I Can See Health

"Director Lu, could the patient be...rabies?"

One of the graduate students suddenly spoke up.

"I heard that a patient had an attack. It was not convulsions or disturbance of consciousness, but sudden loss of mood, irritability and hyperactivity, talking nonsense, and yelling, as if he was crazy. It really looked like he was bitten by a dog."

Lu Chen knew this student. He was a graduate student in the group, but his major was respiratory medicine, and now he was rotating in cardiology.

Rabies does have similar mental symptoms.

If it is really rabies, the danger is great!

However, the patient did not have a series of symptoms such as opisthotonia and photophobia.

Most importantly, the patient had no recent history of dog bites.

Gu Xinyue directly denied this diagnosis and said: "The family members have been accompanying the patient all this time and have never been bitten by a dog. There is no dog at home, and no one in the nearby neighbors has a dog. It is impossible to be bitten by a dog."

It doesn't look like rabies.

Lu Chen frowned deeply. He picked up the patient's medical records and began to read through them, constantly looking for breakthrough points.

"Do you think it could be a ghost?"

Suddenly, a male intern in the group whispered something.

"Junior brother, don't talk nonsense." The graduate student in the group smiled, "We in medicine don't believe this kind of talk about ghosts and gods!"

However, the little intern whispered again: "I remember that when I was a child, a neighbor in our village had the same attack. Later, he was cured by a monk in Miaoli, saying that he was possessed by something evil."

When Gu Xinyue heard this, she helplessly smiled at Lu Chen and said, "Don't tell me. I heard from the patient's family that they really thought about it and invited a well-known immortal to come over."

Lu Chen was also quite curious and quickly asked: "What did the Immortal say?"

Gu Xinyue continued: "The patient's family said that after the great immortal came, he said that the patient was haunted by ghosts and needed to cast a spell. The spell had to be cast three times in a row for twenty-one days, once a week, to have an effect. We have also seen the subsequent effects. "

"The day after the spell was administered, the patient started having convulsions again."

When everyone heard this, they all smiled.

The theory of ghosts and gods is fictitious.

Lu Chen also smiled and continued to look down at the medical records.

But at this moment, a nurse hurriedly entered the office.

"Director Lu, the patient your team just admitted started convulsing again!"

Hearing this, Lu Chen's heart tightened, and he immediately stood up and ran quickly towards the ward.

Gu Xinyue and other doctors and students in the group immediately followed Lu Chen.

…

Quickly coming to the bedside, the patient's convulsions continued.

White foam was spitting out from the corners of his mouth, and his limbs were waving and twitching involuntarily.

The nurse has already brought the ambulance and started to monitor the patient's heart rate.

"Push a Valium immediately!"

Lu Chen said in a deep voice.

Diazepam, called diazepam injection, is a sedative and anti-epileptic drug that can quickly terminate convulsions.

But after waiting for a few minutes, the twitching continued without any sign of stopping.

In Lu Chen's eyes, the patient's life expectancy has dropped from before, to only 52 (---).

The changing trend of health value is already three minus signs!

Except for Lu Chen, everyone else in the group also looked worried at this time.

The patient is right in front of him, but he has no clue!

In addition, the patient's convulsions this time are also different from previous attacks!

This time, the patient suffered from convulsions and was accompanied by incontinence of urine and feces.

"Wait a minute!" An idea suddenly flashed in Lu Chen's mind, and he quickly said to the nurse on the side: "Test the patient's blood sugar with a finger!"

How could he miss such an important diagnosis!

"Got it!" The nurse nodded immediately and began to measure the patient's blood sugar.

Gu Xinyue also glanced at Lu Chen in surprise, checking blood sugar?

What is this for?

A minute later, the nurse took the blood glucose monitor and raised her head in surprise and said: "Director Lu, the patient has hypoglycemia! The blood sugar is only 1.9mmol/l."

Everyone was shocked when they heard this!

Unexpectedly, this fingertip blood sugar revealed such a big problem, hypoglycemia!

A normal person's fasting blood sugar is 3, while random blood sugar (which means measuring as soon as you arrive, anytime, regardless of whether you are fasting) will not be lower than fasting blood sugar, but it will not be too high.

It is usually around 4-9mmol/l. Now it is measured at 1.9mmol/l, which means there must be something wrong.

Lu Chen quickly said to Gu Xinyue on the side: "Such a low blood sugar can completely cause convulsions."

Gu Xinyue nodded in agreement and said doubtfully: "I didn't see the patient as having diabetes before, so I haven't noticed this yet."

No matter what, let's top up our blood sugar first.

Lu Chen immediately asked the nurse to administer 40ml of high-concentration glucose intravenously.

Immediately after the glucose injection, the patient was awake and no longer twitching.

Everyone present, including the patient’s family, did not expect such an ending.

One injection of glucose actually controlled the patient's convulsions.

Moreover, the patient was awake. Although he was a little tired after waking up, he was in good spirits and answered questions freely.

"Is it so magical?" the patient's wife murmured, "My parents always thought he was possessed by a ghost!"

Lu Chen immediately said: "This is definitely not epilepsy, nor is it a convulsion caused by arrhythmia, but it may be an endocrine problem, a convulsion caused by hypoglycemia!"

Even the yelling and yelling at home that my family members mentioned before may be caused by hypoglycemia!

On the side, Gu Xinyue raised a question, "Director Lu, I have a doubt. If it is really caused by hypoglycemia, then the patient will not get better until he is given glucose or eats!"

In fact, every attack that the patient has experienced for so long has been relieved on its own.

It's just that the time may be long or short.

Lu Chen nodded and said with a smile: "Yes, this is one of the key points. The patient is not simply hypoglycemic!"

Gu Xinyue reacted immediately, "Endocrine disease...insulinoma?"

Lu Chen smiled and nodded in agreement.

At this time, a prompt pops up on the system panel.

"Congratulations, the system upgrade completion rate has increased!"

On the side, the patient's family members were still a little confused. When they heard Lu Chen and Gu Xinyue mention the word "tumor", UU Reading www. uukanshu.net immediately became nervous, stood up and asked: "Doctor, is this cancer?"

Gu Xinyue shook his head and explained: "There is a piece of tissue in the human pancreas called islet. The islet can secrete a hormone called insulin."

"Insulin is the only hormone in the human body that can lower blood sugar. If tumors grow in this tissue, causing increased secretion of insulin, the patient will definitely experience frequent hypoglycemia."

"Most people with hypoglycemia have symptoms such as palpitation and trembling hands. A very small number of people may directly manifest themselves as convulsions and confusion, just like this patient."

The family members nodded in agreement, not sure whether she understood.

The analysis makes sense, and the next step is to look at the inspection results.

Gu Xinyue immediately issued medical orders.

First, blood was drawn to check the blood insulin level, and then the patient was sent for abdominal enhanced CT. Furthermore, a series of examinations such as glucose tolerance test (ogtt) and insulin release test were performed.

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