Chapter 1845 Zheng Ren's one, two, three
“I’ll get straight to the point. Why do I say it’s the most crucial step and a half? it’s because the most common thing is to die in the light. Of course, that’s only in online chat. If you’re able to meet up after seeing your looks, it’s likely that you’ll succeed. “
Zheng Ren really wanted to kill this guy.
“Don’t be nervous when you meet her. Let’s just have a casual chat and say something that will make her happy.” Su Yun continued,”after that, the most crucial step was the second invitation. If you can make a second date, it means that there’s no problem. As long as you don’t seek death, it should be fine. “
“Uh …” Zhou Litao looked at the record on the A4 paper. His bitter face was so twisted that wrinkles appeared on his forehead.
“That’s basically it. Understand the spirit and study hard. “
“Brother Yun, that …”
“Chief Zhou, the patient is in trouble!” A nurse knocked on the door.
“Alright, I’ll go immediately.” The conflicted and distressed expression on Zhou Litao’s face immediately disappeared. He put on an extremely focused and serious expression, folded the paper that recorded Su Yun’s words, and put it away.
“Big brother Yun, boss Zheng, please wait for me for a moment.”
“What patient?” Zheng Ren asked.
“It’s about a patient who suddenly lost his sense of smell. ” “I asked him to do a CT scan of his head,” Zhou Litao said.
“Oh, go ahead.” Zheng Ren could tell from her medical history that she was probably fine, so he didn’t bother to check.
The ability to smell was a characteristic of the olfactory cells in the nasal mucous membrane. Any damage to the nasal mucous membrane, sniffles, sniffles, or the central nervous system connection may affect the sense of smell.
The clinical symptoms include loss of smell, loss of smell, loss of smell, reversed smell, hallucination, and increased sensitivity to smell stimulation.
There were many common reasons for a loss of sense of smell.
This included sensitive nasal cavities. Nose breath. Flu virus infection, rhinitis virus infection. Head injury. Sulfur dioxide, nitrogen, and residual formaldehyde in the room after renovation could all cause this.
Moreover, long – term use of perfume would also cause the sense of smell to fail.
Zheng Ren was trying to figure out what caused the patient’s condition. It might be because of formaldehyde, as it was very common to have excessive formaldehyde in homes nowadays.
Zhou Litao immediately ran out.
“Boss, you’re a professional, right?” Su Yun said with a smile.
“I think only Zhou Litao would believe such words.” “You don’t even have a girlfriend,” Zheng Ren said.”You still have the face to say this?”
“Tsk!” Su Yun replied,”I just don’t want to find one, okay?” There were plenty of girls. Girlfriend, find her anywhere on the street!”
Zheng Ren couldn’t be bothered with him. It was so boring to wait for Zhou Litao to come back. He didn’t know how long it would take. There was also a Chatterbox sitting next to him, saying a few words from time to time. He couldn’t even go to the system library to read books.
After waiting for a long time, Zhou Litao still didn’t return, and Zheng Ren felt that it was strange.
He was really bored, so he stood up and pushed the door open.
Seeing a nurse busy in the corridor, Zheng Ren asked,””Excuse me, where did director Zhou go?”
“Teacher, I’ve just arrived. I don’t know who President Zhou is. I’m sorry.” The nurse immediately replied.
Oh, she was a nurse who had just come to Room 912 for in – Service training. Zheng Ren smiled.
Su Yun saw the nurse enter the treatment room, probably to change the medicine. She smiled and said,””I’ll go ask. “
Zheng Ren glanced at him and saw that he had turned around to head to the treatment room. He leaned against the door frame as if he had no bones and began to chat and laugh.
‘She’s really friendly,’ Zheng Ren thought.
However, it was quite troublesome for him to ask something. After waiting for a few minutes, Su Yun returned with a smug look on her face.
“Where are you?”
“He said that the patient with a problem with the sense of smell just now went to the CT room to smoke.” Su Yun said.
“You’ve drawn?” Zheng Ren was confused.”Is it an epilepsy or a spasm?”
“No one saw it, why are you asking for so much detail?” “We’ll know when director Zhou comes back,”Su Yun said.
“Where’s Zhou Litao?” Zheng Ren was puzzled.
“He said it was an emergency treatment, and his blood is pumping very badly. There’s no way he can do a CT scan.”
The CT scan was full of ghosting, and it was the same as if he had never done it.
This patient would probably be sent to the Neurology Department so that he wouldn’t have anything to ask for in the CT room. If he suddenly stopped breathing, he would have to run away.
However, the patient with a problem with his sense of smell suddenly twitched …
There was something wrong with this medical history.
Zheng Ren started to think.
“Boss, I’ll be convinced if you can make a diagnosis now.” Su Yun chuckled.
Zheng Ren also knew what he meant. He knew that he had lost his sense of smell and had to go to the CT room to convulse. It was impossible to make an inference based on these two points.
However, since he had nothing to do, Zheng Ren went back to his room and sat down. He started counting on his fingers.
“First, when the patient has a skull injury, the olfactory nerve strands through the sieve plate can be torn, or the olfactory sphere can be torn due to contusions.”
Su Yun saw his serious expression and found it interesting. She sat opposite him and said,””Logically speaking, the patient doesn’t have an external injury. Otherwise, with Zhou Litao’s personality, he would definitely say that he lost his sense of smell after an external injury.”
Zheng Ren nodded his head. Su Yun’s judgment was right.
“Second, encephalon tumors, metastases, invasive tumors in the anterior anterior cranial artery or the frontal lobe can suppress the olfactory sphere and olfactory bundle, causing damage to the sense of smell.”
“This is not reliable either. If there was a brain tumor, the loss of smell would not be the main lawsuit. Moreover, if the patient doesn’t know about it, it won’t be accompanied by sudden convulsions. ” Su Yun said.
“You can’t say that. It’s just a high probability. That’s still a question.” “About five percent,” Zheng Ren replied.
“More or less. I think it’ll be less. Continue.” Su Yun was very interested in this kind of medical discussion that faced the air.
“Third, the damage to the sense of smell caused by the influenza is temporary, and there will basically be no convulsions. This is also ruled out.”
“Fourth, occasional temporal lobe lesions accompanied by temporary or intermittent sniffing. Loss of smell is often combined with taste damage, which depends on the volatile substances in food and drinks. “
“The temporal lobe syndrome?” Su Yun asked.
“It’s just a passing remark. It shouldn’t be a symptom of the temporal lobe syndrome. ” Zheng Ren said,”volatile substances can cause the sense of smell to fail. However, it’s too outrageous to need emergency treatment for convulsions. It’s not considered for the time being.”
Su Yun increasingly felt that the diagnosis and differential diagnosis was very interesting. It was like playing a game of wits.
“Fifth, congenital factors can not be considered. There are also nasal mucous membrane, olfactory spheres, and olfactory nerve lesions that may lead to a decline or loss of smell. Damage to the central nervous system connection usually doesn’t lead to any noticeable loss of smell. “
“Is the possibility of the fifth point high?”
“It’s hard to say. I don’t think it’s that big. It’s still because I can’t be accompanied by twitching symptoms at the same time.”
“You have a diagnosis? The biggest possibility is an intracranial tumor, which is less than five percent. ” Su Yun said.