This Doctor is Great
Chapter 196 Back to Cardiology, Zhou Mo's Popularity in Heart
"Let's go for a B-ultrasound... By the way, do a blood test to check the antibodies. If there is feces, keep a stool for a stool test..."
Li Dongmei said,
Zhou Mo billed quickly, and he used the urgent service, so he didn't need to queue up to make an appointment, he just had to wait in the back of the emergency department.
after an hour,
B-ultrasound results came out.
4 roundworms!
One of them is quite big, at least 10cm or more in a simple measurement!
It's just 'thriving'!
The female patient was calm, after all, she had thought about this kind of scene when she was taking roundworm eggs.
The three of Zhou Mo were completely speechless.
"Hurry up and take the medicine, let's kill the insects!"
Li Dongmei was a little frightened.
Don't look at this roundworm shrinking in its intestines, it looks obedient.
But roundworms love to drill.
If you eat a lot of spicy food, or other stimulating food, and stimulate the roundworm, then it will hide and get into your biliary tract, pancreatic duct, liver, organs...
If it gets out of the intestines and runs to the peritoneum, and the feces enter the peritoneum, it is acute peritonitis, and severe cases can be fatal.
If it invades the lungs, the heart will be even more troublesome!
A ticking time bomb.
Li Dongmei told this to the female patient to frighten the bold woman.
"What? So serious?"
The female patient turned pale.
At this moment, I felt a pain in my stomach and chest, as if a roundworm had penetrated into my heart.
blah blah~~~
The medicine is ready.
Li Dongmei hurriedly handed her the medicine list, even threatening:
"Go to the prescription to get the medicine, and then take it immediately, don't leave the hospital, if something is wrong, go to the emergency room immediately..."
The female patient panicked, fearing that she would die soon.
"Wait……"
Zhou Mo said at this time: "I'll prescribe you an urgent chest B-ultrasound. After taking the medicine, go to the B-ultrasound right away and let the B-ultrasound doctor check whether there are roundworms in the heart and lungs..."
The female patient was so frightened that tears came out, she nodded repeatedly: "Thank you doctor!"
Take the bill and rush out the door.
The three of Zhou Mo looked at each other and smiled.
At this point, it is already 17:00.
There were still 3 patients left to watch, and it took 10 minutes to get them all done.
One day outpatient clinic, that's the end.
...
...
the next day,
Continue to work, make ward rounds, make ward rounds within the group, write doctor's orders and medical progress...
While Zhou Mo was busy,
Zhang Luojia shouted: "Zhou Mo, let's go, follow me to the cardiology department for a consultation."
Today, Mr. Zhang Luojia's consultation class has to run around.
"OK!"
"Teacher, we want to go too!"
"Let's go."
Then, Zhang Luojia took Zhou Mo, Li Dongmei, and Huang Zhi out of the duty room.
The medical students in other groups, including Huang Yiming, were all envious.
Although Teacher Zhang Luojia looks cold on the surface, he is very good to the students, giving careful guidance and creating opportunities for the three of Zhou Mo to continue to learn.
As for Huang Yiming and his 12 medical students, their superior teachers rarely take them to outpatient clinics or other departments.
...
Cardiology.
For people in the Department of Gastroenterology, the Department of Cardiology is Zhou Mo's home field.
As soon as Zhou Mo entered the door,
"Wow, Doctor Zhou, you're back!"
"welcome!"
"long time no see."
"Zhou Mo!"
"Zhou Mo, I heard that you are now an Internet celebrity, with more than 2 million fans."
As soon as Zhou Mo walked into the cardiology department, many voices of greetings followed, very warm.
Many doctors and nurses are very enthusiastic.
Li Dongmei and Huang Zhichao were speechless.
Huang Zhichao: "I'll go, Zhou Mo is very popular in this cardiology department."
Li Dongmei: "It seems that Zhou Mo went out of the cardiology department."
Huang Zhichao: "If I go back to the original nephrology department, no one will say hello to me."
Li Dongmei: "You are too optimistic. In fact, no one will remember your name at all."
Huang Zhichao embarrassingly said: "..., that makes sense... I'm heartbroken, Sister Mei, we're still good friends if you don't mention this!"
Zhang Luojia next to him was also a little surprised by Zhou Mo's popularity in cardiology.
As for the newcomers in the Department of Cardiology, why aren't they surprised by Zhou Mo's popularity?
"Who is this person?"
"It seems to be Zhou Mo."
"The Internet celebrity doctor in our hospital..."
"It's a hanging hair..."
At this moment,
Senior brother Chen Bing came over.
"Senior Sister Luo Jia... Hey, Zhou Mo, are you here too?"
Zhou Mo was surprised: "Brother, is it your patient who needs a consultation?"
Senior Brother Chen Bing nodded: "Yes, there is a patient with high blood pressure who has a severe headache, but he can't find the cause. Because the headache is too severe, he was admitted to the hospital for investigation."
Zhou Mo said to Li Dongmei and the others: "This is Senior Brother Chen Bing. He is my teacher in the Department of Cardiology. He is a great teacher and treats me very well."
Brother Chen Bing greeted Li Dongmei and the others with a smile.
"Go, go to the ward."
"This patient has been in the hospital for 3 days, and he couldn't find the cause. He also had a consultation in the department, but he couldn't find the cause, so he wondered if it was the cause of other departments. I happened to be familiar with Senior Sister Luo Jia, so I invited Senior Sister Luo Jia to come over. Help me see..."
Chen Bing took Zhang Luojia and Zhou Mo into the ward.
into the ward,
Zhou Mo and the others subconsciously looked at the patient on the bed.
middle-aged man,
He was about 30 years old, his complexion was not very good, pale, and a little weak, as if he was in his dying years, not like a 30-year-old man.
"Ahh~~~~"
At this time, the middle-aged male patient sneezed.
Senior brother Chen Bing came to the bed, communicated with the male patient, and then began to introduce the condition to Zhou Mo and others.
"The patient has a history of hypertension for 1 year, and he didn't pay much attention to taking medicine..."
"Half a year ago, I started to have a headache, and then took antihypertensive drugs. The condition was more recurrent, and the blood pressure control was not very good. It was not good to change several antihypertensive drugs... And until now, the headache has become more and more severe..."
"I have done brain CT, mr... but I can't find the cause, there is no organic disease, etc..."
There are many causes of high blood pressure.
Obesity, diet (too much sodium can raise blood pressure), smoking, alcohol, genetics (heredity is currently considered to be the determinant of high blood pressure in adults).
The etiology of hypertension is a difficult problem that scientists around the world are constantly exploring, and the etiology of most hypertensive patients has not yet been clarified. In the past, this type of hypertension was called "essential hypertension", but this name has become a past tense, and all of them are called "hypertension".
In general, high blood pressure can be controlled by taking medicine, and there is no need to find the cause.
But the severe headache of the middle-aged male patient in front of him can only be considered to be caused by high blood pressure, so it is best to find the cause of high blood pressure and then effectively control high blood pressure.
Senior Brother Chen Bing continued: "I did an electrocardiogram, it's fine...the physical examination is fine..."
"Blood routine, liver and kidney function, liver, gallbladder, spleen, pancreas, and urinary B-ultrasound..."
"All basic inspections have been checked, nothing special..."
"By the way, I have used the antihypertensive drug hydrochlorothiazide in the past two days. It may be due to the diuretic component, so I have hypokalemia, but I have already supplemented potassium..."
"Also, abdominal pain and diarrhea, which suddenly appeared in the past two days, but I ate only meals from the canteen, so I asked your gastroenterology department for help..."
Senior brother Chen Bing gave a medical report.
.
I can finally breathe a sigh of relief today, and it will be back to normal tomorrow 2 more...
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