Chapter 42 Beware of Misdiagnosis
"Humph! When I was studying for my doctorate abroad, I interned at a very top-ranked medical center in the United States. It's not as bad as you say. After this fainted pregnant woman is cured, I will prove that it is not just talk. Then you must apologize to me."
Du Leng claimed to be a top medical genius, but Zhou Can publicly said that he was just talking nonsense.
How could he bear it?
He directly used this pregnant woman to prove his diagnostic ability.
He also wanted Zhou Can to apologize to him in public.
Zhou Can grinned with an unfathomable smile.
"Okay, no problem! But I must remind Dr. Du that misdiagnosis is the most terrible thing!"
Du Leng's face turned from blue to red, and his breathing became heavy.
"What do you mean? That my diagnosis of this pregnant woman was a misdiagnosis?"
Anyone could feel that Du Leng was extremely angry.
What doctors fear most is hearing the word misdiagnosis.
Once a misdiagnosis occurs, it can be a slap in the face at best and a medical accident at worst.
No wonder Du Leng got so angry after hearing this.
When Director Xie saw that the surgical sign that had just been put up was about to be smashed, he became furious.
"Director Lou, your doctor is so arrogant. Director Yin of Neurology and Du Leng of our surgery department both diagnosed the patient's fainting as an intracranial arterial aneurysm compressing the brain stem. He actually said casually that our joint consultation opinion was wrong."
Director Xie, based on his status, protested directly to Director Lou.
This is to let Director Lou teach Zhou Can a lesson.
By the way, he also pulled Director Yin into his camp.
"Young man, even though you got the first place in the regular training examination, you must be humble. I have diagnosed more cases than you have. You have only been working for a few days? Don't be so superficial. Otherwise, you will lose face for yourself and the emergency department."
Director Yin was also a little angry.
There is no false reputation under a great name.
His authority in the field of internal medicine had already been challenged by Du Leng once. Now a junior undergraduate, a resident doctor who had only worked for two days, dared to refute his diagnosis.
This trend must not be allowed to continue.
Director Lou was under tremendous pressure as he faced protests from two big bosses at the same time.
"Xiao Zhou, be more serious in your words!"
He gave Zhou Can a mild rebuke, which was considered as an explanation to the two directors.
Zhou Can didn't say anything else. Facts speak louder than words.
As long as the real cause of the disease is found, both Director Yin and Du Leng will have to bow their heads.
He dared to remind Du Leng to be careful of misdiagnosis, which actually showed that he was somewhat confident.
Lesions can sometimes be disguised.
For example, we often joke that if you have a headache, you should treat your feet. According to normal logic, if you have a headache, the lesion must be in your head. In fact, the lesion may really be in your feet.
Eye diseases caused by heat foot disease can lead to headache symptoms.
If you meet a quack doctor and he prescribes medicine for a headache, it will definitely not work.
The pregnant woman's fainting might indeed be caused by the hemangioma in her head, but the real cause might not be the hemangioma.
Zhou Can felt that the sudden rise in the pregnant woman's blood pressure was particularly strange.
This is probably the real cause of the disease.
As for the hemangioma on the head, it is just a superficial phenomenon.
If you only treat the symptoms of a disease, it's like playing whack-a-mole. After you hit one, another one pops up.
There are many examples of this kind.
Many patients only have one disease when they are first admitted to the hospital, but the disease gets worse the more they are treated. From one disease, five or six diseases are developed, which is euphemistically called complications in medicine.
Some complications may indeed be unavoidable, and some so-called complications are purely caused by doctors' incorrect treatment.
Zhou Can lowered his head in thought.
The pregnant woman had been pregnant for nearly six months and had kept her blood pressure well under control, and nothing had happened.
Why does blood pressure suddenly rise?
It is said that long illness makes a good doctor.
The pregnant woman herself has a history of hypertension for more than fifteen years, and she may be no worse than a professional doctor in terms of how to control blood pressure.
From this, it can be inferred that low-level mistakes such as forgetting to take antihypertensive medication and excessive behavior that increases blood pressure can basically be ruled out.
What's more, she values the baby in her belly more than her own life, so she will definitely be more careful.
She had a sudden attack in the taxi.
This means that she didn't notice anything unusual about her body before she went out, otherwise she would have taken an ambulance instead of a taxi.
But what danger could there be in taking a taxi? Even if the driver slammed on the brakes ten times in a row, it would not cause her blood pressure to rise out of control.
Judging from her dress, she seemed intellectual and elegant, and had a kind face. The possibility that her blood pressure rose due to an argument with the driver was also very small.
Since all the above are ruled out, let's make a bold guess: could it be because she ate something she shouldn't have before going out?
For example, taking the wrong medicine.
This possibility is very high.
Because her eyebrows were so messy before she went out, but she didn't notice it, which was enough to show that she had problems with her eyesight at that time.
I habitually took antihypertensive drugs before going out, but as a result, I had vision problems and took the wrong medicine.
After taking it, hurry out.
The drug enters the stomach, dissolves over time, is absorbed by the body, and then causes blood pressure to rise.
It takes about twenty minutes from taking the medicine to the onset of the disease.
The onset time also coincides.
"Yes, that must be it!"
Zhou Can's eyes became brighter and more determined.
The clouds are clearing and the sun is shining.
Now he has deduced the reason why the pregnant woman's blood pressure suddenly rose and got out of control.
Next is the evidence from medical test data.
We can't just make assumptions about anything, right? We need scientific evidence.
What medicine did she take wrong?
There are many drugs that can increase blood pressure.
Maybe you can find some clues by looking at her blood test report.
Because the pregnant woman is now in a coma and cannot communicate.
If you want to find the ultimate cause of the disease, you must rely on a doctor to diagnose and diagnose.
Zhou Can walked to the locker and picked up the patient's test results on it to check.
This action immediately attracted everyone's attention.
Several senior doctors in the emergency department looked at Zhou Can with appreciation.
It's a good thing that young doctors love to learn.
Only by observing more and thinking more can we improve our diagnostic level.
"Doctor Zhou seems to have a different diagnosis!" Gao Jian walked over with a smile and took the initiative to talk.
Others look down on Zhou Can as an undergraduate, but Gao Jian thinks that Zhou Can has real talent and knowledge.
After arriving at the emergency room, Gao Jian kept thinking about the cause of the pregnant woman's illness.
Want to win back a game against Zhou Can.
But he had no idea.
Zhou Can suddenly took the test results to check, which made Gao Jian feel uneasy.
"I just took a look with a learning attitude."
After Zhou Can picked up the pregnant woman's blood test report and read it, he felt a little disappointed.
This is just a routine blood test report.
If you want to find out the drug components in the patient's blood, you must draw blood and send it to a specialist for testing.
At this time, the pregnant woman was pushed back after the head ultrasound.
Du Leng couldn't wait to check the color ultrasound film.
"That's right, it's the intracranial arterial aneurysm that compresses the brain stem." Du Leng seemed extremely excited.
It was just short of screaming.
He wanted to announce to the world that his diagnosis was correct.
