bookpower Chapter 315
Chapter 315
However, even if the ECG shows no problem.
It doesn't mean it's really okay.
It can only mean that the heart is fine during the time it is being tested.
Otherwise, there would be no "Holter" examination item.
"Holter", the hospital provides the patient with a device, instruments + many wires + electrodes, electrodes are connected to the body, the whole equipment is worn home, sleep is also worn...
In this way, the Holter instrument can fully record the Holter for several hours, more than ten hours, or 24 hours...
This is the most complete electrocardiogram.
Of course
Many people do a 24-hour ambulatory electrocardiogram, may not be able to catch the arrhythmia, may have to do 2 times 3 times or even more, the more you do, the greater the probability of catching.
Or directly do further "electrophysiological examination", that is, stimulate the heart.
But
Holter, too long.
Lin Feng generally does not do this.
"Let's do a CT first..."
"Well..."
Lin Feng brushed and brushed to bill her.
"It's off time, I'll give you an extra rush..."
"Thank you Dr. Lin..."
......
20 minutes later...
The female patient returned.
"Doctor Lin, this is the result..."
"I'll see..."
Lin Feng looked at the CT,
Nothing wrong with it...
Very healthy!
That's strange!
Could it be a problem with the nerve center?
Lin Feng couldn't check the chest tightness, so he couldn't help but start to check the 'dizziness' symptoms.
"How is your usual physical strength?"
If the physical strength is good and strenuous exercise can be cope, then the cardiopulmonary function is definitely fine.
That may involve considering diseases in other areas.
"My physical strength used to be very good, I used to lead the dance in square dance..." Speaking of this, the female patient recalled with a face, obviously proud of this glorious time.
Lin Feng listened,
Immediately rule out cranial nerve problems.
Cranial nerve problems that do not lead to a decrease in physical strength.
So
Or cardiopulmonary problems.
"Unfortunately, half a year ago, my chest tightness, my physical strength began to fail, I always felt that my breathing could not be lifted, and it was easy to faint during strenuous exercise... Then, there was no way to square dance, and now let alone square dance, you can't feel breathless up the stairs. "
Lin Feng listened,
I couldn't help but think of that old man with 'mitral valve regurgitation' [Chapter 284].
But
The ECG is fine, it certainly can't be mitral regurgitation.
However, electrocardiogram and CT still cannot rule out the more 'serious' symptoms of "chest tightness".
"Let's do a heart ultrasound..."
"Well..."
Then
Lin Feng looked at the time.
17：30......
Even if Lin Feng can not leave work, he can't let the imaging department accompany him to work overtime, right?
"Well, it's 17:30 now, and the colleagues in the B-ultrasound room should already be off work and can't do the check... Tomorrow you come early in the morning, and I'll give you the first check-up..."
The female patient looked at the time.
Embarrassed too.
"Okay, I'll see Dr. Thorin tomorrow morning."
"It's okay."
"Thank you, Dr. Lin."
The female patient took the single, thanked her, and slowly left the hospital.
It can be seen that her body is indeed not very good.
......
The next day,
Morning.
As soon as Lin Feng went to work, he saw yesterday's female patient with chest tightness waiting outside the examination room.
"Dr. Lin early..."
"Early, come, I'll bill you, and do color ultrasound right away..."
Lin Feng opened the bill.
"Heart Ultrasound"...
The female patient took the checklist and went to the ultrasound room...
......
An hour later,
The female patient returned to the clinic with a cardiac ultrasound.
Result: Everything works fine!!
Lin Feng: "..........................."
However, it is also a relief.
Since cardiac ultrasound + electrocardiogram + chest CT, it's all right.
It means that the patient's heart must be fine, which is a blessing.
Since the heart, lungs are excluded ...
Lin Feng thought of other possibilities:
"Could it be anemia?"
"Or hyperthyroidism, hypoglycemia?"
Anemia, that oxygen supply will definitely be reduced ...
Hyperthyroidism, patients are easy to be hungry, need to eat a lot of food, but easy to hypoglycemia, once hypoglycemia may have chest tightness, dizziness symptoms.
Lin Feng: "Do you usually eat too much?" Is it easy to get hungry? "
Female patient: "I don't eat much, and I don't get hungry easily..."
Hearing this, Lin Feng ruled out hypoglycemia and hyperthyroidism...
Is it anemia?
Anemia, Lin Feng's first reaction is - iron deficiency anemia.
What are the manifestations of iron deficiency anemia?
First of all, the face is pale, bloodless, weak, short of breath... wait
Manifestations of angular cheilitis and glossitis in the mouth, flushing and blistering of the corners of the mouth, atrophy of the tongue papilla...
• Pale, thinning, flattening of nails, and even spoon-shaped nails...
・ Pica, such as wanting to eat inedible substances such as dirt...
"You open your mouth to show me..."
Lin Feng said to the female patient.
The female patient opened her mouth.
Involuntarily "ah~~~"
Lin Feng with tongue depressor, flashlight, check.
Then stunned.
Hey
This female patient's mouth actually has something red that looks like a rash...
Is it really iron deficiency anemia?
"Show me the nails..."
"Nails?"
The female patient subconsciously put her hand in front of Lin Feng.
Her nails, do a certain beauty, shopping beautiful.
But it also affected Lin Feng's observation.
"Are there any special changes in your nails? In the past half a year? "
"Yes..."
When the female patient heard this, she immediately nagged and said the changes in the past six months.
"In the past, when I led the dance, my nails were very beautiful, but I don't know why, and suddenly they became dry and easy to crack, as if they were still dehydrated... No way, I can only do nail art..."
After Lin Feng listened,
It's already pretty sure in my mind!
Didn't run!
It should be iron deficiency anemia!
"Do you have an urge to eat something other than normal food and hobbies?"
"This..."
Speaking of which, the female patient is a little twisted.
"I'm a doctor, I'm helping you treat your illness, clean up and don't hide from me..."
"Well... I'll tell you the doctor, I do sometimes want to eat dirt... Doctor, don't tell others, I'll lose my face..."
At this time, Lin Feng did not pay attention to the behind.
He heard the female patient in front of him say the urge to "eat soil".
Iron deficiency!
Definitely iron deficiency!
This is exactly the same as the symptoms of iron deficiency anemia!
Why do patients eat soil?
There is a saying, "What people lack, they want to eat"... There is some truth to this.
Want to eat soil, it may be that the human body lacks iron, and then send a signal to the brain center to supplement iron, and then want to eat soil...
"Pica"...
For the human body, iron is an indispensable trace element.
Among more than ten kinds of essential trace elements, iron is the first in terms of importance and quantity.
Why?
People who study high school chemistry know that iron is a very active variable value element, there are three kinds of ferric oxide, ferric oxide and ferrous oxide.
When blood enters the lungs, the iron in red blood cells is combined with fresh oxygen, and iron changes from low price to high price;
When blood enters the rest of the body, the iron in red blood cells changes from high to low and releases oxygen.
So
Iron is an important element for transporting oxygen!
So
When iron is missing, the amount of oxygen transported to the body is greatly reduced.
Organs and tissues throughout the body may be deprived of oxygen...
Therefore, it causes dizziness, headache, tinnitus (lack of oxygen to the brain), palpitations, shortness of breath (lack of oxygen to the heart), appetite (lack of oxygen in the digestive tract), fatigue, easy fatigue (general hypoxia) and other manifestations.
Isn't this the same as the symptoms of female patients.
Is it exactly the same?
。