bookpower Chapter 362
Chapter 362
The next day,
Lao Lin and his wife came to the nearest Harmony Hospital, because the specialty could not be registered, they could only come to the emergency department, and after some pleading, they finally let the nurses line up.
Because Lao Lin's illness is not urgent, many emergency patients cut in line halfway.
By the time it was their turn, it was already half past 11!
However, their doctor is the famous Dr. Lin Feng, who is said to never misdiagnose, rejuvenate the clever hand, and reincarnate the divine doctor (word of mouth from the elderly group)... So they waited willingly.
"Please ask Lin He to go to the third consultation room..."
Finally waited for them,
Lao Lin and his wife walked into the consultation room.
"Doctor Lin, look at me, this skin is a little yellow, is there a problem with the liver and gallbladder?"
At this point,
Lin Feng's gaze left the computer, and then shifted to the patient Lao Lin.
At a glance,
I'll go
O Minions!!
"Sit down, I'll see..."
Lao Lin sat down.
Lin Feng leaned over, and then carefully observed Lao Lin's sclera.
Still yellow!!
I didn't run, it's definitely a liver and gallbladder problem!
"Did you ever have stomach pains, or somewhere?"
"Yes, stomach pain, a little stomach pain some time ago, then I bought some stomach medicine and ate it, and then it was fine........."
"Stomach pain? That's not right... Where is your pain? Show me..."
"Here... (pointing to the right upper abdomen, almost the position of the liver)"
"Do you have acid reflux, belching, bloating?"
"No..."
"It shouldn't be stomach pain, it should be a liver or gallbladder problem... Do you urinate yellow? "
"Huang..."
Lin Feng nodded.
I didn't run, there must be a problem with the liver and gallbladder.
Hepatobiliary and pancreas, because they are located together and functionally assist each other, so the diseases of the liver and pancreas are clinically classified as a professional treatment, that is, hepatobiliary and pancreatic surgery.
PS: Liver-gallbladder-pancreas, and then from the position of the pancreas, out of the bile duct, pancreatic duct, transported to the duodenum.
"Let's not look at anything else, let's go for a CT first..."
Lin Feng explains:
"This yellow thing, is bilirubin, is a substance metabolized by human red blood cells after aging, most of them will be sent to the liver for processing, if the liver has problems, can not process and convert bilirubin well, then the amount of bilirubin will rise, accumulate in the blood, dispersed in the skin, will lead to jaundice."
"There is another situation, if the bile is not excreted well, bilirubin will also be dispersed on the skin, and there will be jaundice."
"And now, you're yellow all over, either there's a problem with your liver, or it's a blocked bile duct, maybe it's a gallbladder tumor, or a gallstone... So I have to take a liver job, do a CT, and see if it's a liver problem or a gallbladder problem..."
As soon as Lao Lin and his wife heard it, they understood.
"Okay, thank you Dr. Lin."
Lin Feng billing,
Then the two took the single to go for CT.
When I went, I was worried, because I was afraid of a tumor ...
Lin Feng's entire consultation process was only 4 minutes, because the patient Minions were too conspicuous and did not need any diagnosis.
......
Afternoon
The patient Lao Lin and his wife returned with the examination report.
Lin Feng took the report:
Liver function: no abnormalities, but the total bilirubin is high.
· CT results: gallstones, common bile duct dilation
The head of the pancreas is found to be enlarged, and further enhancement of the scan is recommended.
The first sentence: There is no problem with liver function, and the total bilirubin is high, indicating that there is a problem with metabolism. (minor issue)
Second sentence: gallstones, which block the bile ducts, leading to jaundice. This is easy to do, as long as the stone is removed by surgery, the patency of bile discharge is restored, and the skin will naturally not be yellow.
Third sentence: The head of the pancreas is enlarged?
Lin Feng frowned a little after seeing it.
In general, the head of the pancreas is enlarged, and 99% of the possibility is pancreatic cancer...
As for increased inflammation?
I'm sorry
Most of the other tissues are inflamed and enlarged, such as laryngeal edema, or appendicitis... are all enlarged.
But!
Inflammation of the pancreas, which manifests itself as atrophy of the pancreas and irregular nodular hardening.
Not an increase!
So, the probability of pancreatic cancer is 99%!
Lin Feng told the patient about his considerations.
"What? Pancreatic cancer? "
Husband and wife, surprised!
It's a thunderbolt!
The face has changed!
Pancreatic cancer, who comes to mind?
The famous Jobs!
Jobs is the richest man in the world, and he can't solve the disease of pancreatic cancer, and people like himself have no chance.
In fact, as they thought, with the current medical level in the world, pancreatic cancer cannot be cured, but can only be slowed down.
Most patients do not live more than a year!!
Lin Feng hurriedly comforted: "It is not necessarily pancreatic cancer, it may also be pancreatitis..."
Well, there is a 1% chance ... The hope of the patient cannot be cut off!
The patient Lao Lin only eased up...
But the couple was still terrified.
They just came to check the liver and gallbladder, how did it have to do with pancreatic cancer?
Lin Feng: "The problem of liver and gallbladder is now considered a small problem... And it's not urgent, now you have to check your pancreas first, whether it's pancreatic cancer..."
Lao Lin trembled: "How to check?" "
Lin Feng: "Enhanced CT (angiography)..."
(ps: Previous knowledge point: cancer, because it grows rapidly, so it represents rich blood supply.) ）
Therefore, when the contrast agent is injected, a large number of blood will appear directly at the site of the cancer.
This is how enhanced CT detects cancer.
"I'll make a bill, and then I'll cut you guys..."
Lin Feng understood the eagerness to hear about cancer, so he decided to help this cut the queue.
"Thank you, thank you..."
"By the way, contrast agents will have side effects on the kidneys..."
"Don't care, do it!"
The patient Lao Lin gritted his teeth and said, his life is gone, where can he still manage the kidney!
soon
Lin Feng opened the bill, and the patient took the CT slip and went for examination.
......
In a flash, 40 minutes passed.
The couple returned to the consultation room with pale faces.
Enhanced cT Results: Pancreatic head development enhancement, considering the possibility of pancreatic head cancer.
The doctor of CT wrote this sentence so clearly.
The moment I got the report,
The couple was simply shocked, pale, and even tears fell from their fragile wives.
Lin Feng looked at the results,
I can't help sighing, the accuracy of enhanced CT is still very high.
The patient Lao Lin knelt in front of Lin Feng and grabbed Lin Feng's hand.
"Dr. Lin, if it's really pancreatic cancer, can I still save it?"
"Chemotherapy should be able to... But don't worry first, even if the result of enhanced CT is not 100% pancreatic cancer..."
At this time, Lin Feng could only continue to comfort.
That's right
It may not be pancreatic cancer, but there is also a possibility that ...
Rare monster: IgG4-related pancreatitis!
。