bookpower Chapter 641
Chapter 641
The young mother in front of her said that the baby's fever treatment method is no problem.
If the baby has a fever, but is in good spirits, no rash, no diarrhea... and so on, there is no need to go to the hospital.
Because going to the hospital is useless, and the doctor has little way to judge (because there are no symptoms, only fever), unless you are given blood for testing.
Remember one sentence:
Fever, it is not the cause, it is only a symptom!
Therefore, only by finding the cause can the fever be cured (or heal itself); And simple antipyretic drugs, can only cool down, can not cure fever.
"And then?" Lin Feng asked.
"And then... On the third day, another seven or eight hours later, the baby suddenly had a runny nose, then coughed, there was phlegm ... I can hear the baby's neck purring..." said the young mother.
Lin Feng nodded,
Runny nose, probably the flu.
Influenza: (influenza) is an acute respiratory disease caused by influenza A, B and C viruses, and the clinical manifestations are mainly systemic poisoning symptoms such as high fever, fatigue, headache, cough, and systemic muscle aches, while respiratory symptoms are mild.
Now it is autumn and winter, the peak of influenza, many children have influenza.
Especially in communities, schools and other gathering places, children get together to play, it is easy to spread from person to person.
As for the cough manifested by the baby, there is phlegm in the neck,
That should be an upper respiratory tract infection, inflammation.
So the fever in front may be the cause of this flu.
Lin Feng: "Is the cough serious?" "
Young mother: "It's not very serious, I cough about seven or eight times a day, and I cough more when I cry..."
Lin Feng: "I'll give the baby a check..."
The young mother nodded repeatedly: "Okay, okay." "
But
As soon as the little baby saw Lin Feng approaching, he cried.
"Don't... Woo hoo... Don't..."
"Baby, you are sick now, you must show the doctor..."
"No doctor, no doctor..."
The little baby is milky, very resistant, and cries very much.
Tried several times, but it didn't work.
The young mother said apologetically: "Dr. Lin, I'm sorry, my baby has been afraid recently, I can't even measure her temperature..."
Lin Feng expressed understanding.
Babies at this age are more difficult.
(ps: The recent epidemic, the child has a fever and cough, when going to the hospital, it is necessary to take the baby's temperature outside (must be mercury, because it is more accurate), but the baby does not cooperate, does not give the amount, the nurse refuses to let go (I understand) Finally, he went home to read the "Guide", tragic... Therefore, during the epidemic, children try not to have a fever, otherwise it is very troublesome to go to the hospital. ）
The baby does not cooperate with the examination,
Lin Feng couldn't help it.
Only drugs can be prescribed, the kind with relatively few side effects.
"I'll prescribe you a 'cefaclor dry suspension'..."
This medicine is used to treat upper respiratory tract infections, but there may be side effects to some extent, but looking at the baby's runny nose is still more serious, the fever is still there, so you can't sit and watch the development of the disease, you have to suppress it.
Otherwise, when the time comes, there will be pneumonia, and it will be troublesome.
"Thank you, Dr. Lin."
The young mother gratefully holds her crying baby and leaves.
After being diagnosed by Lin Feng, she finally had a bottom in her heart, so she didn't have to panic so much.
......
......
The next dozen or so patients were all related to flu and fever, and most of them were children.
After the 15th patient,
It's finally different.
"Doctor Lin..."
A short (fat) young man walked in.
Walk vaguely and panting.
"Doctor Lin, help me see what's going on? Lately I've been walking and feeling so tired..."
Lin Feng glanced at the young man's neck.
Short and thick, with a double chin.
"Do you feel dizzy?"
"Yes."
"Feel like there's no strength in your whole body?"
"Yes."
"Chest tightness? Especially after exercise? "
"Yes, yes, Dr. Lin, you really divine!"
The young man was surprised and looked at Lin Feng with adoration.
Lin Feng smiled.
"Have you ever tried a heartache?" (angina, myocardial infarction)
"No..."
Lin Feng nodded.
He already had a preliminary judgment.
What is the most conspicuous feature of this patient in front of him - "thick neck"!
At eye inspection, it is much thicker than the neck of healthy people.
The neck is thick, indicating subcutaneous fat deposits.
The neck circumference of healthy people is no more than 40 cm, if the neck is too thick, it means that there is more fatty liver under the skin of the neck or fatty liver around the suction tract, reflecting the abnormal accumulation of subcutaneous fat in the upper body of the human body.
And the neck is thick ... To be precise, it should be [neck circumference exceeding the standard], which generally implies 4 diseases:
Fatty liver
Lipoma (a benign symmetric lipomatosis, a disease in which diffuse, symmetrical deposition of adipose tissue caused by disorders of fat metabolism)
Goiter (a lot was written earlier)
Cardiovascular disease: neck circumference is a major indicator of cardiovascular risk. With a thick neck and a double chin, the probability of "coronary heart disease" is generally large.
The young patient in front of him complained: chest tightness, fatigue, dizziness.
The probability is "coronary heart disease" (coronary atherosclerotic heart disease)!
Lin Feng: "Let's take an electrocardiogram first..."
The young man trusted Lin Feng very much and did not question: "Okay, okay." "
soon
The electrocardiogram is out.
Electrocardiogram: nothing special.
Lin Feng was not surprised.
An electrocardiogram may not be able to accurately determine coronary heart disease, so an ECG is fine, which does not mean that there is no coronary heart disease.
"Let's do a heart ultrasound..."
Cardiac ultrasound is a more accurate way to judge coronary heart disease, but it is not necessarily. (Most definitively 64-row helical CT, coronary angiography)
"Okay, okay."
Lin Feng billing,
"By the way, do you want to do a liver test?" My advice is to do it. "
"Huh? Okay, okay..."
The young man was a little flustered, how could he go to check the liver?
"Then go for a B-ultrasound."
Ultrasound is the preferred diagnostic method for fatty liver.
"Dr. Lin... Am I still saved? The young man cried, which was both heart and liver, wondering if he was terminally ill.
Lin Feng laughed: "It's okay, minor illness... I'll tell you when the results come out. "
The patient breathed a sigh of relief.
Then, apprehensively, go for a check-up.
......
An hour later,
The fat young patient returned with the results.
Cardiac ultrasound: no abnormalities detected...
Liver ultrasound: intrahepatic echo enhancement, a piece of whitishness, intrahepatic arteriovenous display is not clear, posterior echo of the liver attenuated.
The first result, Lin Feng did not find it strange. Cardiac ultrasound may not detect coronary heart disease.
The second result is that this indicates "fatty liver".
Lin Feng told him one by one.
"You may have coronary heart disease, although there is currently no diagnosis of cardiac ultrasound, but I suspect that you have... Your chest tightness should be caused by it... Plus, you have fatty liver... So in the future, eat less barbecue, beer and the like, eat more light, you can try to lose weight..."
"If you feel that you need further examination, you can try 64-row spiral CT, coronary angiography, but I think it's not necessary, you haven't tried myocardial infarction, angina pectoris and other diseases, the condition is not serious..."
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ps: Today's National Day, I wish all book lovers, the days are getting more and more prosperous, and everything is going well! If love has color, it must be medium red!