Rebirth of Medicine Practices the World
Chapter 466 Atypical Tetanus
"Hey, more than three months ago, when you were working in the fields, didn't you tell me when you came back that the sole of your foot seemed to be pricked by something." The patient's husband suddenly remembered this matter.
"Yes, it happened for a long time and I had forgotten about it. Well, the wound was still red and swollen for a few days. I wiped it with iodine and it healed quickly."
"Okay, very good. Come, let me check it for you. Don't worry, I'll try to be gentle."
After Lin Lin said that, she started to examine the patient. Qi Xuemei found that Lin Lin's examination was very targeted, mainly touching and kneading the muscles of various parts.
Of course, the activities of joints related to the control of these muscles are also within the scope of Lin Lin's inspection.
"Professor Qi, when you look at the patient lying on the bed, does it look like opisthotonia?" In the outpatient clinic, in front of the patient and the patient's family, Lin Lin had to save Qi Xuemei's face.
"Well, Director Lin, you reminded me that this is really the case." Qi Xuemei looked at the patient lying on the bed, thoughtfully.
"I just checked the patient. She not only has increased muscle tension in her limbs, but also has an even more obvious increase in muscle tension in the trunk. For example, the muscle tension in the neck has increased, the masseter muscle tension has increased, the muscle tension in the waist and back has increased, and the abdominal muscle tension has increased.
The increase in muscle tone is very obvious.”
"If you take into account the patient's injuries and the increased muscle tension in the central axis, the patient's disease is most likely tetanus." Lin Lin directly stated the diagnosis.
"It does look like tetanus, but does tetanus have such a long incubation period?" It seems that Qi Xuemei also has a certain understanding of tetanus.
"Generally speaking, the incubation period of tetanus is usually about 10 days, but there are also reports of very long periods, ranging from months to years."
"The shorter the incubation period and the more severe the condition, it means that the number of infected Clostridium tetanus is large and the tetanus toxin produced has a serious impact on the body."
"On the contrary, the longer the incubation period, the milder the symptoms. When a tetanus patient develops symptoms, it means that the toxin of Clostridium tetani has invaded the corresponding tissue. At this time, the tetanus vaccine is meaningless."
"At this time, we should focus on comprehensive treatment of patients on the basis of using antibiotics, such as relieving or slowing down spasms and ensuring adequate fluid supply and energy (nutrition) supply."
"Of course, this disease is usually treated by general surgery. Strictly speaking, it is caused by Clostridium tetani infection after trauma."
"You write down the medical records clearly and then invite them to the surgery."
"Okay, thank you very much for Director Lin's guidance." Lin Lin's explanation was reasonable and Qi Xuemei was convinced.
After dealing with this patient, Qi Xuemei had no more patients to look at. She sat quietly in the consulting room, thinking about Lin Lin's entire process from asking about the medical history to physical examination and making the diagnosis, and she couldn't help but feel filled with emotion.
Yes, there is a huge difference between clinical and laboratory research. From her master's degree to her Ph.D., she spent most of her time in the laboratory.
She, including her mentor, and her classmates' mentors, were all making bold assumptions, and then, based on these bold assumptions, they did various experiments and research that they didn't know were meaningful.
Looking back now, most of these bold hypotheses back then were useless. No one paid attention to their bold hypotheses and conducted meaningless laboratory research on these hypotheses.
This process not only wastes valuable time, but also wastes a lot of money, and also loses the clinical practice that a doctor should experience in the future.
Today, Director Lin once again showed his skills and made Qi Xuemei fully aware of the problem and also made it clear who she should learn from in the future.
At noon, Yang Yan estimated that it was time for Lin Lin to go to the clinic, so she called Lin Lin.
"Yanyan, how are you?" Lin Lin asked eagerly after receiving Yang Yan's call.
"I'm really pregnant. I took a blood test and all the indicators are very good. However, I can't see clearly on the B-ultrasound."
"Oh, great. You have to be careful. Otherwise, bring something from home in the morning and don't eat in the canteen at noon to ensure a nutritious and healthy diet."
"Haha, no need. I will think of a solution then, so I can't trouble my mother."
"Well, let's talk about it tonight. Let's go and take a rest." Although the lunch break was very short, Lin Lin also hoped that Yang Yan could take a rest.
In the evening, the family usually sits around the coffee table, drinking tea and chatting.
"Mom, I took a test today and I am indeed pregnant." Yang Yan said to Lu Run.
"Really? Great! Hey, can you see clearly?"
"No, it's still early."
"Since I'm so busy at work, I'll make something good in the morning and take it to the hospital for lunch when you go to work. At this time, diet is very important."
"Yes, I agree very much. Don't be careless at this time. If you are good at nature, it will be better the day after tomorrow." Although Yang Yu is not a medical student, he is not bad at these common senses.
"This is too troublesome for my mother, and it will also increase her workload a lot."
"Hey, silly kid, I'm sitting at home, so what's the point of increasing my workload? I'll prepare the ingredients in the evening and cook them in the morning, and you can just take them to work. It's not troublesome and there's no big workload.
." It seems that Lu Run is ready.
"Yanyan, listen to your parents, your body and your child's body are both important." Lin Lin spoke.
"Okay, I'll listen to Mom and Dad, thank you Mom and Dad!"
"Look, here we are again. A family. Don't be so polite. If you are too polite, you will be offended." Lu Run's words came from the heart.
Yes, she and Yang Yu had already treated Lin Lin as their own sons and integrated them into Lin Lin's work and life.
Just as she was talking, Lin Lin's cell phone rang.
"Hello, Dean Lin! My name is Ye Xiu."
"Oh, hello, Director Ye! How is the hospital doing?"
"Everything is ready. We are scheduled to start trial operation at the end of this month. If the operation is successful, we will choose a date to officially open after the first lunar month."
"Well, there are advantages and disadvantages to doing this. The advantages outweigh the disadvantages. The key is how you grasp it."
"Oh, Dean Lin can tell the pros and cons when he hears it? I haven't listened to Dean Lin's teachings for a long time. Please tell me, Dean Lin. Tomorrow, I will convey it to Director Ding and Mr. Li.
listen."
"Haha, there's no need to make it so complicated. I'll just tell you my opinion. It may not be right."
"From now until the fifteenth day of the first lunar month, rural areas and towns enter the 'festival mode'. During this period, people are mostly busy with various businesses, doing hygiene or purchasing new year's goods."
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