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

Chapter 535

Lin Feng was speechless: "I won't charge technical fees. I only charge equipment and medicine fees, okay? Maybe more than 100..."

The patient nodded repeatedly: "That's it!"

Lin Feng: "But what I want to say is that because there is no CT verification, you may not have a foreign body on your foot, but a simple bacterial or virus infection... So you may get a knife for nothing..."

The patient hurriedly said, "I'm not afraid, as long as it is cheap..."

Die for money!

poverty!

Lin Feng helpless...

Can only skip CT, directly incise the wound-the mouth is re-debrided.

Lin Feng quickly opened and debride the wound of the worker.

really!

Inside the wound, a small piece of plastic was found.

This plastic, according to the patient, is the sole of the shoe that was worn when the nail was worn.

Obviously, when the nail was stepped on, the nail head had glue fragments inserted into the sole of the patient's foot.

However, the patient did not get the glue out because of the unprofessional debridement of the workers, which caused repeated suppuration and inflammation.

As for why the X-ray can't get it?

It is estimated that it is a material problem.

Lin Feng estimated that this kind of material, even CT may not be able to see it.

To some extent, the patient successfully saved himself 700 yuan in CT examination fees.

Laugh and cry jpg.

...

The next patient,

A patient came in,

At the beginning, I asked about my condition not long ago,

The nurse at the nurse's station ran in.

"Dr. Lin, the neurology doctor, call you for a consultation, are you free now..."

"Consultation? I see. After I diagnose this patient, I will go over..."

"Okay, I'm going back to the neurology department now."

The nurse leaves.

It took Lin Feng about 10 minutes to diagnose the patient.

End this patient,

There are more than 30 patients waiting for him outside, Lin Feng's pace hastened a lot, otherwise he will have to work overtime at noon.

...

Divine Internal Medicine.

at this time,

A special patient was struggling with the Department of Internal Medicine.

then,

The attending doctor Wang Zhen invited several doctors from other departments to come for consultation.

Among them, Lin Feng is one of the invitees.

·Patient, Zhou Xiaodong, male, 45 years old

· Sudden limb weakness for 1 day.

·One day ago, the patient had no obvious cause of weakness in his limbs, and found that his feet were numb, so that he could not walk, and he also had numbness in his hands...

·Have a history of hypertension, do not take high-pressure medication regularly, measure blood pressure by myself and find that blood pressure is high, so I take antihypertensive medication by myself, but the symptoms continue to not relieve...

Because the condition looks serious,

So the patient was a little flustered, so he hurried to the hospital to see the neurology department.

Wang Zhen, the deputy chief physician of the Department of Neurology, received the consultation.

Physical examination:

·Blood pressure 129/81mmhg, clear mind, equilateral pupils on both sides, sensitive to light, symmetrical forehead lines and nasolabial folds

·The muscle tension of both limbs is low, the muscle strength of both upper limbs is weak, and the muscle strength of both lower limbs is 3.

in addition,

·Check blood sugar: normal...

Then Dr. Wang Zhen asked the patient Zhou Xiaodong to do a "cranial CT".

·CT result: No abnormality!

After receiving this result, Dr. Wang Zhen arranged for the patient Zhou Xiaodong to be admitted to the hospital.

After admission,

Check the patient's electrolytes and found: blood potassium 2.8mmol/L.

For hypokalemia.

Consider hypokalemic periodic paralysis? (Written in chapters 532-533)

then,

The doctor prescribes the medicine, giving it orally, combined with intravenous potassium supplementation, and symptomatic and supportive treatment.

(Ps: If the book friend can understand the disease information above, it means that the meaning of this book has been reached (manually).)

...

but! !

After potassium supplementation,

There was an unexpected situation!

However, the patient's condition has not improved continuously, but has worsened!

The skin of the lower extremities is obviously tender!

Numb hands!

Now, the tube bed and the attending doctor can be confused!

so,

The previous "causes of hypokalemia" does not hold true!

then,

Further inspection began.

Re-check head MRI (hypertension) and lumbar MRI (tumor compression, etc.) again, as well as thyroid function, B-ultrasound (hormone secretion, leading to hypokalemia).

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result:

· Brain mri: No abnormalities.

·Lumbar MRI: no abnormalities.

·Gong A, Ultrasound B: Normal.

Attending doctor Wang Zhen: "………………"

Doctor tube bed: "............"

"Hypokalemia was combined on admission. After the hypokalemia was corrected, the patient's limb muscle strength continued to increase rapidly. What kind of disease is it?"

Confused! !

More troublesome is:

At this time, the patient has begun to become very serious because he did not find the cause in time and was not treated in time.

The patient's limbs were sluggish, numb, and weak, which continued to worsen.

It has even spread to the face, causing facial paralysis.

. ....... 0

Speaking became difficult, sputum expectoration was laborious, and the heart load began to increase.

And the family?

At this time, the attitude was not as enthusiastic as before. Instead, I complained a little about the doctor's ineffectiveness and worried that the patient would die in the hospital.

no way,

The attending doctor Wang Zhen could only call, and Hua Renqing came to the doctor for consultation.

...

Lin Feng came to the Department of Internal Medicine,

The other doctors for consultation have already arrived.

"I'm sorry, I'm late, a patient just couldn't go away..."

Other doctors have,

"It's okay, we just arrived..."

"The emergency department is a bit busier than us, understand and understand..."

After some greetings,

The doctors came to the patient's bed.

Family members are very happy.