bookpower Chapter 649
Chapter 649
「670」
"Go for a chest CT, and draw blood tests routine, liver and kidney function, electrolytes, coagulation function, etc..."
Those checks that I did earlier,
It definitely can't be used now, because it is obvious that the patient, Miss Chen, has progressed in her condition.
“CT？ I heard that CT radiation is a little large, I have recently lost my hair, will it aggravate hair loss? Can I use X-rays? "
Miss Chen was hesitant.
She is full of obsession with her hair.
Lin Feng shook his head: "It's better to direct CT, it's much clearer than chest X-ray, even if you use X-ray, you still need CT to diagnose it at that time..."
Hearing this, Miss Chen could only agree.
Billing.
Miss Chen quickly went for CT.
Then many tubes of blood were drawn.
......
Half an hour later,
Chest CT results are in.
• The lungs are white, indicating some inflammation in the lungs.
Pneumonia is not particularly serious.
But it can be explained: fever, chills, dry cough, limb aches and weakness.
"There is pneumonia, I will prescribe you some antibiotics..."
"Okay, okay."
After another half an hour,
The blood test results are also out,
Blood count: WBC count is 2.8 (normal 4-10)
Lin Feng: "..........................."
What's going on?
Pneumonia, shouldn't it be an increase in white blood cells?
How can it be lowered?
However, the reason Lin Feng thought of a lot.
In some critically ill patients, especially those with severe infections, the immune level is suppressed, and the white blood cell count may not rise but fall.
Thinking of the patient Miss Chen, hair loss for more than 2 months,
Chances are, your condition is more serious than I thought!
And not simple pneumonia.
So far,
Pneumonia
Consider serious infections
Consider whether there is a possible blood disorder, such as leukemia, because leukemia causes low white blood cells.
"First hospitalized, then continue to perfect the examination..."
"Huh? Hospitalization? "
"Yes, you have a bit of a problem with this situation, in case it is really a serious infection and may have respiratory failure at any time, then it will be rescued..."
As soon as she heard Lin Feng say 'rescue', the patient Chen Juan was frightened.
She knew that Lin Feng was not the kind of doctor who was greedy for money and trusted Lin Feng, so she quickly hospitalized him.
"By the way, you still have to continue to draw blood..."
Because Lin Feng has not yet found the cause, it is best to do all the examinations.
Rheumatic immunity set...
Infection markers...
Tumor-related indicators...
"Okay, okay..."
The patient feels that his physical condition is getting worse and worse, grogginess, fever, headache, fatigue...
Don't dare to slack.
Draw out!
Check hard!
Money can't be saved!
Then call your parents and ask them to come and sign and accompany the bed.
After hospitalization,
Complete tests are started, followed by antibiotics.
But after an afternoon, the effect of the medication was not obvious.
The patient Chen Juan still has a fever, still coughs badly, and the limbs and joints are still not improved.
Just when Lin Feng was about to leave work,
陈小姐病情恶化了。
Ahem~~~
Burst~~~~~
suddenly
A mouthful of blood spurted out!
"Ah~~~"
Not only Miss Chen, her parents, but even the two patients and family members in the next bed were all taken aback!
The blood stained a shockingly bright red on the washed white sheets.
"Nurse! Nurse!! "
Father rushed out to find a nurse!
And the mother hurriedly took a tissue to wipe the corners of Chen Juan's mouth, tears running rampant.
"What's going on? How did you suddenly vomit blood? "
My mother was so distressed.
......
Lin Feng was changing clothes and leaving work at this time,
As a result, the nurse rushed in.
"Doctor Lin, Doctor Lin, the female patient you received this morning, lost her hair, vomited blood!"
"Huh? Vomiting blood? "
Lin Feng and Xiaoru were taken aback.
That's a big problem!
I couldn't care about leaving work and rushed to the ward.
Entering the ward, his parents anxiously took Lin Feng's hand.
"Dr. Lin, take a look at my daughter, what's going on?"
"Why did she vomit blood so well?"
The mother cried.
Lin Feng hurriedly reassured: "Don't worry, I'll take a look..."
Then instructed the nurse to get the ECG monitor and connect it to the patient Chen Juan.
"Now find out, did you just vomit blood, or cough up blood?"
Lin Feng repeatedly emphasized,
"Vomiting blood comes out of the esophagus, coughing up blood, comes out of the airway and lungs, this must not be confused, otherwise it is very troublesome..."
Miss Chen thought about it,
Finally shook his head,
"I don't know... I was a little drowsy and didn't pay attention..."
Lin Feng had a headache.
Troublesome!
After asking for details several times, the patient Miss Chen still could not determine whether she was coughing up blood or vomiting blood.
At last
Lin Feng can only judge first:
Coughed up from the lungs.
Because the patient has cough, pneumonia!
It should be caused by pneumonia damaging blood vessels.
So here's the problem.
Why cough up blood?
Could it be tuberculosis, bronchiectasis and other lung diseases?
Although pneumonia can also cause coughing up blood, it is relatively rare.
"You need to further refine your TB tests."
"Starting today, try to leave sputum every two or three hours, send it to the laboratory for culture, and see if there are acid-fast bacilli..."
Lin Feng instructed the nurse of the tube bed.
"Yes, Dr. Lin."
At this point,
The ECG monitor is connected.
Heart rate, blood pressure, blood oxygen and so on, all normal, no problem...
Lin Feng breathed a sigh of relief.
"This ECG monitor, just leave her on her... Continuous monitoring tonight... Let the tube bed doctor look at her more..."
"Okay."
。