This Doctor is Great

"Let me see!"

Teacher Huang Li 'snatched' the ipad at once, and looked at it.

really,

The patient's serum creatinine rose a lot.

"Serum creatinine" is a product of human muscle metabolism. Once the kidney function is significantly reduced and the blood creatinine cannot be excreted, it will accumulate in the blood, and the blood creatinine value will increase.

The clinical significance of increased serum creatinine is: renal failure, heart failure, gigantism, acromegaly, salicylate treatment, etc...

By the way, bilirubin increased 5 times.

It shows that there is also a problem with the liver.

"The case has been solved, it may be a heart disease caused by kidney..." Teacher Huang Li sighed when he saw the blood creatinine.

"What do you mean?" the patient's wife asked, wiping her tears.

Teacher Huang Li explained: "It's your husband's kidney that has a problem, which leads to a large amount of metabolic waste that cannot be excreted from the body, resulting in water and sodium retention. The high sodium ion causes heart function problems, and then causes Cardiac arrest."

"As for dizziness, it may be that the heart's blood supply is insufficient, which then causes the brain to lack oxygen, and then faints..."

At this time, Dr. Liu from Shenwai was not to be outdone: "It may also be another condition - "renal encephalopathy"! "

Then explain the meaning of renal encephalopathy.

Probably an electrolyte imbalance, causing neurological problems, coma being one of the symptoms.

"but!"

Teacher Huang Li said: "Whether it is encephalopathy or heart disease, it is not the point. The point is to solve the root cause - liver and kidney damage!"

Shenwai Teacher Liu: "Yes, we need to find out why the liver fails and the kidney fails?"

Teacher Huang Li: "Only by finding the cause of the disease can the patient be truly cured, otherwise the symptoms will not be cured."

Brother Chen Dong in the emergency department: "Why don't you call the teacher from the Department of Nephrology for consultation..."

Teacher Huang Li: "This can be..."

Teacher Liu from Shenwai: "It's good to let the kidney come over..."

Brother Chen Dong asked the nurse girl to call the nephrology department and ask the teacher of the nephrology department to come over for consultation.

But the consultation still needs to continue.

Brother Chen Dong asked the patient's wife: "I want to ask, has the patient eaten anything special these two days?"

Liver failure and kidney failure are generally due to eating the wrong things.

The wife thought for a while, then shook her head and said, "I don't know, because my husband always goes to work and eats out, and only eats dinner at home."

"Don't know?"

Everyone was disappointed.

Look at the patient who is still in a coma.

"That may have to wait for the patient to wake up and ask."

"It may be that the patient ate something outside and was poisoned."

At this moment,

Zhou Mo said, "I have an idea."

Teacher Liu from Shenwai looked at Zhou Mo with surprise on his face.

Teacher Huang Li: "What did you think of?"

Zhou Mo: "I thought of the patient's medicine... I just said that the patient had a cold and took the medicine, so could it be caused by the medicine?"

The hearts of the doctors moved.

yes,

Medicines are also possible.

Medicine is three-point poison.

If you take too much medicine, your kidneys can't handle it, and your kidneys will fail naturally.

When the wife heard this, she shook her head and said, "Impossible, we take the medicine according to the instructions, three times a day, and the dosage will not exceed..."

Zhou Mo: "What kind of medicine are you taking?"

Wife: "It's the usual common cold medicine. I used to take this kind of medicine for colds..."

Zhou Mo: "What's the specific name?"

The wife shook her head: "I only remember one kind, which is 999 cold spirit..."

"etc!"

Zhou Mo yelled, and found Hua Dian!

"Did you just say 'one of these'? How many did you eat?"

The wife was confused: "Eat two kinds together, what's wrong?"

Zhou Mo clapped his hands: "Look, the answer is here!"

Brother Chen Dong came to a sudden: "I understand, take the two cold medicines together, the dose is doubled! Then it will lead to kidney failure."

Zhou Mo nodded: "Yes, it must be so."

At this time, Teacher Huang Li and Teacher Liu also reacted quickly.

drug reuse,

This is a problem with many patients.

"Ah??" The wife couldn't believe it, "Impossible? Isn't 999 Ganmao Ling a traditional Chinese medicine? The other is Western medicine..."

Zhou Mo shook his head, did not answer, but asked: "What kind of packaging is the other cold medicine I took? Is it dark pink?"

The wife nodded again and again: "Yes, yes, yes! The dark pink one is used for colds and fevers!"

Zhou Mo already had a guess.

Turn on the phone, swipe~~~

Soon a picture opens.

Acetaminophen Suspension!

(Big brother last picture)

"Is it this?" Zhou Mo put the picture in front of the patient's wife.

"That's right! That's it!"

After seeing the picture, the wife immediately recognized it and nodded quickly.

call~~~

At this moment, all the doctors breathed a sigh of relief.

Case solved!

It's acetaminophen!

This medicine is used to reduce fever. It is one of the classic medicines for reducing fever (the other is ibuprofen), but it also has some effect on colds and is often used as a cold medicine.

but,

Excessive acetaminophen can cause liver and kidney damage, severe heart damage until arrhythmia and cardiac arrest may...

The other medicine, 999 Ganmaoling, although it is a Chinese patent medicine, actually contains acetaminophen.

so,

Take the equivalent of two servings of acetaminophen together.

Then the dose is too high, leading to liver failure and kidney failure.

"That should be it."

Huang Li, Teacher Liu and the others had no objection to this speculation.

Senior Brother Chen Dong patted Zhou Mo on the shoulder, smiling in surprise:

"Awesome, the last B-ultrasound, this time it was diagnosed again!"

"I just read a lot." Zhou Mo smiled modestly.

Next,

There is nothing to say, just test the patient's blood, about the blood concentration of "acetaminophen".

As long as the excess exceeds the standard, it is poisoning.

At that time, I will send it directly to the Nephrology Department for blood purification.

Teacher Huang Li: "Okay, now that it's done, let's go back... Zhou Mo, let's go!"

finished speaking,

Turn around and leave the emergency room.

Zhou Mo followed out.

Teacher Liu, who was out of his mind, also turned and left.

Not long after, the nephrology doctor arrived, and after listening to Brother Chen Dong's report, he also thought it was drug poisoning.

Take the patient directly to the nephrology department for hospitalization.

As long as the blood drug concentration is confirmed and the excess of acetaminophen is confirmed, blood purification can be used to remove the acetaminophen, and then drugs that protect the liver and kidney can be used to treat this patient.

...

On the way back to the cardiology department,

Huang Li looked at Zhou Mo next to him, and couldn't help sighing.

Zhou Mo's clinical talent is really too high!

Surprised every time.

It's such a pity that he was blocked by the hospital because of his academic qualifications.

"Should you want to stay in the hospital?"

"think……"

"Don't be discouraged, I will ask the teacher (Director Niu) to see if there is any way..."

"Isn't Director Niu going to retire and don't want to be a director?" Zhou Mo has a general understanding of Director Niu's character and psychology during the past three weeks.

Teacher Huang Li smiled and said, "Who made you so good..."

Excellent talents, no one will dislike them.

Staying in the hospital is not without room for change.

For example,

Read a blog for Zhou Mo...

Director Niu still has a quota.

.