stjorthotic Chapter 390
Chapter 390
Chapter 390
Harmony Hospital,
Emergency Department,
Today, just one morning,
Lin Feng ushered in the 22nd epilepsy patient.
Yes,
It’s the 22nd!
In the emergency department, I may not be able to experience a single epilepsy in a day. As a result, 35 of them came yesterday, and 22 were only in the morning today.
The epilepsy patient in front of him is full of expectations for Lin Feng.
“Dr. Lin, I think I must have been misdiagnosed. It is definitely not epilepsy. You must help me find the cause.”
Lin Feng: “……………………”
I have a headache.
The patient’s examination report.
·History of cerebral hemorrhage
· Sudden epilepsy every half month and 1 month,
·Epilepsy medicine is effective…
This is not epilepsy, what is it?
Lin Feng kindly persuaded him and sent the patient away.
It hurts a bit.
Lin Feng was distressed: “What happened? How come so many patients with epilepsy come to see me for treatment? All of them say that they are not epilepsy…”
Xiao Ai grinned and said: “Dr. Lin, I just checked it out. The thing is because the patient named Chen Yu was Zhihu Da V 3 days ago, and then he posted a post on Zhihu and praised you… Then the day before yesterday, I went to the hot spot of Douyin, and you became famous once…”
Lin Feng: “………………”
Because of this?
Lin Feng ran across ten thousand grass and mud horses…
…
…
at the same time,
Respiratory Medicine.
At this time a patient was lying on a hospital bed.
Wang Chen, 39 years old, had a fever for 5 days and did not improve.
5 days ago, because of cough, sputum, and chills, I came to the outpatient clinic for treatment.
I was admitted to the Department of Respiratory Medicine by a doctor and performed a chest radiograph, which indicated double pneumonia. Considering pneumonia, I was given the antibiotic “moxifloxacin” for 3 days, but the effect was not good.
Later, on the same day, the patient began to have a fever, high fever, with a maximum of 40.1 degrees.
The doctor diagnosed: “Infectious fever…”
There are three most common causes of fever in general:
·Infection (ps: infection: refers to the local tissue and systemic inflammation caused by pathogens such as bacteria, viruses, fungi, and parasites invading the human body.)
·Tumor
·Rheumatic immune diseases (PS: long-term living in a humid environment will not cause rheumatism)
Then take blood tests, do CT,
·The blood routine delisting white blood cell is too high.
·Fever, chills, inferred to be infectious fever
·The patient has cough and sputum, it is inferred that the infection should be the lungs, and the stethoscope prompts wet rales.
·CT suggests pneumonia,
These evidences,
All pointed to pneumonia.
but!
Why is the antibiotic “moxifloxacin” treated for 72 hours but the effect is not good?
You know, moxifloxacin is a broad-spectrum antibiotic, and there is absolutely no problem with ordinary bacteria.
Why is the effect bad?
I changed several other broad-spectrum antibiotics, but the results were still not good.
The doctors began to think in other directions:
·AIDS, fungal infection…
·Tumor, tuberculosis…
·Rheumatism…
Start spot checks one by one.
It took a day and all the checks were completed.
·AIDS, test results excluded…
·Fungal infection, culture-negative, and anti-fungal drugs are ineffective…
·Tests related to tuberculosis, negative……
·Rheumatism, normal…
·CT of the chest and abdomen did not see obvious signs of tumors… (except for blood tumors)
This cure is 5 days,
No effect at all.
Also keeps high fever…
Patient Wang Chen is annoying.
“Can your hospital do it? Will I have a fever soon? Why is it not good?”
no way,
Respiratory medicine can only think about going to other departments for help.
Seek help from other departments, although they will come,
But once I came, I owed a favor, and I was always reluctant to do so.
“Or, shall we find Doctor Lin?”
Suddenly, a doctor suggested.
Lin Feng, a firefighter, has a reputation throughout the entire Harmony Hospital, and Lin Feng is enthusiastic, and the owe Lin Feng is not so difficult to accept.
“Okay, just invite Dr. Lin over…”
The director made a decision.
And those interns were excited.
“Dr. Lin, please come to our department for consultation?”
“Haha, I can finally see Doctor Lin!”
“I’ll put on some makeup first…” (a female nurse intern)
“I’ll go…wait for me…” (other female nurse interns)
Pu Chou male interns: “……………………”
Cry~~~~
…
Noon,
Lin Feng got away from the emergency department, went to eat a meal, and then was invited to the respiratory medicine ward.
“Doctor Lin!”
“Doctor Lin is here…”
Doctors greeted one after another.
And those nurse trainees, already screaming.
“Wow, Doctor Lin is so handsome~~~”
“Male god!”
“It’s so handsome that I sit down and ovulate…”
“You sweep the goods!”
Medical students are tough!
Lin Feng sweats wildly.
With enthusiasm, Lin Feng came to the patient’s ward.
“｀ “Doctor Lin…”
The patient Wang Chen’s eyes brightened. I heard that Dr. Lin knew everything. Maybe Dr. Lin could find the cause of his disease…
“Hello……”
“Dr. Lin, I must heal me. I have a fever every day and I have lost more than 30 catties!”
Wang Chen cried.
Fever is uncomfortable, let alone having a fever for 5 consecutive days, and he is really afraid that the fever will burn his brain.
“Don’t worry, let me understand your condition first…”
Since the respiratory department invited myself to come, I would naturally try my best to find the cause.
It took 10 minutes to ask about the condition…
Then it took 20 minutes to read all the inspections carefully…
Lin Feng pondered for a moment.
Judging from the available data, the diagnosis of pneumonia is the most likely, but the treatment effect is not good and it is difficult to explain. But for other diseases, there is no actual evidence.
“I will do a personality check for you…”
Lin Feng said.
For this particular patient whose cause cannot be found, Lin Feng usually has a full body examination.
(Of Zhao’s)
Put on sterile gloves,
From head to toe, look at it bit by bit…
Then I listened to the heart and lungs with a stethoscope. Except for a bit of wet rales in the lungs, there was not much abnormality, and there were no heart murmurs.
at this time,
When Lin Feng saw the patient’s hand,
Frozen for a moment.
The position of the patient’s elbow fossa,
There are some relatively hidden red spots, just like rashes, but they seem to be different.
Lin Feng frowned.
“Pinhole?”
Lin Feng glanced at the patient Wang Chen.
Wang Chen was stared at by Lin Feng, and suddenly he had the urge to flee, and his eyes were guilty and avoided.
Lin Feng looked at the patient’s performance,
One more word in my mind:
“Washing powder addict!”
It is impossible for ordinary people to have so many pinholes!
Lin Feng glanced at the ward. No family members were present at this time. He probably went out to eat.
“Tell me the truth, are you sucking detergent?”.