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

afternoon,

Continue to work.

Lin Feng just walked into the consulting room with a wolfberry tea cup.

Another Dr. Gui Pei, Yan Haoyu, ran over.

"Brother Feng, help, help me see a patient..."

"OK……"

Lin Feng is very kind and generous to his people.

"Introduce the patient's situation."

"It's like this... A third-year student came here yesterday... This is the second time he has come to the emergency department..."

·Patient, Chen Xue, 15 years old,

·Come to the emergency department due to paroxysmal abdominal pain for 3 days...

·3 days ago, there was no obvious cause of pain in the right upper abdomen and around the umbilical cord, pain, and obvious pain. It occurred several times a day, lasting from a few minutes to more than half an hour, accompanied by nausea...

"Yesterday, I came to the emergency department. At that time, I was diagnosed with gastroenteritis, and then I was arranged to be hospitalized, and I was given anti-infection, stomach protection, and spasmolytic treatment, but the effect was not obvious."

"By the way, he has had this pain for 1 month, but it is relatively mild. After a needle with intravenous antibiotics, his symptoms have improved..."

When Yan Haoyu introduced,

The two have arrived in the ward.

In the hospital bed, 15-year-old 08 Chen Xuezheng is lying on the bed, playing mobile games, which is probably the glory of the king.

"Doctor Lin will help you see..."

"Wait until I finish this game..." Chen Xue said impatiently.

Slap~~~

His mother slapped her angrily: "Let you play!"

Then he kindly said to Lin Feng, "Dr. Lin, please help me see my child, what's the problem..."

She knows Lin Feng, a very good doctor, so she is also very happy that Lin Feng can help her son see a doctor.

Lin Feng nodded.

·Pulse: There is no problem with pulse pressure, heart rate, etc.

· And can play games, obviously in a good state of mind.

Have a physical examination.

·Suspicious tenderness in the upper right abdomen and around the umbilical cord, and there is no pain in the rest...

"Show me the results of the inspection..."

· Blood routine: white blood cells and neutrophils are elevated,

·Urine routine, nothing unusual...

·The chest radiographs/abdominal plain radiographs are normal...

·There is no obvious abnormality in color Doppler ultrasound of abdomen and urinary system...

Lin Feng: "How do you think about it?"

Yan Haoyu: "What I was thinking about yesterday was gastroenteritis? Pancreatitis? Cholecystitis?... So the conventional stomach relief, antispasmodic and anti-infection treatment... But the effect is not good... Now I don't know why..."

Lin Feng nodded.

Did not speak,

Indulge in thinking.

The characteristics of this patient's case: paroxysmal abdominal pain, abdominal pain committed a month ago, this time aggravated. The remission period is the same as ordinary people, the antispasmodic effect is not good, the right upper abdomen and around the umbilicus are painful, the white blood cells are slightly increased, and the examinations have no obvious abnormalities...

Abdominal pain, the cause is very likely.

Lin Feng's considerations are as follows:

· Type 1 diabetes.

However, most of the abdominal pain of type 1 diabetes cannot be terminated spontaneously, and it must be treated. There must be abnormalities in laboratory tests and non-conformances should be ruled out.

·Abdominal myocardial infarction? Inconsistent, exclude...

·Aortic dissection? Inconsistent, exclude...

·Marfan syndrome (genetic disease)? Basis: The limbs, fingers, and toes are slender and uneven, do not conform to, exclude...

·Abdominal epilepsy?

This is a type of epilepsy with episodic transient abdominal pain as the main clinical manifestation, and the symptoms are very similar to those of the patient.

Features: The pain is often severe, such as colic or knife cutting, and there will be disturbances in consciousness when it occurs.

Lin Feng asked: "Has something similar happened before? It's from childhood to adulthood..."

Mother shook her head: "My son has always been in good health, sports clubs, but he showed up once last month, but he never showed up later."

Lin Feng nodded,

Combined with the fact that the patient is still actively playing games despite abdominal pain, this proves that it is not "abdominal epilepsy."

Next,

·Porphyria

This is a group of disorders of porphyrin metabolism caused by lack of certain enzymes or decreased enzyme activity in the heme synthesis pathway.

The main clinical symptoms include light sensitivity, digestive system symptoms and neuropsychiatric symptoms.

What does it mean to be sensitive to light?

Just afraid of the sun!

After being irradiated by the sun, non-inflammatory blisters, bullae, erosions, scabs, ulcers, etc., are obvious.

In addition, urine can be found to change in red in the sun.

A very interesting disease.

Obviously, this is not the case for the junior high school student in front of the patient.

Therefore, "porphyria" is ruled out.

Next,

·Ascariasis,

Feature: Drill-like pain...

Lin Feng: "When it hurts, what is the method of pain? Does it hurt like a drill?"

When Lin Feng said this,

The patient student, who was angry, turned his head, and ignored others because of being interrupted to play games, couldn't help looking up at Lin Feng.

"Yes, I feel something is drilling..."

Lin Feng and Yan Haoyu looked at each other.

Ascariasis! !

Lin Feng asked his mother: "Did he have a history of roundworms before? Or have eaten for the rest of his life..."

Mother nodded repeatedly: "I ate fish sashimi last month. His dad likes to eat this, so I took him to eat..."

Lin Feng nodded: "The answer comes out, ascariasis... Give him two tablets of "Abendadine"... If it works, it means it is indeed ascariasis... If it doesn't work, continue to check for other..."

"Abendadine": Also called "Shike Changchangqing", it is a broad-spectrum anthelmintic drug based on imidazole derivatives and one of the most basic and extensive anthelmintic drugs.

Yan Haoyu breathed a sigh of relief: "Thank you, Brother Feng..."

Lin Feng patted Yan Haoyu on the shoulder, and then left the ward.

It took 5 minutes,

Diagnose a patient!

Because abdominal diseases are more complicated and involve a lot of knowledge, this is still a bit difficult for Yan Haoyu, a Gui Peisheng.

But changing to Lin Feng is much simpler.

Then there is a question: Why didn't roundworms be found in the previous B-ultrasound?

In fact, it is normal. B-ultrasound finding roundworms requires not only the strength of a B-ultrasound doctor, but also luck. If you are unlucky, you may not find it.

...

After a busy day,

Lin Feng is preparing to go home and rest his body.

"Brother Feng, the patient in the afternoon, thank you elder brother... Are you free, let's go to dinner together..."

Yan Haoyu invited. 170

Have a meal?

Lin Feng thought for a while. It's been a long time since I went to eat with my colleagues.

I agreed.

Came to a restaurant.

The Cantonese restaurant that Lin Feng likes to eat is quite crowded.

Many of the guests here have Cantonese accents, and they are probably from Guangdong Province.

order.

Soon, the dishes will be served.

Stuffed tofu, steamed grouper, white sliced ​​chicken, white sliced ​​pork knuckle...

"Come on, a toast (tea), thank you, Brother Feng, for your care over the past year..."

Yan Haoyu is very grateful. If it weren't for Lin Feng's support, guidance, and surgery, I am afraid he would not be able to stay in Harmony Hospital after the internship.

To some extent, Lin Feng is his benefactor.

"There is no need to say these kind words, come on, do..."

The two chatted about work, and gossip about the hospital...

At this moment,

A relatively loud voice made Lin Feng's side noisy.

Lin Feng and Yan Haoyu couldn't help but look over.

"Come on, it's hard to get together today, I specially bring you a bottle of good stuff!"

A large group of people came to the next table.

Probably seven or eight.

All men,

One of the men, who looked proud, was holding a bottle of wine.

Medicinal liquor.

"I tell you, this bottle of wine has been treasured for many years. It contains a lot of expensive things, such as deer antler, epimedium, ginseng... the kind that is very nourishing..."

"This is a good thing, if a man drinks it, his waist is not sore, his legs are not sore, and he can also give a man a boost!"

. .

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