I Can See Health

"You...you...this..."

For a moment, Wang Xueyang was a little incoherent.

This was the first time she had seen a patient with this appearance.

"Doctor, my mother has always been like this. Just give her pain relief now!" The young man said immediately, "You don't need to worry about anything else!"

Wang Xueyang's brows knitted together deeply.

She picked up the stethoscope, auscultated the patient, and then began a physical examination of the abdomen.

"Family members, please help lift the patient's clothes and expose his belly." Wang Xueyang ordered.

"Hey, just use a painkiller! Why go to all this trouble..." The young man muttered, but still followed Wang Xueyang's instructions and lifted up the woman's clothes.

The moment when the clothes are lifted up, exposing the skin of the abdomen.

Wang Xueyang was stunned again.

The skin on the woman's abdomen is all darkly pigmented and purple, and all of it is covered in scars.

"You...what's wrong with your skin?"

However, the woman seemed not to have heard this.

She yelled again: "My stomach hurts, please give me painkillers! I want painkillers!"

As she screamed, Wang Xueyang stopped asking about the skin problem and began to auscultate her bowel sounds again.

"The bowel sounds are very active, it may be ordinary intestinal spasm." Wang Xueyang said, "I will give you an intramuscular injection of a medicine to see if it can relieve it."

Lu Chen on the side was about to speak.

But her son suddenly said: "Actually, we came to Jinghua Second Hospital in the morning to see the dermatology department. She had a stomachache just after seeing her. The pain was worse an hour ago, so we came to you."

"Come to see the dermatologist?" Wang Xueyang frowned.

"Yes." The young man said.

"Is it because of the skin on the stomach?" Wang Xueyang stood up and began to check the body again.

She found that in addition to the obvious pigment deposition on the patient's belly and thighs, the patient's skin was densely covered with small rashes.

Wang Xueyang continued to ask: "What does the dermatology department say?"

"The dermatology department said it was an allergy and it was not serious, so they sent us back."

"When did your stomach start hurting?"

“I feel pain after leaving the dermatology department.”

Wang Xueyang noticed that her son spoke with obvious impatience!

In fact, Lu Chen wanted to remind Wang Xueyang that he had seen this patient before, and he also wanted to express his diagnosis ideas.

However, Wang Xueyang has been conducting consultations and physical examinations.

It was very disrespectful for Lu Chen to interrupt her like this.

He planned to wait until Wang Xueyang finished the consultation before speaking out his thoughts.

"Then I'll give you a dose of hormone to see if the rash goes away and the stomach pain can be relieved!" Wang Xueyang frowned.

She secretly thought to herself, could this kind of skin be due to allergic purpura?

But at this time, the woman directly replied, "I don't take hormones! I don't take hormones!"

After saying it twice in a row, she became quite excited.

Immediately afterwards, his son suddenly said: "Actually, my mother also had a stomachache yesterday and went to... the hospital."

Wang Xueyang frowned. The patients and family members in front of him kept talking and talking inconsistently.

"What about your test results at the hospital yesterday?"

"I didn't bring it with me, but the results of abdominal CT, liver and kidney function tests, blood routine, etc. are all normal. You can give her a 6542 injection. She will feel better after yesterday's injection."

You actually know so much about the condition and medication?

Wang Xueyang nodded, "Okay."

She gave the woman a prescription and they went out.

…

After the two of them went out, Lu Chen was about to inform Wang Xueyang about his condition, but at this time, three more patients came to the emergency room in succession.

He suddenly became busy, and Lu Chen didn't find time to communicate with Wang Xueyang.

About ten minutes later.

After seeing these three emergency patients, the woman and her son walked into the clinic again.

The woman covered her stomach with her hands and lay directly on the examination bed, shouting: "My stomach hurts, please help me!"

Wang Xueyang immediately stood up and asked, "Are you okay at all?"

"It's not good at all. It hurts even more. Open my stomach quickly. There is something in my stomach. It's very cold. Open my stomach quickly."

Her son also came in with her.

Wang Xueyang said in a deep voice: "No matter what the disease is, you must do another CT scan and blood test. I will only give you painkillers if you are sure everything is fine."

Whether the patient suffers from Henoch-Schonlein purpura or other acute abdominal diseases, abusing painkillers is likely to mask the condition and cause more serious consequences!

What's more, Wang Xueyang didn't see the patient's test results yesterday. What if the family members lied again?

The patient's son frowned: "I just finished it, are you still going to do it?"

"There is nothing I can do, she does hurt." Wang Xueyang explained patiently, "If it is really a disease of the abdominal organs, it would be even more dangerous to abuse painkillers!"

The patient's son became even more impatient after hearing this.

"Yesterday's doctor and previous doctors said she was indeed in pain. Why can't you use painkillers?"

"The CT and blood tests have been started. You can take them first." Wang Xueyang's attitude was very firm.

When the woman and her family members saw this, they turned around and left.

…

Seeing the two people leaving, Lu Chen finally had the chance to speak.

"Teacher, I have seen this patient before!"

Wang Xueyang looked at Lu Chen in surprise, "Where have you seen this?"

"In a temple in Beijing, this woman suddenly fainted."

"Oh." Wang Xueyang nodded, "Is there anything else unusual?"

If you just saw her, it would not be of much help to the patient's diagnosis and treatment.

Lu Chen said in a deep voice: "Actually, I discovered the patient's abnormal physical signs at that time, including pathological paleness, skin scars, etc."

"Well, what next?" Wang Xueyang continued, she felt that Lu Chen had more to say.

"I feel that the patient's appearance is very similar to a foreign image, that is... a vampire!"

As soon as Lu Chen finished speaking, Wang Xueyang was suddenly startled.

"vampire?"

It seems to be true!

Wang Xueyang frowned and recalled all the physical signs of the woman.

Lu Chen said slowly: "Later, when I returned to the dormitory, I checked the relevant information and found out that it was this rare disease - porphyria!"

"Porphyria?" Wang Xueyang said in shock.

"Well, it's caused by a lack of enzyme activity in the heme biosynthetic pathway."

Then, Lu Chen briefly talked about some characteristics of porphyria. UU reading www.uukanshu.net

"The main symptoms of porphyria are acute painful photosensitive skin lesions and acute abdominal pain!"

All these symptoms correspond to women’s physical signs!

The doubts in Wang Xueyang's eyes were slowly replaced by Qingming.

She originally thought that the patient had allergic purpura.

But judging from what Lu Chen said, the probability of porphyria is not small!

However, any clinical diagnosis cannot rely solely on clinical symptoms, but also requires laboratory or imaging examinations.

Moreover, the diagnosis of porphyria cannot be done at Jinghua Second Hospital.

Wang Xueyang said in a deep voice: "Whether it is allergic purpura, porphyria, or other acute abdomen, this patient is very troublesome. After the abdominal CT scan, we will try our best to transfer her to a higher-level hospital."

The only higher-level hospital of Jinghua Second Hospital is Kyoto.