bookpower Chapter 306
Chapter 306
ps: I wrote about the exchange meeting, but I found it a little awkward, so I deleted the manuscript, so the exchange meeting ended.
———— the following text—————
In 5 days, the exchange meeting will end.
Return to Harmony Hospital, Emergency Department.
8:30 a.m.,
Lin Feng continued to sit in the clinic.
A woman, wearing a mask, walked in.
"Dr. Lin... Ahem..."
When the woman spoke, she couldn't help but cough several times and felt phlegm.
Lin Feng: "Show me the medical record book..."
The woman handed it over.
Knock down the number and bring up the woman's case data in the system, blank, just filed.
Patient: Female, Qiu Caiyun, 35 years old.
Lin Feng: "Sit down... Tell me about the specifics? "
The female patient began to tell:
"That's right, 2 months ago, I started coughing a little, there was phlegm, it was better when I exercised during the day, and at night, the cough began to increase..."
"Later, I drank several cough drops one after another, but the effect was very average..."
"I feel much more serious now, so I came to the hospital to take a look..."
The patient coughed seven or eight times during the process, which was quite frequent.
After speaking,
Lin Feng nodded.
"Cough, any other symptoms?"
"It's gone, it's just that my chest is a little tight..."
"It doesn't hurt?"
"It doesn't hurt."
Lin Feng asked more than a dozen questions, but there was nothing special to find.
At the same time, it was found that the frequency of fever was quite high.
On one occasion, the female patient was still holding a tissue and coughed up a mouthful of phlegm, which was white.
Then check the body.
stethoscope
Lin Feng soon heard a wet crackle from the patient's lungs.
As explained earlier, the crackle is a sound that can be seen as "air flow through water", that is, there is fluid in the lungs.
This kind of problem, the probability is: "pneumonia"!
"Do you have a fever?"
Because of pneumonia in general, there may be fever symptoms.
The female patient coughed and shook her head: "No, I haven't had a fever..."
Lin Feng nodded, no fever does not mean that it is not pneumonia, because some pneumonia does not have a fever.
Then examine the rest of the body...
Nothing particularly found.
"Let's go for a chest CT..."
Lin Feng opened a list.
"Okay... Thank you doctor..."
The female patient coughed, took the CT examination sheet, went to pay the fee, took the film...
......
An hour and a half later,
The female patient coughed and returned with a checklist.
· CT results: patchy or patchy infiltrative opacities can be seen in the lesion area, and bronchial gas signs are often seen in the lesion.
Consider: Pneumonia.
Lin Feng looked at this CT film,
I knew it was pneumonia.
"Doctor, how's it going?"
"The CT result is pneumonia..."
"Is it really pneumonia?"
The female patient was taken aback.
I immediately regretted it.
I knew that when I coughed, I came early, but now I dragged it and it became pneumonia.
Of course, in fact, it may not be coughing caused by pneumonia as she thinks, it may be pneumonia causing cough.
"Doctor Lin, what now? Ahem..."
Another mouthful of phlegm coughed out.
Lin Feng thought for a while: "It's almost the New Year, just because the bed is not tight, you will be hospitalized first, give you medicine, and then observe the development of the disease..."
The female patient quickly nodded: "Thank you doctor, thank you doctor." "
Lin Feng opened the admission list,
Payment
Admission to the hospital,
Then blood was drawn, a blood routine was done, and then tuberculosis was done.
Blood routine results: The white blood cell count is 1-fold.
It is determined that the bacteria are infected with pneumonia. (Interstitial pneumonia, etc.)
Tuberculosis smear: no tuberculosis bacteria... Exclude pulmonary tuberculosis.
Lin Feng prescribed some drugs to the patient, both oral and injectable, most of which were antibiotics.
At this time, Lin Feng's medication was still a little conservative, and he did not go for a deeper examination, because from the CT point of view, the female patient's pneumonia was not too serious.
......
Afternoon.
The condition of the female patient has changed.
Flepsy!
The highest body temperature is 38.7 degrees!
However, these are all minor problems, and fever is only evidence of pneumonia.
Just take antipyretic medicine.
......
Lin Feng off work,
The female patient was handed over to another doctor.
That night, the husband of the female patient came to accompany the bed to take care of her.
However, the female patient's condition became troublesome.
Recurrent fever, the highest 38.8 degrees.
And the cough, after using antibiotics, not only did not ease, but seemed to be a little worse.
At the same time,
The female patient also felt muscle aches all over her body, especially her waist, and she couldn't sleep hard, turning over and over, couldn't sleep at all, and was mentally weak all night.
This night,
For female patients, it is really not wonderful.
Even the female patient had a kind of rejoicing: "Fortunately, Dr. Lin was admitted to the hospital, otherwise I would not know if I died at home." "
......
The next day,
Lin Feng continued to go to work.
Shift.
Coming to the female patient's bed, Lin Feng learned about the patient's situation with the doctor on the night shift.
Suddenly frowned.
"Getting serious?"
"Isn't it ordinary bacterial pneumonia?"
Lin Feng thought of more serious diseases such as tuberculosis.
The husband pleaded on the side: "Doctor Lin, I have heard about you, you must save my wife ~~~"
Lin Feng nodded: "Don't worry... I'll give the patient a check-up first..."
The husband nodded repeatedly: "Doctor Lin, please!" "
Lin Feng asked the female patient: "Now the whole body is sore?" "
The female patient nodded painfully: "I feel that my whole body is uncomfortable, sour, and I haven't slept all night..."
Lin Feng: "I'll check it for you..."
Stethoscope......
Lin Feng found that the wet rales in his lungs were even more serious.
Pull up the female patient's pant leg...
"Huh..."
Lin Feng found that the female patient's feet, ankles, and calves were swollen.
The finger pressed down, and suddenly a pit, dented, will not play for a long time.
"Edema"!
Edema of the lower extremities ...
"How can it be edema?"
Lin Feng was surprised.
Logically, whether it is pneumonia or antibiotics, it is impossible to cause edema?
However, diseases of the heart, liver and kidney can cause edema.
Heart: Patients with heart failure due to poor heart pumping function, then the systemic circulation will be slowed down, there will be congestion, especially in the lower limbs, the static pressure is the largest, the blood can not go back, excess blood accumulates in the lower limbs, there will be lower limb edema.
Liver: One of the liver functions is to synthesize a lot of protein, when the liver function is poor, there will be "hypoproteinemia", low protein levels in blood vessels, can not pull water, too much water will leak out of the tissue space, resulting in lower limb edema.
Kidney: Almost all kidney diseases cause edema...
There are many diseases that can cause edema... "lymph" "pregnancy" "endocrine" ... Wait a minute......
What Lin Feng has to do now is,
Check one by one.
Peel off the cocoon!!
There may be a lot of tests and it will cost a lot of money.
。