My Medical Skills Give Me Experience Points-Chapter 48 - 42: Beware of Misdiagnosis

"Hmph! When I was studying for my PhD overseas, I interned at one of the top medical centers in the United States, and it wasn't as bad as you're making it out to be. This fainting pregnant woman, once she is treated, I will prove it is not all talk, and you will have to apologize to me."

Du Leng considered himself a top medical genius, but was publicly accused by Zhou Can of being all talk and no action.

How could he endure that?

He wanted to use this pregnant woman to prove his diagnostic capabilities.

And to make Zhou Can publicly apologize to him.

Zhou Can's mouth twisted into an inscrutable smile.

"Fine, no problem! But I must remind Dr. Du that misdiagnosis is truly the most terrifying!"

Du Leng's face turned from pale to flushed, and his breathing became heavy.

"What do you mean? Are you saying my diagnosis of this pregnant woman is wrong?"

Anyone could feel that Du Leng was already furiously angry.

Doctors fear the words 'misdiagnosis' the most.

A misdiagnosis at worst could lead to a medical accident.

No wonder Du Leng jumped at that.

Seeing that the reputation of the surgery department that had just been established was about to be smashed, Director Xie was also furious.

"Director Lou, your subordinate is really too arrogant. Both Director Yin from Internal Medicine and our Surgeon Du Leng have diagnosed the patient's fainting due to a brainstem-compressing intracranial aneurysm. Yet he casually says that our joint consultation opinion is wrong."

Director Xie, holding his status high, directly protested to Director Lou.

This was his way of asking Director Lou to reprimand Zhou Can.

And incidentally pulling Director Yin into his camp as well.

"Young man, although you scored first place in the standard training exam, you must be humble. The cases I have diagnosed exceed yours by ten thousand times. You've only been working for a few days, right? Don't be too superficial in what you say. Otherwise, you will lose face not only for yourself but also for the Emergency Department."

Director Yin also became somewhat agitated.

Underneath the reputation are true capabilities.

His authority in the field of Internal Medicine had already been challenged once by Du Leng. Now, a mere undergraduate student who had only started working a few days ago dared to contradict his diagnosis.

This trend is absolutely unacceptable.

Director Lou, facing protests from both heavyweights, was under great pressure.

"Xiao Zhou, be a bit more prudent in what you say!"

He gave a half-hearted reprimand to Zhou Can, sort of giving an explanation to both directors.

Zhou Can did not say anything more, as the facts speak louder than words.

All they needed to do was find the real cause of the disease, and it wouldn't matter whether it was Director Yin or Du Leng, they would all have to concede.

He dared to remind Du Leng to be careful of misdiagnosis because he already had some degree of confidence.

Lesions can sometimes disguise themselves.

For example, the often joked-about 'head hurts, treat the feet'. According to common logic, a headache would obviously indicate a problem in the head, but in reality, the lesion might actually be in the feet.

Eye diseases caused by Athlete's Foot can lead to symptoms of headache.

If someone encounters a mediocre doctor prescribing treatment for headaches, it certainly won't be effective.

The fainting of this pregnant woman could indeed be caused by a cerebral aneurysm, but the true cause might not be that aneurysm.

Zhou Can thought the sudden rise in the pregnant woman's blood pressure was particularly peculiar.

It was very likely that this was the real cause.

As for the brain aneurysm, it was merely a symptom.

If you only treat the symptoms when dealing with an illness, it's like playing a game of whack-a-mole; hit one and another pops up.

There are many such cases.

Many patients enter the hospital with one disease, but end up getting worse with treatment. From one disease, five or six are produced, which in medical terms is called complications.

Some complications may truly be unavoidable, but some so-called complications are purely caused by wrong treatment by doctors.

Zhou Can bowed his head in thought.

The pregnant woman had been nearly six months pregnant, always kept her blood pressure well-controlled, and had no issues.

Why did her blood pressure suddenly rise?

It is said that a long illness makes a patient a good doctor.

The pregnant woman herself had over fifteen years of hypertension history, and in terms of controlling blood pressure, she might be no less competent than a professional doctor.

From this, we can infer that low-level mistakes such as forgetting to take anti-hypertension medication or engaging in over-the-top behavior that raises blood pressure can basically be ruled out.

Besides, she values the child in her womb more than her own life, so she must have been extra cautious.

She fell ill suddenly in a taxi.

This indicates that she didn't notice any abnormalities in her body before leaving home, otherwise she wouldn't have taken a taxi but an ambulance instead.

But what risks are there in taking a taxi? Even if the driver had to slam on the brakes ten times in a row, it wouldn't cause her blood pressure to skyrocket out of control.

Judging from her intellectual and elegant attire and kind facial expression, the possibility that an argument with the taxi driver caused her blood pressure to rise is also very small.

Since all the above are ruled out, let's make a bold assumption: could it be because she ate something she shouldn't have before leaving the house?

Like taking the wrong medication.

This possibility is very high.

The fact that her eyebrows were drawn so messily before leaving home and she didn't notice is enough to suggest that she had vision problems at the time.

She habitually took her blood pressure medication before leaving home, but because of vision problems, she picked up the wrong medicine.

After taking it, she hurried out.

The medication entered her stomach, dissolved over a period of time, was absorbed by the body, and then caused her blood pressure to rise.

It was about twenty minutes from taking the medication to the onset of illness.

The timing of the onset of symptoms also matches up.

"Yes, that must be it!"

Zhou Can's eyes became even brighter and more resolute.

A breakthrough.

Now, the reason for the sudden rise and loss of control of the pregnant woman's blood pressure has been deduced by him.

Next is to corroborate this with medical test data.

After all, you can't just make assumptions about anything? There must be scientific evidence to back it up.

What exactly did she take by mistake?

There are many medications that can raise blood pressure.

Taking a look at her blood test report, maybe some clues can be found.

Since the pregnant woman is currently unconscious and unable to communicate.

To find the final cause of the illness, doctors must diagnose and differentiate.

Zhou Can walked over to the storage cabinet and picked up the patient's test results to check.

This action immediately attracted everyone's attention.

Several senior doctors of the Emergency Department looked at Zhou Can with admiration.

It's good for young doctors to love learning.

Only by looking more and thinking more can their diagnostic level improve.

"Dr. Zhou seems to have a different diagnostic opinion!" Gao Jian said with a smile as he came over to initiate conversation.

While others looked down on Zhou Can, a bachelor's degree holder, Gao Jian felt that Zhou Can possessed genuine knowledge and skills.

After coming to the resuscitation room, Gao Jian has also been pondering the cause of the pregnant woman's condition.

He was hoping to regain the upper hand in the competition with Zhou Can.

But he didn't have any clue.

Now that Zhou Can suddenly started looking at the test results, it made Gao Jian feel uneasy.

"I'm just looking at it with a learning attitude, just casually checking."

After Zhou Can looked over the pregnant woman's blood test report, he was slightly disappointed.

This was just a routine blood test report.

To find out the drug components in the patient's blood, it is necessary to draw blood and send it to a specialized laboratory for testing.

At this time, the pregnant woman was returned from the head ultrasound.

Du Leng couldn't wait to get the ultrasound images to check.

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"It's confirmed, it's a cerebral arterial aneurysm pressing on the Brainstem." Du Leng was exceptionally excited.

It was just short of howling out loud.

He almost wanted to announce to the whole world that his diagnosis was correct.