Chapter 1005 Not Meningitis

   "Sit down!" Guo Xiang pointed to the chair in front of him, and he would drop the thermometer when he was standing and waiting for a while.

  Five minutes later, Guo Xiang stretched out his hand, "It's okay!"

  The girl took out the thermometer, and Guo Xiang looked at it. It was 38 degrees 8, have a fever?

  Having a rash and fever, this is really a symptom of meningitis.

   "Is there anything uncomfortable?" Guo Xiang frowned.

   "Hmm..., my head hurts a bit." The girl said.

  Guo Xiang's brows frowned more tightly, and one more symptom appeared.

  The girl was a little scared, and asked nervously: "Doctor, do I have meningitis too?"

  "Not sure yet." Guo Xiang shook his head, picked up a pen, "Look at my pen!"

  Guo Xiang raised the pen, the girl looked up at the pen, Guo Xiang lowered the pen again, and the girl looked down.

  Guo Xiang turned the pen to the left again, and the girl twisted her neck and yelled "Yeah".

   "What's the matter?" Guo Xiang asked hurriedly.

  "It hurts!" The girl touched her neck subconsciously.

  "Look here again!" Guo Xiang turned the pen to the right again, and the girl turned her head to the right and said it hurt again.

  Guo Xiang looked at her, moving up and down is fine, only moving left and right will hurt, so strange?

  Mingingitis is a symptom of a stiff neck, but it can’t be just left and right, no problem up and down?

   "Doctor, am I really infected?" The girl was anxious, almost crying.

  Guo Xiang shook his head, "Further inspection is to be done."

   Picked up the medical record and wrote, suddenly the girl screamed, looked at her hand, and touched the corner of her eye, "Why did I bleed?"

Guo Xiang hurriedly looked at the girl’s eyes with a little orange tears, and said quickly: “This is not blood. If you take rifampicin, this is a side effect. Tears, sweat, etc. may turn orange. Open your mouth and let me see, gums. It may also bleed."

  The girl opened her mouth, and the blood shed more than the girl’s mouth.

  Guo Xiang was surprised that the gum bleeding caused by rifampicin is the most sticky on the teeth. How could it be so much? This is a few yards and a few milliliters.

  Guo Xiang hurriedly took the sterile gauze on the side to wipe the girl's blood, and shouted at the door, "Xu Wei!"

   "What's wrong?" Xu Wei walked out of the consulting room next door.

   "Quickly, go and push me a bed shifter!"

   "Okay!" Xu Wei ran out, and quickly pushed a moving bed over, and Guo Xiang helped the girl onto the bed and lay down.

   "What's wrong?" Xu Wei asked.

  Guo Xiang opened the girl’s mouth, and Xu Wei looked at him. Xu Wei was taken aback, "Is this vomiting blood?"

   "It may be gastrointestinal bleeding!" Guo Xiang pushed the bed, "Go and make a stomach first."

   "What's the situation?" Xu Wei asked Guo Xiang as he moved the bed.

   "It was said that her classmate had meningitis. She was afraid of the infection, so she stole rifampicin. She had a rash and also had a fever." Guo Xiang briefly said.

   "Rifampicin? It is impossible to produce so much blood." Xu Wei said.

   "So there is a problem, there is internal bleeding, we need to find the bleeding point." Guo Xiang said.

  Go to the Gastroenterology Department, where there is a gastroscope for examination.

  Guo Xiang brought the endoscope and gave the girl a little anesthetic. It won’t be so uncomfortable later.

  The endoscope is a long tube with a small camera on the top. When the tube is inserted into the stomach, the camera can take pictures of the inside of the stomach and see the inside through the connected display.

  The tube slowly enters the girl’s esophagus and then into the stomach.

  Guo Xiang turned the endoscope, but did not see it, and there was no bleeding.

  "Maybe it is intestinal bleeding?" Xu Wei asked.

   "The endoscope is not long enough." Guo Xiang shook his head.

   "Then use colonoscopy?" Xu Wei asked.

  Guo Xiang still shook his head, "The colonoscopy may not see the small intestine."

  The colonoscopy is usually entered from the anus. First, the patient must have an empty stomach, and then eat the salt to drain all the feces and food residues in the intestine.

  It’s too late now, and colonoscopy usually looks at the large intestine. In case of bleeding in the small intestine, it is not easy to see.

  There is no gastroscopy capsule yet. If there is a gastroscopy capsule, it is convenient. Swallow it. The camera in the capsule can take a good picture of the gastrointestinal tract. It is the best way to check the small intestine.

  But not yet.

  B-ultrasound and CT can not see the bleeding in the intestines, only the enteroscopy is used.

  However, the small enteroscope is more painful than the gastroscope. It is inserted into the endoscope from the mouth and **** at the same time, and then the two mirrors are connected, but the same thing is to clean the stomach.

  Guo Xiang simply opened the fluoroscopy and looked into the girl’s intestines. The intestines were several meters long. Guo Xiang was struggling to see, because he had to take a closer look, and the bleeding might be small.

   "Dean Guo?" Xu Wei called out. He naturally didn't know that Guo Xiang was watching through perspective, and wondered why she was suddenly in a daze?

  Guo Xiang straightened up and closed his eyes, his eyes were a bit painful, "I'm fine."

  I don’t seem to see any bleeding spots, what's the matter?

   “Let’s do a spinal puncture first. If the brain infection is found, it can be detected.” Guo Xiang said.

   Pushed the girl to the operating room, gave her anesthetic, and smeared her back with iodophor for disinfection, "Hold your knees and go in." Guo Xiang said.

  The girl was obedient and obedient. Guo Xiang took a spinal needle and stuck it in the girl's back spine.

   "It hurts!" The girl yelled and bit her lip.

   "Relax, you will be well soon." Guo Xiang said.

   After that, it was tested, "I will draw her some blood." Xu Wei said.

  While waiting for the result, Guo Xiang has been thinking about what is causing the girl’s neck to hurt?

  If you list the causes of neck pain from the textbook, you can list two large sheets.

  But if you have these symptoms again, you can't remember what it is.

  The result of the laboratory test was expedited, and the result came out, and there was no meningitis.

  But the girl’s condition is abnormal and must be hospitalized.

   "Your parents, call here, your situation is very complicated, and it is also very dangerous, you must be hospitalized for examination." Guo Xiang said.

  The girl was lying on the bed, her eyes flushed, "I have no family."

   "Huh?" Guo Xiang looked at her in surprise, wearing a school uniform, still a student, how could he have no family? Who is the book for her to read?

   "My parents are long gone. I live with a distant aunt. She was gone last year. I am almost an adult, so I did not go to the orphanage and live on some relief from the community."

  Guo Xiang sighed, is that so?

  But the girl cannot let her go in this situation, she may faint due to heavy bleeding soon after going out.

   "Then you live first, and I apply for a free fee reduction for you." Guo Xiang said.

   "Thank you doctor!" the girl said tearfully.

  Guo Xiang sent the girl to the ward, connected to various instruments, Xu Wei also walked over here, holding the blood test sheet, "It seems there is no problem."

  Guo Xiang's wrinkled head is locked tightly, which is not easy to do.

   "But don't worry, we will definitely find the cause. At least now we know that you don't have meningitis. Isn't it good news?" Guo Xiang smiled at the girl.

   "Thank you doctor, can I go back to school if I'm fine? I'm in the second year of high school, and I'm nervous about studying now..." The girl said, and the instrument on the side suddenly beeped.

  Guo Xiang hurriedly looked at the girl. She was motionless, but did not close her eyes, just opened her eyes and did not move.

"Child, child!" Guo Xiang patted the girl's face. She seemed to be in shock, but her eyes were open. Guo Xiang quickly took a small flashlight and took a picture of the girl's eyes. Seeing her pupil reaction, there was no reaction at all. No perception at all.

  "Is this absent?" Xu Wei was shocked, the instrument was still beeping.

  　Thanks to Mo Xiaodou for rewarding 500 starting coins, okay!

  　　

  　

  (End of this chapter)