After 100 Days Of Sign-In, The First Operation Shocked The World

"By the way, how long have you been with high blood pressure?"

"2 years..."

Lin Feng still has doubts about the patient Zhou Cheng, 38 years old, with high blood pressure.

Although he is ‘old’, he has a history of hypertension for 2 years.

"By the way, what kind of medicine do you usually take for high blood pressure?"

"It seems to be called hydrochlorothiazide..."

Lin Feng nodded.

Losartan is an antihypertensive drug of the angiotensin II receptor antagonist (AIIA) class.

"Did you take your medicine on time?"

"Yes, take medicine on time."

Lin Feng nodded: "Then go for an inspection."

The patient Zhou Cheng thanked him, and then went for the examination with the checklist.

...

After about an hour,

Lin Feng is giving a follow-up visit to the pregnant woman with polyhydramnios. Originally at 34 weeks, now at 36 weeks, the amniotic fluid was successfully reduced after Lin Feng's guidance.

"Dr. Lin, about my heart failure, pulmonary edema (after the heart failure, blood will flow back to the lungs, causing pulmonary edema, often complicated), amniotic fluid embolism, the second child... I am a little worried. ."

143 Lin Feng: "I studied your first-born discharge case. It doesn't feel like amniotic fluid embolism. The doctor just deduces the symptoms of heart failure and pulmonary edema, but they don’t know what it is... Don’t worry. I have checked many domestic and foreign related researches, and no paper mentions that amniotic fluid embolism of the first child will cause amniotic fluid embolism of the second child... Don’t worry, when you give birth, I will go in person, and I will look for it. A few masters are here to show you..."

High-risk pregnant women are immediately happy.

"Thank you Doctor Lin!!"

sincere thanks!

Take the medical record and leave the consulting room happily.

At this time,

The patient Zhou Cheng knocked on the door and walked in.

Holding all inspection reports in his hand.

Lin Feng: "???"

Lin Feng frowned and looked at Zhou Cheng.

At this time, Zhou Cheng was not in the same state as an hour ago. An hour ago, Zhou Cheng was just walking vainly.

And now, in addition to walking vainly, Zhou Cheng also has cold sweats and runny nose...

"Doctor Lin (aicd)..."

Zhou Cheng yawned, then sniffed.

The result of the inspection was passed to Lin Feng.

Lin Feng frowned, "Why do you have a runny nose and sweat?"

Zhou Cheng was a little impatient: "I don't know, Dr. Lin, hurry up...Help me see if there is liver cancer..."

It seems a little anxious.

Lin Feng remained silent and looked at the inspection results first.

·B-ultrasound: The liver, gallbladder, pancreas, and spleen are all normal, and no water or stones are seen in the kidneys, ureter, etc...

"You don't have liver cancer, don't worry..."

· Blood routine: No problem. White blood cell count, red blood cell count, and platelet are all normal, and liver and kidney functions: all are normal, transaminase is not high, and creatinine is not high.

·Electrolytes: blood potassium: 2.6mmol/L (3.5-5.5mmol/L)

"what……"

Lin Feng saw the last blood potassium and finally found signs.

Hypokalemia.

And still moderate hypokalemia: (2.5-3.0).

"It's no wonder that you are weak, but your blood potassium is low..."

Severe hypokalemia and hyperkalemia can cause heart problems, and even cardiac arrest is completely possible.

"What is hypokalemia?"

"It's just that there are too few potassium ions in the blood..."

"What should I do?"

"It's easy. Just make up potassium. I'll prescribe you a potassium water (potassium chloride solution). You can drink it and you can make it back soon."

The patient Zhou Cheng breathed a sigh of relief.

"How is your meal these days?"

"I have a bad appetite, I don't eat much..."

"What about fruits and vegetables?"

Fruits and vegetables are the main sources of potassium intake...

"no appetite……"

"No wonder it will cause hypokalemia..."

"But..." Lin Feng's words made Zhou Cheng nervous again.

"Although it is found that you have hypokalemia, it is difficult to say whether it is a poor appetite that caused hypokalemia or hypokalemia. Who is the cause? Only by finding the root cause can you solve your disease. ..."

First sort it out:

Causes of low potassium:

·Too little intake

·Excessive excretion (sweat, urine, stool...)

"Did you sweat a lot in the last few days?"

"Not many, all in the company, air-conditioning..."

"Urine, stool..."

"Peeing too much...stools are normal...but I have been urinating too much..."

Lin Feng nodded.

Excessive urination is just right. Excessive urination may lead to excessive loss of potassium ions, leading to hypokalemia.

and many more……

Lin Feng patted his thigh.

"I almost forgot that the antihypertensive drug hydrochlorothiazide contains diuretics itself!"

Many antihypertensive drugs are diuretics.

Because diuretics have a certain effect on lowering blood pressure, and the effect will be more significant, the effect will be more obvious for obese or elderly hypertensive patients.

so,

Went back.

Hypertension -> Antihypertensive drugs (diuretic) -> Polyuria -> Low potassium -> Poor appetite -> General weakness......

Lin Feng told his own inference.

"You can change your blood pressure medicine, I will prescribe the medicine later, you can just take it according to this medicine in the future..."

"After taking the medicine, I will come back for a review four days later. If you still feel weak these days, you don't have to wait four days. You can come tomorrow and the day after tomorrow..."

"Thank you Doctor Lin..."

Patient Zhou Cheng thanked him and wiped his nose.

Cough~~~

Coughed a few more times.

"you caught a cold?"

"I don't know, during this period of time, intermittently, but taking cold medicine is useless..."

"What medicine did you take?"

"It's aspirin (cold medicine), and "compound licorice tablets" (cough suppressant)..."

"!!!"

Lin Feng was taken aback!

Compound licorice tablets? .

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