This Doctor is Great
Chapter 197 The illness is complicated, but the answer is simple!
turn out to be,
The patient not only had high blood pressure, but also had abdominal pain and diarrhea.
Brother Chen Bing asked the gastroenterology department for consultation. On the one hand, he wanted to see if there were other digestive causes of high blood pressure, and on the other hand, he wanted to see the patient's abdominal pain and diarrhea.
"If not, let's ask the doctor again."
Teacher Zhang Luojia said.
No matter what senior brother Chen Bing said, it is not as accurate and precise as a professional in gastroenterology who conducts a detailed and targeted consultation on patients.
Teacher Zhang Luojia: "Zhou Mo, come here."
Zhou Mo nodded: "Okay, teacher."
Senior brother Chen Bing watched with great interest. He also wanted to see if Zhou Mo could perform as well in the Department of Gastroenterology as he did in the Department of Cardiology.
Zhou Mo stood at the head of the bed and began to ask the middle-aged male patient.
"In addition to diarrhea and abdominal pain, do you have any nausea, nausea, or vomiting?"
"I haven't vomited, but I have nausea and vomiting."
"How's your appetite?"
"Lack of appetite, don't want to eat, but I feel hungry, hungry and don't want to eat."
"When did it start?"
"The admission started 3 days ago."
"I see that you seem to be sweating a lot. Have you been like this before? Or is it a cold sweat from hunger and low blood sugar?"
Zhou Mo noticed the special situation of this middle-aged male patient from the very beginning. His forehead was sweating a lot, but the air conditioner in this ward was only 21 degrees, which was comfortable and cold. The patient was wearing hospital gowns, so it was unlikely to be hot.
The male patient said: "I sweat a lot, I usually sweat so much."
Zhou Mo asked some more questions and found that the patient's symptoms were very complicated.
Abdominal pain, diarrhea, nausea, vomiting in gastroenterology...
Dizziness, headache, drowsiness, insomnia...
Elevated blood pressure in cardiology...
Frequent urination in nephrology...
And there is fatigue, easy dry mouth and thirst!
By the way, it is easy to shed tears, runny nose, cough...
Zhou Mo asked in detail,
A lot of problems have arisen!
Senior Brother Chen Bing: "..."
Teacher Zhang Luojia: "..."
Li Dongmei and others: "..."
It's okay if you don't ask, but if you ask, you will be shocked.
Too many bugs.
This patient is definitely not an ordinary high blood pressure!
There must be a primary disease, and then according to monism, it causes all the problems in the whole body.
And senior brother Chen Bing has been paying attention to the problem of high blood pressure for the past three days, but he didn't ask such detailed questions about other subjects like Zhou Mo did.
So I don't know that this patient has so many symptoms.
Zhang Luojia said in English: "It seems that this does not feel like a simple disease."
Li Dongmei nodded: "Yes."
Zhou Mo said to the male patient: "How about I give you a physical examination?"
Seeing the expressions of Zhou Mo and the others, the male patient felt that he was "not long to live", and nodded repeatedly: "Okay, okay."
Zhou Mo began to do a physical examination.
New problems were soon discovered.
There is a rash on the skin, red dots, it is not clear whether it is an allergy or a normal rash.
"Is it itchy?"
"Itches, I dare not scratch."
"It's always been there or these two days."
"It happened before, over and over again... Now this one appeared in the past two days."
Zhou Mo nodded.
serious face.
He opened his trousers, there was no rash, Zhou Mo pressed his thumb on his ankle.
A pit appears.
Then the rebound doesn't come back.
"Edema!!"
Then I did a muscle strength test, there was no major problem, but a little weak.
Zhou Mo: "..."
Senior Brother Chen Bing: "..."
Teacher Zhang Luojia, Li Dongmei and others: "..."
The more they checked, the more serious their expressions became.
There are too many problems! !
Everyone felt troubled.
If there are many symptoms, the direction is very vague, not single and precise enough, and it will be much more difficult to find the root cause.
"doctor……"
"Ahem~~~"
The middle-aged male patient coughed and then sniffed his nose.
"Am I cancer?"
"Why do you say that?"
"Other than cancer, I can't think of any reason why so much is wrong with me."
"Don't worry, it shouldn't be. The symptoms of cancer are unlikely to have so many problems. It must have been overlooked somewhere... But you can do an mr of the whole body to see if there is any cancer..."
Zhou Mola asked in a homely way: "How long have you been with so many physical problems?"
Male patient: "I don't know how long it has been, three months? One year?"
Zhou Mo: "Have you been exposed to any toxic chemicals?"
Zhou Mo felt that apart from poison, there might be no other explanation.
The male patient shook his head: "No, I work in an office and work in an office building, and I don't come into contact with dangerous chemicals."
Zhou Mo: "Then do you usually like to eat something for a long time? Three months and a half years."
Male patient: "I like to eat boiled chicken, steamed fish belly, roast pork, Lanzhou noodles..."
After talking a lot, Zhou Mo felt that there was nothing special.
Zhou Mo: "Is there a fixed restaurant? Is there a problem with the restaurant?"
The male patient thought for a while, and finally shook his head: "It seems that there is no..."
Zhou Mo thought for a while, and asked, "Is there any medicine? Or externally applied medicine... By the way, there are also cosmetic medicines."
After all, there were two recent cases of patients who became ill due to beauty treatment, so Zhou Mo thought of this aspect.
Although he didn't think the middle-aged man in front of him would go for a beauty treatment, it was better to ask more than not to ask.
The male patient shook his head: "I don't go for beauty treatments. I'm a man after all... As for taking medicine, I do take medicine. I've been suffering from colds for the past six months, so I just took some medicine."
Zhou Mo: "???? Cold???"
Male patient: "Yes, a cold... I have a cold right now, coughing, runny nose..."
Everyone in Zhou Mo; "..."
This patient doesn't look like a cold at all, okay?
Zhou Mo had a flash of inspiration, as if he had caught something, he asked quickly.
"You have a cold? What medicine did you take?"
"It's just aspirin (cold medicine), and "Compound Licorice Tablets" (cough medicine)..."
"etc!!"
"Compound Licorice Tablets"? ? ! "
this moment,
Whether it was Zhou Mo, Senior Brother Chen Bing, or Teacher Zhang Luojia, they were all taken aback.
Eyes lit up! ! !
Look excited!
found it!
The reason is found!
Damn, it's that simple! !
Zhou Mo hurriedly asked, "How long have you been using 'Compound Licorice Tablets'?" "
Male patient: "I started using it half a year ago, what's wrong?"
Zhou Mo clapped his hands excitedly.
Done! !
Teacher Zhang Luojia and senior brother Chen Bing also expressed the same expression, as if they had found the answer!
Li Dongmei and Huang Zhichao looked at a loss.
what happened?
What are the specialties of "Compound Licorice Tablets"?
Zhou Mo shook his head and laughed: "It's because we thought too complicatedly. It shouldn't be some complicated disease, but the "Compound Licorice Tablets" messed up..."
Male patient: "Huh???"
Stupid.
Zhou Mo explained: ""Compound Licorice Tablets" contains an ingredient called opium powder..."
.
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