latelenovela Chapter 551
Chapter 551
"Doctor Lin, that painkiller..."
"Not yet, stay up first, and then use painkillers after the examination."
Again, the condition is too complicated, and painkillers will affect the results of the examination.
The patient is pushed to the rescue room.
Blood is drawn while the patient is given fluids.
Loose, abdominal pain, there will definitely be a little lack of water, electrolytes, make up first.
As for shortness of breath,
Lin Feng did not pay too much attention because the patient himself had COPD, and the abdominal pain itself caused shortness of breath.
There are thousands of causes of abdominal pain, common appendicitis, cholecystitis, cholangitis, pancreatitis, gastrointestinal perforation, intestinal obstruction, pneumonia, myocardial infarction, etc., rare aortic dissection, mesenteric vascular embolism, etc., once misdiagnosed can be fatal.
Coupled with the discovery of mild yellow staining of the patient's sclera, Lin Feng naturally did not dare to be careless. When the physical examination is not supported by more evidence, early ancillary examinations can also make a correct diagnosis as early as possible and can be treated as soon as possible.
After rehydration,
After drawing blood,
The patient's uncle's vital signs are good.
"Go for a CT of the abdomen..."
Lin Feng said.
Generally speaking, CT is a big move, large radiation, and is rarely used by ordinary patients.
Basically, X-rays and B-ultrasounds are used to assist diagnosis.
But Uncle Chen's disease is afraid of an emergency, so he directly went to the big trick.
Outcome......
Abdominal CT: Nothing is wrong...
Liver, no problem...
It was different from what Lin Feng imagined.
It turned out not to be a liver ...
Bring back to the rescue room from the CT room,
Then change the bed again...
But
Not long after changing the bed, the accident came.
"Ah~~~ Uh
Uncle Chen suddenly screamed, and then his teeth were closed, his limbs twitched, and he was foaming at the mouth.
Lin Feng was shocked.
It also startled other medical staff.
And the daughter was even more frightened and panicked.
"Dad... Dad..."
Shouting helplessly, and pressing the legs of his father, who were constantly twitching, in distress ...
"It's epilepsy!"
Lin Feng reacted the fastest, and quickly put the patient in a position - sideways, so as not to be foamed into the airway and cause suffocation.
"Calm, quick!"
The rescue room is routinely calm and stable 10mg, and the intravenous injection is quickly given...
At this time, Lin Feng pulled the patient's daughter away.
"Don't press him, it will hurt him... The convulsions got better soon..."
Fortunately, just after changing the bed, the ECG monitor was immediately connected, so the vital signs of the patient Uncle Chen could be seen.
Heart rate and blood pressure are a little high.
All suddenly went up because of epilepsy.
As the tranquilizer went down, soon the patient Uncle Chen quieted down.
A few minutes later,
The patient's uncle Chen's convulsions stopped, and his blood pressure and heart rate slowly dropped.
The patient eased up.
epilepsy
Lin Feng's first reaction was naturally that there was a problem with the brain.
The most direct way is to look at the eyes.
Roll your eyelids,
It was found that the patient Uncle Chen was still sensitive to light reflection, which made Lin Feng breathe a sigh of relief.
"Huh..."
"This sclera seems to be more yellow..."
That's right
It is more yellow visible to the naked eye!
Indicates that jaundice has deepened!
Either there is a problem with the liver or hemolysis.
Because the CT didn't find it, I had to wait for the blood test results to determine what it was...
"Xiaoru, swipe the system to see if his inspection results have been transmitted?"
"Well..."
Xiao Ru brushed it.
"Teacher, the results haven't come out yet..."
"Keep brushing..."
"Okay..."
Taking advantage of the fact that the results of the blood test had not yet come out, Lin Feng asked the patient's daughter again.
First, let's introduce the condition.
"Your dad's condition is a bit serious now, and the reason has not yet been clarified, it is more complicated... At present, there may be problems with the liver and brain..."
"We will estimate that we will do a head CT later, to rule out whether there is a possibility of cerebral hemorrhage, brain tumor, etc."
"Okay, okay, Dr. Lin, you can do whatever you want..."
At this moment,
Xiao Ru suddenly shouted: "Teacher, the blood drawing results are out..."
Lin Feng listened,
I quickly walked to the computer and looked at it.
At a glance,
Taken aback!
Liver function: transaminases, bilirubin three times!
Kidney function: blood creatinine increases by 2 times!
Liver and kidney failure!!
Quickly open the blood routine.
OK!
Hemoglobin and red blood cell count are basically normal, and there is no abnormal anemia, so hemolysis can be temporarily ruled out.
Other words
The patient has liver and kidney problems.
And the kind that progresses quickly!
Acute liver failure!
so
What to consider?
Systemic infection!
Or drug food poisoning!
But there is nothing wrong with the white blood cells in the blood routine, so it points to -
Drugs, food poisoning!
Lin Feng found the patient's daughter.
"Did your dad have any problems with his liver before?"
"Liver? Pretty good, right? Every year, I will give my father a physical examination, and I didn't say that there was a problem with the liver..."
"Then think about it, besides today, did your dad have any unusual symptoms yesterday? Run a fever? Or what did you eat? "
"The fever did not ... There doesn't seem to be anything else, except for COPD, there is no problem with the rest, and the body is quite good..."
"That is, it only started this morning, right?"
"Yes..."
"What did you eat this morning?" To be more specific... Did you take any medicine? "
"Medicine? Just inhaled the mist, coughed... I've sucked it before, nothing wrong ... If you eat, fish, rice... No problem... The fish is also cooked..."
Lin Feng: ".................."
It doesn't look like there's something wrong with it...
"If you think about it, have you eaten anything?"
“...... Fish gall... Yes, fish gall! "
The patient's daughter suddenly thought of this and said loudly.
Fish gall?
Lin Feng: "!!!!!!!! "
.