Rebirth of Medicine Practices the World

"Well...it's been at least ten years."

"How's the control?"

"Well, he took medicine very irregularly. When his blood pressure became normal, he stopped. When the blood pressure went up, he took it for a few more days. However, recently, he heard that one of his good friends passed away because of high blood pressure. This one

He has been taking medicine for the past few months."

"Is it still the same medicine?"

"Yes, it's still the original medicine. He believes that this medicine is effective in lowering blood pressure and he has never changed the medicine."

"Have you noticed any changes in your father recently? Including mental state, activities, diet, etc."

"Well... Dean Lin, you asked me that, and I thought of some questions." Mr. Wu seemed to be reminded by Lin Lin's question.

"I found that in the past two weeks, my mood has been relatively low, and I have no interest in anything. He used to have a wide range of interests, such as calligraphy, playing the erhu, and drinking tea. He would come here almost every day.

I really haven’t seen him do this recently.”

"Other aspects... Oh, by the way, he is usually used to getting up in the morning and going for a walk in the community downstairs. Recently, he has hardly gone out. Of course, he has eaten less recently."

"Hey, when Dean Lin asked this, I do feel that the fact that he eats less does not seem to be a problem of poor appetite. It seems that he is not interested in eating some of the things he usually likes to eat."

"Sometimes, I want to take him out for morning tea or dinner, but he doesn't want to go. In the past, he liked to go there very much." Wu Cheng said a lot at once. After listening to it, Zhang Yin seemed to have some insights.

"Uncle Wu, where do you feel uncomfortable recently?" Lin Lin asked the patient instead.

"Hmm... I feel rather tired and sleepy. I don't want to move, and I have no interest in anything. Especially when I go for a walk, it feels a lot worse than before. If I walk a little further, I feel that I am not energetic enough."

"Do you eat very little at home?"

"It's probably less than before, I can't say for sure. Anyway, when I have nothing to do, I just want to lie in bed. I feel worse every day."

"Your usual hobbies are quite good, such as calligraphy, playing erhu, and drinking tea. They are all good habits and hobbies. Why have you stopped recently?"

"Hey, I'm just lazy, don't want to move, and have no interest." During this answer, the patient appeared to be uninterested and listless.

"Uncle Wu, let me check it for you."

"Okay, thank you!" This was the first time Uncle Wu took the initiative to express his gratitude.

Zhang Yin handed the multifunctional percussion hammer to Lin Lin. Lin Lin put it into the pocket of her white coat. Then she stretched out her hand and said, "Give me the stethoscope."

Upon hearing this, Zhang Yin quickly handed her stethoscope to Lin Lin.

Lin Lin's hands were light and powerful, and the "drumming sound" of the chest and the "solid sound" of the heart could be clearly distinguished by people beside her, including Wu Cheng and Wan Yaowen.

Obviously, the patient's heart has expanded to the lower left!

After percussion, Lin Lin performed careful cardiopulmonary auscultation on the patient.

Lin Lin found that there was a mild murmur in the patient's aortic valve area, and the heart rate was relatively slow and irregular. Lin Lin raised her wrist, looked at her watch, listened, looked at the time, and counted in her mind.

Han Bin and Zhang Yin were both surprised, what kind of play was this Dean Lin singing in? Why was he so familiar with the internal medicine system examination and why he paid so much attention to it.

A minute later, Lin Lin stopped auscultating the heart and lungs and turned to examine the abdomen. She also looked, touched, tapped, and listened without missing a step, and she was very patient and serious.

Doctors including Han Bin have almost forgotten these examination techniques, at least they are no longer as proficient as Lin Lin.

After completing the examination of the internal medicine system, Lin Lin began to examine the nervous system. From the examination of advanced neural activities, cranial nerves to other aspects, Lin Lin was methodical, with smooth and light techniques, which made people feel pleasing to the eye.

Not only Han Bin, but all the doctors here had to admire Lin Lin's solid skills, which they could not match. The doctors who originally looked down upon Lin Lin began to change their attitudes.

After the physical examination, Lin Lin said to Wu Cheng: "Mr. Wu, Director Han and I will discuss this."

"Okay, thank you very much, Dean Lin." I was originally worried about whether the young Lin Lin could treat his father well. From the whole process, the smart Wu Cheng had already felt that Lin Lin was different.

Back in the office, everyone was still sitting in their original positions.

"Dean Lin, please tell me." Han Bin said to Lin Lin.

In fact, this is also a "business rule". The invited doctor makes a separate speech and accepts questions from the doctors in the invited department.

"Okay, thank you, Director Han, thank you all. If there is anything wrong with what I am going to say next, please criticize and correct me in time." Lin Lin was not polite and began his analysis.

"This patient has the following characteristics."

"First, the onset of the disease was subacute. The cause of the onset was hearing that one of his friends died of high blood pressure. Patients who originally had high blood pressure changed from taking medication irregularly to taking medication regularly.

Already."

"Second, the patient has been taking anti-hypertensive No. 0 since he was found to have high blood pressure, and he has not changed his medication during this period. The difference is that he used to take medication intermittently. Once his blood pressure is normal, he will stop taking the medication immediately. If the blood pressure

Get high and take your medicine again."

"This time, he took Anti-hypertensive Zero without interruption."

"Third, the patient's symptoms are mainly characterized by low mood, loss of interest, mental sleepiness, and aggravation of sleepiness after activity. During the entire process, the patient did not experience symptoms such as weakness of the limbs, dizziness, or headaches."

"The patient's decrease in food intake is closely related to these symptoms."

"In terms of physical examination, the patient did have mild anemia. Internal medicine system examination showed that the patient's heart was enlarged to the lower left, and a soft, blowing murmur could be heard in the tricuspid valve auscultation area. In addition, the patient's heart rate was relatively

Slow, 51 beats per minute, irregular heartbeat, 3 premature beats can be heard in one minute."

"The patient's abdomen is flat and soft, and there is no abnormal murmur in the abdominal aorta area." At this point, the doctors present suddenly realized: It turns out that Dean Lin has noticed the abdominal aorta!

"The neurological examination revealed no positive signs."

"In terms of laboratory examinations, Dr. Zhang has just introduced them in more detail. I will not repeat the same ones. However, there are several indicators that need our attention."

"Among them, the patient's urea nitrogen and creatinine increased simultaneously, and the glomerular filtration rate decreased, reaching 53%. In addition, the patient's serum sodium, serum potassium, and serum albumin were all slightly reduced or within the normal range.

low value.”