This miracle doctor just wants to be fired!
Chapter 98 Meningitis
Not long after, nurse Lin Ling returned.
"Dr. Zhou, the cranial MRI and EEG are scheduled. The MRI is scheduled for half an hour later, and the EEG can be done after that."
"The examination department is already aware of the situation and will prioritize our patients."
Zhou Cheng nodded: "Thank you for your hard work."
After saying that, he turned to Li Yang and said, "Come with me first. You will accompany the patient to the examination later. Keep an eye on the patient's condition on the way, and call me immediately if there are any abnormalities."
"Okay, senior brother," Li Yang replied immediately.
The two arrived at the emergency room, and Zhou Cheng briefly explained the situation to the family.
"We have already scheduled a cranial MRI scan, and now we need to take the patient there for the examination. This scan can more clearly screen for brain problems and is very important for determining the cause of the illness. Let Dr. Li accompany you."
Although the family members were still worried, they also knew that the examination was necessary.
The man nodded quickly: "Okay, we'll cooperate."
With the nurse's assistance, the group carefully transferred the patient to the examination gurney. Li Yang held the edge of the gurney steadily, keeping a close eye on the patient's expression throughout the process and occasionally checking the data from the makeshift monitor.
Throughout the journey, the patient kept their eyes closed and showed no obvious abnormalities; the heart rate and blood pressure on the monitor remained relatively stable.
Li Yang breathed a slight sigh of relief and quickened his pace to minimize the transfer time.
The cranial MRI scan went smoothly, taking about 20 minutes, and the patient experienced no discomfort.
After the examination, Li Yang accompanied the family as they pushed the patient back to the emergency room. Suddenly, the patient let out a soft groan and frowned slightly.
Li Yang's heart tightened, and he immediately asked, "Are you feeling unwell?"
The patient, without opening their eyes, said weakly, "My head... my head hurts!"
Upon hearing this, the family member next to them immediately became nervous. The woman quickly leaned closer: "Why do you have a headache? Did the examination just now cause it?"
Li Yang was somewhat helpless and quickly reassured the family member, "Auntie, don't worry. It might be that the patient has been in the same position for too long during the examination, or it might be a change in the patient's condition. We'll be back in the ward soon. I'll contact Senior Brother Zhou Cheng right away."
After sending the patient back to the emergency room, Li Yang carefully observed the patient's condition.
The patient's headache seemed to have worsened, and the family members were extremely anxious.
The man couldn't help but look at Li Yang: "Dr. Li, my child never complained of a headache before, so why does she have one after this examination? Could the examination have injured her?"
Li Yang patiently explained, "An MRI scan is non-invasive and generally won't cause any damage to the body. It's most likely due to changes in the patient's condition. Please don't get agitated. I see she's sweating a bit. Let me check her temperature first. I'll report to Dr. Zhou immediately and have him come over to take a look."
"The thermometer has been in place for several minutes, it should be ready by now, please check it."
Faced with the anxious patient's family, Li Yang felt quite helpless and had no choice but to pick it up and take a look.
His brows furrowed instantly.
Indeed, some
Body temperature 37.7℃, low-grade fever!
Li Yang turned around and ran towards the doctor's office.
At this moment, Zhou Cheng and Chen Xi were reviewing the supplementary medical history and integrating the medical records.
Seeing Li Yang rush in, looking flustered, Chen Xi immediately stood up and asked, "What's wrong? Did the examination find a problem?"
"Senior, the patient just came back from a cranial MRI and said she had a headache. I just took her temperature, and it's 37.7°C, a low-grade fever!" Li Yang reported quickly, panting. "The family is very nervous and is questioning whether the examination caused it. I've already calmed them down, but they're still quite agitated."
Zhou Cheng's expression instantly turned serious. He put down the medical record folder in his hand: "Let's go take a look!"
As he spoke, he strode toward the emergency room, and Chen Xi followed closely behind.
……
Upon entering the emergency room, one could hear the anxious inquiries of family members.
Zhou Cheng ignored him and immediately went to the bedside, looking at the patient on the bed: "Where does your headache come from? Is it continuous or intermittent? Is it severe?"
The patient slowly opened his eyes, his gaze still somewhat unfocused, and his voice weak: "My whole head hurts, it comes in waves, it's quite bad..."
Zhou Cheng immediately reached out to check the patient's pupils, comparing the size and light reflex of both pupils. He then gently pressed the acupoints on the patient's head to ask if the pain had worsened, and then checked the monitor data.
"Heart rate 78 beats/min, blood pressure 90/58 mmHg, blood oxygen saturation 95%, vital signs are relatively stable, but low-grade fever and headache cannot be ignored."
He turned to Li Yang and said, "Li Yang, go get a blood pressure monitor and measure the blood pressure and temperature again, then record them. Chen Xi, go get the patient's examination appointment form and previous medical records; I'll review them again."
"Okay." The two immediately split up and got to work.
Zhou Cheng then turned to the family members, trying to maintain a respectful tone: "Family members, please don't worry. The MRI scan itself is safe. The patient's headache and low-grade fever are more likely caused by the progression of the disease itself, such as a potential inflammatory reaction in the brain, or a follow-up reaction of the body to a previous stress state."
"We will first complete the relevant assessment, and then take targeted measures. I will communicate with you as soon as possible if any situation arises."
Although the two family members still had some doubts, they chose to believe Zhou Cheng.
……
Just as Zhou Cheng and his colleagues returned to the doctor's office, the patient's cranial MRI and electroencephalogram results came back!
Because the tests were done in the emergency room, the reports came out very quickly.
Zhou Cheng clicked on the "Check" section of the system.
Cranial MRI: No obvious abnormal signals were seen in the parenchyma!
Although the EEG showed abnormalities, they were not specific, mainly manifesting as a background of diffuse abnormal activity, which is not particularly significant.
After reading the report, Zhou Cheng's brows furrowed even more.
He now hopes that among all these tests, some abnormalities will appear, which can help him confirm the direction of treatment.
Zhou Cheng called Chen Xi and Li Yang to his side again.
"Based on all the information available so far, the patient's recent headache and low-grade fever, as well as previous episodes of confusion and hallucinations, we cannot rule out the possibility of meningitis."
"Meningitis?" Chen Xi and Li Yang were both stunned and quickly came over to check the report.
Li Yang couldn't help but press further, "Senior, meningitis usually presents with typical symptoms like high fever and neck stiffness, right? The patient only has a low-grade fever and no neck stiffness has been observed. Could this be atypical?"
"Good question." Zhou Cheng nodded approvingly and patiently explained, "Not all meningitis has typical symptoms, especially some viral meningitis or early-stage meningitis, which may only present with low-grade fever, headache, and neck stiffness, which appear later."
"This patient has a pre-existing mental state, so her symptoms may be more atypical. Considering that her symptoms worsened immediately after the examination, we must prioritize meningitis in our investigation."
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