This Doctor is Great

opium powder,

What is it?

Although it has a different name from yapian, it is indeed a substance in yapian.

Its active ingredients are morphine alkaloids, which can relieve cough by inhibiting the cough center. At the same time, it can quickly enter the central nervous system of the brain, stimulate the body to produce dopamine, and produce euphoria.

Addictive!

And "Compound Licorice Tablets" contains opioid powder, which naturally also has addictive properties.

At first glance, this "compound licorice tablet" is compound and licorice. I thought it was a Chinese patent medicine, but it is not.

Its approval number is: Guoyao Zhunzi H**** (H stands for chemical drugs, Z stands for Chinese patent medicines, S stands for biological products, and B stands for health care drugs.).

Judging from this H, compound licorice tablets are chemicals.

In the past, it could be bought casually, it was cheap and easy to use, and it was very effective in relieving cough. It was a commonly used cough medicine.

But later, because of its addictive nature and many side effects, the country became stricter and turned into a prescription drug, which requires a doctor's prescription before buying it.

And the male patient in front of him said that after taking it for half a year, there is a 99% probability that he has become addicted.

Among them, cold sweat, snot, and some tears, and lack of energy...much like the characteristics of addiction!

In addition, compound licorice tablets have many side effects, which will involve the whole body.

first,

hypertension.

Brother Chen Bing said that he had 'refractory' high blood pressure, the cause could not be found, and he was prone to headaches.

The main ingredient of "Compound Licorice Tablets" is licorice.

The main ingredient in licorice is glycyrrhetinic acid, an inhibitor of 11β-hydroxysteroid dehydrogenase...it causes high blood pressure! !

So, is it possible that the root cause of this young and strong male patient's unexplained high blood pressure lies in compound licorice tablets?

Also, among the side effects of Compound Licorice Tablets, there are gastroenterology abdominal pain, diarrhea, nausea and vomiting, or constipation...

This one hit the mark.

Then there are dizziness and headaches among the side effects.

This one, too.

As for the dry mouth and thirst mentioned by the patient... it can be explained by the licorice paste in the compound licorice tablet. The licorice paste has a diuretic effect. If you eat too much, you will naturally urinate more, and naturally you will become dry and thirsty.

By the way, there is also the unexplained hypokalemia that occurred before. If there is too much urine, the potassium must be low. Coupled with poor appetite and unable to take in, it is hypokalemia.

Such a derivation,

The discovery of compound licorice tablets can perfectly fulfill monism.

Zhou Mo explained this to the male patient.

"I... am addicted?!!"

The male patient looked bewildered.

I feel so wronged, and somehow I became the legendary 'addict junkie'.

Behind Li Dongmei and Huang Zhichao, they suddenly realized.

It turns out that compound licorice tablets still have this problem!

Knowledge +1+1!

And it was so impressive that I think I will never forget it in my life.

Zhou Mo: "By the way, how long have you been coughing?"

The male patient said: "It's been a long time, I don't know how long it has been, half a year? A year? Repeated attacks... Later I started to take this compound licorice tablet to relieve cough."

Zhou Mo: "Then you may have to look at the trachea and lungs. You can try B-ultrasound, CT, and MR to see if there is any problem with your lungs."

The male patient was not anxious about his lungs, but asked, "Doctor, what should I do about my addiction?"

Zhou Mo: "It's simple, you try to stop the drug first, and then your body will have a withdrawal reaction, that is, the runny nose, tears, cold sweat just mentioned, and you may be irritable and hallucinating... As long as you get over it, then It worked."

Male patient: "What if you can't handle it?"

Zhou Mo: "Hehe...the drug rehabilitation center welcomes you."

Male patient: "..."

Senior brother Chen Bing, teacher Zhang Luojia, Li Dongmei, Huang Zhichao, and the family members of the patient in the next bed couldn't help laughing.

...

leave the ward,

Senior brother Chen Bing patted Zhou Mo's shoulder, his face full of joy.

"Not bad, it seems that he is doing well in gastroenterology."

"It was Teacher Luo Jia who took care of me so that I could study with peace of mind."

A meal of praise and humility.

"let's have dinner tonight."

"Okay, I haven't had dinner with senior brother for a long time."

"Call Huang Yiming."

"good!"

"Hey hey hey~~~"

"Hee hee hee~~~~"

Senior brother Chen Bing and Zhou Mo laughed cheaply.

Teacher Zhang Luojia, Li Dongmei, Huang Zhichao: "??????"

The three of them didn't know that Senior Brother Chen Bing and Zhou Mo were going to beat the local tyrants and divide the land.

bid farewell.

Zhang Luojia and Zhou Mo left the Department of Cardiology,

Li Dongmei and Huang Zhichao feel that this trip has gained a lot.

"Let's go to the next place." Teacher Zhang Luojia shouted.

"ah?"

"Is there another place?"

"Where are you going?"

The three of Zhou Mo looked sideways.

Teacher Zhang Luojia: "Go to the Department of Internal Medicine."

The three of Zhou Mo: "The business is really extensive..."

...

Neurology.

When Zhou Mo and others arrived,

"Wow, it's Doctor Zhou Mo!"

"Look, look, look!"

"Hurry up, he moved, he moved!"

Zhou Mo: 囧~~~~

Soon, Dr. Zhang Mingyu from the Neurology Department came to greet him.

"Senior Sister Luo Jia!"

Dr. Zhang Mingyu respected Zhang Luojia very much. Obviously, Teacher Zhang Luojia was really strong. Brother Chen Bing and Dr. Zhang Mingyu respected her so much.

Then, Zhang Mingyu glanced at Zhou Mo behind Zhang Luojia, and nodded in greeting.

Senior Sister Zhang Luojia: "What's the condition of the patient?"

Brother Zhang Mingyu took Zhang Luojia, Zhou Mo and others to the hospital bed, and introduced the patient's condition:

"Patient, Zhou Xiaodong, male, 45 years old..."

"One day ago, there was no obvious cause of weakness in the limbs. I found that my feet were numb, I couldn't walk, and my hands were numb..."

hear here,

Naturally, it has nothing to do with gastroenterology.

All neurological symptoms.

At this moment,

Everyone walked to one of the wards, went in, and came to one of the beds.

A man in his forties, a little haggard, with dark skin.

"When admitted to the hospital, at the beginning, we ruled out hypoglycemia, and the blood sugar was normal."

"Then I gave him a detailed neurological examination. His mind was clear, his pupils were equal in size and round, sensitive to light, and his forehead lines and nasolabial folds were symmetrical..."

"The muscle tone of both limbs is low, the muscle strength of both upper limbs is weak at grade 5, and the muscle strength of both lower limbs is grade 3."

"I also had a CT scan of the brain, and there is no problem..."

"Finally, I found a problem..."

"Hypokalemia! Serum potassium is only 2.8mmol/L."

Having said that, Senior Brother Zhang Mingyu paused.

"We thought it was hypokalemia, which led to the consideration of "hypokalemia periodic paralysis"..."

"Then I did potassium supplementation. At first, it was potassium chloride, but it didn't work, and then I changed to other potassium supplementation programs..."

"It still doesn't work..."

"So, the cause of the patient has not been found yet, because it involves low potassium, so I asked your gastroenterologist to see what the problem is...why potassium supplementation has no effect."

Zhang Luojia nodded.

Zhou Mo, on the other hand, was thinking about "hypokalemia periodic paralysis".

This is a disease characterized by 'recurrent flaccid paralysis of skeletal muscles' and 'lower serum potassium during attacks'.

From an epidemiological point of view,

Most of foreign countries are genetic as the main form.

In China, the divergent type is the main form.

Zhang Mingyu added another sentence at this time: "By the way, after potassium supplementation, the patient's condition has not improved, but worsened!"

? ? ? ?

Instead, it got worse?

Zhang Luojia and Zhou Mo were all startled.

.

Sorry for being late today. I took my baby to the playground in the morning, and was told that a positive test appeared in a children's park 100 meters away. Stupid. Then tonight, the community started queuing up to do nucleic acid, sweating wildly.