bookpower Chapter 597
Chapter 597
Finished explaining.
Zhang Guofeng left.
Everyone in the office cast curious eyes at Jiang Yue.
A doctoral student in Foha even chose the emergency department.
It's incredible!
After a few glances, everyone also left.
It's an emergency, not so idle.
"Doctor Jiang, then you shop by yourself, I'll go and get busy first!" Lin Feng said.
"Yes, Dr. Lin." Jiang Yue nodded.
She enjoyed the sensation of being noticed just now.
Everyone was very shocked by her resume, only Lin Feng alone had no waves, as if she hadn't heard it, which made her interested in Lin Feng.
After all, her mother has said a lot of good things about Lin Feng in her ear in the past two days,
Of course, she didn't hear it all.
Because she is a very confident and proud medical student.
Think better than anyone.
Seeing that everyone had left, she also walked out.
......
Go back to the consultation room.
"Xiaoru, is there anything wrong?" Lin Feng asked.
"Teacher, it's nothing! I can handle any patient who comes! Xiao Ru said with a smile.
"Hmm. Very good! Lin Feng nodded.
Xiao Ru stood up very well and gave up her position.
Lin Feng sat down naturally.
In the emergency room, it is basically difficult to sit for a while.
The patients who came to the emergency room were in serious condition.
Either comatose and shock, or dyspnea, dying patients.
Some small bumps basically do not come to the emergency room.
Even if you come, you can handle it at the nurse's desk, and you can do it by contacting a few interns.
"Dr. Lin, Dr. Lin! Quickly show my son, he has been having a low-grade fever for several days, and he went to several hospitals to check and found nothing..."
At this time, a woman arrived with a child.
Little boy,
About four or five years old
The woman's face was full of anxiety.
"Don't worry, you sit down first! Is there a checklist? Show me. Lin Feng said.
After that, the woman hurriedly handed over the examination she had brought to Lin Feng.
After reading the list,
Blood routine...
C-reactive protein...
Wait a minute
The above tests were found to be normal.
This surprised him a little.
Then he asked, "When did he find out she had a fever?" "
The woman hurriedly said: "I will take his temperature every afternoon, every day it is more than thirty-seven degrees, no more than thirty-eight degrees..."
Check every day!
This behavior made Lin Feng a little surprised.
However, he didn't have any opinions, just personal behavior, and then got up and said: "Okay, I see!" I'll check it out for him! "
"Little friend, sit here."
Then Lin Feng began to touch the boy's neck, followed by his armpits.
The reason is actually quite simple.
The usual cause of fever is an infection, usually a bacterial infection or a viral infection.
But the child's tests are negative, so you need to look for another cause.
Lymphoma is also a possible cause of fever.
Especially such small children, especially pay attention.
Lin Feng's behavior is to check whether the child has lymphoma.
Sure enough.
It was as he guessed.
Then said softly: "Lymph swelling, a little inflammation, just prescribe some medicine." "
"Great, but it scares me to death, thank you Dr. Lin..." the woman said with a quick smile.
Lin Feng hadn't walked back yet.
The child suddenly stood up, found a bug in the corner, and stepped on it with one foot.
After stepping on it, two more feet in succession, and then crushing it with his foot.
Seeing this, Lin Feng said: "It's dead!" "
"How do you know?"
"None of them move, isn't that dead?"
"If you don't move, you die?"
"Don't move, don't die?"
"My grandmother said that the cat has nine lives, and thought it was dead, but it was not dead."
"That's why you stepped on it again?"
"What's the matter with you!"
As soon as the child's words fell, the woman stepped forward and patted the child: "How to speak!" Who made you talk like that..."
"Stop, don't hit the child!" Lin Feng immediately stopped.
However, the child's conversation just now made Lin Feng raise some doubts.
Immediately pulled the child's cuffs and trouser legs apart, and obvious scratch marks were found.
Verified the conjecture in my mind.
He immediately asked, "Do you have cats?" There are a lot of scratch marks on the child! "
"Nope! We don't have a cat at home, how can we get scratched..." The woman was also full of doubts, and then asked the child: "What's going on!! You speak...."
The little ones are silent.
Lin Feng said softly: "If you don't have a cat, you can also play with cats!" "
Hearing this, the child immediately said: "What is it about you!" "
The woman immediately slapped her again.
Lin Feng immediately stopped it.
Immediately said: "It can be determined, it is a cat-scratch disease!" "
"Cat-scratch disease? Teacher, they don't have cats at home! Could it be a stray cat? But how cats play is nothing, why don't children want to say it! Xiao Ru listened with a confused look.
"He's not playing! Cats have nine lives, how can you know if you don't try! Lin Feng said lightly.
Xiao Ru immediately understood, and then was surprised: "Is he abusing cats!" "
"It's not just abuse! Still want to kill! Lin Feng said.
"Then understand, the cat must resist, so it will be scratched!" Looking at this little child, Xiaoru's face was a little frightened.
The mother next to her was stunned in place.
I don't know what I'm thinking.
"All right! As I said, take the kids to do a "Warthin-Static Silver Dip Dyeing"! Lin Feng did not want to continue this topic, and immediately said to his mother.
Billing.
The woman walked out with the small child.
Warthin-Lively silver dip staining can detect the pathogen of cat's claw disease "Hansebartoi", as long as the test result is positive, it can be determined to be cat's claw disease.
......
An hour later...
When the woman was sick, she returned with a checklist.
"Doctor Lin, take a look..."
Lin Feng glanced at it,
· Warthin-Lively silver-dipping staining: Hansai Batong, positive...
This checks the results... It is indeed a cat-scratch disease! special
"What is cat-scratch disease...?" the woman finally asked.
She had been curious and couldn't bear to ask.
Xiaoru immediately explained: "Cat-scratch disease is a bacterial disease... Let's do it..."
"Cat-scratch disease", also known as benign lymphoreticulocytosis, is an infectious disease caused by contact, scratching or biting of pets such as cats and dogs, resulting in infection with "Hansei Bartonella (pathogen)".
Cat-scratch disease is self-limited, with "skin lesions" and "regional lymphadenopathy" as its main features.
The main clinical manifestations are the appearance of papules or pus on the infected local skin, swollen lymph nodes nearby, accompanied by fever, anorexia, muscle pain, splenomegaly, etc...
After listening.
The women were angry.
"Let you..."
Waving and hitting the child again.
Stopped by Lin Feng again.
"Don't get excited, the child's problem is not big, wait for me to prescribe some antibiotics to take back, drink more hot water, just a week or two!" Then Lin Feng said to the woman.
"Thank you, Dr. Lin," the woman said quickly.
"No thanks! The list is ready, just wait to get the medicine! By the way, check the child's eyes, you can go back without any problems, and come to me again if there is any problem! Lin Feng said lightly.
"Doctor Lin, don't you say it's not a big problem! Why do you have to check the bottom of the eyes...?" the woman asked a little excitedly.
"This disease, fundus changes are not common, but the patient is still small, it is better to check it in case of an outside!" Of course, it's up to you to check it or not! Lin Feng immediately handed the list to the woman.
Why check the fundus?
.