bookpower Chapter 379
Chapter 379
A new day,
Lin Feng came to the emergency department,
I met Director Zhang Guofeng head-on.
"Lin Feng, come here..."
"Director, what's wrong?"
"You've also been coming to Harmony Hospital for almost a year, and it's time for you to bring an intern... It just so happens that tomorrow a new round of interns, to Harmony Hospital for internship, the emergency department will require about 40 people, I will leave you one... You carry..."
"Well..."
"Do you want a man or a woman?"
"It's all right..."
"Then the woman, look comfortable..."
Director Zhang Guofeng laughed.
Because of the Lin Feng in the emergency department, there are many interns (including doctors and nurses) who report for the emergency department, 80% of the interns want to intern in the emergency department, and only 20% of other departments.
......
The next day,
When Lin Feng went to work, he saw hundreds of interns and nurses, lined up at the gate of Harmony Hospital.
Review......
Just like four years ago, Lin Feng was inspected in the first court of the city.
When Lin Feng passed,
Seen by sharp-eyed interns.
"Look, it's a male god!"
"Wow, Dr. Lin!"
"How handsome!"
"Haha, I went to the emergency department, and I can see it every day in the future."
One by one, the nurse female interns looked at Lin Feng, their faces were peach blossoms, and their eyes were obsessed.
Lin Feng: ".................."
Male intern: "....................."
......
Lin Feng came to the consultation room,
Turn on the call machine,
Start receiving patients.
"Please ask Wang Yun to visit Clinic 3..."
Outside, Zhang Chen, a student at Mizuki University, was waiting outside with his girlfriend.
Yesterday, Zhang Chen went to play basketball and then fell again, which cast a shadow on his heart.
In a flash, 3 hours passed, more than 11 o'clock...
Finally, it was Zhang Chen's turn.
With a worried heart, Zhang Chen took his girlfriend's hand and walked into the consultation room.
"Doctor Lin..."
"What problem? Say it..."
Lin Feng saw that this patient (Zhang Chen) was very young, ruddy, healthy and sunny, strong and powerful, and he didn't look like a sick person.
"Here's the thing, in the past three months, I have always had low back pain from time to time, and sometimes dizziness..."
Lin Feng listened,
A series of speculations emerged,
Lumbar vertebrae? Hypertension? Brain? Nerve? Cardiovascular?
Of course, the condition is not so simple, for example: dizziness also has many conditions, some people glaucoma will also be dizzy, ear problems will also be dizzy...
It took 3 minutes for Zhang Chen to introduce his situation.
At this time, nurse Xiao Ai also gave Zhang Chen the simplest blood glucose test + blood pressure measurement...
Results right away:
Normal blood sugar
Blood pressure: 130/80mmHg. It is considered normal blood pressure and will not cause dizziness.
Exclude these two items...
To consider lumbar spine problems, MRI needs to be done, and then consider later.
It may also be kidney stones, ureteral stones, lumbar muscle strain, etc...
"Do you have frequent urination and urgency?" (Check for kidney stones, etc.)"
"No..."
"I'll press it for you to see if it hurts..."
Lin Feng did a lower back examination for Zhang Chen,
percussion,
"Does it hurt?"
"Sort of..."
Lin Feng nodded, it didn't look very painful, just a slight pain, and the possibility of stones was unlikely, because stones were generally very painful.
But
It still needs to be examined in more detail.
"Go for a "urinary tract ultrasound", look at the kidneys, ureters, and then do a "cervical and lumbar MRI"... There are also blood routines, urinalysis routines..."
Lin Feng billing,
Zhang Chen went to pay the bill and go for the examination.
......
Half an hour later,
· The B-ultrasound results came out: the kidneys, ureters, and bladder are all very beautiful, and there are no stones!
Just like Lin Feng thought.
After another half an hour,
Blood routine and urine routine have not yet come out.
Lin Feng looked at the time,
It was already 12 noon.
"I'll go have a meal, and when the results come out in the afternoon, you will find me again..."
"Okay, okay... Thank you, Dr. Lin..."
......
Lin Feng went to eat,
Go to work at 2 p.m.
Lin Feng just walked into the consultation room,
Zhang Chen and his girlfriend, seeing the stitches and needles, walked into the consultation room with the results of the examination.
First of all
· MRI: The cervical spine and lumbar spine have a certain degree of intervertebral disc herniation, but it is not too serious, and there is no obvious compression on the nerve.
With Lin Feng's rich experience, these two can be ruled out with great certainty, resulting in dizziness and low back pain.
And then there's blood routine, urinalysis,
Blood count: red blood cell count is only one-third of normal, hemoglobin is only one-quarter!
Urinalysis: normal...
Lin Feng saw this,
Stunned.
Why is this red blood cell count, hemoglobin count, so low?
Anaemia?
Lin Feng's first reaction was anemia!
What causes anemia?
There are only three reasons:
Insufficiency of hematopoiesis (e.g., iron deficiency)
Red blood cell destruction
Bleeding
Lin Feng is guessing, among the three, take one that causes the patient to be anemia...
suddenly
The patient Zhang Chen seemed to be a little uncomfortable, covering his mouth...
And then
"Wow~~~"
Directly a mouthful of blood sprayed out.
Fortunately, Zhang Chen's hand was fast, and he subconsciously pulled directly with his collar to block the spray of blood, and directly sprayed the inside of his clothes.
Lin Feng was taken aback!
Zhang Chen's girlfriend was also taken aback, and she was extremely nervous!
"Zhang Chen, what's wrong with you?"
"What's going on?"
Lin Feng suddenly became highly vigilant.
Just now the patient was anemia, and now he directly vomited blood, obviously, the patient's digestive system has a problem!
(Lin Feng watched it on the spot, so he ruled out coughing up blood in the airways...) ）
Vomiting blood is an emergency that needs to be rescued, the patient has the first vomiting of blood, there is a possibility of the second vomiting of blood, once the amount of vomiting blood is too much, it is very easy to cause hemorrhagic shock and death.
So you must immediately send it to the rescue room and monitor it in real time!
Lin Feng hurriedly: "Sit and don't move!" "
Run out of the consultation room and ask the nurse to push a flat cart over.
Boom~~~
The flat pulley, sliding across the ground, and then pushing the patient to the rescue room.
At this time, the patient Zhang Chen was also stunned.
"I..."
"This is the first time you've vomited blood?"
"I haven't vomited before..."
Lin Feng asked, and on the other side, the nurse quickly connected the ECG monitor.
Then there are the new interns, who are bored, don't know what to do, and feel disliked inside and out.
Heard the movement on Lin Feng's side.
Can't help but run over.
"Something happened?"
"It seems to have vomited blood..."
"What are the reasons for vomiting blood?"
"To tell if it's the trachea or the esophagus coming out..."
"It's like an esophagus... Digestive system..."
The interns over there are watching strongly, full of interest,
"When I first came to the emergency department, I was lucky to see Dr. Lin resuscitation, lucky!"
"When I first joined, I heard that Dr. Lin is proficient in cases in various departments, known as 'Devil's Claw' and 'Firefighter'..."
"Doctor Lin, it's terrifying!!"
Lin Feng: "........................
Terrifying!
Do you want to add: This son can't be left?!
On this side, Zhang Chen's ECG monitor was connected, and his girlfriend looked worried on the side.
Heart rate: normal...
Blood pressure: normal...
Blood oxygen: normal...
Everything, normal!
Lin Feng: "????? "
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ps: See if you have time to work a chapter in the evening, book lovers don't wait ~~
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