bookpower Chapter 334
Chapter 334
Because there are no patients,
So the emergency department of Harmony Hospital tonight,
Quiet~~~
Quiet and silent ~~~
suddenly
A young man rushed into the emergency department.
The triage nurse, who was about to nap, suddenly woke up.
"Beautiful beauty, miserable, I have a cerebral infarction!" Wang Chen looked anxious.
“？？？"
The nurse was stunned.
Looking at this incomparably young patient in front of him, so young, how could he have cerebral infarction?
"Give money, and then go to room 3..."
"Okay, okay..."
Wang Chen quickly scanned the code to pay, and then rushed into Lin Feng's consultation room anxiously.
"Groove, Dr. Lin!"
Wang Chen's eyes lit up.
Agitated! I didn't expect to meet Dr. Lin.
"Sit down, what's going on?"
"Dr. Lin, it's like this, I, I feel like I have a stroke, give me a CT..."
“........................"
Lin Feng's whole person was stupid!
"What's going on? Hold your horses! "
Lin Feng naturally does not do what the patient says to do, everything needs Lin Feng's own diagnosis.
What the patient says, does not count.
Wang Chen cried anxiously: "It's like this, I just stayed up late codewords..."
"Oh? novelist..."
"Khan, writer, writer..."
"Stay up late, and then what?"
"I had a stomachache, then diarrhea five or six times, a little weak, I ate some bread, but when I went to fill the water, I fell directly, and then after eating the bread, I fell again... When I first came to the emergency room, I still fell once..."
Lin Feng was vigilant.
Fell three times...
This really should be vigilant, stroke cannot be ruled out ...
However, the patient in front of him is very young.
Lin Feng looked at the medical record book.
Well...... Count it, only 27 years old ...
Moreover, after falling three times, it may be muscle weakness, not necessarily a stroke, and the probability is very low.
However, the stroke is more serious, and Lin Feng can rule this out first.
"Do you have a headache?"
"No, it's just dizzy..."
"Will you vomit?"
"No, I just don't feel very comfortable..."
"Do you have a visual impairment in your eyes? Will you not see things clearly? "
"No... Quite normal. "
"Then when you say fall, is it because you fainted, or some other fall?" The reason for the fall? "
"It seems that the leg has no strength, the reaction is slow for a beat, and then it falls..."
"Speak, have you ever tried to suddenly become unfavorable?"
"No..."
Lin Feng observed the patient again, and there were no feelings such as "drooling" and "unconscious".
Well......
Exclusion of the patient as the cause of the stroke.
Lin Feng considered that the patient's leg lifting just now was a beat slower...
"You lifted your leg a little slower, why?"
"It seems that there is no strength..."
"No strength... Do you feel harder to breathe than usual? "
"Yes, yes, now I feel that I need to breathe deeper..."
The patient Wang Chen nodded repeatedly, feeling that Lin Feng had grasped his condition.
"Dr. Lin, am I having a stroke?"
"The possibility is very small, don't worry..." said Lin Feng with a smile.
"Really?" The patient Wang Chen suddenly became happy.
"I'll give you a check..."
At this point,
Lin Feng probably judged a relatively likely disease from the patient's complaint:
"Hypokalemia"!
"Hypokalemia" caused by acute diarrhea may cause lack of energy, muscle weakness, low knee jerk response, abdominal distension, weakened bowel sounds, and arrhythmias.
So
Corresponding checks can be done:
Blood pressure, electrocardiogram, auscultation of the abdomen, and then a knee jerk test...
5 minutes later...
All test results:
Blood pressure: normal...
Knee jerk response: sluggish...
Electrocardiogram: ST segment depression, T wave pressure, widening, inversion, δ waves, Q-T time prolongation...
Auscultation of the abdomen: decreased bowel sounds...
(PS: intestinal sound: abdomen, the sound of qi and water, 4~5 times per minute, regular appearance.) ）
(PS: decreased bowel sounds: first possibility: low gastrointestinal motility.) The second possibility: electrolyte disturbances in the body. Third possibility: peritonitis)
(PS: Low potassium, which is one of the electrolyte disorders.) ）
Physical findings,
All of them are in line with "hypokalemia"!!
The probability of "hypokalemia" is as high as 90%!
The remaining 10% needs to be examined in more detail.
......
"Doctor Lin, how am I now? What's with? "
"It may be "hypokalemia"..."
Lin Feng explained while brushing and opening orders...
Blood tests to check potassium concentrations...
Urine test...
......
At night, the laboratory was still there.
After Wang Chen paid, he went to draw blood and left urine,
Then it's time to wait for the results.
Idle and bored, he subconsciously opened the chat group.
The author's chat group, all authors, usually blow water and brag together.
Remembering today's experience, he was afraid for a while.
Can't help but send messages in the group:
"Fellow full-time colleagues, you must keep active in addition to writing, nothing is as good as a good body. Trying to get sick, weak limbs, sitting down and standing up are all problems. "
At this time, there are several authors who stay up late codewords.
As soon as his message was sent, someone replied.
"Huh? Four Young Giants, what's wrong with you? "
"Are you okay?"
Wang Chen: "I'm in the hospital now, I stayed up too late, and then I had diarrhea, a little blood, I didn't stand firmly when I sat up just now, I fell to the ground, and I fell three times... I don't know what's wrong yet..."
"By ..."
"So exaggerated?"
Wang Chen: "Everyone must keep more active, I can count this as a lesson in blood, now in the hospital, it just so happens that Dr. Lin Feng helped me see a doctor..."
“？？ Dr. Lin Feng? "
"Isn't Dr. Lin harmonious? Fourth young man, are you from the imperial capital? And still the second ring? Groove! "
"Howe!"
"Imperial capital boss!!"
And then it was crooked.
Wang Chen smiled bitterly: "Everyone pay attention to a little, I actually felt that my body was not as good as before in the previous paragraph, and I had too little activity purely by myself, but unfortunately the new book was directly dragged down, and I have to start again." "
"Where is the giant opening a new book?"
"I've been flying Lu... Feilu is new, a little unbearable, it's really time to change your lifestyle. "
"What did Dr. Lin say?"
"Dr. Lin said that I was "hypokalemia", saying that it was an electrolyte disorder caused by diarrhea, potassium ions were pulled out, and there were not enough potassium ions in the body... But we have to wait for the final blood draw results..."
Then
Another author ran out:
Have chest pain or something? How does blood pressure feel like? What do doctors say?
"Blood pressure is quite high, 130, no chest pain..."
"That's good, there should be no blood clots when high blood pressure, and there should be no problem with the heart without chest pain..."
Wang Chen sighed: "Anyway, it scared me to death, and the two times I fell flat, both face to the ground." "
......
Flash
1 hour passed.
The results of blood tests and urine tests are out.
Wang Chen printed out the report from the hospital's report printer.
At a glance,
Can't read...
Bring it back to the emergency department and show it to Lin Feng.
Lin Feng looked at the inspection results...
The concentration of potassium is only 2.3, while the normal is above 3... Obviously, low potassium is certain.
In addition to potassium, the concentration of sodium, magnesium, etc. has decreased to a certain extent, which is lower than the minimum value of normal levels.
Urine test: urine potassium concentration decreases, urine pH is acidic...
Combined,
OK: "Hypokalemia"!!
The presumptuous cause is that diarrhea causes plasma loss of potassium ions and electrolyte disorders.
As for the treatment, the simple answer is: replenish electrolytes!
Hanging water.
Lin Feng: "I'll prescribe you some potions to supplement potassium and magnesium, and then you still have a little inflammation, I'll prescribe some antibiotics, just sit in the infusion hall... In the future, stay up less late, you know..."
Wang Chen hurriedly: "Don't dare, don't dare!" "
To be honest, Wang Chen was really afraid.
Fortunately, this time it is hypokalemia, not a serious disease, but in case of really some cerebral infarction, myocardial infarction or something, what is the use of making money?
Come to the infusion room.
The nurse gave him infusions and medicines.
Wang Chen opened his mobile phone and wrote in the group:
"The results came out, "hypokalemia" ... Now in the infusion, exercise more in the future..."
"That's good..."
"I'm going to exercise more too..."
"The big guy in the imperial capital gave me a warning..."
。