bookpower Chapter 413
Chapter 413
Why, when Lin Feng saw the aunt on the other side of the video call, he did actions such as 'rubbing his left shoulder, frowning, supporting his chin, twisting his neck', etc.,
With these, do you think it's a heart attack?
Because the human heart is on the left.
Once the heart has coronary heart diseases such as "myocardial infarction", "angina", "arterial dissection", etc., it may be painful in the precordial area, and then radiate to the back, left arm and left neck...
(Coronary heart disease is divided into: angina, myocardial infarction, ischemic heart failure (ischemic heart disease) and sudden death, asymptomatic myocardial ischemia (occult coronary heart disease)...) These 5 clinical types. ）
The beautiful woman on the other side of the video: "Doctor Lin, when is it convenient for you, shall we have a meal?" "
Lin Feng: "Yes, but I have a request." "
When the beautiful woman heard this, she was overjoyed.
The male god agreed!
I can eat with the male gods!
And the beautiful girl and her mother were also very surprised.
Dr. Lin Feng is handsome, and he is kind and decent, and at the same time, he is a doctor with super medical skills.
Simply perfect son-in-law!
If you can become your son-in-law, it will be a great luck!
The beautiful woman couldn't wait: "The male god... What are your requirements? "
Lin Feng: "Let the aunt also come to eat together, just set to eat near the hospital, and then you will come to the hospital at 4 o'clock..."
Beautiful girl: "....................."
Beautiful girl's mother: ".................."
A weird look.
I covet your body, you actually covet my mother? Male god, I didn't expect you to be such a person!!
Lin Feng quickly explained: "I don't mean anything else, just come to the hospital... Must come, 4 o'clock ...! "
Hang up the video.
......
Opposite the video,
The mother and daughter looked confused.
You look at me, I look at you, it feels so weird.
"Wait... About a hospital? Mom suddenly had a flash of light: "Doctor Lin should not think that I am sick, right?" "
"Are you sick? No way. When the daughter heard this, she shook her head, "Mom, aren't you in good health?" "
"No, I have felt a little chest tightness, breath holding, and a little back pain in the past few days..." Mom couldn't help but rub her left shoulder again.
Daughter: ".............................."
Didn't run,
It is estimated that Dr. Lin thinks that his mother should be sick, so he let his mother pass, and the blind date is just an excuse.
Thinking of this,
The beautiful woman was lost for a while.
"Mom, then go now, if you are really sick, then don't delay..."
"Okay, go right away."
The mother and daughter quickly drove and rushed to Harmony Hospital.
......
3 o'clock later,
Lin Feng is treating a child.
3-year-old child, male, fever for 3 days, up to 40 degrees, a large amount of nasal discharge, phlegm, frequent coughing up of sputum, snoring and purring. Crying all the time.
Lin Feng saw that the child had so much phlegm and snot, and roughly concluded that it was "pneumonia".
Finally, it was diagnosed as "bronchopneumonia".
......
After getting this kid,
The triage nurse walked in, followed by two people.
It was the mother and daughter.
Triage nurse: "Dr. Lin, these two said that they made an appointment with you..."
Lin Feng nodded: "I made an appointment..."
Triage nurses go out,
Then Lin Feng said to the mother and daughter: "Sit, aunt..."
Aunt: "Doctor Lin, am I really sick?" "
Lin Feng: "Let's take an electrocardiogram first..."
ECG, simple and straightforward...
Student Xiaoru connected an electrocardiogram machine to her aunt...
Click~~~~
The ECG comes out,
Lin Feng took a look,
· Q ripple and ST-segment elevation and ST-T dynamic evolution.
Sure!
"Myocardial infarction"!
Very typical ECG findings!
"Doctor Lin, how's it going?"
The mother and daughter asked nervously.
Lin Feng: "It's good that you came early, it was a heart attack... It's not serious, though..."
Mother and daughter exclaimed in unison: "How can it be a myocardial infarction?" "
Although I don't understand what it means, TV commercials are often broadcast about myocardial infarction in the elderly or something...
Lin Feng explained what is called myocardial infarction, which is probably that some part of the heart tissue has died.
(I have written a lot about myocardial infarction, so I will not write carefully.) ）
Then proceed to the hospital,
Continuous observation therapy.
......
Next patient,
"Ahem~~~Ahem~~~Ahem~~~~~~~~~~"
If you don't see them, hear them first.
As soon as Lin Feng heard this voice, he came up with some information.
The voice should be from a middle-aged man,
・The cough is very severe, and it feels comfortable to cough out the lungs
And then
A middle-aged male patient bowed and walked into the consultation room, coughing constantly.
By the way, there is still a thick pile of cases in his hand.
"Doctor Lin..."
"Sit..."
The patient sat down and coughed uncomfortably: "Dr. Lin, you must save me, I coughed and coughed to death." "
Then he began to talk endlessly about his tragic experience.
The patient, named Zhang Hong, is a high-speed rail worker.
I don't know why I started coughing 2 years ago.
One cough is 2 years.
In the words of the patient, it is: cough until the mother does not know, cough to doubt life, cough to the point of wanting to stab the lungs with a knife and scrape out the phlegm.
How did he cough up phlegm?
Every morning, when he gets up together, the first thing he does is cough up phlegm, because phlegm accumulates for one night and must cough it out to be comfortable. So get up, sit down, start posing and start coughing up phlegm.
A set of movements, carried out every day, is extremely skillful, flowing through clouds and water, and at the same time full of sadness.
The internal channels of the lungs are very sensitive.
It only allows air (oxygen, carbon dioxide), blood, and the slightest foreign body, it will desperately cough it out.
He was from another province and looked at three hospitals over there, but he couldn't find the reason.
Then I heard the reputation of the imperial capital Lin Feng, and the folk rumors that 'cured all diseases', and then came to the imperial capital.
Lin Feng was ashamed after hearing this: "Thank you... We still have a lot of very powerful doctors in Harmony Hospital..."
Patient Zhang Hong: "Dr. Lin is modest..."
At this point,
Lin Feng began to sort out the cause of the patient.
cough for 2 years,
This is considered a chronic cough.
Chronic, what are the most common causes?
Common ones are:
Cough variant asthma...
Upper airway cough syndrome (postnasal drip syndrome)...
Eosinophilic bronchitis...
Gastroesophageal reflux-related cough...
Together, these causes account for about 80% of the causes of chronic cough.
Even if there are no auxiliary tests, as long as we ask the patient some basic information, we can diagnose the cause according to experience.
First of all
Lin Feng through bronchial stimulation, the patient did not have cough, excluding "cough variant asthma"
And then
The patient does not have allergic rhinitis, sinusitis, pharyngitis and other diseases, which does not meet the "upper airway cough syndrome".
After that,
The results of the patient's previous visit to the hospital were ruled out: "eosinophilic bronchitis"
And then on,
Gastroesophageal reflux? The patient has not had stomach problems for 2 years, has not tried any hiccups, reflux acid or anything, and is obviously excluded.
"Do CT??"
Lin Feng thought about it and didn't have to do it.
Because the previous three third-class hospitals have done CT three times, Lin Feng has seen them all one by one and found no results.
Medical record CT results: no tuberculosis, interstitial lung disease, lung cancer, bronchiectasis, etc...
Lin Feng specially brushed all the medical records brought by patient Zhang Hong. (Some words are too scrawled to recognize)
The basic checks that should be done have been done.
None of the causes have been identified.
Lin Feng thought about it,
"Have you ever done a fiberoptic bronchoscope?"
Lin Feng did not see this examination in the medical record.
What is a fiberoptic bronchoscope?
It's actually similar to a gastroscope.
A tube with the thickness of a finger is used to enter from the nose all the way into the trachea, and the head of this tube has a camera, and then through the camera, you can see the inside of the trachea (including branches and bronchi).
The bronchi, the next branch of the trachea, extends into the lungs and transports oxygen to various parts of both lungs.
Patient Zhang Hong shook his head repeatedly: "I haven't done it, it's too expensive... I heard that it will cost more than 2,000..."
The price is prohibitive!
。