bookpower Chapter 586
Chapter 586
midday
Rest in the duty room,
Then a gossip came.
"Have you heard? On the orthopedic side, a patient's family member is clamoring to arrange a single room for the patient..."
"It seems that this patient is a small leader somewhere, so he has a special temper, thinking that everyone will listen to them..."
In the imperial capital,
The most important thing is leadership, you can hardly say that in that ward, there is a hidden big leader, what kind of big official he has been.
Therefore, for the 'arrogance' of local leaders, the attitude of all doctors and nurses is full of ridicule and disdain.
Lin Feng smiled: "The single ward also dares to rob it?" Aren't you afraid to celebrate your birthday? "
Except for some hospitals that do not have VIP wards and advanced inpatient areas,
In general, single rooms are mostly set by default to isolation wards or end-of-life wards.
In the early stage of diagnosis, patients who consider their co-infectious diseases or suspected infectious diseases need to be immediately isolated from other patients and medical staff in accordance with the procedures of hospital infection control, and arranged in a single negative pressure ward.
Another situation is to arrange a dying patient, because there is no clinical treatment indication, only symptomatic treatment, and then similar to the critical condition, patients who need rescue at any time will be prioritized for admission.
The insider has a truth that single rooms in all wards are the rooms with the highest number of deaths.
So, if it's just a relatively minor problem in the hospital, don't clamore that you must stay in that single room.
Doctors and nurses are also not easy to say, after all, it is obscure.
Even if it is a double room, the patient is arranged on a similar principle.
Therefore, sometimes, the three-person ward is the best ward, don't be noisy.
Afternoon
Two young men walked into the consultation room.
One of them, limping.
Lin Feng took a look,
The patient was pale and bloodless.
Typical - anemia appearance.
"What problem?"
"The body is weak in qi..."
"Is there blood in the stool?"
"There is..."
"Are there hemorrhoids?" "
"Doctor Lin, how do you know?"
Lin Feng asked a few questions and had already found the root.
Hemorrhoids, bleeding.
"Go, do a blood draw..."
......
The next patient.
A patient walked into the consultation room.
"Dr. Lin..."
"Sit..."
Patient, male, Chen Feng, about 40 years old, ordinary company employee.
"Tell me, what is your situation?" Lin Feng asked softly.
Patient Chen Feng said eagerly: "Doctor Lin, you must help me see, I came from far away!" "
Lin Feng nodded and said, "Don't worry, let's talk about the situation first!" "
Immediately, patient Chen Feng hurriedly said: "Doctor Lin, the situation is like this!" I am an ordinary employee of a company, and I need to sit for a long time at work, and over time I start to have back pain. "
"At first I didn't pay much attention, mainly because it hurt and didn't hurt. I just got some plaster or something! It was better for a while, but now it hurts more and more! "
Lin Feng nodded slightly.
Low back pain is a frequently seen disease, including lumbar muscle strain, kidney stones, ureteral stones, etc.
If it is only a lumbar muscle strain, as long as you pay attention to rest, reduce lumbar activity, and add some anti-inflammatory painkillers to relieve it.
But it is also more difficult to completely break the root, but it does not matter, no matter how serious the psoas muscle strain is, it will not be fatal.
If it is a stone, then the stone needs to be cut off, otherwise it will affect the kidney for a long time, resulting in kidney function damage, and even failure, and eventually I am afraid that hemodialysis is required.
Lin Feng immediately walked over, started to knock on the patient's waist, and asked while getting started: "How long has the back pain?" "
"Are there any symptoms of dysuria, frequent urination, and urgency?"
"Do you feel vomiting, nausea, abdominal pain, bloating?"
"Is there any fever or chills?"
The patient hurriedly replied: "Dr. Lin, I have been having back pain for several years!" But none of these cases..."
After a burst of knocking.
It was determined that the patient mainly had pain in the left lower back, and it was basically dull pain in the lower back, not severe pain.
These descriptions basically point to a condition of psoas muscle strain.
He immediately said: "Preliminary examination, all the conditions are very consistent with the situation of lumbar muscle strain, but it is not certain!" First of all, you have to pay attention to this matter, don't do any plaster, if you want to diagnose the diagnosis, you need to do some tests! "
Hearing this, the patient immediately said: "Dr. Lin, don't worry, I will definitely pay attention to it and definitely cooperate with the treatment!" ....."
"Very good! I will first give you a list, first go for a urinary B ultrasound, after confirming that there are no stones, you will decide whether to do kidney CT to rule out the possibility of kidney stones. Lin Feng said while giving the patient a list.
Hearing this, the patient immediately said: "Dr. Lin, don't bother so much, I just did both of them, so that it can be more accurate!" ....."
Lin Feng turned his head to look at the patient, and said with a smile: "Your consciousness is quite high!" Then I'll give you the list of CT as well! "
"Thank you Dr. Lin, I'm not a high level of consciousness, but rather desperate..." the patient smiled.
"The list is for you! It's good to save your life! Lin Feng nodded and said to the patient: "Go for an examination!" "
Patient outcome list.
Hurriedly walked out.
......
One hour later,
The two patients with hemorrhoids returned, with blood tests in hand.
"Doctor Lin, take a look, this is a checklist! What happened to my friend..." The man on the side helped his friend to sit down and handed the checklist to Lin Feng.
Blood routine:
Hemoglobin – 57.00 g/L
.....
These values are on the low side.
Especially hemoglobin, it turned out to be only 57g/L, which is too scary!
Normal adult hemoglobin should be 120-150g/L, now the patient can not even reach half, less than 60g/L is severe anemia.
The average amount and concentration of hemoglobin on the checklist are reduced, which is clearly typical of microcytic hypochromic anemia.
The most common cause is iron deficiency anemia.
All other results are there.
Liver function is normal, bilirubin, transaminases are normal, so hemolytic anemia can be excluded.
"Dr. Lin, how is my friend? The man asked anxiously.
"It's weird! The test results show that your friend is severely anemia, and it seems that hemorrhoids are very bad! "
"I'll give you a list, first hospitalized to prepare for blood transfusion, and then go to surgery to prepare for surgical treatment!" Lin Feng shook his head and said to the patient.
After speaking, he handed them the open list.
The patient's friend immediately said: "Dr. Lin, or you can also give me a surgical treatment list!" ....."
“？？？？"
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