from the side.

"Teacher Liu, do you think this patient could have an intracranial infection?" Li Hao hesitated to ask after checking again.

Liu Banxia deliberately frowned, "Reasons."

"I noticed his facial danger zone acne is ulcerated, and his high fever, projectile vomiting, coma, these fit the symptoms of intracranial infection." Li Hao replied.

"Then what else is there to say?" Liu Banxia tossed the line and walked out.

Li Hao was momentarily dumbfounded, "Quick, administer Mannitol, do a blood culture, and call the neurology department over."

Now he understood, the big boss had already anticipated this, and he foolishly examined the patient twice before coming to the realization.

The facial danger zone is indeed extremely dangerous, defined by the lines from the nose root to both corners of the mouth.

The blood vessels in this area are rich, the nutrient supply is sufficient, and the removal of toxins and waste is relatively timely, which makes the skin on the face more sensitive.

The fundamental reason for the danger here is because the facial vein is the only vein without venous valves.

It is precisely because of this special reason that the blood in the facial vein not only flows to the jugular vein but also upward to the intracranial area, causing intracranial infection.

Even if there is only a possibility, this situation must be given extra attention because an intracranial infection can be deadly.

Liu Banxia, who walked out, doesn’t need to worry anymore. As long as the possibility of intracranial infection is noted, symptomatic treatment will suffice. Next, it’s the work of neurology and the ICU, as emergency admission is just a transition.

"Teacher Liu, Teacher Liu, it’s bad, really bad."

Before he could see how others’ work was going, Xu Yino ran over in a panic.

Liu Banxia’s heart skipped a beat, "Is there a situation?"

Xu Yino nodded, "Four cysts were found in the vagina, and blood has been drawn for serological testing."

"Sigh... I was just thinking, if it’s a parasitic disease, it would still be understandable." Liu Banxia sighed.

"Looking at it now, it’s almost certain. Only the rupture of a parasitic cyst could cause such a reaction. And in such a location, it also fits the condition during their intimacy."

"But this matter is a bit troublesome, as the effect of medicinal parasite removal is often not very good. At that time, surgery will be required, which is very challenging."

"Teacher Liu, since it has already parasitized here, could it be in other places in the body?" Xu Yino asked.

"Yes, that’s the most troublesome part. Once confirmed, let’s use medication first, and then do a full-body examination tomorrow." Liu Banxia said.

This is truly an unexpected situation for him.

Normally, the rupture of a cyst is already dangerous, and this patient is in such a situation.

"Then... are the cysts on the pancreas parasitic cysts?" Xu Yino curiously asked.

"Probably not, if there were, they would also appear in the abdominal and thoracic cavity." Liu Banxia thought for a moment and said.

"The cysts on the pancreas just coincidentally appeared. But her condition, sigh... it’s distressing, difficult to handle."

Having no allergy source was troubling, now having a suspected direction is even more so.

During the surgical removal, one must be patient and meticulous, and cannot rupture the cyst.

And the primary surgeon for this will likely be him. After all, he is currently researching TaTME surgery, and an ordinary gynecologist cannot handle this.

"Teacher Liu, Teacher Peng has already seen my patient, and it’s handed over to Teacher Peng. But it’s probably directly sent to the ICU, and they are contacting the child’s parents now." At this point, Li Hao also came over.

"Xu Yino’s patient is almost diagnosed as well, it’s a parasitic disease, still waiting for the final lab results." Liu Banxia said.

Li Hao was stunned for a moment and then was also shocked.

He just heard what the final test was, and that is quite something.

"Why hasn’t it spread to the liver and lungs?" Li Hao asked puzzledly.

"Sigh... who knows. I just did a simple check, and although it sounds a bit unreliable, there is indeed a chance." Xu Yino said helplessly.

"Today was busier than my surgery days. You guys keep an eye outside, call me if something happens, I’m going to rest a bit."

Liu Banxia dropped a sentence and went to the office.

"Today was truly exhausting for Teacher Liu." Xu Yino sighed.

The first two patients of the day were not very complicated in terms of diagnosis, but convincing the patients and their families was not easy.

This last patient was very cooperative with the treatment, yet was complicated to treat.

Forget about Liu Banxia, who is always pondering, even Xu Yino felt very tired mentally.

"Think about it, today it was probably only possible because of Teacher Liu. If it were someone else, each patient might have been a different result." Li Hao said.

"Even for this last patient, I couldn’t even think of using a gynecological ultrasound if I cracked my head open. At most, I would do a biopsy on the pancreatic cyst or remove it directly."

"That’s why he’s the big demon king, and we’re just following along." Xu Yino sighed.

At this moment, a message came to Xu Yino’s phone from the laboratory; it was confirmed to be a parasitic disease.

"Teacher Liu, it has been confirmed." Xu Yino slipped into Liu Banxia’s office.

Ding! Task of the allergic pancreatic enlargement patient completed

Experience points 300, glory points +2

The task rating is perfect

Experience points 300, glory points 8+3, 1 solidified stone

"Let’s start with medication and see how it goes, and ensure proper communication with the family." Liu Banxia said weakly.

It’s not because the task rewards are small, but because it’s truly challenging for this patient to make a full recovery.

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