Chapter 566: Sudden Hemianopsia

Remember [new] in one second! It was originally a twenty-minute journey, but Lu Chen arrived at the Xin Nei Ward in less than ten minutes.

In the department, in addition to the doctors on duty, Xiao Shikang and Qin Sifeng were also there.

"Teacher Xiao, Teacher Qin, what happened to the patient?" Lu Chen put on his white coat and came to the doctor's office.

"Since you are here, let's go see the patient together." Qin Sifeng's face was quite serious.

"Okay." Lu Chen nodded slightly. .

So, he followed Xiao Shikang and Qin Sifeng to the ward of "big connections".

In the ward.

The woman lies on the hospital bed with her eyes closed.

In addition to the "connected person", there is another young woman who looks somewhat similar to the patient. The two should have a mother-daughter relationship.

"Professor Qin, Director Xiao, you are here." The young woman stood up immediately when she saw the three people walking into the room.

The woman on the hospital bed slowly opened her eyes.

However, her current expression and state were completely different from when Lu Chen saw her in the afternoon, and she seemed to have no energy at all.

The health value on her head has also changed from 73 (-) in the afternoon to 68 (--) now!

The change trend of two minus signs further confirms that her condition is not optimistic.

"Professor Qin, I, I still can't see my right side..." the woman said extremely weakly.

When Lu Chen heard this, he was stunned. He couldn't see the right side?

What does it mean?

At this time, Xiao Shikang whispered to Lu Chen: "The patient was sleeping at home at night, and his headache suddenly worsened. Then he developed hemianopia and the vision on the right side was damaged. Because this patient is special, we thought you were the bedside doctor. So I called you over."

Lu Chen was astonished. Could it be that he really had a stroke?

Or is the intracranial tumor getting worse?

Lu Chen thought this was too dramatic.

He had been worried about the other two patients, but he didn't expect that there would be a problem with this "big connection"!

He immediately stepped forward and began to conduct a more detailed consultation and neurological examination of the woman.

Seeing that it was Lu Chen, the patient on the bed was very cooperative at this time, "Doctor Lu, you are here."

"When did the visual impairment occur?" Lu Chen asked.

"It's around nine o'clock in the evening, but my migraine has been going on for half an hour." The woman said, "I took painkillers and prepared to go to bed, but the painkillers didn't work and the pain became more severe. After a while, I felt a pain in my eyes. Can't see anything."

At this time, the patient's daughter explained at the side: "How can I put it, my mother can't see it at all, or if I stand on her right, she can't see it. Even if she opens her eyes wide, she can't see it. You can't see me unless you turn your head and look directly at me."

"Then a few minutes later, my mother felt something was wrong with her left hand. She just couldn't feel her left hand moving. She clearly saw that the hand was hers, but she didn't feel it, and it didn't hurt when she pinched it hard."

Hearing this, Lu Chen's mood instantly hit rock bottom.

The probability of experiencing typical symptoms of hemianopia, limb sensory impairment, stroke, or intracranial tumors is even greater!

At this time, the woman spoke up again: "Dr. Lu, do you think I really have a brain tumor? I went online to Baidu. The most common type of brain tumor is glioma, and many gliomas are disgusting. , the mortality rate is still very high. The most common ones are headaches and nausea, and many people also suffer from loss of physical sensation, movement, and even vision.”

The more she spoke, the more trembling the woman's voice became.

These symptoms are all exactly right!

Lu Chen couldn't guarantee anything now, so he could only offer a few words of comfort.

At this time, Xiao Shikang said from the side: "We have asked the neurology department for emergency consultation. We cannot rule out the possibility of cerebral hemorrhage, cerebral infarction, and brain tumors for the time being. We recommend that the emergency department complete brain CT and DWI."

The duration of ordinary brain MRI examination is very long, and patients may not be able to persist in completing it.

Therefore, in general emergency MRI examinations, DWI examinations are performed. The time is short and can be completed in about five minutes, but the results may not be accurate.

"Mr. Xiao, I'm the bedside doctor. I'll go with her," Lu Chen said.

According to common sense, this should be accompanied by the doctor on duty.

However, Lu Chen felt a trace of guilt in his heart. This kind of problem occurred with the "big connections" because he did not correctly assess the patient's condition.

But to be honest, he never thought that a woman in her forties might actually have a stroke...

…

Walk out of the ward.

"In five minutes, when the MRI is ready, you can take the patient out for examination." Xiao Shikang said to Lu Chen beside him.

"Teacher Xiao, Teacher Qin, this patient is my responsibility." Lu Chen said.

This was the first time that Lu Chen experienced such an unexpected change in his condition since he came to clinical work.

The most important thing is that Lu Chen told the patient yesterday that the possibility of stroke was unlikely...

A doctor must not only provide appropriate diagnosis and treatment to patients, but also correctly judge the condition and prognosis, which is also very important.

Qin Sifeng came to Lu Chen and patted his shoulder gently, "Don't blame yourself. I knew about her condition this morning, but I didn't expect that such a young patient could have a stroke or brain tumor." …”

The patient is a "well-connected person", and several deans and leaders in the hospital have already called to express condolences.

Because it was late now, these leaders did not come, but it is foreseeable that tomorrow morning, many leaders will come to say hello.

…

Five minutes later, Lu Chen and a nurse on duty took the patient and his family to the CT room and MRI room for examination.

This kind of emergency examination will soon produce results.

The woman lay on the bed, tilted her head to one side, and did not dare to look at the final result. She said to her daughter: "Xiao Lan, take a look, and tell me after you see the result."

After the examination, the results came out in less than ten minutes.

The patient's daughter took the two examination sheets, took a look, and a touch of joy flashed in her eyes.

"Mom, nothing happened, no cerebral hemorrhage, cerebral infarction! No brain tumor!"

Hearing this, the woman lying on the bed finally felt relieved!

After surviving a disaster, the happiest thing in the world may be a false alarm.

However, Lu Chen poured a bucket of cold water at this time, "The CT and DWI of the emergency department may not be accurate, and they need to be rechecked and observed. Because you have hemianopsia and sensory impairment on one side of your limbs, there must be something wrong with your brain!"

Back to the ward.

The doctor on duty asked for an emergency consultation from the Department of Neurology.

The neurologist's statement was similar to Lu Chen's, "Temporarily ruled out cerebral hemorrhage, cerebral infarction and brain tumor. However, many small tumors cannot be seen by head CT and DWI. Tomorrow you have to complete MRI and MRI examinations, and also do a transcranial Doppler color Doppler ultrasound examination."

The test results are normal for the time being, which is a blessing in disguise.

Lu Chen, Xiao Shikang and Qin Sifeng explained a few words to the patient and left.

But Lu Chen still had doubts in his heart. If the results of ordinary MRI+MRI are normal tomorrow, then what will be the cause of the patient's hemianopsia and limb sensory impairment?

……

Back to the dormitory, it was almost twelve o'clock in the evening.

My roommates are all asleep, UU reading www.uukanshu. net Lu Chen washed up carefully before going to bed.

Lying on the bed, Lu Chen slowly closed his eyes.

All the medical history of the patient just now immediately emerged in Lu Chen's mind.

"Huh, I was still careless."

Lu Chen was reflecting on his clinical diagnosis and treatment behavior. The previous experience was too smooth, so his judgment was a bit arbitrary now.

Fortunately, no serious accident happened. If the patient really had a stroke, he would be negligent as the attending doctor.

The system's life value and change trend also "deceived" him.

This does not mean that the system is down.

Rather, the patient's condition changes rapidly, and the temporary life value and change trend may not be able to keep up with the speed of the condition change.

What's more, he can't keep an eye on the patient's life value changes 24 hours a day.

Lu Chen thought to himself: "You still have to keep a respect for life at all times."