bookpower Chapter 329
Chapter 329
Although Lin Feng feels that the patient is so young, it is unlikely to have the "old man's disease" of "stroke".
But
Lin Feng couldn't help but ask about several symptoms of "stroke":
"Do you get dizzy? Especially the kind that suddenly gets dizzy? "
"Yes."
"You just said that when you walked, you suddenly went numb, and then you fell... Does the tongue get numb? Or will the lips be numb? "
"Doctor, how do you know?"
Lin Feng: ".................."
It feels more and more like "stroke".
Because the above are all manifestations of stroke!
Lin Feng asked, "Have you ever suddenly appeared to be unable to speak and speak clearly?" "
The fat man listened,
Stunned.
"Yes, yes, when I was talking about PPT today, I suddenly spoke and spoken..."
Isn't that the case this morning?
Lin Feng: "Is there a sudden involuntary twitch of one or one of the limbs?"
The fat man hesitated: "This... It seems that there is..."
Lin Feng: "What about the eyes?" See something? "
Fatty: "It's just that sometimes, my eyes can't see clearly for a while... But it's rarely the case..."
At this point,
The fat man is already very weak-hearted.
I feel that I should be sick, I should not be ordinary.
"Doctor Lin, I..."
His voice trembled a little.
Lin Feng: "The preliminary diagnosis is stroke... That is, a stroke..."
"Huh? Stroke? "
Fat Zhang Cheng was shocked all of a sudden.
"No, Dr. Lin, I'm so young, how can I have a stroke? In my impression, shouldn't this be geriatric disease? "
Lin Feng nodded: "Generally speaking, strokes often occur in the elderly, there are very few young people, and you are the youngest patient I have ever met." "
Fatty: "Doctor Lin, will you make a mistake?" "
Lin Feng: "I don't dare to be 100% sure, but the questions I just asked are all symptoms of stroke..."
Fatty: ".................."
Lin Feng: "I'll ask you a few questions first, and when I'm done, I'll go directly for a brain angiography, or MRI..."
The fat man nodded repeatedly: "Okay, okay." "
He panicked, and only hoped that Lin Feng would finish asking early and go to check the results as soon as possible.
After Lin Feng's 10-minute consultation,
I probably understood the reason for the fat man Zhang Cheng.
Zhang Cheng works at a nearby internet company and sleeps less than four hours a day on average.
Most of the time, it is sitting, lack of exercise.
Usually eat irregularly, eat three takeaways a day, and still be a senior "stay up late party":
In addition, he smokes, which belongs to the old smoking gun!
That's right
Lin Feng also found another problem through consultation, the patient snored very badly.
Combined with the obesity of the patient,
There may be "sleep apnea syndrome (SAS)". (Appears once in chapter 280)
Given the lack of exercise, this can lead to atherosclerosis, which is the cause of stroke.
......
Billing.
Ask the patient to go for an "HRMRI"...
It is an upgraded version of the MRI that can show the entire carotid artery.
Emergency billing, faster than other specialties, no need to wait a few days...
2 hours later...
The hrMRI results are in.
There are 3 cerebral arteries with atherosclerosis, each of which is blocked by more than two-thirds!
This also causes a lack of oxygen supply to part of the brain tissue.
Lin Feng informed the fat man Zhang Cheng of the result.
"I actually had a stroke..."
Zhang Cheng couldn't believe his eyes.
I'm only 28 years old!
How did I get geriatric disease.
"Doctor Lin, what should I do?"
"This situation... Take medicine for a period of time, expand the blood vessels, and the blood vessels are blocked, so as not to directly cerebral infarction..."
"In addition, exercise is very important, you can't sit all the time, you have to exercise, otherwise your blood flow will slow down, easy to have blood clots, and easy to atherosclerosis..."
"In addition, smoking bans, limiting salt content in meals, eating more fresh fruits and vegetables..."
"Can't be fat, one fat, fat accumulation, atherosclerosis will be more serious, blood vessels will be more narrow..."
Lin Feng said a bunch of precautions.
"Dr. Lin, stroke... Is it serious? "
"Of course it's serious... Did you see a separate big sign in front of the hospital - "Stroke" sign? Other diseases may not have to insert a sign at the entrance of the hospital like this, only stroke is inserted... It shows its seriousness..."
"It shows that it is more dangerous than other diseases!"
"Once the attack occurs, the direct person may be gone!"
Fat Zhang Cheng: "........................"
Panicked!
"I'll go exercise right away, every day!!"
Fat Zhang Cheng cried.
......
2 streets next door.
A certain upscale café.
A middle-aged man is drinking coffee with a beautiful young woman.
"You are looking for me to eat, so you are not afraid that your wife will find out?" The young woman was full of resentment.
"Huh, yellow-faced mother-in-law, I will be afraid of her?" The middle-aged man said with a smile.
"Then you should be bold, divorce, so that I can be with you."
The middle-aged man suddenly stopped talking.
Although he wants to divorce, he knows that he can't leave, and if he divorces, he will have to divide his property, and then lose a lot of money.
That's right, these two are the dating drama of a husband with a wife + mistress.
Grab your coffee.
drank it.
Soon he frowned.
For the past half a month, he has been having an uncomfortable throat and feels a slight pain when swallowing anything.
Swallow......
Suddenly......
Burst~~~~
He coughed violently, then choked, and then squirted.
A sip of coffee, sprayed directly onto the table, all over the table.
The young beauty was startled, and then dodged in disgust.
"What's going on?"
"I don't know..."
The middle-aged man wiped his mouth,
Suddenly stunned,
He looked at the tissue in his hand wiping his mouth in amazement.
Blood!
Bright red blood!
"Just now I... Vomiting blood? "
Then, at this time, he felt a pang of discomfort in his throat...
Like phlegm, he 'giggled' hard, and then spit out a mouthful of 'phlegm'!
What is this phlegm!
It's blood!!
"What's going on?"
"How did I vomit blood?"
In his mind, the patients described in those TV series suddenly sounded.
Lung cancer, liver cancer... Haematemesis!!
All of a sudden, my brain was confused!
"Do I have lung cancer? Hepatocarcinoma? "
And the young woman's eyes just saw the blood of the tissue in his hand.
"You... You...... You...... Vomiting blood? Cancer? "
(TV series harms people not shallow·jpg)
(TV series o o(╥_╥): It's all stupid screenwriter's pot ~~~)
The young woman looked at the middle-aged man in shock, and her eyes gradually became disgusted.
Picked up the bag and went straight away.
"I..."
The middle-aged man looked at his young girlfriend who was young and beautiful bird, and ran away, and suddenly 10,000 grass and mud horses rushed past.
Then
"Ahem~~~~"
Once again, he coughed up a little blood.
The whole person panicked.
"You have to go to the hospital right away!!"
......
Harmony Hospital,
Emergency Department.
16:30ms,
Half an hour until the end of work...
After Lin Feng diagnosed a patient with a fever, and then looked at the emergency department outside, there were still seven or eight queues, and he couldn't help but feel a pain in his braincase.
suddenly
"Doctor Lin, there is a patient vomiting blood here!"
The nurse barged in and came in with a middle-aged man.
"Coughing up blood?"
Lin Feng was taken aback.
Coughing up blood, there is a very dangerous situation, that is: the patient's esophagus and artery are pierced by fish bones, and the main artery of the large artery is directly bleeding (or not fish bones, esophageal cancer is also possible).
Fortunately, the patient seems to be okay at this point.
Healthy and rosy skin.
And then the hands and feet are numb.
Lin Feng's consultation:
"When did you start coughing up blood?"
"Just now, while drinking coffee..."
"What part?"
"Here... (Pointing to 3cm below the Adam's apple)"
"Coughing up blood all of a sudden? Did you have any discomfort before? "
"I felt uncomfortable half a month ago, and I felt very uncomfortable eating and swallowing."
"Relatively large, coarse food, is it difficult? Does it hurt? "
"Hard!"
Lin Feng suddenly became alert.
Typical "progressive dysphagia"!
Basically ruled out lung cancer or something.
Consider for the time being: "foreign bodies such as fish bones" and "esophageal cancer".
"Fish bones and other foreign bodies", this does not explain, several previous patients, fish bones punctured the artery, resulting in bleeding.
"Esophageal cancer" is a long tumor of the esophagus, resulting in narrowing of the esophageal channel.
Then it leads to: it must be more difficult when food passes, at first it may be more difficult to eat bread, and then drinking water is difficult...
Which one, exactly?
Lin Feng needs to be consulted clearly.
"Have you ever eaten fish before you had a sore throat?" Stuck with fish bones? "
"Yes!!"
The patient slaps his thigh.
"Dr. Lin, you reminded me that I did eat fish half a month ago, and then accidentally swallowed the fish bones, and then I swallowed it directly with green vegetables... Dr. Lin, am I a fish bone? "
"It's possible..."
Lin Feng now felt that the possibility of fish bones existed.
"Do you usually drink hot tea?" Or eat something hot? "
Lin Feng continued to ask.
"I like to drink hot tea, I drink kung fu tea... Drink hot and delicious... What's wrong? Dr. Lin, is there a problem with this? "
"It's a bit of a big problem... Drinking hot tea is easy to burn the esophagus, easy to inflame, and if it is serious, it will cause esophageal cancer..."
"Huh? Dr. Lin, do you think that I, in addition to fish bones, may also have esophageal cancer? "
"At present, there is this possibility... I'll give you a gastroscope later..."
Gastroscopy is the easiest way to clearly identify the cause.
However, before doing a gastroscope, be sure to do an electrocardiogram.
Because there are some risks in doing gastroscopy, in case the patient has myocardial ischemia, I am afraid of problems.
Why?
Because of gastroscopy, if you encounter a more sensitive person, it may induce a myocardial ischemic attack, and it is easy to die.
So, before gastroscopy, get an electrocardiogram!
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ps: Three more end ~~~
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