bookpower Chapter 397
Chapter 397
After Lin Feng got the Japanese encephalitis patient, he continued to return to the consultation room.
The next patient.
This is a middle-aged man, about 40 years old, who looks like he should be a white-collar worker.
Lin Feng entered the information.
Zhang Wu, male, 38 years old...
"Dr. Lin... Ahem..."
The patient Zhang Wu sat down and coughed a few times, so that Lin Feng couldn't help but glance at it a few times.
"Tell me about the situation..."
"It's like this, a week ago, I started coughing, at first I thought I had a cold, I bought some cough medicine to eat, but I found that it didn't work at all, and then I went to the community clinic, the doctor said I was pneumonia, and then I prescribed antibiotics, but after eating it, I still coughed, and there was no effect... And just last night, when I coughed, I actually coughed up blood! "
When he said this, the patient Zhang Wu's face was very panicked.
Apparently coughing up blood, frightened him.
Lin Feng: "Are you sure it's coughing up blood?" Or hematemesis? Or is it blood in the mouth, and then spit it out? Which of these three, do you think? "
There is a difference between the three.
The first is the airway, the second is the digestive tract, and the third is the mouth.
Patient Zhang Wu: "I'm pretty sure that when I coughed, I coughed it out... Ahem..."
At this moment,
"Ahem~~~"
Zhang Wu quickly took out a tissue and covered his mouth.
Coughed a few times.
Soon, Zhang Wu coughed and opened the tissue, and Lin Feng saw the white tissue, and shocking bright red blood appeared.
"Doctor Lin, look, it's this blood... Dr. Lin, am I seriously ill? "
Zhang Wu looked at Lin Feng with a worried expression.
Lin Feng comforted: "Don't panic, it doesn't have to be a serious illness..."
What disease does the mind start thinking?
First of all
Just now, the whole process was seen by Lin Feng.
Coughing up blood is certain!
That is, blood from the respiratory system!
Coughing up blood, the first thing to consider is "tuberculosis", because tuberculosis is a very common cause of coughing up blood!
In addition, there are the following reasons:
Bronchiectasis... (Explanation: mainly lung capillary rupture, the trigger is severe cough, severe cough will lead to blood vessel rupture, will cause obvious bleeding.) ）
Lung cancer...
Pulmonary embolism...
Pneumonia ...
Lung abscess ...
Pulmonary parasitic diseases
Some blood diseases will also cough up blood, such as leukemia, hemophilia, etc...
"Any medical history?" And familial genetic diseases? "
Zhang Wu: "Medical history... No...... As for family inheritance, I really don't know about this, but my ancestor had an uncle who coughed up blood from lung cancer..."
Speaking of which,
"Could it be... Am I lung cancer? "
Zhang Wu began to panic.
Lin Feng: "Don't worry, it may not be... I have to check it to find out..."
And then
Lin Feng asked about other symptoms.
Zhang Wu shook his head: "There is no snot, no fever, and no bad spirits... It's just coughing..."
Lin Feng nodded.
Start a physical examination.
Lin Feng carefully examined the patient's skin and found nothing special.
The skin was rosy and not pale, just a little red rash, but Lin Feng didn't care too much.
Red rash, many people usually have contact problems can get the rash.
Take out the stethoscope.
Listen to the heart and lungs...
Only a few crackles in the right lower lung, no other obvious abnormalities.
It should be pneumonia.
Other than that, nothing particularly found.
"Open your mouth and show me..."
Lin Feng was afraid that when he encountered the kind last time, his teeth were bleeding, and then he mistook it for coughing up blood...
The patient opens his mouth.
Lin Feng took a look.
"Huh... Do you have ulcers? "
Lin Feng saw the inside of the patient's mouth, and there were many white spots behind.
I looked it up carefully,
Seven or eight white spots of ulceration.
"When did this ulcer of yours appear?"
"It's been several years... I often ulcerate, this ulcer is several holes, even a dozen holes are possible, very exaggerated, I can't eat, I can only drink some porridge..."
Lin Feng was surprised.
However, it is clear that ulcers are not about coughing up blood, after all, ulcers are several years old, and coughing up blood only appeared yesterday.
Ulcers are not considered.
"Let's take a chest CT first..."
Do CT, you can roughly see lung cancer, tuberculosis, bronchiectasis...
Billing.
The patient pays the fee very quickly and goes to have a CT taken.
......
An hour later,
The patient returns with CT results.
· CT results: Multiple lamellar ground-glass opacities in both lungs, mainly in both lower lungs. (Probably means pneumonia)...
Lin Feng seems to have a CT film, pneumonia is not serious, at least not to the extent of "coughing up blood"...
No traces of tuberculosis or lung cancer have been found...
I didn't see any traces of bronchiectasis...
Lin Feng was surprised.
It wasn't.
What is the reason for that?
Lin Feng: "First of all, congratulations, it's not lung cancer, it's not like tuberculosis..."
"Not lung cancer?" Zhang Wu breathed a sigh of relief.
Lin Feng became serious: "However, the CT examination just now did not find the cause, then next, there may be a large-scale investigation... A lot of tests will be done next, and five or six tubes of blood may be drawn..."
Patient Zhang Wu: "Just come, as long as you can find the cause..."
Life is more important than money!
Lin Feng nodded: "Good!" "
Then "blood routine, liver and kidney function, electrolytes, coagulation indicators", tumor indicators, tuberculosis acid-fast bacilli examination... Wait for the check...
The patient takes the slip and goes to pay the bill, check it...
......
At this point,
Wu Haoming took the patient's father and daughter to Harmony Hospital.
"Wow, that's big!!"
"It is worthy of being the most awesome hospital in the country!"
Wu Haoming stood outside the hospital gate, looked at the buildings of Harmony Hospital, and sighed.
This is within the second ring of the imperial capital!
Awesome!
Take a sip, and feel that the medical skills have risen!
"Let's go, let's go find Lin Feng..."
Wu Haoming took the father and daughter into the emergency department and found the front desk nurse.
Wu Haoming: "Hello beauty, I am Dr. Lin Feng's former colleague and younger brother, this time I came to see Dr. Lin Feng, these two are Dr. Lin's patients, who came from outside the province..."
The front desk nurse knew that Lin Feng was from the First Hospital of Peng City, and couldn't help but glance at Wu Haoming, and then looked at the father and daughter, while saying:
"Dr. Lin is now treating patients in Room 3, you can wait and wait in our lounge..."
"Okay... I'll go meet the big guy first..."
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