This Doctor is Great

Zhou Mo began to ask in detail: "What's wrong with you now..."

The husband hurriedly said: "My wife hasn't had much appetite recently, and she can't even eat greasy food. I always make her some porridge, green vegetables, and oil-free chicken soup... and I don't have much energy, and I feel that my energy is average. , and lethargy..."

Zhou Mo looked at the patient: "Is that so?"

What Zhou Mo wanted to know more was the patient's own report.

The patient, Chen Jinhong, was not very energetic, but nodded slightly to Zhou Mo, and then continued to lie there.

Zhou Mo: "Have you taken any medicine orally for a long time?"

Husband: "No, my wife was always in good health..."

Zhou Mo: "Did you take medicine for pregnancy preparation?"

The husband also shook his head: "No, we are not very old, so we are not in a hurry, and we did not take medicine for pregnancy."

Zhou Mo: "You mean, you haven't had a baby before, right?"

Amenorrhea after childbirth also exists, the specific reason is the change of pituitary gland.

The pituitary gland is very important in the human body. It is the most complex endocrine gland in the body. The hormones produced are not only related to the growth of the body's bones and soft tissues, but also affect the activities of the endocrine glands.

For example, the most famous adrenal glands are also affected by it. Sometimes there is a problem with the adrenal gland, which is likely to be caused by a problem with the pituitary gland.

The husband nodded: "Yes, we have no children yet."

Zhou Mo looked at the patient's MRi, and there was indeed no change in the pituitary gland.

The pituitary gland can be ruled out.

Zhou Mo: "That folk prescription, how much did you take? How long?"

The husband didn't think about it: "It hasn't been long since I ate it, about three and a half days. I think it's too bad to drink, and I can't stand it. My wife stopped."

Zhou Mo: "That's okay... When did liver cirrhosis appear? I read your wife's examination report, and there was only one liver function examination in our hospital. The province's women and children did not have liver function test, so I didn't take it. Is it? Still haven't checked?"

If the cirrhosis of the liver is not caused by folk prescriptions, then we need to continue to trace the source to find out what caused the cirrhosis of the liver.

The problem is that Zhou Mo didn't see the liver function test of the provincial women and children 2 months ago, and it didn't show in the discharge report, so he didn't know if liver cirrhosis was confirmed 2 months ago.

Husband: "I don't know, it seems that I didn't check..."

Zhou Mo had a headache.

What causes liver cirrhosis?

According to monism, could cirrhosis and amenorrhea have the same source?

"Forget it, let's stroke again..."

Get rid of liver cirrhosis first.

First, most causes of cirrhosis are as follows:

Viral hepatitis: For example, hepatitis B and C viruses make the liver resist (inflammation), and repeated long-term resistance makes the liver gradually fibrosis.

·Alcoholic hepatitis. (Ethanol in alcohol has a direct impact on the liver, especially after drinking a lot of alcohol, the liver metabolizes alcohol and increases the burden on the liver.)

• Cholestatic hepatitis. (There are many bile ducts in the liver, and when the bile ducts fail, cholestasis can lead to cirrhosis.)

· Autoimmune liver disease...

Basically all of the above.

There is also Budd-Chiari syndrome.

"Do you usually drink?"

"If you don't drink, you will be allergic to alcohol, so you basically don't drink."

"Did you have hepatitis B and C before? Even when you were a child? Or did anyone in the family have liver cirrhosis?"

Liver cirrhosis is not hereditary, but hepatitis B is contagious, and if the elders have it, it may be transmitted to the children.

The patient Chen Jinhong thought for a while, then shook her head weakly.

Zhou Mo was disappointed.

After a trip, I found nothing.

After a physical examination, there was no sign of liver enlargement, nor liver ascites.

This can rule out Budd-Chiari syndrome (hepatic venous blood cannot enter the heart, stasis of the liver leads to cirrhosis), because the typical features of Budd-Chiari syndrome are: liver ascites and hepatomegaly.

"Go to hospital first, let's do some tests..."

In one aspect, the cause of cirrhosis is determined.

On the other hand, what is the current stage of liver cirrhosis? (If it is a compensatory period, there is also a chance to reverse it.)

...

...

When Zhou Mo returned to the duty room, it was already past 1 o'clock.

Write in the hospital, medical records, doctor's orders, and then report to the teacher Zhang Luojia, etc...

At this time, Huang Yiming walked in from the outside.

His face was downcast.

"What's wrong?" Zhou Mo asked curiously.

Huang Yiming said with a depressed face: "A patient in my bed, a 78-year-old woman, had a colon cancer resection last month, but the prognosis was very poor, and the adhesion was a bit serious, so she came to the Department of Gastroenterology and was hospitalized. "

Zhou Mo: "And then?"

Huang Yiming sighed: "Grandma feels that these days are painful every day, it is too difficult, and there are 2 sons and 2 daughters. Now we are discussing and taking them home... The problem is that grandma's health is not very good. I did it last time. After the operation, for some unknown reason, it was either anesthesia or other medicines, which made her very weak and her vital signs were not stable. She was relatively stable in the hospital. If she was taken home, she might not be able to resist for a long time..."

Zhou Mo patted his shoulder: "Every family has scriptures that are difficult to recite. We are outsiders, so we are not qualified to say..."

Huang Yiming: "I understand, but I just feel a little uncomfortable..."

Zhou Mo shook his head and laughed.

There are so many joys and sorrows in the hospital, and if you see too much, you will become numb.

"How about I tell you a joke..."

"A little boy had a fever and came to the Children's Hospital for an IV drip. The nurse said to the little boy, "Don't be afraid, little friend. Auntie will give you some sugar water, and your illness will be cured immediately!" The little boy looked at a little girl next to him who was drinking dark brown potion and said, "Auntie, I want to drink Coca-Cola, not sugar water!" ""

puff~~~

Finally, the corners of Huang Yiming's mouth curled up.

...

Afternoon, 15:30,

The blood test results and other test results of each patient have all been returned.

Zhou Mo sat by the computer and looked up.

Soon came to Chen Jinhong, a patient in bed 78.

——Hepatitis C and B: Negative.

——Total bilirubin, direct bilirubin, bile acid and other data: normal, cirrhosis caused by cholestasis is ruled out!

——Immune antibody test result: negative. Liver cirrhosis caused by immune disorders was ruled out.

Zhou Mo: "..."

There is no problem at all!

In other words, the cause of liver cirrhosis has not been found yet.

The only good news is that according to various blood test indicators, the current stage of liver cirrhosis is still in the compensatory stage (liver function can barely maintain the normal operation of the body). If you are lucky, the patient's liver cirrhosis can be reversed.

Keep all the test results in mind.

Zhou Mo began to go to the ward rounds one by one.

At 16:28, Zhou Mo came to bed 77, and Chen Jinhong, a patient in bed 78, just walked in from the outside supported by her husband.

"Hi Doctor Zhou..."

"You...huh??"

Zhou Mo was stunned for a moment, and sniffed.

A strange smell... fishy? into the nostrils.

The smell came from the female patient Chen Jinhong who was about to pass by him.

"Wait...strange smell...fishy smell..."

Zhou Mo suddenly had a flash of inspiration.

Quickly asked the patient Chen Jinhong: "Did you eat fish today?"

Chen Jinhong was stunned for a moment: "No...I don't have a good appetite now, and I dare not touch fish at all."

Zhou Mo: "But you seem to have a fishy smell."

Chen Jinhong shook her head again and again: "How is it possible? I don't take medicine, and my husband doesn't take fish either."

As he spoke, he smelled it on himself.

"No……"

"No, wife, you really smell fishy..." At this time, the husband said from the side, "I smelled it this morning, and I wondered, why do you smell fishy?"

.