NovelTags Chapter 550
Chapter 550
"I didn't suck, I didn't suck ..."
"Still said you didn't suck it? What's going on with the needle in your leg? And what happened to the urine test results? "
"I........."
Under the majestic gaze of the police,
In the end, the patient honestly explained his situation.
Lin Feng watched from the side, and estimated that when he recovered from his illness, he would be sent directly to the drug rehabilitation center.
Why do doctors subconsciously think about AIDS and syphilis when people wash their faces?
Because the proportion of shared syringes inhaled by people who smoke white noodles is very high, once one of the people who smoke white noodles has AIDS, the blood of AIDS patients can be injected into other healthy people through sharing syringes, thereby causing infection.
At the same time, because their populations are relatively dense, sharing syringes with each other can cause widespread infection.
There are also some groups of people who have carried out some invasive operations in some informal places outside, such as eyebrow tattoos, teeth cleaning, ear piercing, etc., which may also cause AIDS and syphilis infection.
So, don't suck white noodles...
......
......
I took a break for more than an hour at noon.
Afternoon
Continue to open.
The first patient was an elderly man.
Uncle Chen, 65 years old
As soon as this old man came in, Lin Feng became vigilant.
Why?
Because when he came in, he covered his stomach, and he still covered his hands, bent over, and was helped in by his daughter.
"Ah~~~"
"Ah~~~~"
"Ah~~~~~"
Screams continued.
And shortness of breath, frowns, and a very painful expression.
This painful expression has obviously hurt to a very intense degree, and it can play the kind of screaming and severe pain last time that the fan-absorber who wanted to deceive Du Lengding.
This kind of pain, Lin Feng is really afraid of some myocardial infarction and the like.
"In bed..."
Lin Feng hurriedly greeted.
"Xiaoru, give him an electrocardiogram..."
soon
Xiaoru over there doing an electrocardiogram.
But take your temperature first, forehead thermometer, 36.8, no fever.
Lin Feng asked about the condition.
"Uncle, what is your situation?"
"Dr. Lin, this morning, he said that it hurt and pulled, and then went to the community hospital to get some medicine, but it didn't work, it still hurt... Ah~~~~~~"
It hurt so much that a cold sweat came down.
"What's the medical history?"
"There is..."
Obviously, Uncle Chen is also an 'experienced veteran' of the hospital.
"I had high blood pressure, 8 years ... Have COPD for 4 years... Smoking for 40 years... There is a lot of cough, basically white phlegm..."
COPD, in layman's terms, is a certain restriction of the air passage for breathing, and circulation is more difficult.
This is related to long-term exposure to toxic and harmful gases or particles.
For example
Smoking, dusty environments...
COPD is a difficult type of treatment and cannot be cured.
The consequences are also more serious, because of the limited breathing, so there is no way to exercise vigorously, the physical strength is not good, easy to breathe, and when it is getting more and more serious, you may even feel laborious to wear shoes.
Uncle Chen's COPD is obviously related to a 40-year history of smoking.
"There is COPD, why don't you quit smoking!"
Lin Feng said reproachfully.
"Can't take it..."
Uncle Chen covered his stomach in pain and said.
It is difficult to quit smoking, let alone 40 years of smoking history, even if you use any electronic cigarettes are still useless.
At this time,
The electrocardiogram is out.
No myocardial infarction graphic.
Lin Feng was relieved.
Start troubleshooting other causes.
Stethoscope first.
Listen to the lungs.
A little crackles, but not serious, should not be the main cause. In COPD, a little crackle is normal.
Then check the belly.
"Where does it hurt?"
"Here (pointing to the right lower abdomen)..."
"It always hurts here?"
"Yes."
"How long has it been pain?"
Uncle Chen was so pained that he couldn't speak, so his daughter answered for him:
"My dad had pain after breakfast in the morning, and it's been almost 4 hours now."
Uncle Chen nodded.
"Are there any other symptoms? nausea, vomiting..."
"A little disgusting, also vomited... It didn't take long to eat breakfast, and then I threw up... By the way, and diarrhea..."
"What does diarrhea look like? Hard, soft, thin..."
"Sparse, water-like..."
"Doctor, can you give my dad an injection of Du Lengding first, I can't stand it."
“？？？"
Demeraldine?
Lin Feng subconsciously thought in the direction of powder-absorbing molecules.
"Show me the arm..."
Lin Feng then checked his hands and feet and found that there were no pinholes... Well, it shouldn't be a fan suction ...
However, Lin Feng still paid attention.
"Wait a minute, if you have pain relief, it may affect the diagnosis..."
Lin Feng said.
"Did you have your medical records?"
"Brought..."
A tote bag containing a lot of medical records.
Lin Feng quickly flipped through the patient's previous hospitalization information, the patient had COPD, hypertension, and the rest was basically gone...
At present, Lin Feng considers gallstones, appendicitis, gastroenteritis... Wait, a lot of consideration... After all, this is a digestive disease, and it is difficult to engage in...
By the way, there is also arterial dissection...
However, after measuring the double blood pressure, there is no problem.
Lin Feng once again did a physical examination of the patient.
With a new discovery!
Patient Uncle Chen's sclera (white part of the eyeball)!
Yellow!
That's right!
Jaundice!!
Seeing this, Lin Feng suddenly became energetic.
It's so peculiar!
Check the patient's skin again, it is also slightly yellow.
Jaundice, OK!
With the disease of jaundice, Lin Feng can bypass the complex investigation of the digestive tract and directly check for jaundice.
So, why do patients have jaundice?
Causes of jaundice:
• Liver...
Hemolysis...
When these two conditions occur, the level of bilirubin in the body will be greatly increased, and the accumulation of excess bilirubin in the sclera and skin will cause yellowing of the scleral skin, which is called jaundice.
Jaundice caused by abnormal liver function will not be fatal for a while.
But if jaundice is caused by hemolysis (destruction of red blood cells, metabolized to bilirubin after hemoglobin leaks out), the patient may die at any time.
thereupon
Lin Feng pressed the patient's liver area hard, and there was pain, which was a sign that there was indeed a problem with the liver, or that there was a problem with the gallbladder.
Lin Feng didn't want to waste time and hurried to do the inspection.
Because it was an old man, and it was particularly painful, Lin Feng naturally did not dare to snub, so he talked to the patient's daughter and did a comprehensive examination.
"No problem, listen to Dr. Lin..."
The patient's daughter is very filial, does not care about many examination items and costs, and only worries about her father's physical problems.
Blood routine, liver and kidney function, electrolytes, coagulation function, pancreatitis, myocardial enzyme profile...
Do it all.
.