NovelTags Chapter 253
Chapter 253
After watching the X-film, Lin Feng probably had a judgment.
"Let me tell you about the old lady's current situation, stuck in the esophagus next door to the aortic arch, coupled with the large volume of dentures, if it is too long, it is easy to cause fatal esophageal aortic fistula (that is, through a hole) and cause aortic hemorrhage. "
"It's dangerous!!"
Lin Feng said solemnly.
As soon as he heard the words 'very dangerous', the middle-aged man suddenly couldn't laugh.
I originally thought that as long as it was taken out with tweezers, there would be no big problem, but I didn't expect it to be so serious.
"If time drags on, the old lady is a little more dangerous, and I recommend immediate surgery!" Lin Feng explained.
"No problem, please ask Dr. Lin to arrange it!" the middle-aged man nodded.
Payment completed.
The old lady was pushed into the rescue room.
It's just a tracheal foreign body, and you can't use the operating room.
"The patient's blood sugar is low!"
"Intravenous glucolytic and antibiotic fluids!"
"Local anesthesia..."
"Intubation for oxygen..."
Why should I intubate for oxygen?
Because this old lady is old, anesthesia has a respiratory depressing effect, and it will make the old lady lack oxygen at any time!
Therefore, it is necessary to intubate the trachea position and give oxygen, so as to ensure that the oxygen is sufficient.
The dentures are large, irregular, with dent-like objects attached and stuck in the esophageal wall tissue, so it is still a little difficult to take them out!
Of course, this is true for ordinary doctors.
For Lin Feng, it was a minor operation.
"13mm*19mm dilated esophagoscope!"
"Large foreign body pliers!"
The esophagoscope is inserted from the patient's mouth and into the patient's esophagus.
All the way deep...
Soon, according to the position of the X-ray, 1cm down, I found the denture and clamped it out together!
"It's out!"
"It's lucky that the esophagus didn't break through!"
Lin Feng smiled.
The patient's son thanked him one after another: "Thank you, Dr. Lin!"
Surgery, over!
10 minutes later...
The anesthetic effect of the old lady patient faded...
Unplug the oxygen tube, remove everything ...
The old lady recovered her health and, with the help of her son, left the hospital...
......
A new day,
Lin Feng on the p (PM) class...
At night
Li Shasha, an ordinary white-collar worker, dragged the tired body of the social animal back to the apartment.
The rent of the apartment is very high, more than 7,000, and her income is only 13,000, cosmetics, clothes and shoes, girlfriend dinners...
Oh, and cat food. She raised an English short, which is very cute.
Therefore, she is basically a moonshiner, and sometimes even not enough flowers.
But she is not afraid, after all, she looks young and beautiful, the level of 85-90 points, when the time comes, find an honest rich man to marry.
Tease the cat, feed the cat food ...
Then bathe and bath,
Washing and washing, suddenly, she touched something hard?
Well?
The side of the armpit of the right hand... There is a lump the size of a coin.
Perfunctory.
"What is it?"
She suddenly thought of the tumor and panicked.
Pinch it, hard and hard...
Next, she took a shower casually, quickly dressed, went back to bed, and searched for symptoms with her mobile phone.
"There's a sudden hard lump in my armpit, what's it?"
Search!
soon
She found other patients and asked the doctor:
Patient: "Recently, some fatigue, irregular work and rest, when taking a bath at night, I suddenly found a small lump under the armpit, touched hard, did the pressure hurt, I don't know what the situation is?"
Doctor Qiandu 1: "Your situation considers axillary lymphadenitis is more likely, it is recommended to pay attention to personal hygiene at present, keep local cleanliness, bathe frequently, avoid spicy and stimulating food, quit smoking and alcohol, you can apply local heat compresses, oral cefaclor anti-infective treatment." "
Doctor Qiandu 2: "It is best to go to the general surgery department for an examination, or take a photo, color ultrasound can specifically clarify the nature of the mass, it is recommended to be clear..."
Doctor Qiandu 3: "If it is not painful, then there is a high probability of excluding lymphadenitis, because inflammation is generally painful, considering lymphoma, the tumor will not hurt..."
See here,
Li Shasha was completely flustered!
Inflammation is generally painful?
Does the tumor hurt?
She touched the lump in her armpit and pressed it a few times, it really didn't hurt!
At this moment, she couldn't wait for this lump, it hurt, it hurt!
"Is it really a tumor?"
Panicked, quickly dressed, ran to the emergency room.
"Doctor Lin?"
Li Shasha couldn't help but be overjoyed when she saw Lin Feng.
O male god!
Originally, she was also very satisfied with the handsomeness of her three spare tire boyfriends,
outcome
Compared with Lin Feng's temperament, those three spare tire boyfriends immediately looked obscene, mediocre, and not worth mentioning!
Too far behind!
Li Sha Sha Meizhi, did not expect that the doctor who received the treatment turned out to be Lin Feng.
But look at this outfit on your body... I almost cried, I dressed like this, and my appearance was directly discounted by 70%!
"Sit, tell me what's going on?"
Lin Feng's expression is indifferent (real), but he does not lose his affinity (in fact, it is good looks).
Li Shasha hurriedly said: "Doctor Lin, my armpit, when I just took a bath, suddenly had an extra lump!"
Lin Feng: "Let me see..."
Reach over,
Li Shasha's heart beat faster, and she couldn't wait to send it over.
Lin Feng touched the lump, the size of a coin.
"Does it hurt, does it itch?"
"It doesn't hurt or itch. "
"Do you have a fever?"
"No..."
"Any nausea, vomiting?"
"No..."
When Li Shasha said this, she hesitated.
Lin Feng glanced at her, thought about it, and took out a mercury thermometer (the mercury thermometer is the most accurate, but it is easier to break, and then volatilize, resulting in human poisoning, so it is dangerous).
"Go take your temperature? 10 minutes..."
"Okay..."
Li Shasha took the thermometer and sat there and began to measure.
At this time, because there are no patients, Li Shasha does not have to go out.
She looked at Lin Feng and asked curiously.
"Dr. Lin, do you have a girlfriend?"
"Yes. "
"Pretty?"
"Prettier than you..."
Li Shasha: ".................."
The sky was directly chatted to death!
Silence, silence...
7 minutes...
"Okay, give it to me..."
Li Shasha took out the thermometer and handed it to Lin Feng.
38.0C！
Boy!
Flepsy!
Li Shasha was also a little surprised, she didn't feel it... However, after knowing that he had a fever, he began to feel dizzy, his appetite was not very good, and he was even a little nauseous.
Lin Feng probably has 3 possible judgments:
Swollen lymph nodes in the axilla
Lymphoma
·AIZ (English: HIV)
If it is swollen lymph nodes, it may be caused by inflammation, it may be caused by tumor, and the most likely tumor is R adenocarcinoma.
Although R adenocarcinoma is more common in middle-aged women aged 40-45, it is still possible to develop after the age of 20, and the incidence is now increasing.
R adenocarcinoma easily metastasizes to ipsilateral axillary lymph nodes, manifested as lymphadenopathy.
And why is it possible to be HIV?
Because in the early stage of HIV, there may also be symptoms such as fever and swollen lymph nodes, as well as headaches, night sweats, nausea, vomiting, sore throat, muscle pain and so on.
Lin Feng needs to be investigated step by step.
Lin Feng: "I said that there are several possibilities, you need to go for the corresponding examination. "
Li Shasha: "Okay, doctor. "
Lin Feng:
"The first is swollen lymph nodes: you go and draw blood to see if there is inflammation, then do an R gland 'ultrasound', and if you want to be more precise, do a mammogram."
"The second is lymphoma, just go for an ultrasound. "
"The third is HIV... You can think about this yourself, if you think it is possible, then go for a blood draw (ps: the window period of 2-6 weeks cannot be checked)..."
"What?HIV??"
Li Shasha was taken aback!
Swollen lymph nodes, lymphoma, she has considered,
But she didn't think about HIV at all.
"Yes, HIV... Do you think back, is there a history of uncleansing?"
Lin Feng meant something.
Li Shasha understood in seconds.
At this moment, where does she still have the mind to provoke handsome guys, she has begun to worry about her body.
A month ago, she did have a history of uncleanness...
At this moment, she panicked!
If it's really HIV, what happens for the rest of your life?
I regret why I messed around!
At this moment, there is even a kind of anger that wants to take revenge on society!
Lin Feng comforted: "Don't worry, these are just possible, and they need to be investigated step by step... Do you usually pay attention to your lumps?"
Li Shasha was not reluctant: "No, no, occasionally when bathing, but I haven't found it..."
"So be it... I think I might have to be hospitalized, do these tests just mentioned, and then check for some blood diseases. "
Doctor, do I need to be hospitalized today?"
"Of course, the sooner you are hospitalized, the better. "
"Okay. "
The more Li Shasha thought about it, the more afraid she became,
Then immediately apply for admission, Lin Feng bills, and then draw blood for the night shift laboratory colleagues to check.
As for B ultrasound, Ct, these will have to wait for tomorrow.
"Huh... Wait!"
Just as Li Shasha was about to go to draw blood, Lin Feng saw the band-aid on Li Shasha's hand.
"Are you hurt?"
"yes..."
Under normal circumstances, Lin Feng would not care about this small wound.
After all
It may be a skin trauma that usually does not cause lymphadenopathy and fever.
"How did it hurt?"
Lin Feng asked curiously.
Out of professional habits, I basically like to ask them all.
"I was scratched by my little blue and blue family, and I broke a little skin at that time, and there was not much bleeding, and I felt a little pain from time to time in the past few days." "
"Little Blue Blue? Animal?"
Lin Feng thought of something, and suddenly applied seriously.
"A cat, I'm like a short cat. "
"Cat, scratched by a cat?"
Lin Feng's inspiration flashed!
He thought of a possibility - "cat's claw disease!"
This is a relatively rare disease.
Cat's claw disease: It is an infectious disease caused by a cat scratching its skin.
Because there may be a pathogen called Bartonella hansei in cat saliva, after this pathogen enters the human wound, it may cause lymph node reticular cell increase, and the patient will have lymphadenopathy in the area of local skin lesion lymphatic drainage.
For example, if you bite your arm, then it is an enlarged axillary lymph node.
If the bite is on the lower leg, then it is a swollen popliteal fossa and inguinal lymph nodes.
So much like it!!
.