NovelTags Chapter 400
Chapter 400
What is muscle tone?
The human body's usual limbs can move at will, but patients with high muscle tone are difficult to swing his limbs, his limbs are very stiff, and his hands and feet are hard.
(Similar to zombies?) ）
As for the reason? Usually there is a neurological problem.
Lin Feng scratched the patient's leg.
I want to move my joints.
"Huh... It's still really hard! "
Then I tried my hand, and it was just as stiff.
Lin Feng frowned and said: "Even if the pneumonia is severe, the muscle tone will not be so high." "
Wang Chen nodded: "That's right, I just can't figure it out." "
At this time,
"Purr~~Purr~~~~~"
The patient's breathing begins to change.
"Phlegm!"
"Xiao Zhang, suck him phlegm!"
Dr. Wang Chen said to Xiao Zhang, the tube bed nurse.
"Yes..."
Nurse Xiao Zhang soon began to suck sputum ...
At this time, the patient woke up because of coughing up phlegm, but his eyes were blank, his expression was indifferent, and he didn't care about the outside world...
Lin Feng asked Dr. Wang Chen: "Dr. Lin, has he always been so indifferent?" "
Wang Chen: "I've been sick until now, I've always been like this..."
Normal usually?
Sick until now, always like this?
Moreover, with the strength of Harmony Hospital, it was not found to be the cause of the investigation.
This aroused Lin Feng's high suspicion.
To summarize the symptoms that are not related to pneumonia:
• Sweating profusely...
High muscle tone...
• Indifferent expression...
Wang Chen: "By the way, the patient still has a disease——"
Closer
Whispered to Lin Feng: "The patient has schizophrenia..."
"Huh, 'schizophrenia'?"
Lin Feng was surprised.
Lin Feng still rarely saw mentally ill people.
Schizophrenia, this is all from textbooks, or in TV series.
Wang Chen looked at the patient with sympathy: "This patient is quite pitiful, he is 33 years old, originally talked about a girlfriend, ready to get married, but then after the girlfriend found out that he had schizophrenia, he separated..."
Dr. Wang Chen was talking to himself, with a pity on his face.
But Lin Feng's mind exploded all of a sudden.
Mental illness!!
Lin Feng suddenly thought of a disease!
"Malignant syndrome"!
"Malignant syndrome" was first proposed by French doctor Delay in 1968, believing that malignant syndrome is the most serious side reaction caused by antipsychotic drugs and is clinically rare.
The main manifestations are persistent high fever, muscle rigidity, impaired consciousness, autonomic dysfunction, and severe cardiovascular symptoms.
Isn't this the same as the symptoms of the patient in front of you?
This is a side effect caused by antipsychotic drugs - corresponding to the schizophrenia of the patient!
Persistent high fever - corresponds to the high fever of the patient!
Muscle rigidity - corresponds to the patient's high muscle tone!
Disorder of consciousness - corresponding to the patient's indifferent expression!
This time,
All explained!
More reliable than "pneumonia"!
Lin Feng was excited in his heart.
The real murderer is 99% of it!
However, Lin Feng couldn't help but not say, he still needed to confirm something:
Lin Feng asked Dr. Wang Chen: "What kind of medicine did he take when he was schizophrenic?" "
Wang Chen: "After this question, I ate "risperidone", and I have been eating it for more than ten years..."
Lin Feng: "Have you ever asked?" Did the patient take this medicine after he fell ill? "
Wang Chen nodded: "Because we are worried about what is wrong with schizophrenia, we have always allowed patients to eat..."
Lin Feng nodded,
Turn on the computer,
Use the permission number to check the drug "risperidone", what are the side effects...
soon
Found the results!
·「 Risperidone" Instructions: These drugs can cause muscle rigidity...
Lin Feng slapped his thigh.
Didn't run!
The culprit is definitely this "risperidone"!
Dr. Wang Chen: "Dr. Lin, what's wrong?" "
Lin Feng smiled: "I probably found the reason..."
And then
Lin Feng flipped through the papers related to this medicine again, and really found more than a dozen.
"Analysis of the efficacy and side effects of the treatment of schizophrenia"......
Open it and take a look,
There is a sentence in it that caught Lin Feng's attention: "When psychiatric patients take risperidone and other drugs, if there is a change in the dose or other changes, it may induce malignant syndrome, manifested as muscle rigidity, sweating, fast heart rate, shortness of breath, weakness of swallowing muscles, stupor, high blood white blood cells, etc...."
"Groove!!"
Dr. Wang Chen, who was behind Lin Feng, also saw it.
Directly exclaimed.
"Isn't this exactly the same as the patient's symptoms?"
"So it is!"
Dr. Wang Chen jumped up excitedly.
Finally figured it out!
Lin Feng: "Call and ask his father, have you stopped the medicine?" "
Wang Chen immediately called the patient's father.
The father replied: "More than a week ago, because I didn't buy medicine, I stopped risperidone for a few days..."
Other words
The medicine was discontinued, causing a fever ...
Then go to the hospital, diagnosed pneumonia ...
It is definitely the "malignant syndrome" caused by the withdrawal of the drug!!
Wang Chen thanked Lin Feng: "Thank you Doctor Lin, I found the reason as soon as I came... Dr. Lin is really powerful! "
Lin Feng shook his head and smiled: "I just happened to know about this disease..."
Medicine is very complex, drugs are also very complex, a clinician may be familiar with the knowledge of the specialty, but once the interprofessional disease is lost, it is often helpless.
Of course, Lin Feng is an exception!
Proficient in all subjects!
All subjects are awesome!
Soon, Wang Chen shared Lin Feng's diagnosis results in the ICU group.
The ICU group frys the pan at once.
"Fuck, it's Dr. Lin again!"
"Dr. Lin is awesome!"
"In the future, if there is any disease that cannot find the cause, just find Dr. Lin..."
"It's psychiatric, right? Do you understand this? "
"Psychiatry: It's coming, he's coming!"
"Awesome!!"
Next
How is it treated?
Very easy to do!
The mortality rate from severe pneumonia is high!
And this "malignant syndrome", as long as it can be detected in time and adjust the medication for psychosis in time, most of the prognosis is good.
......
Lin Feng left the ICU, and then went to find Wu Haoming, the father and daughter of the leukemia patient.
The next day, arrange for the leukemia patient Xiao Wenwen to be hospitalized in the hematology department, arrange examination, information entry, open the national bone marrow matching, and undergo chemotherapy treatment at the same time.
......
On the third day,
The results of the rheumatic immunity set of indicators of the previous patient Zhang Wu (which one coughed up blood, anemia, mouth ulcers, rash) came out!
· Antinuclear antibody positive 1:1000 granular type in autoimmune antibody...
Cytoplasmic antibody pANCA positive, anti-Sm antibody positive, complement C3 very low...
Laboratory Doctor: Diagnosed as "systemic lupus erythematosus"...
Just like Lin Feng thought.
Not the lungs, not what bleeding!
It's rheumatic immune diseases!
so
What is "systemic lupus erythematosus"?
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ps: End of update today...
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