Practicing Medical Skills in a Small Clinic novel Chapter 578

Chapter 578: Chapter 264: Leading a New Diagnostic Trend, the Archrival Appears? (Part 2)

Zhao Yong earnestly requested.

"Haha, this request can be fully met. The purpose of hosting this skill competition was originally to improve everyone’s diagnostic and treatment levels, allowing new technologies and new knowledge to be exchanged and spread."

Chairman Jin agreed with a smile.

He gestured to the backstage, and the answers of both appeared simultaneously on the big screen.

Including the examinations both applied for were displayed together.

Interestingly, Li Jingsheng and Wang Zhenghai’s examination applications were identical.

Both applied for blood routine tests first, followed by blood gas analysis.

However, their answers slightly differed, the final diagnostic results were quite similar.

Professor Wang Zhenghai’s diagnostic approach considered the patient’s significantly elevated white blood cells, neutrophils, and slightly below-normal platelets, along with symptoms like headache and upper respiratory tract infection, initially ruling out causes like drug inhibition and drug allergy leading to low platelets. Furthermore, the patient exhibited peri-umbilical tenderness without muscle tension or rebound tenderness, which preliminarily ruled out abdominal infection.

Using those data and patient symptoms to directly rule out drug inhibition and allergy causing low platelets required extremely rich experience in such diagnostics.

Li Jingsheng’s experience wasn’t as extensive as Wang Zhenghai’s, thus he took quite some detours.

Ultimately, he had to change his diagnostic approach in order to slowly pinpoint the real cause.

It’s simply put as, mice have their ways, snakes have theirs.

Although there’s a gap in diagnostic experience, Li Jingsheng possesses the advantage of multi-field diagnosis, with flexible thinking.

Ultimately, he too found the path to the truth.

As for the final diagnosis, both were almost identical.

They both believed the onset was sudden, the progression rapid, categorizing it as an acute condition. Moreover, when applying for blood gas analysis, the patient’s platelets dropped more than half within a short period, ultimately concluding a high possibility of meningitis.

Wang Zhenghai’s answer was more precise, with a preliminary diagnosis of fulminant meningococcal meningitis, suggesting emergency treatment followed by cerebrospinal fluid test.

In doing so, he actually found a loophole.

Meaning a lumbar puncture and cerebrospinal fluid test weren’t actually requested, just suggested.

Li Jingsheng’s diagnosis, although somewhat ’unrefined’, was more grounded.

Additionally, the deduced answer was more stable.

According to Li Jingsheng’s thinking, a cerebrospinal fluid extraction wasn’t necessary for a basic diagnosis.

But Professor Wang Zhenghai’s approach was dominated entirely by experience, gaining advantages at every turn.

"Dr. Li’s diagnostic approach truly makes Wang feel ashamed!"

Professor Wang, after reading the answers, noticeably changed his attitude toward Li Jingsheng.

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