A full-time doctor who started from the emergency department
14 Could be malaria

Little Whi

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"Department Director Wei…the patient in Bed 58 has a high fever again…"

Zhu Aiping, who was walking over, saw that Luo Kai was also there and immediately stopped talking.

Wei Lili rolled her eyes at her.”

"The patient has a high fever. I suspect it's a childbed infection.”Zhu Aiping said bluntly.

Wei Lili frowned and looked at Luo Kai,"You didn't find any other cause of the illness?"

"Anemia, chills, sweating, and some dehydration. If it's not a childbed infection, what is it?”Zhu Aiping said.

"It could also be malaria," Luo Kai interjected.”

"Malacia? Impossible! It takes at most 30 days for the incubation period of malaria to reach its onset, but the couple has been back from Africa for two months. Have you ever heard of malaria incubation for two months?”Zhu Aiping shook her head and retorted.

"Besides, I've already explained it very clearly. It's because you performed a side incision on a pregnant woman in that environment that caused a childbed infection!”

Wei Lili felt that Zhu Aiping's words made sense, so she didn't interrupt and speak up for Luo Kai.

"If Africa is mentioned as malaria, will the African people still be able to survive? How ridiculous. Was it so difficult to admit one's mistake?”

"Who said that the incubation period of malaria can't be two months?" Luo Kai narrowed his eyes and said.”

Teng!

Wei Lili, He Jing, and Zhu Aiping were all shocked by Luo Kai's words.

Was there a case where the incubation period of malaria was two months?

Was there?

They didn't have any impression of it.

"Some vivax parasites have a very long incubation period of eight to fourteen months. If the patient is physically strong and has taken anti-malaria drugs, the incubation period will be even longer!”

It was an insect-borne infectious disease caused by the bite of an anopheles mosquito or the blood of a plasmodium-carrying person.

The source of infection for this infectious disease was people with malaria (already infected) or those who carried the parasite without symptoms (patients in the incubation period). Those who had gametes in their blood became the source of infection. The higher the density of protozoa in the blood, the higher the density of gametes, and the higher the probability of transmission.

The clinical manifestations of malaria were divided into four stages: incubation period, cold period, fever period, and sweating period.

"How do you know that some vivax parasites have an incubation period of eight to fourteen months?”Zhu Aiping straightened her neck and asked unwillingly.

"I peeked at the teacher's lesson plan…" Luo Kai coughed lightly and said.

When Wei Lili heard this, she immediately tried to smooth things over for Luo Kai and said,"Alright, let's go over and take a look. It's best if it's not malaria.”

"Alright."

Ward, bed 58.

As soon as Wei Lili brought Luo Kai, He Jing, and Zhu Aiping into the ward, the crippled man stood up nervously.

"It's fine. Sit down. What's your temperature?" Wei Lili asked the nurse.

"Thirty-eight degrees," the nurse said.”

"Have you done the liver and spleen ultrasound?" asked Zhu Aiping.”

"Here."

The young nurse handed the examination report to Zhu Aiping. After Zhu Aiping glanced at it, she frowned and muttered,"Hepatosplenomegaly?"

"What other symptoms does your wife have?" Wei Lili asked.”

" I'm just very tired," said the crippled man." I sweated a lot. Oh right, I vomited twice."”

"Hmm? Come out with me for a while."

Zhu Aiping said to the crippled man.

After the two left, Wei Lili looked at Luo Kai and asked,"You still insist it's malaria?"

"Even if you get malaria, your liver and spleen will swell.”

"I also think it's malaria. I heard from my mother that the incubation period of the daytime plasmodium parasite will be delayed after taking preventive medicine," said He Jing.”

"What do you think we should do?" Wei Lili nodded.”

"Use the plasmodium gold test card.”

Wei Lili nodded and instructed,"He Jing, call the laboratory department and ask if they have any."”

"Alright." He Jing walked out.

After a while, He Jing walked back and said,"The Medical Laboratory Department said that they don't have any in stock."

Luo Kai shook his head in disappointment and said,"Draw some blood and do a blood smear."

The young nurse nodded and immediately started working.

"Did you really just start your internship?" Wei Lili asked suspiciously.”

"Yeah, I've only been here for less than three days." Luo Kai said.

"His experience is almost comparable to that of a doctor who has been in the hospital for five years.”Wei Lili praised.

That's right. Absorbing five years of experience books is equivalent to practicing medicine for five years.

However, he said,"Teacher taught me well. I've seen many illnesses under Teacher's guidance these few years."”

At this time, Zhu Aiping pushed open the door with a list in her hand and said,""Nurse Bai, let the pregnant woman do a blood culture later.”

"En, alright."

"What are you investigating?" asked the crippled man.”

"Check if he's infected with leukemia."

"Sepsis?"

Everyone in the room looked at Zhu Aiping in surprise.

"Yes, your wife's constitution is weak, and before she gave birth, you had sex. These are all factors that lead to childbed infection and secondary leukemia. Moreover, her current condition pointed to this possibility.”

The crippled man was stunned on the spot. He leaned against the wall and slowly collapsed.

"Do a bone marrow culture.”

"En, alright." Nurse Bai took the form and left.

"Luo Kai, you, He Jing, and Zhu Aiping will be in charge of bed 58 for the time being," said Wei Lili. I'll talk to Department Director He of the Emergency Department. You can go back to the Emergency Department when everything is settled here.”

Luo Kai nodded.

This book is provided by FunNovel Novel Book | Fan Fiction Novel [Beautiful Free Novel Book]

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