bookpower Chapter 607
Chapter 607
"I didn't hear what you said!" Jiang Yue said lightly.
In fact, she was also wondering in her heart!
Just now, she heard it clearly, and it was impossible to miss any symptoms.
"Teacher, tell me quickly!" Xiao Ru said immediately.
"Hmm! Remember when I said the patient came to the hospital for the second time! Lin Feng smiled and said softly: "The patient's fever has been relieved and has become a low-grade fever, accompanied by an uncomfortable stomach, a bad appetite, and easy fullness!" "
"Low-grade fever!" Xiao Ru immediately exclaimed.
"That's right!" Lin Feng nodded and continued, "Then what should you do? "
Jiang Yue in the back row was full of shock in his heart!
She actually made such a low-level mistake and forgot the symptom of low-grade fever!
At the first visit, the patient has been prescribed antitussive, antisputum, anti-inflammatory drugs, and the patient should not have a low-grade fever after taking the drug.
After being shocked, he said in his heart: "It's not that I'm careless! It was Lin Feng who was deliberately guiding, so I didn't pay attention to this matter! That's right, it's a wilt! Giving students exams, they actually dig a big hole! "
I couldn't help but mumble Lin Feng in my heart.
At this moment, Xiao Ru, who received the prompt, was thinking quickly in his head.
Recall all the symptoms of the patient.
Then he said slowly: "First of all, rule out that the patient is a common respiratory infection, because it is impossible to have a fever for a long time after taking the drug. "
"First ask the patient about his mobility and listen to the patient's heart and lung sounds."
"The main thing is to listen to heart sounds, mainly to worry about whether the patient will have infectious endocarditis and other conditions, which can also cause fever, cough, poor appetite and other symptoms!"
"Finally, I will recommend that the patient be hospitalized, and then check a series of tests such as cardiac ultrasound, electrocardiogram, abdominal ultrasound, etc."
"It is recommended to be hospitalized because of the hospitalization examination, and the reimbursement rate is relatively high."
Hearing this answer, Lin Feng continued: "Well, the results of the patient's hospitalization examination are as follows:
Liver function shows that transaminases and bilirubin are high.
Abdominal ultrasound shows a lump inside the liver and suggests fatty liver. "
It was finally learned from the patient that he had a history of hepatitis B and could not determine whether he was chronic hepatitis B or a carrier of hepatitis B. "
Jiang Yue in the back row frowned when he heard this.
Whether the patient was chronic hepatitis B or a carrier of hepatitis B, she felt that it no longer mattered.
Ultrasound shows that there is a lump in the liver, which is the big problem.
She preliminarily deduced that it should be a liver abscess, but did not rule out the possibility of liver cancer, which required the next step of CT examination.
Generally speaking, the B ultrasound of liver abscess and liver cancer is relatively easy to distinguish, but considering that this is a special test question by Lin Feng, she thinks it is better to do a CT to inflame.
But she most likely thought that the patient was a liver abscess.
It's a simple truth.
Lin Feng just gave a result, the patient was finally successfully rescued in the operating room and survived.
Liver abscess, as the name suggests, is that there is suppuration in the liver, and pus gathers together to form an abscess. As for what is the reason, some people are caused by abdominal surgery and trauma causing bacteria to invade the liver, and some people are caused by hepatitis B and diabetes, which makes it easier for bacteria to invade blood circulation.
This patient clearly belongs to the latter.
At this time, Xiaoru said: "I preliminarily deduced that the patient had liver abscess, but in order to confirm the diagnosis, CT examination is required to rule out the possibility of liver cancer!" "
Hearing this answer, Lin Feng and Jiang Yue nodded in unison.
Then, Lin Feng said: "Very good! CT results come out, and the possibility of liver cancer cannot be ruled out! "
Xiao Ru immediately said: "Then do abdominal CT scan + enhanced scan!" "
"You have to do enhancement and create a film."
In fact, by the time you go back, the exam can be over.
But Lin Feng just wanted to hear Xiaoru's diagnostic arrangement, and after hearing the CT enhancement, he asked with a smile: "Xiaoru, since you all speculate that the patient is a liver abscess, why don't you directly perform a pathological biopsy!" Isn't this directly diagnosed to the patient? "
Xiao Ru immediately said: "Teacher, you taught me!" First of all, to ensure the safety of the patient, if the pathological biopsy, liver abscess must be punctured, then if the patient is actually liver cancer, it may lead to malignant tumor metastasis, then it is not troublesome! "
"Good." Lin Feng nodded.
Although Xiaoru did not see the pit in the content of the exam, there was no problem with this series of coping.
Next.
Lin Feng asked Xiaoru some basic questions again.
......
......
Time flies by.
20：40
Lin Feng and his group, the plane came to the magic capital.
"Dr. Lin! This way! "
As soon as he arrived at the airport lobby, Lin Feng heard someone shouting.
Then I looked over.
Not far away, a young man was waving at them.
Don't think about it, this must be the reception staff arranged by the organizer.
Lin Feng immediately led everyone over.
"Doctor Lin, welcome to the magic capital, you have worked hard all the way!" After the young man saw Lin Feng, he said with a look of excitement.
"Thank you! Where are we going now? Lin Feng looked at the young man who was clasping his hands and asked softly.
"Oh! Yeah! I was so excited to see you that I forgot about it! Dr. Lin, the car is in the parking lot, I will take you there now! The hotel has been arranged, I will send you straight to it! The young man said immediately.
"Then it's troublesome for you!" Lin Feng said with a smile.
Subsequently.
They followed the young man to the parking lot, got on a medium-sized bus, and drove down to the hotel.
In a group.
Only Jiang Yue was particularly curious, why was this young man so excited to see Lin Feng.
However, no one cares when I see my colleagues around.
She held back and didn't ask.
21：30
The group came to the hotel where they were staying, which was also the place where the exchange meeting was held.
The purpose of this arrangement by the organizer is also to facilitate everyone.
Everyone should be very clear about the traffic situation in this place of the magic capital.
Walk into the hall.
The young man hurriedly ran to the front desk to arrange accommodation for Lin Feng and his group.
A moment later, he walked back with his room card.
"Dr. Lin, this is your room card! I won't take you up! The young man said with a smile.
"Thank you, I don't know what you call it?" Lin Feng asked with a smile.
On the way here, the young man was so excited that he forgot to ask his name.
"Doctor Lin, my name is Luo Xiao." Luo Xiao hurriedly said.
"Okay. Then thank you today, Luo Xiao! Lin Feng nodded.
Seeing this, Luo Xiao hurriedly said: "Doctor Lin, then you go and see the room first!" Later, you can go to the restaurant on the third floor to eat something.
I still have to pick up the next batch, so I will go first! "
"Hard work!" Lin Feng thanked Luo Xiao.
Subsequently.
So he gave the room card to everyone.
Sure enough, it was the organizer with a card, one room per person.
5 people on the 19th floor and 6 people on the 20th floor.
After entering the elevator, Lin Feng said: "Everyone put things in the room first, and in half an hour, we will meet in the restaurant to eat something." "
Everyone answered in unison.
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Modu Station.
At this time, the people from Xihua Hospital also arrived.
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