Practicing Medical Skills in a Small Clinic novel Chapter 624

Chapter 624: Chapter 287: Vascular Proliferation and the Use of the Bronze Award

This can’t be too certain.

He can only make a comprehensive diagnosis based on the known information and the patient’s medical history, age, and nature of work.

Some tests conducted after the patient was admitted show that it should be a single nerve being affected.

Although the patient’s palm cannot straighten, there is sensation in the thenar, and the muscle strength of other nerve-controlled muscles in the left upper limb is normal. This indicates that the cause may lie in the radial nerve.

It is not closely related to the musculocutaneous nerve, dorsal nerve, or palmar nerve.

The lesion is now localized in the radial nerve, but the specific cause and other situations remain unknown.

MRI shows that there is no abnormality in the patient’s cervical spine, which is a good thing.

The possibility of cervical spine compression or lesion can be basically ruled out.

The spinal nerve should be fine.

This further narrows down the lesion area. It is basically localized in the small region of the radial nerve in the left upper limb.

"To confirm this diagnosis, a more in-depth examination is definitely necessary. Neurological diseases can be partially detected by electromyography. But for this case, simply checking an electromyographic signal is definitely not enough. The remaining intuitive and effective examination method is probably only surgical exploration."

Li Jingsheng slightly furrowed his brow.

Continuously analyzing the patient’s situation.

Surgical exploration is often difficult for patients and their families to accept, and even doctors try to avoid it.

Because it is considered an invasive examination.

If the condition is detected, it’s good; if not, who knows how the family and patient would react?

Encountering unreasonable ones, they might call the hospital’s complaint phone, then the supervisory department, and then contact media reporters.

In short, causing all sorts of disturbances.

Doctors’ situations are often particularly passive.

Some things aren’t necessarily clear even if you have reason on your side.

Therefore, when doctors consider examination methods, if two methods have the same diagnostic significance, one is a two to three thousand MRI, and the other is a few hundred surgical exploration.

The doctor will unquestionably choose the former.

For no other reason, everyone is afraid of causing trouble.

"Anyway, I’m just a medical assistant. If I answer wrongly, make a mistake, Director Zhong is still here." Thinking this, Li Jingsheng hesitated no more and decisively applied for surgical exploration.

And specified the specific exploration location.

After the application, the results came out quickly.

Surgical exploration found that the main trunk of the radial nerve showed a fusiform lesion, and the entire nerve was almost completely severed.

It seems applying for surgical exploration was correct.

Imaging examinations are difficult to detect such deep nerve ruptures.

No wonder the electromyographic signals disappeared along the way.

The cause is now basically identified.

He sighed in relief but realized that to confirm the specific cause, further investigation is required.

How did this radial nerve rupture?

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