My Medical Skills Give Me Experience Points Chapter 1187 - 469: Airway Obstruction, All Diagnoses Correct_2

"Ah, it was the tongue base blocking the airway!"

At first, I'd assumed some food had lodged in the trachea while he ate, causing him to choke and suffocate.

Such incidents commonly happen when a patient's awareness fades, relaxing the muscles in the pharynx and letting the tongue base block the passage for air.

Since the tongue and epiglottis link to the jaw in humans, lifting the jaw as Zhou Can performed elevates the tongue and epiglottis off the pharyngeal wall, thus opening up the patient's breathing path.

Thanks to Zhou Can's help, the blockage in the airway lifted, the bluish tint on the patient's face began to recede bit by bit, and he started breathing steadily again.

"What made him pass out?"

Right now, the patient remains fully unconscious.

That's the primary cause behind the tongue base blocking the airway too.

"My father has suffered from high blood pressure for years and can't resist booze. The physicians warned him off it, and we watched him closely to stop any sips. But this morning, he slipped out early, got himself a bottle of liquor, and took a few gulps. Soon enough, his words got all jumbled, and he could barely stay on his feet. We rushed him over here fast. During the trip, he was still awake and talking, but then he just plunged into a deep coma."

The relatives consist of a couple in their mid-forties.

The speaker appears to be the son himself.

Nearby, the daughter-in-law remained silent, simply gazing fretfully at the comatose man.

"Teacher Lu, have you measured his blood pressure yet?"

Folks with hypertension must steer clear of alcohol since even a single drink can spell disaster—who can predict the fallout?

This holds especially true for older people, where the results tend to be dire.

"180 systolic, 120 diastolic."

As a veteran nurse in the Emergency Department, Nurse Lu brings sharp instincts to patient saves, making solid calls on cases.

She clearly recognizes moments when a senior physician's input becomes essential.

"Hurry and scan the cardio-cerebrovascular system! His state looks really serious to me."

Based on the signs, Zhou Can figures a cerebral hemorrhage or something like it is highly probable.

Controlling blood pressure is crucial in hypertension; if a brain bleed hits, stroke risks skyrocket. The danger level soars, with grim outlooks common, and dodging full paralysis counts as a lucky break.

...

Once inside the operating theater for the procedure, he left the external concerns behind.

During lunch hour, as he stepped out to grab some food, word came that the patient truly suffered burst brain vessels and bleeding inside the skull. He'd been moved to Neurosurgery for care now.

At Tuya Hospital, the Neurosurgery unit encompasses brain operations.

Certain facilities maintain a separate department just for brain procedures.

Plenty of everyday folks wrongly assume Neurosurgery equals brain surgery alone, but that's a total misconception. The scope of Neurosurgery extends way beyond mere brain ops.

Nerves in the human body spread across every region.

Mostly, Neurosurgery focuses on nerves in the head and those along the spine.

Think of the head as the central hub for nerves, with spinal ones serving as the key routes through the entire form.

Kids sometimes get spinal damage from dance sessions, tumbles, or mishaps, resulting in paralysis—lower body loss of function hits most frequently.

Such harm stems from compression or damage to the nerves inside the spine.

In dance training, youngsters' stamina is limited; should they voice intense discomfort from splits or arches, don't push harder. Advance step by step, ramping up move complexity over time.

Certain instructors fancy themselves experts, pointing to their past pupils' success as proof, so they handle every kid with force.

They cling to the idea that tough mentors breed top talents.

Unbeknownst to them, no problems mean all good; yet, meeting a frail child or overstraining the lower back in sessions can easily trigger paralysis by squeezing the lumbar area.

At first, some kids display no signs or merely complain of aches.

Instructors might dismiss it as exaggeration.

Later on, after anywhere from ten hours up to a couple of days, the paralysis strikes out of nowhere.

At that stage, regrets won't help anymore.

Thus, avoid confusing Neurosurgery for just brain surgery.

Though the nerve core sits in the head, brain surgery handles not only neural ailments but also vascular brain problems, herniations in the brain, and more.

Zhou Can munched on his lunch while scrolling through WeChat on his phone.

Nothing else to do about it—he's swamped beyond belief.

Answering Su Qianqian's texts or peeking at other private chats only happens in lunch gaps or post-shift.

"Dr. Zhou, results from that kid's tests are ready. Sending them over for your review."

Tang Fei stayed unfazed by things; she kept firing off messages to Zhou Can and conversing normally.

With no word from Xue Yan lately, Zhou Can felt a twinge of concern.

Looking over the child's lab reports, Zhou Can noted positive results for both anti-gliadin antibodies LGC and LGA. Clearly, Dr. Zhou's assessment hit the mark—the kid truly battles celiac disease.

The anti-endomysial LGA antibody registers faint positivity.

Such findings match the patient's presentation perfectly.

Even though celiac disease affects the child, its form proves non-classic.

Capsule endoscopy reveals inflamed tissue in the second, third, and fourth sections of the small intestine lining, forming ridge-like shapes, while the lining surface displays scattered erosions.

Now, the diagnosis stands rock-solid and unquestionable.

That explains the on-and-off positive occult blood in the child's stools.

Among the body's top three sites for nutrient uptake, the small intestine reigns as the prime absorber, boasting perks no other part can match—it's utterly one-of-a-kind.

Beyond being the longest bodily organ, the small intestine features abundant ridges, and its interior bristles with myriad villi plus microvilli galore.