This Doctor is Great

Zhou Mo nodded, and said to the girl Li Bingmei: "You lie on the bed, and I will give you a physical examination..."

The girl Li Bingmei looked at Next Zhou Mo with a blushing face.

The father looked at Zhou Mo, hesitated to speak, and finally said: "Doctor, you are a man..."

Daughter: "囧~~~"

Zhou Mo sweated for a moment, then looked at his teacher Zhang Luojia.

If there were no teacher Zhang Luojia and colleague Li Dongmei, Zhou Mo would naturally say that I am a doctor and don't mind. But with two female doctors by his side, he didn't have to force it.

Teacher Zhang Luojia: "Dongmei, please give her a physical examination."

"is teacher!"

Li Dongmei took a deep breath to suppress the excitement and anxiety in her heart.

Next, Li Dongmei gave the girl a physical examination, which was relatively standard, after all, it was a basic skill in the ward.

Abdominal distension: Patient Li Bingmei's stomach is bulging, full of gas, not like liquid.

This ruled out peritonitis, which is a discoid, firm abdomen.

There is tenderness.

Listen for bowel sounds with a stethoscope.

Bowel sounds!

(For book friends who have an object, you can listen to the bowel sounds of the object, which is very interesting. Gurg grunt...)

Li Dongmei told Zhang Luojia and Zhou Mo about her discovery.

"etc……"

Li Dongmei grabbed the girl Li Bingmei's arm and observed it.

"Teacher, her hands are a bit cold, and her skin is dry... Generally, girls' arms should be plump and shiny, but she feels that she lacks water."

Zhang Luojia nodded.

"Lack of water?" Zhou Mo walked over and boiled the girl Li Bingmei's hand. It was really cold, and there was a phenomenon of lack of water and dryness.

Is it too much vomiting?

Zhou Mo asked: "Do you drink water? Is it too much?"

The girl Li Bingmei nodded: "I always feel that my throat is dry, so I drink water, but drinking water is also painful, and I always want to vomit..."

Zhou Mo was surprised: "Dry throat? Will it last all day?"

Li Bingmei nodded: "Yes, my throat is dry all day long, and I can't drink water to moisten my throat..."

At this time, Zhou Mo got closer to the patient because he was observing the patient Li Bingmei's hands.

Then suddenly, the patient Li Bingmei felt that her breathing was not right.

deep, long, slow...

Just like the long breathing of martial arts masters in martial arts novels.

By the way, there is still a slight snoring sound.

Zhou Mo: "????"

A flash of light came to my mind!

Kusmo breathing?

Kusmo breathing, the deep, labored breathing pattern associated with severe metabolic acidosis. In metabolic acidosis, breathing is rapid and shallow at first, but gradually becomes deep, slow, labored, and wheezing as the acidosis worsens.

Acidosis?

(Acidosis: refers to the accumulation of acidic substances in the blood and tissues in the body. The essence is that the concentration of hydrogen ions in the blood increases and the pH value decreases.)

Zhou Mo was startled suddenly.

Quickly asked: "Are you sure you don't have diabetes?"

The mother behind: "No, my daughter is so young, how could she have diabetes?!"

Zhou Mo shook his head: "No...do you pee a lot?"

Li Bingmei thought for a while: "I don't urinate much..."

Zhou Mo felt that his question was not accurate, so he asked again:

"Did you urinate a lot before?"

"Indeed, a lot of urine."

Zhou Mo observed Li Bingmei carefully,

Thin body.

"What about eating? Do you eat a lot?"

"A lot, I always feel hungry!"

Zhou Mo became more certain when he heard this.

Suspected Kusmo breathing, eating too much, urinating too much, thirsty, urinating less...

These are all linked to two diseases.

Diabetes → Ketoacidosis!

Polydipsia and polyuria are most common in diabetic patients,

First, let me explain what diabetes is.

Diabetes is caused by a defect in the secretion of insulin in the human body or its biological function is impaired, resulting in the inability to metabolize blood sugar normally, resulting in elevated blood sugar.

Typical symptoms of "three excesses and one deficiency" appear in severe hyperglycemia, such as polydipsia, polyuria, polyphagia, and weight loss.

These symptoms corresponded to those of the patient Li Bingmei.

As for urinating less now,

Explain that it is already ketoacidosis!

Ketoacidosis.

This is one of the acute complications of diabetes, a very serious one. If it is a severe symptom, once the treatment is delayed, it can lead to severe acidosis, shock, multiple organ failure, and life-threatening.

The patient in front of me, Li Dongmei, has changed from polyuria to oliguria now.

It is possible to have reached the stage of severe ketoacidosis.

At this time, Zhou Mo couldn't help speeding up!

"Teacher, I suspect that she is diabetic, and has already caused ketoacidosis, and it is a serious one!"

Zhou Mo quickly reported.

Ketoacidosis?

Teacher Zhang Luojia's expression changed!

"Teacher, is there a blood glucose meter here?"

"have!"

Soon, Teacher Zhang Luojia couriered Su out of the drawer and took out a blood glucose meter.

Zhou Mo was still in the drawer and saw an instrument for measuring jaundice.

The blood glucose meter, pricking your finger, is to take the peripheral blood sugar, which is the fastest way to measure blood sugar.

Zhou Mo took the blood glucose meter and said to the patient Li Bingmei:

"Stretch out your finger..."

Li Bingmei subconsciously hid her fingers back.

Zhou Mo comforted with a smile: "Pricking your finger won't hurt, trust me..."

Then……

"Ah~~~"

The patient Li Bingmei looked at Zhou Mo with an aggrieved face, as if to say, you liar!

The blood was taken successfully!

soon,

Sudden!

The blood glucose meter sounded a beep beep alarm!

Abnormal blood sugar!

Doctor Zhou Mo's expression changed!

Take a look at the blood glucose meter,

The result shows: "HI!"

hi, means high!

In other words, the blood sugar is too high and has exceeded the highest measurement range of the blood glucose meter!

Can't detect it at all!

Moreover, there is another thing to consider: the patient Li Bingmei didn't eat at all, and vomited after eating, which is equivalent to an empty stomach state!

The fasting state is so high? !

this moment,

Zhou Mo's expression changed!

Zhang Luojia and Li Dongmei's expressions changed!

Obviously, definitely diabetic ketoacidosis!

This kind of patient is very dangerous and may die at any time!

The patient's parents, seeing the faces of Zhou Mo and the others, suddenly became nervous.

"Doctor, what's wrong with my daughter?"

"doctor……"

Facing the worry and tension of both parents, Zhou Mo quickly explained: "Ketoacidosis... Forget it, I will explain later... Teacher, I think her current condition is a bit serious, and it is best to go for an examination immediately! Plus Hurry up!"

Zhang Luojia nodded: "Yes, check immediately!"

Zhou Mo said to Li Dongmei who was sitting by the computer: "Immediately issue a checklist to check arterial blood, urine sugar, and blood ketones! Hurry up!!"

Then he looked at Zhang Luojia: "Teacher, come on..."

This disease is not simple.

Teacher Zhang Luojia still needs to grasp it.

Teacher Zhang Luojia came to the patient's parents and comforted him: "Don't worry, we are the Second Provincial Hospital here, and the Department of Gastroenterology is a relatively strong department in South China..."

Having said that, the parents finally felt a little relieved.

The girl, Li Bingmei, looked at the back with a dazed, helpless look.

.