This Doctor is Great

(Because the cases were harmonized, more than 1,000 words were deleted in this chapter.)

(The final result of the case is: the egg is torsion, causing blood flow to be blocked, and emergency surgery is required. Because of the nerve cross, symptoms such as abdominal pain and nausea will appear.)

...

Gastroenterology Clinic,

next patient,

A woman in her 30s walked in.

Female patient: "Doctor, help me see..."

Li Dongmei: "What's the problem?"

Female patient: "I'm a little constipated. It's been more than half a year. I've been taking medicine, but it doesn't help."

"Have you been to the hospital?"

"I've seen two or three..."

"Have you ever had a blood draw or something? Is there any abnormality? Have you ever had a colonoscopy?"

"I've had blood drawn, but never had a colonoscopy." The middle-aged woman shook her head.

Li Dongmei nodded: "Besides constipation, do you have any other symptoms? For example, abdominal pain?"

The middle-aged woman shook her head: "No, it's just constipation."

? ? ? ?

Constipation for half a year?

No abdominal pain?

It should be that there is a special lesion in the intestine.

Li Dongmei: "How about farting? Is it too much? Does it stink?"

Middle-aged woman: "I fart more, and it stinks."

That's better.

At least you can rule out intestinal obstruction and the like.

Next,

During the physical examination, no problems were found. Everything in the stomach was normal, with no pain or hard things.

"Go get a colonoscopy..."

Li Dongmei glanced at Teacher Zhang Luojia with a guilty conscience.

Teacher Zhang Luojia nodded in agreement.

Li Dongmei was immediately invigorated and encouraged!

N hours later, the colonoscopy result: "Colon melanosis"!

In layman's terms, it is the colonic mucosa with a large amount of lipofuscin deposition.

Like snake skin.

(picture)

Finally, after asking the female patient, I found out that the female patient has been taking a black beauty medicine given by the beauty salon for more than a year.

The real culprit should be this cosmetic medicine.

...

...

next patient.

"Your hospital is really troublesome!"

The patient was an uncle, about 50 years old, and he said angrily as soon as he came in.

Li Dongmei squeezed out a smile and asked, "Uncle, what's the matter?"

Uncle blew his beard and stared: "I came to the clinic once in the morning, but it turned out that you were lucky enough to give me an examination. After I finished the examination, the doctor was off work in the afternoon, so I had to continue to register in the afternoon, which wasted me all day. .”

Uncle babbled, a long series of complaints and curses.

Li Dongmei smiled stiffly, a little at a loss.

Zhou Mo broke the deadlock at this time: "Uncle, I don't know what disease you are seeing?"

Uncle started chattering about his illness again.

What Zhou Mo summed up roughly means:

In the past few days, Uncle is always prone to general weakness, soreness, and loss of appetite...

Then, I went to see a doctor in the morning. The doctor in the morning thought that Uncle's illness was "hypokalemia", which caused weakness of limbs.

Later, in the morning, the doctor considered another disease "hypoglycemia". After pricking his finger, he found that it was indeed hypoglycemia. Hypoglycemia can just cause weakness in the limbs.

So, I asked Uncle to buy some sugar water and the like, and at the same time gave Uncle a check: serum potassium items, arterial blood gas, urine routine...

According to the doctor's instructions, Uncle bought some sweet drinks and rice, and ate them to supplement his blood sugar, but his limbs were still weak.

When I came back to find the doctor, the doctor had already left work.

Make Uncle so angry.

I was a little weak in myself, but it turned out that I had to wait until the afternoon, so I was naturally very angry, so I started cursing as soon as I entered the door.

hear here,

Zhou Mo: "..."

Zhang Luojia: "..."

I am Nima!

Without blood sugar and muscle weakness, it is likely to be "hypokalemia"! !

Who is the doctor in the morning? With such a big heart? !

If Uncle had a cardiac arrest due to hypokalemia and insufficient potassium ions, and died, it would be a disaster!

"Uncle, don't worry, I'll show you right away... Have you done all the checks?" Li Dongmei comforted.

She also had sweaty palms.

"Done."

"show me."

Fly results check report.

one look!

Worth!

It's "hypokalemia"! !

In a cold sweat!

Low potassium ions will lead to changes in the channels of sodium ions and potassium ions, resulting in increased myocardial excitability, thereby inducing arrhythmia, and in severe cases, it will cause the heart to stop beating.

Uncle, the low potassium has not caused any accidents so far, so he is lucky!

.