bookpower Chapter 386
Chapter 386
Harmony Hospital,
Emergency Department,
Today, it's just a morning.
Lin Feng welcomed the 22nd epilepsy patient.
That's right
It's the 22nd!
Usually, in the emergency department, you may not be able to encounter a single epilepsy in a day, as a result, 35 came yesterday, and 22 in one morning today.
The epilepsy patient in front of him is full of expectations for Lin Feng.
"Dr. Lin, I think I must have been misdiagnosed, definitely not epilepsy, you must help me find out the cause."
Lin Feng: "..........................."
A bit of a headache.
The patient's examination report.
·History of mass occupancy of cerebral hemorrhage
Sudden epilepsy every half month and 1 month,
Eating epilepsy medication is effective...
This is not epilepsy, what is it?
Lin Feng persuaded the patient with good words and sent the patient away.
A bit of a braincase pain.
Lin Feng was distressed: "What happened?" Why do so many epilepsy patients come to see me? All of them said that they were not epilepsy..."
Xiao Ai smiled and said, "Doctor Lin, I just checked, the matter is because the patient named Chen Yu 3 days ago was Zhihu Big V, and then posted a post on Zhihu and praised you... Then the day before yesterday it was on the hot spot of TikTok, and you became famous once..."
Lin Feng: ".................."
Just because of this?
Lin Feng's 10,000 grass and mud horses galloped by...
......
......
At the same time,
Respiratory Medicine.
At this time, a patient is lying on a hospital bed.
Wang Chen, 39 years old, had a fever for 5 days and did not improve.
5 days ago, because of cough, phlegm, chills, and then came to the outpatient clinic.
He was admitted to the respiratory medicine department by the doctor, did a chest x-ray, suggested double pneumonia, considered pneumonia, and was given the antibiotic "moxifloxacin" for 3 days, and the effect was not good.
Subsequently, the patient began to have a fever that day, with a high fever of 40.1 degrees.
The doctor's diagnosis was: "infectious fever..."
There are three most common causes of fever:
Infection (PS: infection: refers to the local tissue and systemic inflammatory reaction caused by the invasion of bacteria, viruses, fungi, parasites and other pathogens into the human body. ）
Tumors
Rheumatic immune diseases (PS Off-topic: long-term living in a humid environment does not cause rheumatism)
And then blood is drawn for testing, CT is done.
·High white blood cells delisted from the market in routine blood count.
Fever and chills, inferred to be infectious fever
The patient has cough and sputum, and it is inferred that the focus of infection should be the lungs, and the stethoscope indicates a crackle.
· CT shows pneumonia,
This evidence,
All point to pneumonia.
But!
Why did the antibiotic "moxifloxacin" treat for 72 hours, but the effect was not good?
You know, moxifloxacin is a broad-spectrum antibiotic, and ordinary bacteria are absolutely fine.
Why does it work badly?
Several other broad-spectrum antibiotics were changed, and the results were still not good.
Doctors began to think in other directions:
AIDS, fungal infections...
Tumors, tuberculosis...
Rheumatic immunity...
Start spot checks one by one.
It took a day and everything was checked.
AIDS, test results ruled out...
Fungal infection, culture negative, and ineffective antifungal medications...
Tuberculosis-related tests, negative...
Rheumatic immunity, normal...
Chest and abdomen CT also did not see obvious signs of tumors... (except for hematologic tumors)
This treatment is five days.
It didn't work at all.
I also had a high fever repeatedly...
Patient Wang Chen, annoyed.
"Is your hospital okay?" Do I have a fever soon? How is it bad? "
No way
The Department of Respiratory Medicine can only think of seeking help from other departments.
Help from other departments, although they will come,
But once you come, you owe favors once, and you are always reluctant.
"How about we find Dr. Lin?"
Suddenly, a doctor suggested.
Lin Feng, a firefighter, spread his reputation throughout the Harmony Hospital, and Lin Feng was enthusiastic, and it was not so difficult to accept Lin Feng's favor.
"Okay, just ask Dr. Lin to come over..."
The director clapped his decision.
And those interns, excited.
"Ask Dr. Lin to come to our department for consultation?"
"Haha, I can finally meet Dr. Lin!"
"I'll put on makeup first..." (A female nurse intern)
"I'll go too... Wait for me..." (Other female nurse interns)
Pu ugly male interns: ".............................."
Cry~~~~
......
At noon,
Lin Feng got out of the emergency department, went to have a meal, and then was invited to the respiratory medicine ward.
"Doctor Lin!"
"Dr. Lin is here..."
One by one, the doctors said hello.
And those nurse trainees, already screaming.
"Wow, Dr. Lin is so handsome~~~"
"Male God!"
"So handsome that I sit on the floor to ovulate..."
"You sweeper!"
Medical students are tough!
Lin Feng sweated furiously.
In a state of enthusiasm, Lin Feng came to the patient's ward.
"Doctor Lin..."
The patient's eyes lit up, I heard that Dr. Lin understood everything, maybe he had this disease, Dr. Lin could find the cause...
"Hello..."
"Doctor Lin, you must help me cure ah, I have a fever every day and have lost more than 30 pounds!"
Wang Chen cried.
The fever was uncomfortable, let alone 5 days in a row, and he was really afraid that the fever would burn out his brain.
"Don't be in a hurry, I'll understand your condition first..."
Since the respiratory department invited itself to come, it is natural to try to find the cause of the disease.
Spent 10 minutes, asked about the condition...
Then it took 20 minutes to go through all the checks carefully...
Lin Feng pondered for a moment,
From the available data, the diagnosis of pneumonia is the most likely, but the treatment effect is not good and difficult to explain. But for other diseases, there is no actual evidence.
"I'll give you a personal examination..."
Lin Feng said.
For patients who cannot find the cause of this particular, Lin Feng will generally be examined all over the body.
Bring sterile gloves,
From head to toe, little by little...
Then I listened to the heart and lungs with a stethoscope, except for a little lung crackles, there were not many abnormalities, and there was no heart murmur.
At this moment,
When Lin Feng saw the patient's hand,
Stunned for a moment.
the position of the patient's elbow socket,
There are some small red dots that are more hidden, similar to rashes, but they seem to be different.
Lin Feng frowned.
"Pinholes?"
Lin Feng glanced at the patient Wang Chen.
Wang Chen was stared at by Lin Feng, and suddenly had the urge to flee, and his eyes were evasive.
Lin Feng looked at the patient's performance,
One more word in mind:
"Laundry detergent addict!"
The average person simply cannot have so many pinholes!
Lin Feng glanced at the ward, and there were no family members present at this time, and it was estimated that he went out to eat.
"Tell me the truth, are you sucking laundry detergent?"