The Enhanced Doctor

Chapter 1286: Chapter 1286: The Devil King’s Keen Insight

"Teacher Liu, the CT scan results are all negative. It looks like the patient is quite fortunate for the time being."

After a while, Su Wenhao ran back.

"That’s really not bad. Directly send them to the VIP ward upstairs, then process the paperwork. The subsequent treatment still needs more follow-up from Director Chen," Liu Banxia said.

"Okay, I’ll go notify Director Chen." Su Wenhao nodded with a smile.

Liu Banxia also let out a sigh of relief; at least things seem to be developing in the best direction for now.

It’s estimated that the two of them got into a car accident, hit their heads, and then fainted. It’s just that they remained unconscious for too long, which led to hypothermia.

If the car accident had occurred during the day, they might have been rescued quickly, at most just needing a CT scan, and that would be it.

That’s fate, a calamity destined to happen.

Suddenly his phone rang again, and it turned out to be Qiaoqiao calling, which made him very curious.

"Honey, you missed me? No rush, I should be able to get off work on time today," Liu Banxia said with a smile after answering the call.

"Don’t be silly, soon a server will be looking for you at the hospital, you take a look at her," Qiaoqiao said.

"Is she injured? Or what’s wrong?" Liu Banxia asked.

"I don’t know either, but she called me, so I told her to come find you. Seems like she has a fever, and some swelling doesn’t feel right, can be felt," Qiaoqiao said.

"Okay then, I’ll take a look when she arrives," Liu Banxia said.

His dear wife seems a bit confused; normally, these matters are for internists to handle, but he can also take a quick look.

After waiting for about half an hour, Li Hao came over to notify him that someone had registered under his name, and he went over.

"Dr. Liu." Upon seeing Liu Banxia, the young woman quickly greeted him.

Liu Banxia nodded with a smile, "Qiaoqiao already called me. Where do you feel discomfort?"

"I have a lump under my armpit, feels like a quail egg in size. Also have a bit of fever, and am feeling slightly nauseous." The young woman said.

"Wait a moment, I’ll call a female doctor over to do a physical examination for you. First, head to the treatment room over there. Xu Yino, come over and examine for me," Liu Banxia said.

Xu Yino hurried over from not far away.

"Any other areas of discomfort?" Liu Banxia asked.

The young woman shook her head, seeming hesitant to speak but didn’t say anything.

Liu Banxia didn’t press further, instead signaling Xu Yino discreetly.

Male doctors examining female patients can be inconvenient. The young woman might be apprehensive, but Xu Yino could probe more deeply soon.

Nonetheless, the patient’s condition might indeed become dangerous, since painless lumps should always be noted.

His silly wife didn’t ask clearly, and just referred her to him.

After a while, Xu Yino emerged from the treatment room and motioned to Liu Banxia.

"Finished examining? How’s the situation?" Liu Banxia asked.

"Her temperature is somewhat high, at 38.5 degrees Celsius. There are two palpable lumps under the left armpit, one large and one small. No thymic lumps were found during the physical examination, but can’t be completely ruled out either. Heart and lung sounds are normal, her respiratory sounds are normal," Xu Yino reported.

Liu Banxia nodded and stepped into the consultation room.

"Dr. Xu likely explained things to you during the examination, right?" Liu Banxia asked after sitting down.

The young woman nodded.

"We can’t currently rule out the possibility of a breast tumor or swollen lymph nodes, so we need to proceed with further examinations," Liu Banxia said.

"During the examination, did you feel any tenderness? Don’t be tense, it might just be lymph node inflammation. Think carefully if there’s any other bodily discomfort."

The young woman thought carefully but shook her head.

Liu Banxia pondered what kind of examination should be done for the young woman. Breast examinations are essential; though she is still young, breast tumors are possible.

Could it be a lymphoma?

If so, the most convenient test is a biopsy, but biopsies carry certain risks, and it can’t yet be determined if it’s a lymph node nodule.

If the young woman has a malignant tumor, some change in physique should occur, but she still seems rather normal.

"Think carefully, have there been any unusual circumstances recently?" Liu Banxia asked again.

The young woman showed a hesitant expression again and bit her lip.

"It’s okay, we’re doctors. No matter the situation, you can talk to us about it. Even Qiaoqiao, I won’t tell her after I go back," Liu Banxia said.

"Dr. Liu, it’s okay if you tell Sister Qiaoqiao. I... I... I didn’t use protection earlier this year, just this once. Could it be HIV?" The patient hesitated for a while, and finally mustered the courage.

Liu Banxia paused for a moment, "Normally speaking, the possibility is very low. But if you have concerns in this area, we can do a blood test."

"Based on the current situation, we’ll do a breast examination, and then we’ll conduct a chest CT to check the condition of the lungs. Then we’ll perform an HIV rapid test, which can put your mind at ease."

Not using protection indeed increases the risk of HIV infection, but the disease usually remains latent for a long period before manifesting, generally not this quickly.

In his mind, he’s more inclined towards the likelihood of a lymph tumor or lymph inflammation. If it’s really a lymph tumor and there’s also a fever, then it’s a serious illness.

"Dr. Liu, really no possibility?" The girl was still a bit worried.

"The chance is very low, but you should still take more precautions in your future life. You... well... what kind of pets do you have at home? When did you start having a fever?" Liu Banxia questioned.

"I don’t have any pets, don’t have time to care for them," the patient responded, somewhat puzzled.

"Then why do you have some animal hair on you?" Liu Banxia asked.

"Oh, oh, oh, it’s from my mom’s cat at her house. It’s the New Year, so I was at my mom’s house all the time," the patient quickly replied.

Liu Banxia laughed, "Were you playing with the cat? Did it scratch you?"

The girl paused, then nodded.

She was curious inside, is Qiaoqiao’s husband that amazing? Just seeing the cat hair on her clothes, he knows she got scratched by a cat?

"Let me see how the wound is," Liu Banxia said.

The girl didn’t hesitate, rolled up her pant leg a bit, and two small scratch marks appeared in front of everyone.

Liu Banxia examined it carefully, making the girl somewhat embarrassed.

"Look here, by these two scratch marks, there are several very small blisters. Look closely," Liu Banxia said.

The girl curled her leg, leaned over to take a closer look. Indeed, there were six or so tiny blisters clustered together.

"So, we don’t need to do any other checks. There’s a very high chance you have cat scratch disease," Liu Banxia said with a smile.

The girl was even more puzzled. What does this mean? Just scratched by the family’s cat, and she’s like this? Not HIV, not cancer?

"Patients scratched or bitten by a cat often exhibit symptoms of cat scratch disease," Liu Banxia continued.

"The reason is the presence of Bartonella henselae bacteria in a cat’s oral cavity. When humans become infected, they may have skin lesions like on your scratch marks, and also lymph node swelling."

"However, your current immune state surely isn’t very good. Maybe the New Year has been exhausting? Otherwise, normally, lymph nodes wouldn’t become this enlarged so quickly."

"The checks we’ll do next are simple, HIV screening and enzyme-linked immunosorbent assay, mainly to test for anti-Bartonella IgM, these two are enough."

"If it really is cat scratch disease, we can prescribe some antibiotics. Honestly, even without them, proper rest will gradually lead to recovery."

"Just like that? No need for CT scan?" The girl asked, somewhat incredulously.

She’d been worried sick at home, fearing unspecified tests. Knowing the doctor’s expertise, she called Qiaoqiao.

At first, it sounded serious, but how did it become so simple later?

"These two tests are very valuable, if you hadn’t gotten worried, I wouldn’t have ordered an HIV screening," Liu Banxia said.

"Let’s first see the results of these two tests. Usually, it’s cat scratch disease. In the future, be more cautious when playing with the cat."

"For instance, their nails are often sharp, so regular nail trimming is needed. Not just your own nails, but your cat’s too."

The girl felt deflated, "If it’s because of my cat, I... did I worry for nothing?"

"Your cat? Oh, is that its name? Actually, it’s good to come for a checkup. Not to be nosy, but you should use protection in the future," Liu Banxia said.

"Yesterday, we treated a patient who liked needle-sharing. He was positive for HIV and syphilis, so there is a certain risk."

The girl stuck out her tongue, feeling she’d gotten herself into trouble.

Despite being scared before, now hearing Liu Banxia explain things clearly, she felt she probably just had this cat scratch disease.

Xu Yino directly helped with the blood test, also feeling moved. This is the great talent’s keen insight, even she noticed the cat hair on the patient but didn’t think from that perspective.

She too felt the probability of a tumor was higher, as the lump was quite apparent to touch and the patient hadn’t felt pain.

"Let’s also check the breast, more care is always better," Liu Banxia added.

"Let’s check, since I’m already here, might as well not waste the trip," the girl said happily.

Liu Banxia also smiled, directly wrote out the order.

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