Practicing Medical Skills in a Small Clinic novel Chapter 294

Chapter 294: Chapter 165: Overturning Everything—It’s Always Good to Know More Medical Skills

The patient’s bone marrow analysis indicates increased activity, with particularly active erythroid hyperplasia.

Approximately 0.64.

The predominant cells are intermediate and late-stage erythroblasts. The mature erythrocytes vary in size and are helmet-shaped, with fragmented erythrocytes comprising 0.07.

It’s well known that bone marrow has hematopoietic functions.

Young erythroblasts can be considered ’children’.

Combining the bone marrow analysis with the complete blood count, Li Jingsheng found that this female patient had significant symptoms of hemolysis.

As for central nervous system lesions, he believed the possibility was relatively low.

Director Mu’s initial diagnosis for the patient was central nervous system infection? Septicemia?

Could septicemia cause hemolysis?

Septicemia can cause multi-system dysfunction in the body; indeed, severe infections can cause coagulation abnormalities.

However, the patient’s test data and overall presentation don’t seem to align with septicemia.

"Dr. Li, do you have any diagnostic direction?"

Director Mu did not dare to have high expectations.

Providing even a little helpful diagnostic direction would be good.

"I... I don’t dare to say!"

Li Jingsheng hesitated, as if he wanted to speak but held back.

"There’s nothing to be afraid of. I won’t blame you if you’re wrong. Go ahead, speak freely."

Director Mu encouraged him.

It was clear that Director Mu still thought Li Jingsheng was having difficulty with the diagnosis due to a lack of knowledge and worried about saying the wrong thing.

"Then I’ll speak freely. I believe there’s a possibility of the patient’s central nervous system being infected, but it’s very small. As for septicemia, I think it can almost be completely ruled out."

Li Jingsheng was concerned that the older doctor might not accept it, so he spoke very tactfully.

Director Mu was silent for a while after hearing this.

After a good ten seconds, he finally spoke, his face somewhat stiff, "You’re saying both initial diagnostic directions can be ruled out?"

This was the result of a discussion among Director Mu and several doctors in the department.

They had even consulted a neurologist over the phone for the discussion.

Yet this small clinic doctor came in and dismissed both initial diagnostic opinions.

"It should be possible to rule them out."

Li Jingsheng was quite worried that this renowned pulmonologist might just collapse.

Luckily, Director Mu was more resilient than he suspected.

He saw Director Mu take a stainless steel thermos and take two large gulps.

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