My Medical Skills Give Me Experience Points Chapter 811: 325: Perfect Cure for One, Neurofibromatosis an

Chapter 811: Chapter 325: Perfect Cure for One, Neurofibromatosis and Café-au-Lait Spots (3)

When training in the Intensive Care dicine Departnt, several senior doctors had ntioned this to Zhou Can.

Anesthesiologist Dr. Feng also brought it up.

After prescribing dication, the treatnt for this girl with a sprained right foot was considered complete.

It is very rare for a doctor in the clinic to personally perform manual repositioning on patients.

Because this involves a specialized skill.

Mainly because other doctors are not trained in it.

Normally, patients requiring manual repositioning must visit the manual repositioning room in the Orthopedic Departnt.

In the Pediatric clinic, Zhou Can perford manual repositioning directly on the patient, unsure if it would break the rules.

However, from the patient’s perspective, they would definitely appreciate this one-stop dical service.

Otherwise, the family would have to take the examination results from Pediatrics to Orthopedics, queue up, and register again.

The young mother left with her daughter, expressing heartfelt gratitude.

She was very satisfied with the treatnt outco.

Zhou Can gained another ‘loyal fan’.

The accumulation of reputation requires such efforts, gathering small things into a great impact.

“Dr. Zhou, you are amazing and effective! Please take a look at my nephew. Recently, he has been complaining about pain in his legs, especially severe pain in the knees.”

It seems that this woman in her mid-thirties, with an elegant deanor, is not the boy’s mother.

The causes of leg pain are nurous, ranging from leukemia, malignant tumors to minor issues like arthritis and rheumatism.

After carefully understanding the condition and dical history, Zhou Can conducted a physical examination and then ordered three tests: a complete blood count, an ultrasound, and an X-ray. Each test has its significant purpose.

The aim is to quickly identify the direction of the patient’s ailnt.

…

The child nad Lele, who has macrodactylia, returned after completing the examination.

After reviewing the results, Zhou Can had basically determined it was type II neurofibromatosis macrodactylia. This type of neurofibromatosis has an incidence rate of one in three thousand, belonging to autosomal dominant inheritance.

Most patients of this type die in utero or are detected as malford fetuses and are eventually aborted.

In earlier tis, the birth rate of disabled infants in the country was very high.

Many children were born with ntal retardation, limb deficiencies, significant congenital defects, or diseases. It wasn’t until recent years, with significant advancents in the country’s dical technology and the addition of various screenings in prenatal exams and the discouragent of consanguineous marriages, that the birth rate of disabled infants has greatly decreased.

Mothers who have been pregnant most likely are aware of tests like Down syndro screening and 4D ultrasounds.

Take Down syndro screening, for example. Also known as congenital ntal retardation or Down syndro.

It is caused by chromosomal abnormalities. The fetus has one extra chromoso 21 compared to normal individuals. 60% of these children are miscarried in early pregnancy, and those who survive exhibit significant ntal retardation, distinct facial features, delayed growth and developnt, and multiple anomalies.

The optimal ti for screening is around 12 weeks into the early stages of pregnancy.

After detection, the pregnancy can be imdiately terminated, greatly reducing the losses to the parents and the harm to the family. Imagine if such a ntally challenged child were born; the parents would have to care for him/her for a lifeti. For any family, this would be a trendous disaster.

Many couples who originally had good relationships find their bond breaking and the family disintegrating after bearing such a heavy burden.

“I need to remove his clothes to inspect the child’s body,”

Zhou Can said to the patient’s grandmother.

There are various diagnostic thods to confirm neurofibromatosis.

Currently, only an X-ray and ultrasound have been perford on the child.

The X-rays clearly showed the patient’s bone deformities and long, stripe-like images. These features are consistent with neurofibromatosis.

Also, during the Shugar test, he found a café-au-lait spot on the child’s neck.

Initially, he didn’t think much of it, assuming it was a birthmark.

After reviewing the test results, he now suspects the spot may not be a birthmark.

Once the child’s clothes were removed, several more café-au-lait spots of varying sizes were discovered on his body.

The largest one had a diater exceeding four centiters.

Typically, having more than six café-au-lait spots on the body can be an indication of neurofibromatosis. However, this is not a definitive diagnostic criterion, just a superficial one.

Genetic testing revealing NF1 or NF2 mutations is the definitive criterion.

Additionally, X-rays, ultrasounds, CT scans, and MRI can also provide diagnostic evidence.

For instance, the patient’s X-ray showed bone deformities and stripe-like images, serving as diagnostic evidence.

The process of diagnosing the real cause of a disease involves verifying step by step and finally making a comprehensive diagnosis based on symptoms, test data, and patient’s dical history before a definitive diagnosis can be confird.