Practicing Medical Skills in a Small Clinic novel Chapter 318

Chapter 318: Chapter 173: Commendable Diagnosis, No Unreasonable Hurdles

During the surgery, was the blood vessel damaged, causing thrombosis?

It’s possible, but it doesn’t quite match the symptoms like the high fever.

The surgical site is on the lower limb, and there are not many reasons for a sudden high fever.

A wound infection leading to sepsis usually takes several days, or even longer.

Li Jingsheng was deep in thought, feeling that his knowledge and experience were still insufficient.

"Right, could the subconjunctival bruise just be a coincidence?"

The subconjunctival bruise is a good breakthrough point.

The most common causes of subconjunctival bruises are sepsis, gonococcal conjunctivitis, and subacute infectious endocarditis, most of which can be ruled out.

Li Jingsheng’s level in cardiovascular medicine diagnostics wasn’t high, but he had some insights into diagnosing infectious endocarditis.

At this time, Director Hua and others had already discussed a result.

"Considering that the patient has certain purulent changes at the tibial head and joint connection, despite debridement, septicemia remains a suspect."

Many of the patient’s symptoms indeed match sepsis highly.

With the contributing factors, Director Hua and others almost unanimously supported this diagnostic conclusion.

Not long ago, Li Jingsheng had just grasped the discipline of dermatologic immunology, gaining deeper insights and understanding into immunology.

Moreover, he had a certain level in cardiovascular medicine diagnostics.

The foundation in General Surgery diagnostics was also solid.

All these are closely related to the infectious diseases department.

He thought the likelihood of sepsis is very small for the patient.

The time frame shouldn’t be this short.

Of course, it cannot be ruled out that the patient had sepsis before the surgery.

But this possibility can also be ruled out.

Didn’t they conduct pre-surgical examinations?

Unless the Second Hospital is just a facade, with major management issues.

If it were really that bad, it wouldn’t survive until now.

So, the possibility of sepsis is basically ruled out.

"Miss, could you please check the patient’s armpit to see if there are any bruises?"

Li Jingsheng looked at the ward nurse.

It would have been better to address her as a certain teacher, but since Li Jingsheng wasn’t familiar with her and didn’t even know her name, he addressed her as Miss.

Nowadays, addressing young women as Miss has become a generic term.

"Sure."

She nodded in agreement.

But from her indifferent expression, she seemed to think Li Jingsheng was making a fuss.

The chief doctors have already discussed a diagnosis result, why is a resident like you fiddling around?

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