fine,
Although the patient's condition is urgent, the solution is simple.
After the anti-allergic, antispasmodic, and blood pressure drugs are gone...
30 minutes...
The patient’s blood pressure has risen to 90/60mmHg,
The wheezing sound is much lighter, and the blood oxygen has risen from the lowest 91% to 99% (oxygen inhalation state).
It is estimated that he will be discharged from the hospital tomorrow and go home.
After scolding those ‘pig friends and dog friends’, the family members thanked Lin Feng again and again.
"Thank you, Doctor Lin. If it weren't for you, I'm afraid my husband would be dead..."
Then, I ignored Yan Haoyu next to him.
Yan Haoyu: "………………"
No~~~~~~ (a plum BGM sounds)
Ugly, when can you stand up?
...
"Go, go home..."
Lin Feng finished the patient and was about to go home.
"Brother Feng, we'd better not go out to eat next time. Once we go out, we will do something. There is no way to eat well..."
"Haha... the doctor is like this..."
Lin Feng smiled, patted Yan Haoyu on the shoulder, and left the hospital.
...
After that, I took a two-day break and went to school.
Then on the fourth day,
170 day shift.
Lin Feng 7:40, came to the hospital.
After checking the room, I began to come to the consulting room and start a day's diagnosis.
Press the number calling machine,
The first patient,
Broadcast: "Tan Jianye, please go to the No. 3 clinic for treatment..."
In 4 seconds, the clinic door opened, and a middle-aged man came in.
Coming in with his stomach, with a bitter face...
It should be abdominal pain.
·Tan Jianye, construction worker, 38 years old.
"Doctor Lin, help me see what's going on. In the past two days, I have always had stomach pains for no reason..."
"Where does it hurt?"
"Here (pressing the lower abdomen, below the belly button)..."
"Does it hurt?"
"It's not very painful, but it's uncomfortable... At first I thought I was eating the wrong thing. I bought some intestinal pills at the pharmacy, but it didn't work. Then the pain got worse today."
"What a pain? Sharp pain? Dull pain?"
"I don't know how to describe the pain. It feels like something is boring.... It's not easy to work. The pain is worse after eating a little porridge in the morning..."
"Lie down in bed (aicd), I'll show you..."
Physical examination.
Lin Feng touched his stomach and rubbed it. It seemed that the tenderness was not obvious, and the rebound pain was not obvious. The whole stomach was still soft, not a flat abdomen.
Lin Feng breathed a sigh of relief.
Temporarily ruled out some acute abdomen: gastrointestinal perforation, gallbladder gangrene perforation, appendicitis purulent peritonitis caused by gangrene perforation...
It shows that the patient Tan Jianye's condition should not be so serious now.
"Is there vomiting? Is it bloating? Have you fart and bowel movements for the past two days?"
"No vomiting, no bloating, no attention to farting, but I had a bowel movement yesterday..."
"What color of stool?"
"Yellow, a little diarrhea..."
Yellow, then bleeding can be ruled out.
"Is there anything unhealthy to eat?"
"No... it's normal... I work on a construction site, and the construction site provides board and lodging, and then we all eat the land together. If it is a food problem, other workers will definitely have the same problem."
The patient Tan Jianye said with a grin.
"Is there any medical history? Is there any disease before?"
"No... I've always been in good health..."
Lin Feng nodded.
Begin to analyze what disease.
The first consideration is naturally the most common gastroenteritis.
The location is not like appendicitis, cholecystitis, or kidney stones, but it can’t be ruled out... it may also be gastric ulcer or duodenal ulcer. Although the location is wrong, it’s not impossible.
so,
Doing a abdominal ultrasound is the fastest way.
In addition, ascariasis can be considered...
Before Lin Feng finished the stroke, the patient began to talk again:
"Dr. Lin... Except for this, I've got a bit of a fever recently, and my mouth ulcers are a bit bad. Is there any good medicine to introduce..."
While saying,
One side opened his mouth wide.
The mouth inside was exposed, and I saw a dozen white spots of ulcers...
more than ten?
Lin Feng couldn't help being shocked when he saw the sore in his mouth! !
The patient was distressed: "This ulcer is more painful than my abdominal pain."
Lin Feng was surprised: "Your ulcer is a bit serious, why are there so many..."
The patient said with a bitter face: "Yes, I don't know what's going on. During this period of time, it always appears repeatedly, and it won't get better..."
Lin Feng: "For ulcers, there is no special medicine, add some vitamins, go home and rinse your mouth with salt water, and give up spicy food and alcohol."
The patient nodded again and again: "Thanks, doctor..."
Then,
His expression became hesitant again.
Lin Feng didn't care at first: "Is there any hesitation, let's talk, anyway, I am a doctor..."
The patient Tan Jianye was a little hesitating: "This...Doctor, can you let them (nurse Xiao Ai, student Xiaoru) and him (the live broadcast tool person) go out?"
It seems that it is a bit unspeakable.
Lin Feng's expression condensed.
It feels that things are not very simple.
"You guys go out..."
Xiao Ai, Xiao Ru, and the live broadcast tool can only go out and leave the clinic.
The audience in the live broadcast room is not calm: "What's the matter? I want to listen..." "So doing it makes me curious..." "What the hell is it?"
Lin Feng closed the door.
"Go ahead, what's the matter?"
This time, Tan Jianye finally said: "Dr. Lin, it's like this, my little brother (pointing underneath), I don’t know what’s going on recently, and it seems to have an ulcer..."
Lin Feng: "……………………"
Dumbfounded,
Then he reacted violently, his face condensed.
The first reaction in my mind is the diseases such as enzyme poison and ez.
"Go to bed, take off your pants, let me see..."
"Huh? Take it off?"
"Sure, otherwise, how can I show you... hurry up, be quicker! I am a doctor, and seeing you is like looking at pork... Also, if it is that kind of disease, it will be dead. It's better to see clearly... …"
".................."
The worker Tan Jianye was scared now, and he dared not show it.
Take off.
This time, Lin Feng didn't dare to take it lightly.
After wearing three layers of gloves, I dared to do it.
Fear of occupational exposure.
(Omit the process...)
..
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