bookpower Chapter 390
Chapter 390
As soon as Chen Xu saw Lin Feng's expression, he realized that the problem was serious, and he couldn't help but be afraid.
"Doctor Lin, am I serious?"
"It must be serious!"
Lin Feng said solemnly.
There are more bubbles in the urine because there is more protein in the urine, and the kidneys lose a lot of protein in the urine.
Surprises are frequent.
"Was it like this a month ago?"
"Yes..."
"Raise your legs and show me..."
"Huh?"
"Lift..."
Chen Xu raised his leg with a confused look.
At a glance,
Obvious edema, chubby.
Lin Feng put on sterile gloves, and pressed his thumb against his calf and instep, which was a pit when pressed, and it would not rebound.
Depressed edema!
Low protein in the human body will be edematous, and the edema of the feet is the most obvious.
"For a month, you haven't noticed that your feet are edema?"
"Huh? Dropsy? "
"Don't you feel like you can't put on your shoes?"
"It's a little, the shoes I usually like can't be worn, so I changed into the pair of big shoes..."
"The heart is so big!"
Lin Feng shook his head.
He also checked other parts of Chen Xu's body, hands, back... No other edema was found.
"Xiaoru, take his blood pressure..."
One amount of blood pressure,
·150/80mmHg
"Do you have a history of high blood pressure?"
"No..."
Then this value is a little high!
"Doctor Lin, what is my problem?"
"Edema ... The most common cause of edema is problems with the heart, liver, and kidneys. "
Heart: In patients with heart failure, blood cannot be pumped into the pulmonary circulation smoothly due to heart failure, blood will accumulate in the systemic circulation, and excess water will leak out to the tissues, manifested as edema of both lower limbs, ascites, liver enlargement, etc.
Liver: Most of them are because the liver can not synthesize protein, the level of protein in the human body is low, the water in the blood vessels can not be retained, all run to the extravascular space, will also be manifested as edema (generalized)...
After Lin Feng explained it again, he concluded
"You have a lot of protein in this urine, so you can rule out heart and liver problems, it should be kidney problems, when the kidney structure is damaged, the protein will leak out and enter the urine..."
"Do several tests: blood routine, kidney function, urine routine..."
Lin Feng opened the bill.
Chen Xu was a little afraid at this time, so he quickly paid the fee, and then went to check...
......
Half an hour later,
All three results came out.
Urine occult blood (+), (This indicates that there is blood in the urine, but not much.) ）
Urine protein (++++), four +, obviously more serious, too much protein!
And then the blood is routine, nothing abnormal,
Kidney function: all normal!!
Lin Feng: "???? "
Kidney function actually shows normal?
Lin Feng was surprised.
Chen Xu was terrified: "Doctor Lin, have you found the reason?" "
Lin Feng shook his head: "Not yet... Next, get a kidney puncture..."
"Huh? Piercing the kidney? "
As soon as Chen Xu heard this, he was afraid!
Lin Feng nodded: "Yes, in my experience, this kidney function is normal, indicating that it is not an ordinary disease, I think what tumor markers, immunity and whatnot, it is not direct enough, it is better to directly do a puncture, get the pathological tissue to test, see what the pathological result is..."
Then, Lin Feng explained what the puncture meant, and then reassured that the puncture can be anesthetized and will not hurt...
At last
Lin Feng's signboard still worked.
Chen Xu trusted Lin Feng, so he finally decided to do a "puncture pathological biopsy".
An hour later,
The puncture is successful, the tissue is obtained.
Send for an examination.
"The results of the examination will take two to three days, or longer, you have to wait patiently..."
......
That's 5 days.
Pathological result: membranous nephropathy!
It is one of the pathological types of nephrotic syndrome.
It is characterized by a large number of "immune" complex deposits on the epithelial side of the glomerular capillary loop.
This "'immune' complex" is deposited and prone to thrombosis and needs to be prevented carefully.
Lin Feng carefully told the patient about this disease, such as what blood clots, pulmonary embolism, sudden death...
Talk about the patient in horror.
Next, it's medication.
Treatment focuses on: diuresis, hormones.
Hormones are the key, they can immediately stop the immune inflammation inside the kidneys and reduce kidney disease.
(PS: The difference between hormones and antibiotics: antibiotics are a drug, which has antibacterial and anti-inflammatory effects, while hormones are a trace substance secreted by the human body, which has the effect of regulating the nervous system and immune metabolism. ）
Just under the medical advice of Lin Feng,
When you want to prescribe medicine to a patient,
Suddenly!
"Ahem~~~~"
Chen Xu suddenly had a violent cough!
Cover your chest!
Lin Feng was taken aback!
"What's wrong?"
"Doctor, I... I'm so uncomfortable... Here (pointing to the chest)..."
Sometimes coughing, sometimes panting...
Lin Feng's face changed.
Combined with the patient's condition, blood clots ...
"Not good!!"
Pulmonary embolism!
Shall I knock you!!
Lin Feng was simply stimulated to fly!
There hasn't been a rescue incident for a long time, and now it suddenly happened in front of me!
"Come on, rescue!"
"Pulmonary embolism! Rescue room! Prepare for me! "
Lin Feng rushed out of the consultation room and shouted outside!
Then rush back to the consultation room and carry the patient to the bed in the consultation room.
Quickly exit the hospital bed and rush to the emergency room!
And Chen Qingru, a cute new intern, was suddenly stunned in place, at a loss.
。
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ps: Three more ends...