When a doctor opened a plug-in

A farce, so that the emergency morning was suddenly full of vitality.

With this set of theories of grandpa and aunt, Chen Cang suddenly discovered that what a luxury is not comparable to an ordinary patient in our ICU.

There are tens of thousands of brackets or bridges.

Gee tee.

Thinking of this, Chen Cang felt that he had learned a lot this morning.

However, in the morning when Chen Cang was in the office, a special patient came to the emergency room.

"Professor Chen, there is an intractable disease." Wu Hui hurried out and said to Chen Cang.

Chen Cang was taken aback: "What's the matter?"

After finishing speaking, he followed Chen Cang to the outside.

"Doctor, doctor, come look at my hand!"

A great god who was about 60 years old sat in the office with a painful face, surrounded by a group of doctors, each with his eyebrows tight, as if he was embarrassed by this aunt!

Chen Cang couldn't help asking: "Auntie, what's wrong with you?"

When the old lady heard this, she stretched out her hand full of pain: "Doctor, look, my hand hurts!"

Chen Cang asked immediately: "What's the matter?"

The aunt pointed to Luozhou and said, "He broke it for me!"

Luo Zhou looked helpless.

Chen Cang frowned immediately and asked, "What's the matter?"

Luo Zhou helplessly explained: "An ambulance came over just now, and a patient on the cart was rushing to the rescue room. Where the aunt is standing, I handed it along."

"As a result, this aunt touched the doorknob with her hand."

"Director Chen...I'm sorry." Luo Zhou really didn't want to trouble Chen Cang, so he apologized.

The aunt quickly said: "Young man, I don't blame you. I also understand that you are probably busy. Don't worry, the aunt is not a bad person!"

"I feel like I was stabbed by a needle. It stings. It really hurts."

"I'm not worried about others, I'm worried about being infected with those strange diseases. You know, in this world, look at it, look at it! I read on WeChat a few days ago and said that there are many bad people now! Plug in those buses, vending machines! And the door handles of hospitals, some AIDS patients like to do this!"

The aunt's tone was very quick, Barabara said a lot!

Chen Cang was helpless. The door of the emergency department was opened and closed every day. How could there be needles?

Who is okay?

However, to be on the safe side, Chen Cang picked up his aunt's hand and carefully examined her right palm, but did not find any needles or wounds.

And if it was acupuncture, there would definitely be trauma, Chen Cang started staring, and the wool did not see it!

Chen Cang looked at Luo Zhou who was nervous, patted him on the shoulder and said, "It's okay!"

"This, Yali, take your aunt to make an X-film of your hand!"

"Auntie, don't worry, we will give you a free inspection!"

When the aunt heard this, she nodded quickly: "Okay, I'm not taking advantage."

Half an hour later, the X-ray results came out, and the right-hand X-ray was nothing unusual!

Fractures, bone and joint abnormalities, soft tissue abnormalities, foreign bodies, etc. have not been seen...

Is it nerve damage?

Thinking of this, Chen Cang gave her a detailed neurological examination.

However, the slightest problem was not detected!

The aunt's tingling sensation was not a radiating pain, nor did it extend beyond the palm of the hand. There was no change in the pain when the posture was changed, there was no tenderness and percussion pain, unlike nerve damage.

Chen Cang suddenly thought of a possibility, would he... touch porcelain?

Thinking of this, Chen Cang felt that it was not impossible!

After all, the hand hurts inexplicably, there must be a reason, right?

Chen Cang suddenly said, "Auntie, this is more troublesome, we might have to have an operation to check it!"

"You may be a dangerous and complicated nervous system entanglement irritation pain. There are not many in the world, and it may even cut the nerves in your hands!

I heard what Chen Cang said.

The aunt suddenly said that the pain was no longer there, and she refused to have surgery for any more.

After the aunt finished speaking, she said to Chen Cang, "Are you the director?"

Chen Cang nodded: "Yes."

The aunt said: "Director, I'm from a different place, and I don't know where I am. I don't know where to go. Besides, I am worried that my hands will suddenly hurt. Or... you let me stay in the hospital and observe Observed?"

When Chen Cang heard this, he was helpless.

The co-working hospital is a hotel, you can live if you want?

It suddenly dawned on everyone that you encountered Porcelain now, right?

Chen Cang said: "We don't have any extra beds here. They are all for patients and for rescue."

Chen Cang also didn't want to cause trouble, so he asked the nurse to take the patient away quickly and don't delay seeing other patients.

Qin Yali is a better person, she hurriedly pulled her aunt away, but kindly took out the mobile app, checked her a bunch of nearby hotels, and persuaded her to leave.

I thought it would be over.

However, no one thought that in the evening, the aunt came again!

Everyone is ready to get off work, and when they see her, they "cock".

It was Qin Yali's quick eyes and quick hands, she greeted her first and asked her what happened.

The aunt immediately turned on the complaining mode.

"Doctor, you can’t live in a hotel. It’s not safe. Think about it. There is an organization called the Dark Web. Just find us and take us away for human experiments. And... Think about it, if I were cut off. What should I do if I lose the kidney?"

"What if the hotel has a camera?"

"Also, some AIDS will deliberately put needles in the bed..."

Chen Cang frowned suddenly!

Again!

Do you have any misunderstandings about needles?

Chang Lina has changed shifts. After hearing this, she couldn't help but blurted out: "I'm sick! You are a persecuted delusion! Persecuted delusion!"

As soon as these words came out, everyone was stunned, maybe... Does this aunt really have a mental problem?

Chen Cang took a deep breath at this time, his neurology diagnosis is perfect!

However, I still didn't see anything strange from this aunt.

Later, Chen Cang gave the aunt a head CT and MRI, and some blood tests.

Then he settled down and went through the formalities.

The key is that the aunt is very cooperative and also takes the initiative to go through the procedures for the money.

In this way, the night passed.

In Luozhou's night shift, Chen Cang asked him to do more snacks, maybe this aunt might be mentally ill.

But Chen Cang has not diagnosed now.

Although Luo Zhou was nervous, he nodded and agreed.

The next day, the result came out, and it was normal!

Head CT and MRI: No obvious abnormalities.

In the blood test, except for a little anemia and a little low white blood cell, liver and kidney function, electrolytes, thyroid function, blood sugar, blood ammonia, vitamin B1, infection indicators, AIDS and syphilis were all normal.

Chen Cang even kept a urine sample to test whether the aunt had knocked the medicine, and the results were all negative.

It seems that this aunt with abnormal mental behavior is not like a patient in God.

Chen Cang thought of this and gave her some simple cognitive checks.

"Which city are you in now?"

"Bac He Province"

"Where is the capital?"

"Tianjin"

"100 minus 20 minus 20 plus 20 equals?"

"200!"

Suddenly, the situation became complicated.

Chen Cang decisively made a MoCA scale for her and only scored 21 points.

Reminiscent of her messy speech before, it seems that she really has a cognitive impairment.

However, I didn't expect that the more she talked, the more excited she became, saying that she grew up in the United States and was very talented since she was young.

Both elementary and high school skipped grades, then went to the FBI as an agent, and then went to NASA to do a mysterious research.

Now returning to China is to join China's national security department!

In order to keep "state secrets", she has never been married, has no family or friends.

Finally, she also mentioned that she had worked as a volunteer in a mental hospital, but was not hospitalized.

Mental illness is no doubt.

Here, Luozhou is going to contact the mental hospital.

However, Chen Cang suddenly hesitated. He vaguely felt that something was wrong.

Where did you miss it?

At this time, it happened that the psychiatric hospital called and said that the diagnosis of mental illness was not casual. The most important thing was to satisfy most of the time for 1 month or more.

But this aunt hasn't even been there for a day since she was admitted to the hospital, and no one can prove whether she has a mental illness.

But now that all the organic ones are eliminated, isn't that the primary mental illness left?

"Didn't she say that she had lived in a mental hospital? Maybe she ran out there." Luo Zhou was even more convinced that she was mentally ill.

"Yes, yes, and her blood prolactin increased, maybe it was caused by the antipsychotic treatment before." Chen Bingsheng said directly.

"I was thinking, why is she anemia?" Chen Cang said suddenly.

"Anemia? It's normal, right!"

"Yes, mental illness is a bit anemia at the same time. Originally, the diet of mental patients is not balanced. Mild anemia is normal, right?"

Everyone was talking about it, when they were about to send this patient away.

Chen Cang's brain told Rotate, and suddenly, the clue was clear, and a message filled his mind!

"Yes, I remember!"

"It is written in the textbook chapter on mega-baby poverty that patients with mega-baby poverty caused by vitamin B12 deficiency can have neuropsychiatric symptoms, such as distal limb numbness, gait instability, ataxia, depression, memory loss, hallucinations, Delusion and even insanity!"

As soon as these words came out, everyone was stunned!

Chen Cang hurriedly said: "Let me add iron and vitamin B12 to check and see the effect!"

At the 29th of the twelfth lunar month, suddenly this aunt recovered magically.

This news made everyone in the emergency department feel emotional.

Lao Ma glanced at Chen Cang and couldn't help asking: "Cang, how can you do everything!"

Ding!Diagnose anemic insanity sign, the difficulty determination is higher, get the neurology skill tree key x1!

Chen Cang was overjoyed at once, is that so?

After the diagnosis is clear, can you get a key?

And the key happens to be able to open the skills on the skill tree?

In this way...

Chen Cang suddenly discovered that this job change really made a lot of money.

However, looking at the difficulty determination, Chen Cang frowned slightly, maybe...what else is there?

But anyway!

When a doctor really cannot take the details seriously, we must always be alert.

Any clues may lead to different results!

It is better to dig into the roots of the crime.

...

ps: I find this medical record very interesting and share it with everyone.

Anemia can cause mental illness.

I ask for a monthly pass. It's the end of the month. Please give me some help. Please!