latelenovela Chapter 316
Chapter 316
Although Lin Feng passed the diagnosis, he felt that the patient was iron deficiency anemia.
But
In the end, "blood test", "serum ferritin test" are still needed...
Let's make the final decision!
Lin Feng billing,
The patient goes to have blood drawn and a "serum ferritin test" is checked.
......
After 2 hours,
The patient returns with the examination report.
"Serum ferritin test": decreased serum ferritin (12μg/L); Serum iron reduction (8.95 μmol/L)...
Sure!
"Iron deficiency anemia"!
"That's right, you are indeed iron deficient..."
"Then Dr. Lin, can I supplement iron?"
"That's right... Wait a minute, I'll prescribe you some medicine, remember to eat according to the doctor's advice, don't eat indiscriminately, otherwise you will be poisoned..."
Iron supplementation should not be excessive, otherwise it will lead to "iron poisoning". (Chapter 91 - Cherry Iron Poisoning)
But......
Now only iron deficiency anemia has been diagnosed!
Lin Feng still needs to find the reason!
"Why iron deficiency anemia?"
Treatment of the cause is the first principle in the treatment of iron deficiency anemia.
In the textbook,
"Iron deficiency anemia" is described as follows:
Generally, women of childbearing age (Yue menstruation, pregnancy) and children in the growth and development period are more common, because the demand for iron is significantly increased. At the same time, the elderly are also more common groups...
There are many causes of iron deficiency anemia, such as:
Dietary iron deficiency,
Gynecological uterine fibroids,
Chronic bleeding of the digestive tract: chronic ulcers and malignant tumors of the digestive tract...
Hemorrhoids...
Lin Feng needs to do investigation one by one according to these.
Lin Feng: "What you usually eat, is it normal?" Have you ever eaten those red fruits and vegetables? (Generally red ones are rich in iron)"
Female patient: "I usually eat, it's okay, I eat everything." "
Lin Feng: "Are there hemorrhoids?" "
Female patient: "No. "
Lin Feng: "When you go to the toilet, is there any blood in the stool?" Or often black poop? (The blood is black, not red)"
The female patient shook her head directly: "No, there should be none..."
Lin Feng nodded.
The above excludes dietary deficiencies, hemorrhoids...
Uterine fibroids, digestive tract problems cannot be ruled out...
Choose one of the two,
Lin Feng prioritized the diagnosis of uterine fibroids.
"Uterine fibroids", called "uterine leiomyomas" are more accurate, is the most common benign tumor in female reproductive organs, and is also one of the most common tumors in the human body, also known as fibromyomas and uterine fibroids.
Lin Feng pondered: "Do you usually have a lot of menstrual blood?" "
The female patient hesitated: "This... It seems to be quite a lot..."
Lin Feng's spirit lifted: "Are you sure? "
If there is a lot of blood, it may be bleeding caused by "uterine fibroids".
The female patient hesitated: "I don't know... But it feels a little more! "
Lin Feng nodded: "Okay, I'll give you an examination "B ultrasound"..."
Ultrasound is currently the most commonly used auxiliary diagnostic method for "uterine fibroids".
At this point,
Time 10:10...
......
1 hour later...
The female patient returned with a result.
· Ultrasound result: no uterine fibroids!!
Lin Feng: "..........................."
The probability of remaining gastrointestinal bleeding (chronic ulcers, or intestinal tumors) has increased to 99%!!
But
It's a hassle to do these checks!
If you want to exclude iron deficiency anemia caused by digestive tract tumors, you often need to check tumor marker tests, or do gastroscopy and colonoscopy at the same time...
Troublesome.
Also cost money.
So Lin Feng first checked the uterine fibroids and left this last.
If it is a chronic ulcer (not a disease, it is a syndrome), then it is more troublesome, and it is necessary to find various causes ...
Now the patient has dragged from yesterday to now.
Lin Feng had a headache.
......
An hour later,
Lin Feng made an MRI for the patient...
The final confirmed murderer:
"Small intestinal tumors"!
Virtuous!!
The size is only 1cmX2.2cm...
The presence of a tumor, which tears a section of vein, then leads to chronic bleeding ...
Because the total length of the small intestine is 4-6 meters, which is very long, you only need to cut off the intestine where this small tumor is located, and you can get it...
This is a very kind tumor.
After Lin Feng's diagnosis, he directly admitted the female patient, fasted water and fasted for 2 days, and underwent laparoscopic tumor resection surgery, which was minimally invasive and healed quickly.
"Doctor Lin, thank you..."
The female patient looked at Lin Feng gratefully.
She didn't expect that her small iron deficiency was due to a tumor.
Fortunately, Lin Feng found it early.
......
On the other side,
Orthopedics, specialist clinics...
Orthopedic professor Wang Changtian on call.
Ms. Wang, 46 years old, came to a specialist to register because of dizziness.
She runs a clothing store in a city next door, with 3 stores, plus 5 stores on Taobao.
It can also be regarded as a small boss in business, with a small wealth.
However, a month ago, I don't know why, she felt a little dizzy and her head was a little heavy.
Later, it became more and more serious.
Not only for ten minutes of dizziness, but also a slight change of position, the faint is even worse, sometimes want to vomit.
Half a month ago, she couldn't stay up, so she ran to the emergency department of a nearby tertiary hospital and had an examination.
The doctor was relatively young at the time, and after doing a bunch of tests on her, he finally found the cause from an X-ray: - cervical disc herniation.
The doctor said that dizziness was caused by the compression of nerves and blood vessels by the cervical spine.
Cervical disc herniation occurs more often at the age of 40-50, common symptoms are neck and shoulder pain, upper limb pain, and limb numbness, and a small number of patients will have dizziness...
After the doctor found the cause, he told her not to work so hard and rest more. Then some warm, analgesic medicine was prescribed.
Then some massage methods were also taught.
But......
After continuing treatment for half a month,
Effect = Zero...
At this time, Ms. Wang felt that she might have made a mistake, and she decided to come to the imperial capital to find an expert professor.
There is money, directly bought a scalper ticket, harmonious orthopedic professor Wang Changtian!
The old orthopedic professor of imperial harmony should always be fine, right?
Professor Wang took a look at Ms. Wang's illness, combined with the previous treatment process, and felt that the cervical disc herniation was not very similar.
He is a professor of orthopedics.
His first reaction was: this is not an orthopedic disease.
The patient came to him because he was blind.
However, of course, he would not say so, but opened 2 orders for Ms. Wang: "Skull MRI" and "Cervical MRI"...
Insufficient cerebral blood supply will also cause dizziness, and even some cerebral infarctions will be dizzy, which cannot be taken lightly...
Therefore, it is no problem to open the "head MRI".
The "cervical MRI" is to see the degree of compression of nerves and blood vessels to see if it is really because of it.
Ms. Wang took the list and paid the fee.
However, the MRI queue will take longer than CT and B ultrasound...
The whole hospital is queuing.
Ms. Wang waited for 3 days before the MRI test was officially performed, and then it took another day to get the MRI results.
4 consecutive days of queuing,
It made her feel the difficulty of seeing a doctor in the imperial capital hospital.
What she didn't know was that there was a handsome Lin Feng in the emergency department, and the MRI and CT of the hospital were often passively prioritized...
Why?
Because Lin Feng is handsome!
For female doctors and nurses in the imaging department, the favorability is directly full!
And then
She bought another number and asked Professor Wang Changtian for a follow-up consultation.
Professor Wang Changtian naturally looks at MRI.
Outcome:
Cervical vascular nerve compression, not serious
There is cerebral infarction, but it is not serious, only a small branch blood vessel is blocked, necrosis.
"I have a cerebral infarction? Is it serious? Will people die? "
Ms. Wang panicked at this moment!
Her husband died early, and her daughter was only 10 years old, so she didn't want to die just like that.
"It's not enough to die, but specifically you have to go to the internal medicine department, or the emergency department..."
After all, Professor Wang Changtian is only orthopedic, not very profound.
Wave and dismiss Ms. Wang.
"Professor Wang, you just said let me find the Department of Divine Internal Medicine, right?"
Ms. Wang asked a little flustered.
Wang Changtian thought about it, this patient has wasted 4 days of time here, in case it is not a cerebral infarction problem, then go to the Department of Spiritual Internal Medicine, wouldn't it waste another few days?
thereupon
Professor Wang Changtian thought of Lin Feng.
Lin Feng is from the emergency department, and most of the diseases are understood, and they are very powerful.
If you go to Lin Feng, you may be able to find the cause at one time.
"You go to the emergency department, go to Dr. Lin Feng, your disease, he is more suitable..."
"Lin Feng... Is it the more popular doctor Lin Feng on the Internet? "
Doing business on the Internet, Ms. Wang is naturally familiar with the more popular people on the Internet, and immediately recognized Lin Feng.
"That's right, it's him, maybe he can help you."
"Thank you, Professor Wang!!"
Ms. Wang thanked her and left quickly.
Then run to the emergency department.
As a result, when I arrived at the emergency department, I found that Lin Feng was the most popular emergency doctor, and many patients liked to let nurses arrange for Lin Feng.
When she came to the queue, there were already 18 patients in front of her.
Moreover, her illness is not urgent, only other emergency patients cut the queue, and there is no part of her cutting the queue.
。