stjorthotic Chapter 333
Chapter 333
Chapter 333
Speaking of the medical history of this young man, it can be said to be as long as a piece of cloth.
I found 3 Chinese medicine practitioners and took Chinese medicine for a total of 4 months, but the results were useless.
Then I went to a western doctor and took western medicine. After 6 months, it was still useless.
And there are too many medicines, so I can take medicine every day to keep my stomach full.
After nearly a year,
The disease was not cured,
But the body feels weak, and the cough has worsened, and more asthma.
“Wait, I’ll open an order, you can be a CT…”
If you have a cough or wheeze, ct is a must.
Because “lung cancer” is very likely!
In addition, in addition to “lung cancer”, repeated coughing and wheezing, the disease “bronchial asthma” must be considered.
What is “asthma”?
The essence of asthma “Zero 20” is that there is inflammation in the airway. Inflammation can cause tracheal smooth muscle spasm, so there will be wheezing attacks and hypoxia.
But as for why there is inflammation in the airway, there are many causes.
“Go and be a CT…”
Print.
CT single.
…
1 hour later…
The young male patient came back with CT results.
·CT result: normal, no lung cancer.
That is, “lung cancer” is excluded.
The next step is to consider “bronchial asthma.”
Earlier, Lin Feng used a stethoscope to listen to the patient’s lungs.
There is wheezing.
What is “wheeze”?
It is a kind of rales, because the airflow is produced through a narrow airway, and it is characterized by a high pitch and a wire-like tremor-like music.
Plus the patient’s cough and wheezing.
That means the probability of asthma is very high.
result,
The young man directly denied it.
“Doctor, I am not asthma, because I used to treat asthma according to the disease, but it didn’t work…”
“you sure??”
“I’m pretty sure, I’m still taking “glucocorticoids.” After taking it for 2 weeks, there is no effect at all! ”
“Glucocorticoids”,
As soon as these words came out, Lin Feng concluded that the patient had indeed been treated for asthma once.
As mentioned earlier,
The essential cause of “asthma” is inflammation, so the treatment of asthma should be mainly anti-inflammatory treatment.
At present, the most effective anti-inflammatory drug is “glucocorticoid.”
Moreover, asthma is a common disease, and treatment is generally not difficult, unless it is a more specific refractory asthma.
If it is exactly what the patient said, the patient has been taking “glucocorticoids” for 2 weeks, but there is no effect at all.
“Does anyone in your family have asthma?”
“No……”
“No parents? No brothers and sisters? No grandparents?”
“No, I alone have…”
Lin Feng nodded secretly.
More sure!
Most people with asthma have a family history.
The young patient in front of him does not have it, so it can indeed rule out “asthma” with a high probability.
Lin Feng glanced at the CT.
Obviously, there is no lung cancer.
In addition to lung cancer, tuberculosis, interstitial pneumonia and other diseases also have coughing and wheezing, but looking at the CT results, it does not feel like.
Lin Feng frowned.
“This disease…interesting…”
Every difficult diagnosis gave Lin Feng a great challenge and stimulation and aroused Lin Feng’s fighting spirit.
Lin Feng became more serious and asked the young male patient.
“Apart from coughing and wheezing, do you have any other symptoms?”
“which aspect……”
“The brain… such as tinnitus, vertigo, etc…”
“No.”
“So are there any stomach pains, chest pains, nausea and vomiting, or discomfort in the heart, liver, spleen, lungs and kidneys…”
“this……”
The young man patient recalled for a while, and finally said.
“It feels like my stomach feels uncomfortable…”
Lin Feng asked, “What an uncomfortable method?”
Young man: “Sometimes it hurts and then it doesn’t hurt, so I didn’t care… In addition, the doctor mentioned this stomachache before. The doctor said that taking too much medicine will inevitably cause part of the stomach injury…”
Lin Feng nodded.
That’s right.
It is said that medicine is three-point poison,
This patient said that taking medicine for the past year was as exaggerated as eating, and that it was not bad without a kidney failure. ……..
What is stomach pain?
but,
At present, stomach pain is one of the clues that Lin Feng has caught. You must ask first, perhaps the cause of the patient is here.
Lin Feng thought of gastritis, which caused a regurgitation, and then a cough…
Although this possibility is not great, it does exist.
“Have you had a gastroscope before?”
“No, cough cough~~ cough cough~~”
“How about getting a gastroscope?”
If you are doing gastroscopy in a specialist department, it will be very slow. It is estimated that you will have to make an appointment, and you will only start doing it in a few days…
Emergency gastroscopy is fast, do it immediately…
“Doctor, I heard that the gastroscope directly inserts the tube into the stomach. It’s very painful, right?”
The young man thought of the King Kong pretty boy inserting a tree in his mouth…
Can’t help but shudder.
“Uncomfortable is definitely uncomfortable, you can choose painless, anesthetized…”
“I choose anesthesia…”
“If you choose anesthesia, then you have to ban water and fast. You will ban water and food tonight, come over for anesthesia tomorrow, and I will go to work tomorrow…”
“Huh? Keke~~keke~~ have to wait for tomorrow?”
“If you don’t want to wait until tomorrow, I can give you an ordinary gastroscope without anesthesia right away, but it may be a bit nausea and nausea…”
“………………”
The young man thought for a while, but still persuaded.
An anesthesia and painless gastroscope was chosen.
“Thank you Dr. Lin, then I will come back tomorrow afternoon.”
The young man got up and left,
Lin Feng reminded at this time: “You just mentioned the diagnosis process this year. I don’t think you should always change doctors and hospitals, because some diseases are constantly looking for the cause for a long time, and you keep changing. It is not conducive to find the reason…”
This problem is common to many patients.
Lin Feng is afraid that this patient won’t come tomorrow, so he will go to another doctor, and then he will run for nothing.
The patient froze for a moment, and then he woke up: “Okay, thank you, Dr. Lin…cough cough~~cough cough~~~”
…
. .