bookpower Chapter 421
Chapter 421
This is not the first time that Lin Feng has encountered this kind of difficult disease that "found many hospitals and treated for a year or several years".
So a methodology has been developed.
First of all, the medical records...
Then, look for the corresponding rare disease...
Wang Chenchen's mother brought very thick medical records and sorted them out very carefully.
Lin Feng began to look through the earliest medical records.
1 minute...
3 minutes...
5 minutes...
It took 10 minutes for Lin Feng to read all the medical records.
Results: Most of the corresponding examination items were checked, and most of them were diagnosed as gastroenteritis.
At this point,
A "rare monster" appeared in Lin Feng's mind.
"Crohn's disease"!!
In China, this disease is still relatively rare.
Even if there is, it may be misdiagnosed as "gastroenteritis".
So many hospitals are not aware of this disease.
It is an unexplained inflammatory disease of the intestines.
The "disease of wealth" that mostly occurs in beautiful countries, Western Europe and other countries (in fact, it is also rare), "focusing on" young people with strong resistance. This means that Crohn's disease may be a disease caused by an immune deficiency.
Clinical manifestations: diarrhea, blood in the stool, fever, loss of appetite and physical weakness, significant weight loss, abdominal pain (lower right side of the abdomen), joint pain and skin redness and swelling.
The course of the disease is often prolonged and recurrent.
And there is currently no cure for this disease, which can only be controlled and alleviated by a variety of methods, so it is also called "green cancer".
generally
Its etiology is unknown, refractory, recurrent ...
The symptoms of the patient Wang Chenchen in front of him are very similar to "Crohn's disease".
The parents looked at Lin Feng with a worried expression: "Doctor Lin, how is it?" "
Lin Feng nodded: "I guess it is a relatively rare disease, called "Crohn's disease", but some tests are needed to confirm the diagnosis..."
Parents excitedly asked: "What is Crohn's disease?" "
Lin Feng pondered: "In layman's terms, the intestines are full of ulcers, and all the nutrients are difficult to absorb or even absorb... Therefore, diarrhea will continue to appear, malnutrition and thinning..."
Lin Feng explained in detail.
While listening, the parents nodded: "That's right, it's almost exactly the same as my son's condition!" "
And the little boy Wang Chenchen also raised his head to look at Lin Feng at this time, with a look of anticipation.
He hated the disease so much because he was often ridiculed and bullied at school.
Lin Feng: "Of course, this is just my guess, everything has to be checked..."
The parents couldn't wait: "Dr. Lin hurry up and open the checklist, let's do it right away!" "
I can't wait for results right away!
Lin Feng headed, and then prescribed: blood tests, stool tests and small intestinal capsule endoscopy, magnetic resonance imaging (MRI) enterogram and other examinations...
"Small intestinal capsule endoscopy" is a relatively advanced examination method.
Specifically: the patient orally takes a capsule-sized 'camera', and then walks around through the digestive tract and excretes from the anus, and constantly takes pictures in this process, and you can see clearly in the middle of the stomach, small intestine, large intestine and other locations, whether there are obvious ulcers, polyps, etc., or tumors... (No pain)
Lin Feng did not find this examination item in those medical records just now.
While introducing this examination, Lin Feng asked: "This examination is relatively expensive, about 4,000 yuan, but it is the most intuitive and clear means to check this "Crohn's disease"... So, it depends on whether you are willing to do this test..."
The father cut to the chase: "There is no problem with money, how much to do!" "
Lin Feng nodded: "Good!" ...... However, I want to remind you that you need to stop taking any drugs before doing capsule endoscopy, and you can't eat green leafy vegetables and beans, because this food is more difficult to digest, and the capsule camera will be blocked by secretions, which will affect the test results... In addition, eat liquid food, don't eat rice and the like..."
"In addition... If your son has abdominal pain, nausea and vomiting after the capsule mirror, please go to the hospital for examination and treatment in time..."
The parents nodded repeatedly: "No problem! "
Lin Feng billing,
The parents quickly took the patient Wang Chenchen to go for various examinations.
......
The next day,
The results of the "small intestinal capsule endoscopy" are out:
There are many ulcers inside: including duodenum, jejunum, ileum, colon, cecum, rectum... Wait a minute...... The traces of ulcers can be seen very clearly.
In addition, you can also find that the intestinal wall canal is significantly thickened, the surface of the intestinal wall is no longer smooth, but it looks like a paving stone, and there are even several fistulas...
These are typical manifestations of "Crohn's disease".
Then combined with blood routine and other examinations, Lin Feng was finally diagnosed with "Crohn's disease"!
"Thank you Dr. Lin, thank you Dr. Lin!!"
This time, my parents were really grateful.
Although I know that there is no cure for this disease, if I find the cause, I can treat it symptomatically and end this 1-year recurrent diarrhea and other conditions!
Therefore, they are very grateful to Lin Feng!
Soon, they sent Lin Feng a pennant.
Then on Zhihu's "How awesome is Dr. Lin Feng", write down his own experience, and add a 'record' to Lin Feng!
......
......
Lin Feng just finished diagnosing this patient,
Nurse Xiao Ai suddenly ran into the consultation room with a panicked look.
"It's not good, Doctor Lin, something happened!"
Lin Feng looked unmoving.
"What's going on?"
Xiao Ai: "It's like this, just now the imperial capital TV station suddenly broadcast an interview, saying that you ignored the arrangements of your family and killed people..."
Lin Feng: "???? "
Then reacted.
Lin Feng: "Could it be the retired old man the night before..."
Xiao Ai nodded: "Yes, I see that the person interviewed is the eldest son of the old man." "
When Lin Feng heard this, he chuckled.
"Don't worry..."
Then press the call machine and move on to the next patient.
......
.