The patient's head was still so dizzy that any slight movement would cause her to moan, making it difficult to transfer her to the CT room.
Fortunately, Mio Technology also donated several bedside movable CT machines this time, which are smaller than those on the market, have no radiation, and are easy to operate.
Leng Qi guided everyone and performed a head CT directly next to the bed.
The CT results came out on the spot, and they were fine, with no problems.
That leaves only two possibilities.
If it is an acute cerebral infarction, it is likely that the CT scan cannot be immediately visualized. Instead, a brain MRI can detect the problem immediately.
However, Leng Qi didn't want to issue this checklist for the time being. This was not only because moving old Maura would increase her pain, but also because another cause was more likely.
"Contact the otolaryngology department and ask them to send someone down for consultation. By the way, the patient is not easy to move, so ask them to bring vestibular function evaluation equipment."
When the nurse went to make a call, Leng Qi reassured the family members: "Don't worry too much, it may not be a big problem. But we need to use some equipment for further testing."
"We all follow your arrangements." The patient's son clasped his hands together and saluted Leng Qi: "My mother is in charge of you!"
Dunzup Jiaba translated this sentence, and Leng Qi quickly helped him up, feeling a little emotional.
I have long heard that Tibetan compatriots are kind and honest, and have great respect for doctors. Now that I have seen it with my own eyes, I know that this statement is true.
Faced with this kind of trust and sincerity, she must treat patients wholeheartedly and at the same time bring out more good doctors who can take root in Tibet in order to live up to their expectations.
While waiting for the ophthalmologist to come down for consultation, Leng Qi raced against time to explain the condition to Tao Le and the others.
"Everyone knows the situation." She said: "The electrocardiogram and brain CT are all normal, the blood pressure and blood sugar are normal, the blood test results show that the blood lipids are high, and the liver, kidney function, and cardiac enzymes are also normal."
"You also saw the physical examination I just performed. As clinicians, what do you think about this?"
Hearing her question, Dundup Gyalba immediately lowered his head, but Chang Shengnan, after thinking for a while, spoke first.
"The patient is extremely likely to have acute dizziness, vomiting, and acute cerebral infarction." She said with great confidence: "For acute cerebral infarction, CT can only be visualized after 24 hours, so MRI should be reviewed immediately."
Leng Qi nodded and encouraged: "The idea is correct, this may not be impossible."
"Thank you, Teacher Leng, for your affirmation." Chang Shengnan said, "So I don't quite understand why you called the otolaryngology department for consultation?"
Leng Qi did not answer directly, but asked Dunzup Jiaba: "What do you think?"
"I, my thoughts are the same as Dr. Chang's." He scratched his neck and said.
"What about you, Xiao Tao?" Leng Qi asked Tao Ledao.
"I think the possibility of cerebral infarction is unlikely. The patient's blood pressure is not that high."
As soon as Tao Le said this, Chang Shengnan interrupted her: "If the patient's cerebral infarction is accompanied by mild cerebral hemorrhage, it may not be that clear on CT, and the blood pressure can be appropriately lowered."
Tao Le smiled and said: "What you are talking about is an extremely unlikely event. But there is another situation that is very likely."
Leng Qi waved her hand and stopped Chang Shengnan, who looked unconvinced: "Tell me."
"Teacher Leng, my judgment is the same as yours. I think there is a high probability that it is vestibular neuropathy." Tao Le said.
"Oh?" Leng Qi's face showed the first smile in half a day: "What did you think about it?"
"The various examinations just now are one of the supporting evidences, and the most critical evidences are two points." Tao Le said enthusiastically: "The first is that the patient does not dare to move his head. When he moves, he becomes dizzy and even vomits."
"Changes in head position cause intense vertigo, which is peripheral vertigo and is distinguished from central vertigo caused by stroke - the latter's vertigo is often not related to changes in head position."
"Peripheral vertigo is more common in benign paroxysmal vertigo, which is otolithiasis."
"Very good." Leng Qi nodded to show encouragement: "This is the first point. What about the second reason?"
"I watched you carefully during your physical examination just now. The patient had strong spontaneous nystagmus, and the eyeballs showed horizontal torsional tremor. This type of nystagmus is often caused by vestibular neuronitis, which is the same as the eyeballs with cerebral infarction. There is a difference in shock.”
"Based on the above two points, I think the patient should have suffered from vestibular neuronitis, followed by otolithiasis, which caused nausea and vomiting."
Such words will have completely different feelings in different people's ears.
Leng Qi was very happy. She really didn't expect that Tao Le, a descendant of traditional Chinese medicine, would have a solid theoretical foundation, as well as keen clinical observation and judgment in the clinical aspects of Western medicine.
No wonder he is so good at Chinese medicine at such a young age. His seriousness and studiousness alone make people like him.
If they were all students like this, she wouldn't be tired of taking care of a few.
Chang Shengnan's previous views were stuffed into his mind bit by bit by Corey's previous experts in aiding Tibet. I wasn’t very motivated to learn, and it was much more blunt when applied.
As for what Tao Le said just now, there were many nouns in them that she didn't understand at all.
What kind of peripheral and central vertigo, what kind of horizontal distortion nystagmus. Chang Shengnan had never heard of it, and instinctively thought that someone was deliberately showing off to gain a sense of presence.
And really, this teacher Leng, why can't he just ask less questions and explain things clearly and clearly like the teacher Ma Dong who guided me before?
The endless questioning wasted time, but it also gave her a chance to show off, and at the same time, she and Dunzhu were put down.
It's just a regular training. It's still a bit worse than a resident doctor like myself. What's the point?
In comparison, Dundup Gyalpa’s ideas were much simpler than hers.
He actually didn't quite understand what everyone said just now. But what does that matter?
The experts from Beijing and the city are extremely powerful. In addition, a lot of advanced equipment has been added to the hospital. The old Maura in front of him, as well as the patients who will come in the future, will definitely receive the most meticulous care, and that is enough.
As for himself, he has no ambition at all. You can learn as much as you can, whatever level you can learn, and just mix it up slowly, that's fine.
Not long after, an attending doctor came down from the otolaryngology department. Dr. Sang of the Beijing Eye Hospital was one of the first batch of doctors to assist in the construction of the Saskatchewan Central Hospital.
