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

"Have you stayed up a lot lately? Or have you eaten something special? For example, medicine, medicinal wine, etc..."

"Dr. Lin, you are really amazing. Recently, our company has a major project to tackle tough problems. I have been working overtime for more than a month and I have less than 6 hours of rest every day..."

"That should be because you are too tired and produce various harmful substances throughout the day, causing the kidneys to run for a long time... Maybe nephritis..."

The first step is to perform the kidney examination first.

"You go and do the three tests of "blood routine", "urine routine" and "kidney function"...B-ultrasound should be inconvenient now, you have to wait for tomorrow..."

Lin Feng opens the order.

"Thank you Doctor Lin..."

The patient Wang Zirui took the checklist and went to draw blood and urine.

...

after an hour,

The patient, Wang Zirui, returned with the results of the examination.

·Blood routine: abnormal increase of white blood cells more than doubled...

·Kidney function: uric acid is significantly increased, blood creatinine is slightly increased, blood uric acid is doubled...

·Urine routine:...173...

See here,

It is already obvious that it is "nephritis"...

However, because B-ultrasound was not done, I don't know if there are any other problems besides nephritis and renal function damage.

But what is known is enough for Lin Feng to conclude that the edema of the patient's Wang Zirui's face is due to nephritis and renal function damage.

Lin Feng shared his judgment with the patient Wang Rui.

"The current consideration is nephritis, kidney damage... the reason may be staying up late..."

"I'll prescribe some medicine for kidney protection. You take it first... For further examination, you can wait for the B-ultrasound during the day. I will bill you. You can do it at the B-ultrasound department during the day. If there is a problem with the B-ultrasound, please come to me for follow-up... "

"Of course, you don't have to do a B-ultrasound. After taking the medicine for 3 days, if your condition improves, you won't use it. If you have any problems, please refer to me for follow-up... In addition, try to rest as much as possible and don't stay up late..."

Lin Feng exhorted a bunch.

"Thank you Doctor Lin..."

The patient Prince Rui thanked again and again.

...

After Lin Feng diagnosed the patient, he glanced at the outside of the ward.

Um,

No patients!

Cool!

There are no patients in the night shift, so easy...

Then……

"Bang~~~~~"

Nurse Xiao Chen rushed in.

"Dr. Lin, there was an emergency call just now, and it took 10 minutes to... a patient with a heart attack is being sent over."

Lin Feng: "……………………"

This night shift is poisonous!

God of night shift, forgive me! !

Lin Feng, who was weak, could only summon a group of people and wait at the door of the emergency department.

...

9 minutes later,

Beep Beep Beep~~~

The sound of the ambulance came in quickly.

"coming!!"

Lin Feng and others are moving together!

brake------

The car stopped,

As soon as the back door of the car opened,

The patient pushed out.

Lin Feng glanced.

·Patient, male, about 50 years old...

·Current situation: oxygen inhalation, coma, rapid breathing...

A woman rushed out from inside, grabbed Lin Feng's hand, crying and shouting:

"Doctor Lin, save my dad..."

"Calm down first, don't worry, you will affect our saving..."

transfer,

Then quickly pushed to the rescue room.

On the way, the doctor onboard the ambulance introduced the condition.

"Patient, 58 years old, with a history of hypertension... 10 minutes ago, he was suddenly dizzy (aicd), short of breath, blood oxygen fell all the way to 94, and then he was stable after inhaling oxygen..."

Baraba, introduce a bunch of...

Lin Feng grabbed the old man's foot while running.

·Edema of lower extremities! !

Press on the edema of the lower limbs, and there will be depressions one by one.

Lin Feng was taken aback.

Touch your arm again...

·Upper limb edema!

I glanced at the patient's face, it was a little swollen, and I don't know if it was edema.

but,

A little,

The patient’s neck has symptoms of "jugular vein dilation"!

Comprehensive: "hypertension" + "edema of upper and lower extremities" + "jugular venous swelling"...

...

As mentioned earlier:

If there is edema on the face, but there is no edema on the hands and feet, give priority to "nephrogenic edema", the root is in the kidneys!

but!

If it is edema of both lower extremities, or chronic diseases such as hypertension, diabetes, coronary heart disease, etc., then the possibility of "cardiogenic edema" must be considered.

That is, edema caused by heart failure.

The characteristic of cardiogenic edema is that it first appears in the sagging parts of the body. For people without mobility impairments, the earliest edema may be in the ankle joints, which is obvious after exercise and relieved when resting.

For people who are unable to move and stay in bed for a long time, the lower back and back may be more edema. And this kind of edema is generally symmetrical and can be sunken (more difficult to rebound).

And "cardiogenic edema" has another characteristic:

An enlarged jugular vein! !

(Specific: Look at the side of the neck, there are thick veins exposed.)

(Ps: The arteries are inside, generally invisible. The superficial ones are veins.)

"Cardiogenic edema": Mainly a manifestation of right heart failure. The main manifestations of left heart failure are chest tightness, wheezing, and coughing pink foamy sputum.

As for the formation process of edema: first manifested as decreased urine output, heaviness of the limbs, weight gain, and then gradually edema of the lower limbs and the whole body. Edema starts at the sagging parts of the body and gradually develops into generalized edema.

obviously……

The old patient in front of him:

The condition is obviously: high blood pressure-leading to long-term blood vessel pressure-the heart must work hard to pump blood-prolonged load-heart failure-right heart failure-body edema.

In other words,

The cause of the old man in front of him is: heart failure! !

From edema + hypertension, two conditions, heart failure is clearly derived!

No electrocardiogram, no B-ultrasound, no CT...

In just 20 seconds,

Found the cause!

This is the advantage of Lin Feng's rich medical knowledge!

. .

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