"I didn't suck, I didn't suck..."
"You haven't breathed yet? What's wrong with the needle on your leg? What's the matter with the urine test result?"
"I………………"
Under the majestic gaze of the police,
Finally, the patient honestly explained his situation.
Lin Feng looked at him and estimated that after he recovered from his illness, he would be sent directly to the drug rehabilitation center.
Why do white-faced people, doctors subconsciously think about AIDS and syphilis?
This is because the proportion of people who share white flour inhalation is very high. Once one person in the white flour smoker has AIDS, the blood of the AIDS patient can be injected into other healthy people by sharing the syringe, thereby causing infection.
At the same time, because their population is relatively dense, sharing syringes with each other can cause widespread infection.
There are also some people who have performed some invasive operations in irregular places outside, such as eyebrow tattoos, teeth cleaning, ear piercing, etc., which may also cause the infection of AIDS and syphilis.
So, don’t suck white noodles...
...
...
I rested for about an hour at noon,
afternoon,
Continue the consultation.
The first patient was an old man.
·Uncle Chen, 65 years old
As soon as the old man came in, Lin Feng became vigilant.
Why?
Because when he came in, he was holding his stomach, and he was still holding his hands, bending over, and being helped in by his daughter.
"Ah~~~"
"Ah~~~~"
"Ah~~~~~"
Screaming again and again.
He was short of breath, frowned, and his expression was very painful.
This painful expression had obviously been pained to a very severe degree, and it could be compared to the last time the fan sucker who tried to trick Du Lengding played the kind of screaming pain.
This kind of pain, Lin Feng is really afraid of myocardial infarction.
"Lying on the bed..."
Lin Feng hurriedly greeted.
"Xiaoru, give him an electrocardiogram..."
soon,
Xiaoru is doing an electrocardiogram over there.
But first, take the temperature, forehead thermometer, 36.8, no fever.
Lin Feng asked about his condition.
"Uncle, what is your situation??"
"Dr. Lin, this morning, I said it hurt and pulled, and then I went to the community hospital to get some medicine. It didn't work, but it still hurts...ah~~~~~~"
The pain was so cold and sweat all came down.
"Have you any medical history?"
"Have……"
Obviously Uncle Chen is also an "experienced veteran" in the hospital.
"I have high blood pressure, 8 years... 4 years of COPD... 40 years of smoking... Coughing a lot, basically white phlegm..."
In COPD, in layman's terms, the air passage of breathing is restricted to a certain extent, making it more difficult to circulate.
This is related to long-term exposure to toxic and harmful gases or particles.
E.g,
Smoking, dusty environment...
Chronic obstructive pulmonary disease is the kind that is difficult to treat and cannot be cured.
The consequences are also more serious. Due to restricted breathing, there is no way to exercise vigorously, physical strength is not good, and it is easy to breathe. When it becomes more and more serious, it may even feel laborious to wear shoes.
Uncle Chen's chronic obstructive pulmonary disease is obviously related to 40 years of smoking history.
"With COPD, why don't you quit smoking!"
Lin Feng said reproachfully.
"Can't pick up..."
Uncle Chen clutched his stomach in pain and said.
Quitting smoking is difficult, let alone 40 years of smoking history, even if you use e-cigarettes, it is still useless.
At this moment,
The electrocardiogram came out.
· There is no myocardial infarction pattern.
Lin Feng rest assured.
Start to investigate other reasons.
Stethoscope first.
Listen to the lungs.
· Wet rales are a little bit, but not serious, and should not be the main cause. If you have COPD, a bit of wet rales is normal.
Then check the belly.
"Where does it hurt?"
"Here (pointing to lower right abdomen)..."
"It always hurts here?"
"Yes."
"How long has the pain been?"
Uncle Chen was too painful to speak, so his daughter answered for him:
"My dad got pain after eating breakfast in the morning. It has been about 4 hours now."
Uncle Chen nodded.
"Are there any other symptoms? Nausea, vomiting..."
"It's a bit nauseous, and I vomited...not long after I ate breakfast, and then I vomited... By the way, I also had diarrhea..."
"What does diarrhea look like? Hard, soft, thin..."
"Pulpy, like water..."
"Doctor, can you give my dad a shot of Du Lengding first, I can't take it anymore."
"???"
Du Lengding?
Lin Feng subconsciously thinks in the direction of attracting powder molecules.
"Show me your arm..."
Lin Feng then checked his hands and feet, and found that there were no pinholes... well, it should not be a powder sucker...
However, Lin Feng still paid attention.
"Wait, if it is analgesic, it may affect the diagnosis..."
Lin Feng said.
"Have you brought the medical record?"
"Brought..."
A handbag contains a lot of medical records.
Lin Feng quickly read the patient's previous hospitalization information. The patient had chronic obstructive pulmonary disease and hypertension in the past, but the others were basically gone...
At present, Lin Feng considers gallstones, appendicitis, gastroenteritis... etc. Many considerations... After all, this is a digestive disease and it is difficult to deal with...
By the way, there is also arterial dissection...
But after taking a double-measured blood pressure, there is no problem.
Lin Feng did the patient's physical examination again.
There is a new discovery!
The patient's Uncle Chen's sclera (white part of the eyeball)!
Yellow!
That's right!
jaundice! !
Seeing this, Lin Feng suddenly became energetic.
It's so peculiar!
Check the patient's skin again, it is also slightly yellow.
·Jaundice, sure!
With jaundice, Lin Feng can bypass the complicated investigation of the digestive tract and directly check for jaundice.
So why does the patient have jaundice?
Causes of jaundice:
·liver……
·Hemolysis...
When these two conditions occur, the level of bilirubin in the body will be greatly increased, and the extra bile (paid) red pigment will accumulate on the sclera and skin, which will cause the scleral skin to become yellow, which is called jaundice.
Jaundice caused by abnormal liver function will not be fatal for a while.
But if jaundice is caused by hemolysis (the destruction of red blood cells and the leakage of hemoglobin to produce bilirubin), the patient may die at any time.
then,
Lin Feng pressed hard on the patient's liver area and felt pain. This is to indicate that there is indeed a problem with the liver or a problem with the gallbladder.
Lin Feng didn't want to waste time, so he had to do an inspection.
Because it was an elderly person and it was particularly painful, Lin Feng naturally did not dare to neglect, so he talked to the patient's daughter for a comprehensive examination.
"` "No problem, I listen to you Dr. Lin..."
The patient's daughter is very filial and doesn't care about the large number of examination items and the cost, but is only worried about the father's health problems.
Blood routine, liver and kidney function, electrolytes, coagulation function, pancreatitis, myocardial enzyme spectrum...
Do it all.
..
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