stjorthotic Chapter 255
Chapter 255
Chapter 255
Lin Feng probably had a judgment after watching the X-film.
“Let me tell you about the current situation of the old lady. It is stuck in the esophagus next to the aortic arch, and the denture is too large. If it takes too long, it will easily cause a fatal esophageal aortic fistula (that is, a hole is penetrated). ) And cause massive aortic hemorrhage.”
“very dangerous!!”
Lin Feng said solemnly.
The middle-aged man suddenly couldn’t laugh when he heard the words ‘very dangerous’.
I thought that as long as I took it out with tweezers, there would be no big problem, but I didn’t expect it to be so serious.
“If the time delays for a moment, the old lady is a bit more dangerous. I suggest performing surgery immediately!” Lin Feng explained.
“No problem, please also ask Dr. Lin to arrange!” The middle-aged man nodded.
Payment is complete.
The old lady was pushed into the rescue room.
It’s just a foreign body in the trachea, and it doesn’t even use the operating room.
“The patient’s blood sugar is low!”
“Intravenous dextrose solution and antibiotic solution!”
“Local numbness…”
“Intubation for oxygen…”
Why do we need to intubate oxygen?
Because this old lady is old and the anesthetic has respiratory depressive effect, it will make the old lady hypoxia at any time!
Therefore, it is necessary to intubate to the tracheal position and give oxygen to ensure sufficient oxygen.
Dentures are large and irregular, with teeth attached, which jam the esophageal wall tissue, so it is still a bit difficult to take out!
Of course, this is true for ordinary doctors.
For Lin Feng, it was a minor operation.
“13mm*19mm dilatation 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 clipped it out together!
“Out!”
“Fortunately, I didn’t cut the esophagus!”
Lin Feng smiled.
The patient’s son thanked again and again: “Thank you Dr. Lin!”
The operation is over!
10 minutes later……
The effect of the old lady patient’s anesthetic faded…
Unplug the oxygen tube, remove all…
The old lady recovered health, and with the support of her son, she left the hospital…
…
a new day,
Lin Feng goes to the p (PM) class…
night,
After finishing work, the ordinary white-collar Li Shasha 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, girlfriends dinner…
Oh, and cat food. She has a British short, which is very cute.
Therefore, she is basically a moonlight clan, and sometimes she doesn’t even spend enough.
But she is not afraid, after all, she looks young and beautiful, 85-90 points level, when the time comes, she can find an honest and rich man to marry.
Amuse the cat, feed the cat food…
Then take a bath,
Washing and washing, suddenly, she touched a hard thing?
Um?
There is a coin-sized bump on the side of the armpit of the right hand.
superficial.
“what is this?”
She suddenly thought of the tumor and panicked.
Squeeze it hard…
Next, she took a shower and just washed, quickly put on clothes, went back to bed, and searched for symptoms on her mobile phone.
“Suddenly there is a hard lump in the armpit, what is it?”
search!
soon,
She found other patients and asked the doctor:
Patient: “I have been tired recently and have irregular work and rest. When I took a bath at night, I suddenly noticed a small lump under my armpit. I felt it was hard. Is there any pain when pressing? I don’t know what the situation is?”
Doctor Thousand Degrees 1: “In your case, it is more likely to consider axillary lymphadenitis. It is recommended that you should pay attention to personal hygiene, keep the local area clean, take a bath frequently, avoid spicy food, quit smoking and alcohol, you can use local hot compress, orally cefix Anti-infective treatment with Luo class drugs.”
Doctor Qiandu 2: “It is best to go to the General Surgery Department for an examination, or take a photo to see. Color Doppler ultrasound can specifically clarify the nature of the mass. It is recommended to be clear…”
Dr. Qiandu 3: “If it doesn’t hurt, then lymphadenitis is likely to be ruled out, because inflammation usually hurts. Consider lymphoma, tumors will not hurt…”
See here,
Li Shasha panicked completely!
Inflammation usually hurts?
Does the tumor hurt?
She touched the swelling 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 was very painful, very painful!
“Is it really a tumor?”
Panicked, quickly put on clothes and ran to the emergency room.
“Doctor Lin?”
When Li Shasha saw Lin Feng, she couldn’t help but be overjoyed.
Male god!
Originally, she was also very satisfied with the handsomeness of her three spare boyfriends.
result,
Comparing with Lin Feng’s temperament, the three spare boyfriends immediately seemed trivial, mediocre, and worthless!
It’s too far!
Li Shasha was stunned, but the doctor who received the treatment was unexpectedly Lin Feng.
But when I saw this suit on my body… I almost cried, but I was wearing it like this, and my face value was directly discounted by 70%!
“Sit down, what’s the situation?”
Lin Feng’s expression is indifferent (true), but he doesn’t lose affinity (actually, he is just in appearance).
Li Shasha quickly said: “Doctor Lin, my armpit suddenly got a lump when I took a shower!”
Lin Feng: “Let me see…”
Reach out,
Li Shasha’s heartbeat speeds up, and she can’t wait to send it over.
Lin Feng touched the bump, the size of a coin.
“Does it hurt or itchy?”
“It doesn’t hurt or itchy.”
“Have a fever?”
“No……”
“Do you have nausea or 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, causing human body poisoning, so it is dangerous).
“Take a personal temperature? 10 minutes…”
“OK……”
Li Shasha took the thermometer and sat there and began to take the measurement.
Because there is no patient at this time, Li Shasha doesn’t have to go out.
She looked at Lin Feng and asked curiously.
“Doctor Lin, do you have a girlfriend?”
“Have.”
“is it beautiful?”
“Pretty better than you…”
Li Shasha: “………………”
Heaven was just chatted to death!
Quiet, silent…
7 minutes…
“Okay, give it to me…”
Li Shasha took out the thermometer and handed it to Lin Feng.
38.0C!
Good guys!
Have a fever!
Li Shasha was also a little surprised, she didn’t feel it… But after knowing that she had a fever, she started to feel dizzy, had a poor appetite, and even felt a little nauseous.
Lin Feng probably has three possible judgments:
·Swollen axillary lymph nodes
·Lymphoma
·Ai Zi (English: hiv)
If it is lymph node enlargement, it may be caused by inflammation or tumor. 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 rate is getting higher and higher now.
r Adenocarcinoma easily metastasizes to the ipsilateral axillary lymph nodes, which manifests as swollen lymph nodes.
And why is it possible that it is HIV?
Because of the early stage of HIV, symptoms such as fever and swollen lymph nodes may also occur, as well as headaches, night sweats, nausea, vomiting, sore throat, muscle pain, and so on.
Lin Feng needs to investigate step by step.
Lin Feng: “I said there are several possibilities, you need to do the corresponding inspection.”
Li Shasha: “Okay, doctor.”
Lin Feng:
“The first type is lymphadenopathy: You take blood to see if there is inflammation, and then do an R-gland “ultrasound”. If you want to be more precise, do a “molybdenum target.”
“｀” The second type is lymphoma, just go for an ultrasound. ”
“The third type is HIV… You can consider this for yourself. If you think it is possible, then go for a blood draw (ps: The 2-6 week window is not detectable)…”
“What? hiv??”
Li Shasha was taken aback!
She has considered swollen lymph nodes and lymph node tumors.
But hiv she never thought about it.
“Yes, hiv… If you think about it, is there a history of uncleanness?”
Lin Feng meant something.
Li Shasha understood in seconds.
At this moment, there was no way she still had the mind to tease the handsome guy, and she was already worried about her body.
She did have a history of uncleanness a month ago…
At this moment, she panicked!
What if it is really HIV in the rest of your life?
I really regret why the mess!
At this moment, there is even a kind of anger that wants to retaliate against the society!
Lin Feng comforted: “Don’t worry, these are only possible, and need to be investigated step by step… Do you usually pay attention to your lumps?”
Li Shasha’s soul does not guard her house: “No, no, occasionally when taking a bath, but never noticed…”
“Let’s do it… I think I might have to be hospitalized, do the tests just mentioned, and then check for some blood diseases.”
“Am I in a hurry? Doctor, do I need to be hospitalized today?”
“Of course, the sooner you are hospitalized, the better.”
“OK.”
Li Shasha became more afraid as she thought about it,
After that, he was admitted to the hospital immediately, Lin Feng issued the bill, and then the blood was drawn for examination by his colleagues in the laboratory on the night shift.
As for (Nuo Zhao’s) B-ultrasound and Ct, we have to wait for tomorrow.
“Huh…wait!”
Just when Li Shasha was about to draw blood, Lin Feng saw the band-aid on Li Shasha’s hand.
“You are hurt?”
“Yes……”
Under normal circumstances, Lin Feng would not care about this small wound.
after all,
It may be a skin trauma, which generally does not cause swollen lymph nodes and fever.
“How did it hurt?”
Lin Feng asked curiously.
Because of professional habits, I basically like to ask all questions.
“I was scratched by my Xiaolan. At that time, my skin was broken and there was not much bleeding. I still feel a little pain from time to time in the past few days.”
“Little blue? Animals?”
Lin Feng thought of something and suddenly applied for seriousness.
“A cat, like a British short.”
“Cat, caught 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 paw disease: it is an infectious disease of the lung caused by the cat scratching the skin.
Because there may be a pathogen called Bartonella hanseii in cat saliva, after this pathogen enters the human wound, it may cause lymph node reticulocytes to increase, and the patient will have local skin lesions with swelling of lymph nodes in the lymphatic drainage area.
For example, if you bite your arm, the lymph nodes in your armpit are swollen.
If the bite is on the lower leg, then the popliteal fossa and groin lymph nodes are swollen.
so similar! !
..