This Doctor is Great

The patient in front of me has a clear history of alcoholism for 20 years, but now he has not drank alcohol for more than 2 days, so the diagnosis of "alcohol withdrawal syndrome" is very certain.

There are three levels of severity:

Grade 1: obvious tremor and sweating, no hallucinations and disturbance of consciousness;

Grade 2: In the acute stage, there are obvious tremors, sweating and hallucinations;

Level 3: In addition to the items in Level 2, there should be disturbance of consciousness, which can be intermittent, and there should be disturbance of orientation and memory.

Obviously, the patient is currently in stage 2.

this disease,

Diseases belonging to neurology, (alcohol withdrawal leads to sympathetic activation).

"Teacher, I'm going to call the neurology department, and I'm here for a consultation...but it's night, I'm afraid...it's a bit slow..." Zhou Mo looked at the manic patient in front of him.

"Don't worry, we don't need to worry about this matter. The family members are more anxious than us."

Zhang Luojia showed wise eyes.

Zhou Mo understood in seconds.

I called for a consultation, maybe the Department of Neurology will come the next day. Moreover, it is possible that the doctor who comes here may be an ordinary attending doctor or a resident doctor.

But the relationship...

really,

10 minutes later,

A director of neurology department arrived on the battlefield.

The speed can be called fast.

Soon, the director of neurology gave the doctor's order to calm down first.

Originally, I was considering intramuscular injection of diazepam, but it was unsuccessful, and finally used

The patient had a history of drinking alcohol, considering alcohol withdrawal syndrome, urgent investigation, and finally diagnosed.

Then sedation was used, but the patient suspected that the doctor was trying to harm him. In the end, Liyuexi (midazolam) was used for sedation, and the patient finally fell asleep peacefully.

Then transferred to neurology department.

The Chief Physician of the Department of Neurology, accompanied him all the way, and received a good salary.

Zhou Mo thought to himself: "Is this a relationship household?"

"Ding...you have completed a case of "cardia tear" and "alcohol withdrawal syndrome", you comprehended..."

A lot of experience instilled...

...

the next day,

Last night, the patient had alcohol withdrawal syndrome, which spread throughout the Department of Gastroenterology, making this patient even more legendary.

It is estimated that many new doctors will remember this patient and disease for a lifetime.

"Doctor Zhou... There is an emergency patient coming over, bed 78."

"OK."

A new patient, to be transferred.

Zhou Mo took the medical card number and retrieved the patient's medical records.

Chen Yuan, male, 43 years old...

Diagnosed diseases: ...

"Phew... another confirmed patient... acute gastric dilatation? Interesting!"

...

20 minutes later,

The patient Zhang Yuan was pushed to the Department of Gastroenterology by the emergency nurse.

Paled face,

sweating,

Intravenous infusion,

His wife was beside him, pushing in.

This patient is a confirmed patient, and relevant treatment has also been done. He only needs to stay in the gastroenterology department for a few days, and Zhou Mo doesn't need to do anything.

"Hello, I'm Doctor Zhou..."

"Doctor Zhou, hello..."

"I need to learn more about the condition, please tell me."

"Okay okay."

The patient Chen Yuan was about to speak, but in the end his wife was already covering her head and face, scolding him and telling Zhou Mo what happened at the time.

It turned out that last night, Chen Yuan went to eat supper with some friends whom he hadn't seen for a long time.

skewers,

beer,

He ate a lot, especially beer, he drank 2 dozen by himself!

And the skewers also cost thousands of dollars, and the few men are going crazy.

It may be a problem of alcohol paralysis, Chen Yuan has never felt full, he has been eating and drinking, and he eats the most.

Many people have watched "Big Stomach King" eating and broadcasting, 10 packs of instant noodles and 5 chicken legs for a meal...

Is it really okay to eat like this?

As for Chen Yuan, something went wrong!

After eating, he felt uncomfortable in his stomach, and it didn't take long before it became more serious. Chen Yuan felt that his stomach was about to explode, so his friend rushed him to the night emergency department of the Second Provincial Hospital.

"Doctor, help me, I feel like my stomach is about to explode, it's so uncomfortable, it hurts and bloated!"

At that time, Chen Yuan was lying on the field, sweating profusely, and told the doctor in great pain.

The emergency doctor identified the real culprit with a few simple sentences.

Caused by overeating - "acute gastric dilatation"!

What is acute gastric dilation?

It is a relatively rare acute abdomen, which is caused by the inability of the stomach and duodenum to discharge due to a large amount of gas and liquid and food intake in a short period of time, resulting in extreme gastric dilation.

(picture)

Its symptoms: Stomach pain, nausea, and repeated vomiting at the beginning, and then water and electrolyte disorders, and even shock and death.

Clinically, it is common in overeating or after surgery.

The emergency department performed abdominal CT and blood biochemical tests on the patient to rule out acute pancreatitis.

Finally, the CT results showed:

——Stomach dilation is obvious, the stomach wall is weak, and the stomach dilates and sags to the pelvic cavity!

What?

The stomach actually sags to the pelvic cavity!

At that time, the emergency doctor himself was stunned!

Awesome glass!

To be able to eat to this extent, this Chen Yuan is considered amazing!

The emergency doctor quickly arranged a gastric tube drainage for the patient to drain a large amount of food and liquid from the stomach.

2300 ml of liquid was drained out of it, which 'filled' the barrel.

Finally, the patient Chen Yuan breathed a sigh of relief.

Then his wife killed him and scolded him half to death.

Fortunately, this patient, Chen Yuan, was successfully drained with a gastric tube, and there was no such thing as gastric high pressure perforation, otherwise surgery would have to be performed.

As for why he came to the gastroenterology department for hospitalization after gastric decompression?

Because of acute gastric dilatation, it is not so simple and can be cured.

First of all, there are some blood vessels in the stomach wall, including veins and arteries. Ingesting a large amount of food and drink at one time will compress the veins in the stomach wall, making it difficult for blood to return, causing damage to the stomach or causing acute gastric dilatation, anemia, electrolyte imbalance and other diseases.

At the same time, because food will promote the secretion of pancreatic enzymes in the process of digestion, so eating too much food at one time will cause a large amount of pancreatic enzymes to be secreted, which can easily lead to pancreatitis, intestinal obstruction, and gastric perforation.

In short, there are many complications.

Patient Chen Yuan's acute gastric dilatation is a bit exaggerated. To be on the safe side and avoid serious complications, it is best to be hospitalized.

"Okay, I have almost understood the condition. I have been hospitalized here for the past three days, and I will be discharged after I stabilize."

"Okay, doctor." Chen Yuan said weakly.

"Do you dare to do it next time? Your other friends are fine, so why are you the only one?" the wife scolded.

"Don't dare, don't dare." Chen Yuan begged for mercy repeatedly.

...

"Doctor Zhou...a patient came in, bed 78..."

"OK……"

After Zhou Mo finished his work here, another new patient came.

Clean up your mood and start picking up patients.

This patient,

It has also been diagnosed.

——"Gastric Paralysis Syndrome"!

Two months ago, a "subtotal gastrectomy" was performed, and then gastroparesis syndrome appeared.

After being discharged from surgery, he felt unwell and was transferred to internal medicine for hospitalization.

.

There is only one update today, sorry.

The baby started to have a fever the day before yesterday, basically within the range of 39 degrees. In fact, I have been very calm. Although the temperature is 39 degrees, I am in good spirits and have not taken any antipyretics. But in the middle of the night today, I ran to 41 degrees, which shocked me. Only then did I start to panic, and my concern became chaotic. I went to the hospital again, and after seeing the doctor, there was no result (although when I went to the hospital, I also expected this ending). Doctors can't do anything about it. This shows that pediatrics is not easy. Today during the day, I sent another urine and feces, and did urine and feces routines... In general, this time I had a fever, and I went to the hospital 4 times in 3 days. It was not easy to see a doctor.