Practicing Medical Skills in a Small Clinic novel Chapter 573

Chapter 573: Chapter 262: Elimination One by One, A Diagnosis from a Different Perspective

Through a complete blood count, it is basically confirmed that purpura is caused by thrombocytopenia, leading to subcutaneous bleeding in the patient.

We can now basically rule out the possibility of congenital blood disorders.

Then, the three common causes of acquired purpura are all worth considering.

Since the patient has thrombocytopenia, and allergic purpura generally does not accompany thrombocytopenia, we can preliminarily rule out allergic purpura.

That leaves drug-induced purpura and infectious purpura.

To determine which type of purpura it is, Li Jingsheng didn’t rush to request new tests but started by examining thrombocytopenia to further analyze.

At this moment, it’s truly a case of realizing there’s not enough knowledge when it is needed.

The textbooks medical students study in school are certainly not enough.

Li Jingsheng likes to read books in his spare time and considers himself quite knowledgeable in medical science.

However, when faced with this kind of complex disease outside his expertise in the clinic, he feels a bit overwhelmed.

He wracked his brains, painstakingly recalling the common causes of thrombocytopenia.

Primary Immune Thrombocytopenia can be divided into acute and chronic types.

The acute type may present with severe spontaneous skin and mucosal bleeding tendency.

Platelet counts are usually less than 20 times 10 to the ninth power per liter.

It is most common in children.

This patient is nearly sixty years old, with the current platelet count around 80.

He preliminarily excludes the acute type.

Next is chronic immune thrombocytopenia, which occurs mostly in young individuals, with a higher incidence in females than males.

It usually manifests slowly, with platelet counts most commonly between 30 and 80.

However, in this disease, patients with platelet counts greater than 50 times 10 to the ninth power per liter often have no significant symptoms.

Therefore, there are discrepancies with this patient as well.

Li Jingsheng’s diagnosis did not hit a dead end at this point.

Thrombocytopenia is not limited to the primary type; there is also secondary thrombocytopenia.

He made efforts to recall the relevant medical knowledge about secondary thrombocytopenia.

Fortunately, he was promoted to deputy chief physician yesterday, and now, during diagnosis, it feels like divine intervention, as many long-forgotten medical knowledge pieces are awakened whenever he thinks of them.

The human brain is the most mysterious, with less than 10% developed.

Much of it is in a dormant state.

Moreover, brain cells have their own mechanism of renewal and replacement. Many memories gradually fade over time and need to be refreshed or awakened to become reinforced and consolidated.

This is also why memorable moments remain unforgettable, even after decades.

Because these vivid memories are often easily recalled multiple times.

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