"The initial diagnosis is "gastroenteritis", but other symptoms are not ruled out..."

"Now you have two choices: one is to take some anti-infectives for gastroenteritis. It is not expensive. It is about 30 yuan. See if it works... the other is to have a CT scan directly, but it will be more expensive, 200 yuan... …"

Lin Feng said to the female patient.

The reason why he asked this was because the couple was dressed relatively plainly.

For a girl who loves beauty, dressing so plainly is obviously-poor!

The couple suddenly hesitated.

In the imperial capital, life is not easy, the moonlight clan, and they also use credit cards and repay by instalments, the more they pay back.

Girl: "Or, try some medicine first..."

The boyfriend was a little embarrassed and said to Lin Feng, "Doctor, take medicine first..."

Lin Feng nodded.

"Nine-nine-seven"    prescribed anti-infective drugs to the patient.

"Quinolone antibiotics", "cephalosporins", etc...

"Go to pay the bill, and then get the medicine from the pharmacy..."

"Take the medicine, take it first, don't leave the hospital, wait an hour or two, and then come to me for a review to see if my stomach hurts..."

"Thank you Doctor Lin!"

The female patient clutched her belly and left the hospital with the support of her boyfriend.

...

Two hours later,

The female patient came back.

He was sweating profusely, but it got worse, clutching his stomach and screaming.

The boyfriend looked anxious: "Dr. Lin, those medicines are useless, my girlfriend seems to be more serious."

Lin Feng frowned: "Then it's not gastroenteritis... I can only do an abdominal CT..."

Lin Feng asked the nurse to give the patient an analgesic injection,

Then send it to Ct in a flat car,

Lin Feng called Ct to jump in the line.

20 minutes later,

The patient returned with the CT results.

CT results: multiple low-density lesions were found in the liver.

Lin Feng was surprised!

This is... a bug?

"Have you eaten raw food in recent months or years? For example, sashimi?"

Lin Feng asked.

The boyfriend nodded again and again: "Yes, my girlfriend likes to eat sashimi..."

The female patient smiled awkwardly.

"Doctor Lin, what's the problem with me?"

"In your stomach, there are a lot of bugs... I don't know what kind of bugs are. A more detailed inspection is needed..."

When the female patient thought of the bugs in her belly, her face turned pale, her belly seemed to hurt even more, and there were many bugs coming and going.

Lin Feng brushes to open the order...

"Go to draw blood and do an ELISA test for "parasite antibodies"..."

The patient quickly took the checklist and went to draw blood.

...

At the end of the afternoon,

The couple returned to the clinic with the results of the examination.

"Doctor, this is the test result..."

Lin Feng glanced at the checklist.

·Cysticercus cellulosae-positive!

·Liver fluke-positive!

·Hydatid-positive!

·Sparganosis-positive!

·Schistosoma japonicum-negative

·Pulmonary fluke-negative

Good guys! !

All 4 parasites are positive! !

Lin Feng was shocked.

This girl probably ate too much sashimi!

"Girl, don't eat sashimi anymore."

"But it's not right. Every time I eat sashimi, Dr. Lin will eat 2 slices of intestinal worms..."

The female patient made her last stubbornness towards sashimi.

Boyfriend pouted.

Lin Feng shook his head and laughed: "Intestinal Worm Cleansing is useful, but 2 tablets are far from enough, so if you take it, it won't work. On the contrary, it may cause the insects to produce antibodies and have a counterproductive effect."

The female patient lowered her head: "Well..."

Lin Feng thought for a while and said, "Anyway, it's to this level. Let's just do a brain CT, how about? Because the sparganosis in these bugs may be parasitic in the brain. It is still not possible to rule out that the brain is not... …"

If there is sparganosis in the brain, it may be a headache, epilepsy, or dizziness. In severe cases, the brain tissue may be swallowed by sparganosis, cerebral infarction, etc.... It is fatal and dangerous.

So, no matter what, the brain must be investigated.

"Okay!"

At this time, the female patient dared not object.

Continue to do CT...

After an hour, the Ct result came out.

·Cranial CT: There are multiple irregular patchy low-density shadows in the brain, with blurred boundaries; scattered and broad spot-like calcifications can be seen, and local brain atrophy 0 ........

The parasite has obvious characteristics.

Obviously, there is sparganosis.

Moreover, more importantly, this sparganosis is almost close to the functional area of ​​the brain, and needs to be taken out as soon as possible, otherwise it will be troublesome to enter the functional area.

"Apply for admission... Take medicine first to see if you can kill these bugs, and take it for 3 days..."

Lin Feng ordered.

"On the third day, water and fasting were started. On the fourth day, the brain sparganosis was checked for survival. If it is still alive, a craniotomy will be required..."

"Huh? Craniotomy?"

The female patient's face was already pale and panicked.

Lin Feng comforted: "Don't worry, our Harmony Hospital has rich experience in craniotomy. It is a minor operation. I am also very familiar with it. If you don't want me to do it, you can go to other experts to do it. It's almost the same..."

The female patient shook her head repeatedly: "Dr. Lin, you do it, I believe you."

Who doesn't know Lin Feng's surgical strength?

Anyway, awesome! !

At this time, the boyfriend couldn't help but asked curiously.

"Dr. Lin, I've always been curious. I have heard a lot. Water and food should be banned before the operation... Why is it now?"

Lin Feng patiently explained:

"There is a connection between the stomach and esophagus, called the cardia. Under general anesthesia, this door cannot be closed. When a person lies flat, if there is food in the stomach, it will reflux."

"At the same time, patients with general anesthesia 2.2 will also lose their throat reflex and cough reflex under the action of the drug."

"This means that food from gastric reflux and gastric juice can easily enter the lungs, which is called aspiration, and then block the respiratory tract, prone to suffocation death..."

Explained it again,

However, if you are in a critical condition and need to be rescued, then do not pursue water and fasting, and go directly to the operating table.

"Thank you Doctor Lin!"

The two men bent slightly, thanking them.

soon,

The female patient was admitted to the hospital.

Lin Feng prescribes the drug, and the patient takes praziquantel orally 3 times a day for 3 days.

"Praziquantel": An anthelmintic used in humans and animals, specifically for the treatment of tapeworms and flukes. It is particularly effective for schistosoma, Chinese liver fluke, and Schistocephala widenose.

. .

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