This Doctor is Great

evening,

Zhou Mo is getting ready to get off work. change clothes.

As a result, I heard a gossip.

The hospital is simply a place where gossip gathers.

"Have you heard? Today the Andrology Clinic admitted a very funny patient..."

"What's wrong?"

"A male patient was admitted and registered because of erectile dysfunction..."

"Isn't this very common? Andrology is all about it."

"No, the reason is very funny. I heard that I was married for more than three months, but I was pestered by my wife. I did it about 1,000 times in 100 days. Finally, I was sent to the hospital by ambulance because I was unwell."

"ah?"

"I'm going~~~"

"Crazy?"

"Don't you have to go to work?"

"I heard that when he was delivered, he weighed just over 80 kilograms, and he was as thin as a stick... The doctor diagnosed him as being in his 30s, but his health was like that of a 75-year-old man, and his male sexual function was completely lost. It will take about five years. Will die...I don't know if it's true or not..."

"Haha... that's not all. I heard that the reason why the husband came to the hospital was to ask the doctor to issue a certificate, then get the diagnosis result, and then take his wife to court for divorce..."

puff~~~

Zhou Mo: "..."

Nima!

very scary!

What a sucker this woman is!

...

the next day

Treat patients in the morning.

Rescued 2 burns, 1 trauma, 3 myocardial infarctions, 1 epilepsy, 2 fractures...

Very busy.

At 10 o'clock,

A patient was brought in by ambulance.

...

Patient, 24 years old,

The name is Chen Xiuya.

Cardamom, young and beautiful.

As a result, I coughed in the past few days, and then suddenly spit out a mouthful of blood at around 9 o'clock this morning.

The family was terrified on the spot, and an ambulance was called to send them to the emergency department.

Zhang Mei and Zhou Mo stood in front of the hospital bed,

Just came over, ready to ask,

"Cough cough..."

Chen Xiuya suddenly coughed.

Zhang Mei: "..."

Zhou Mo: "..."

I was already thinking in my heart.

cough?

lung?

trachea?

Bronchus?

Usually these are the places where there are problems.

And if you cough up blood, it is these places that bleed.

"Doctor doctor!!"

And the mother hurriedly wiped the corners of Chen Xiuya's mouth with a tissue, tears streaming down her face.

"Doctor, take a look at my daughter, what's going on?"

"Why did she vomit blood so well?"

Mother was crying.

Zhang Mei quickly comforted her: "Don't worry, I'll take a look..."

At this time,

Nurses are quickly connecting the ECG monitor and opening the intravenous line.

Zhou Mo began to ask: "Are you sure it is coughing up blood? Or vomiting blood? There is a difference between the two."

Hematemesis comes from the esophagus, and hemoptysis comes from the airway and lungs. This must not be confused, otherwise the cause will be completely different.

The mother said again and again: "It must be coughing up blood, not vomiting blood, because the cough has been severe these two days."

Zhang Mei and Zhou Mo nodded.

Coughed up from the lungs.

what is the reason?

Could it be tuberculosis?

Bronchiectasis?

Other lung diseases?

Pneumonia is also possible, although coughing up blood is less common.

At this time, the heart rate monitor was connected.

Looking at the vital signs, such as blood oxygen, blood pressure, heart rate, etc., there is no major problem.

Teacher Zhang Mei listened to the patient's lungs and felt some noise.

Seeing that the patient had no major problems for the time being, both of them breathed a sigh of relief.

The next step is to inquire carefully.

The patient, Chen Xiuya, was still sane, so Teacher Zhang Mei and Zhou Mo mainly put their experience on the patient.

"Recently, is there anything wrong with your body?"

"Yes, I still have a little fever..."

"Fever? When? Has the fever subsided? How many degrees?"

Zhang Mei and Zhou Mo suddenly paid attention to it.

fever?

pneumonia?

"It's still burning. I measured it on the way here. It was 38.2 degrees. The highest temperature was 39.4 degrees last night..."

"How long has it been burning?"

"4 days ago……"

"Did you have diarrhea or something? Or a cold, or other uncomfortable symptoms..."

"I don't have diarrhea or a cold, but I don't have much strength, and sometimes I feel a little pain in my hands and feet..."

"Hands and feet hurt?"

"Hands and feet hurt?!"

Zhang Mei and Zhou Mo looked at each other!

What the hell is pain in hands and feet? What does it have to do with the lungs?

No, pneumonia does have symptoms of fever and sore limbs.

However, fever and joint pain together, many diseases will have these two symptoms.

Such as sepsis, scarlet fever, brucellosis, tuberculosis, rheumatic fever, connective tissue disease, gout, etc...

All in all a lot.

"When did the pain in the hands and feet start? With the fever?"

"It seems to be 4 days ago..."

Teacher Zhang Mei: "Let's take a blood test to see what it is..."

Zhou Mo asked again: "Besides fever and soreness, are there any other symptoms?"

"Does hair loss count?"

"Is it serious? It doesn't count if it's not serious."

"It's quite serious. I've lost a lot of hair recently..."

Teacher Zhou Mo and Zhang Mei couldn't help looking at the top of her head.

really.

Hair is limited.

At this time, the patient Chen Xiuya looked distressed.

"I don't know what's going on, but when I washed my hair recently, it fell out all over the place, and when I combed it, it fell out again... I'm afraid that I will be bald in a few months!"

"Recently? When did it start?"

"Half a month..."

"How many?" Zhang Mei asked.

"Grab one by one..."

Zhang Mei looked at Zhou Mo: "Do you know the reason why a person loses hair?"

Zhou Mo thought for a while, and replied: "There are quite a few reasons, genetic factors, aging, immune abnormalities, excessive mental stress or stress, endocrine disorders, taking certain drugs, autoimmunity..."

at this time,

Both Zhou Mo and Teacher Zhang Mei subconsciously linked hair loss with bleeding and fever.

What's wrong?

These symptoms can be explained monistically.

Zhou Mo asked: "Did you eat anything special? It caused hair loss?"

At the same time, I couldn't help but look at the patient.

Um.

not fat.

Shouldn't you be taking diet pills?

"Didn't eat anything special..."

"By the way, doctor, last week, I went to the hospital for an examination because of hair loss...my mother brought the examination results."

Patient's mother: "In my place..."

Quickly take out the inspection report.

Zhang Mei and Zhou Mo looked at it.

There are quite a lot of checks.

Blood routine, urine routine, liver and kidney function... etc. are all normal...

"What was the doctor's diagnosis at the time?"

"Call me androgenic alopecia!"

(The reality tells us that there are a lot of men with hair loss and baldness, but women have very little hair loss and baldness.)

Zhou Mo: "Then have you taken the medicine?"

Generally, for this kind of diagnosis, the doctor will prescribe some hormone-containing drugs. After taking it, it will naturally have a great impact on the body.