bookpower Chapter 266
Chapter 266
"'Hydrophobia'?"
Lin Feng muttered.
This patient's condition really looks like hydrophobia!
Hydrophobia is a typical feature of "rabies"!
In Xinyuan County, Lin Feng diagnosed a "rabies patient" (Chapter 155), who went to the hospital because of a fever, and finally suffered from photophobia, water phobia, and finally diagnosed with rabies.
"Wife, what's wrong with you?"
At this moment, my husband's shock turned into thick worry.
"Is the water I gave too hot?"
"I'm sorry, I'll go get warm water right away..."
Lin Feng said to the nurse at this time: "Go get a cup of warm water..."
The nurse nodded and sped out.
In less than a minute, he walked in with a plastic cup filled with half a cup of warm water.
Lin Feng's eyes stared at the female patient.
I saw the female patient's gaze, staring closely at the cup of water in the nurse's hand, and seemed to swallow a mouthful of water, looking flustered.
Soon, the department cleaning aunt walked in and mopped the floor.
Lin Feng initially withdrew:
"Rabies"!
Hydrophobia is one proof of this.
This is troublesome!
Rabies, once it occurs, will surely die.
100% mortality!
Lin Feng walked out of the rescue room and called her husband over.
"How long have you been married?"
"It's been more than 3 years..."
Lin Feng's heart relaxed.
"More than 3 years, have you heard that in the last year, has your wife been bitten?"
The incubation period of rabies, from infection to the asymptomatic period before the onset, is mostly 1~3 months, and it is rare within 1 week or more than 1 year.
It has only happened now, and the cause must be within this year.
"What do you mean?"
The patient's husband's face changed.
"Dr. Lin, do you think my wife is rabies?"
The patient's husband is also an 'intellectual' and naturally knows about rabies.
At this moment, his face changed greatly!
He knew that once rabies became ill, he would not survive.
Lin Feng comforted: "This is only a preliminary inference, and it does not prove that it must be rabies... I'm just skeptical... Think about it, has your wife ever been bitten by a dog this year?"
"It's like... There really is!"
The patient's husband turned pale,
"3 months ago, it was a neighbor's dog, and it scared my wife again, as if it had been bitten..."
There really is!
Lin Feng's heart sank and asked:
"Have you been vaccinated?"
"It's like... Nothing..."
At this moment,
The patient's husband was completely panicked!
Without vaccination, the 99% probability is rabies!
At this moment, I finally cried with a headache, squatting in front of the stool, heartbroken.
I thought it was ordinary pneumonia, but I didn't expect it to be rabies, this kind of life and death parting came too quickly, and no one could stand it.
Obviously, he loves his wife very much!
He even felt the urge to kill the dog!
Lin Feng hurriedly comforted: "Don't worry, this is just my guess, the specific diagnosis, and some tests still need to be done..."
Of course, this is just comfort.
Lin Feng is also 99% sure in his heart, that is-rabies!!
After all, how does pneumonia explain hydrophobia?
Lin Feng's mood suddenly became heavy.
There is a weak heart!
Full of helplessness!
......
Lin Feng returned to the ward and felt that the light suddenly brightened a lot.
Suddenly startled!
"Oh, no..."
Lin Feng frowned, looking at the energy-saving lamps on the ceiling...
It's evening,
But the lights in the rescue room are on.
The energy-saving lamp in the rescue room, the wattage is not low, because it is necessary to ensure the light.
Rescue room, very bright!
But!
It should be known that "rabies" has photophobia symptoms.
Because bright light, noise, touch, or airflow can cause spasms.
At this time, Lin Feng felt that it was not rabies.
"Hello..."
Lin Feng walked in front of the patient.
The female patient looked at Lin Feng: "Doctor Lin..."
Lin Feng: "If you look at this light, how does it feel?
Female patient: "Sort of..."
Lin Feng thought for a while, and asked from another angle: "Do you see this light, will you be disgusted and afraid?"
The female patient shook her head: "No... I just feel sleepy, it's too bright..."
Lin Feng was delighted.
Really not afraid of light!
Turn!
Lin Feng asked: "I just asked your husband, saying that you were bitten by a dog three months ago... Where did it bite?"
"The left leg ... Calves..."
Lin Feng beckoned to the nurse: "Xiaofeng, help her left leg calf pants up... I'll look at the wound..."
The female patient shook her head slightly, and slowly said word by word: "There is no wound... Because I didn't bite... Blocked by pants..."
Lin Feng was really surprised!
Didn't bite!
"Are you sure you didn't bite? Did you break the skin?"
"Didn't... There is..."
"Hahaha~~~~~"
Lin Feng laughed loudly, very happy, very excited!
A false alarm!
If there is no broken skin, then naturally there can be no rabies!
This information is so important!
Lin Feng calmed down and continued to ask: "In the past year, have you been bitten by a dog?"
The patient shook his head weakly: "No!"
"Snap!"
Lin Feng slapped his thigh excitedly!
Can be ruled out!
Absolutely not - rabid dog!
And this happened to be heard by the husband who walked in the doorway.
At this moment, endless happiness rushed down like a waterfall!
"Wife... Woo hoo... It scares me to death!"
Holding the female patient and crying.
This man just almost had a nervous breakdown!
I didn't expect joy to fall from the sky and rule out rabies!
......
Lin Feng was also in a cold sweat at this time.
OK
"Rabies" was not directly concluded according to the characteristic symptom of "hydrophobia" (that is, only it has this symptom)!
But
Here's the problem!
The patient is not rabies, why is there a fear of water?
What exactly causes hydrophobia?
Lin Feng walked in front of the patient,
Decided to ask a little more carefully.
Maybe something was missed and not discovered by yourself.
Lin Feng approached: "Hello, in addition to the symptoms and discomfort that you and your husband said at the beginning, are there anything else that has been missed..."
Female patient: ".................."
She wanted to speak, but raised her head slightly, opened her mouth, and finally seemed to be weak,
Shrugging his head...
Lin Feng was stunned.
No strength?
Glancing at the ECG monitor, blood oxygen saturation, heart rate, blood pressure... Isn't that normal?
How could it be that you ran out of strength?
Tired?
Sleepy?
Lin Feng asked, "Are you sleepy?"
As a result, the patient shook his head slightly!
Lin Feng was stunned.
Not sleepy?
That is... No strength!
No strength... No strength...
Lin Feng muttered... Suddenly, there was a flash of light!
A disease comes to mind!
"Myasthenia gravis"!
"Oh my God!"
Lin Feng slapped his thigh!
Exultation!!
"Why didn't I think of it in the first place?!"
This is definitely myasthenia gravis!
"Myasthenia gravis": is an autoimmune disease caused by the dysfunction of transmission at the neuro-muscle junction.
In normal times, our muscles are innervated by nerves, and why nerves can innervate muscles is because there are some transmitters where nerves and muscles connect, which are secreted by nerve endings and act on muscles to dictate to muscles.
At some point, this handover process is impaired, the muscles do not listen to the nerves, and muscle weakness will occur.
Myasthenia gravis may affect the whole body: for example, respiratory muscles, neck muscles, eyelid muscles... Wait a minute
So the patient will not be able to lift his head, cannot open his eyes, have difficulty speaking, have difficulty breathing...
Everything is right!!
As for why is it "afraid of water"?
It can also be explained!
If the throat muscles are weak and breathing is weak, the patient will cough when drinking water.
At this time, the human survival instinct comes into play.
When you think of drinking water, you will have the fear of choking on water into the airway and drowning, so you dare not drink water, and you are afraid when you see water.
So there is a phenomenon of "fear of water"!
This "myasthenia gravis" perfectly explains all the symptoms of this female patient!
Lin Feng is 99% sure that it must be it!
"Do a "monofibrous electromyogram" right away!!"
Lin Feng said happily.
Of all the weakness tests, this one is the most sensitive!
As long as this check is confirmed,
That "myasthenia gravis" is ironclad, 100% certain!
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ps: Three more end ~~~
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