Chapter 505
Chapter 505
Chapter 505
“Moon face” is a medical term.
It means that the faces of some patients have become rounded, like a round moon, so they are called full moon faces.
Characteristic facial obesity, the face looks like a full moon, it is the result of facial fat accumulation.
“Full Moon Face” is usually seen in some patients who have been using corticosteroids for a long time~.
And patients who use glucocorticoids for a long time will have another concurrent symptom——
“Buffalo Back”!
“Buffalo Back”: The back of the neck is protruding, and the back muscles are obviously raised, in the shape of a half moon (like a hunchback).
Lin Feng looked at the back and neck of the girl Chen Ruizhu in front of him…
really!
Buffalo back!
Lin Feng didn’t observe her carefully, so he didn’t find the full moon face and buffalo back.
I just thought she was simply fat!
Looking closer, Lin Feng found that some of the girl’s chin, Chen Ruizhu, had some thicker beards for girls.
The girl has a mustache.
This happens to be one of the manifestations of “Cushing syndrome”!
By the way, Lin Feng took a closer look at the arm of the patient Chen Ruizhu.
Thin skin!
What does it mean?
It is equivalent to when your legs are edema, the skin is as thin as translucent, very brittle and thin.
This is also one of the manifestations of Cushing syndrome.
Everything proves: this is “Cushing’s syndrome”!
So what is “Cushing syndrome”?
Here to mention the “adrenal glands”
(This was written in chapters 477-478)
The adrenal gland is an endocrine organ that can secrete many, many key hormones, one of which is called glucocorticoids.
When the adrenal glands secrete excessive amounts of glucocorticoids due to certain causes, a series of clinical symptoms, including full moon face, buffalo back, hyperglycemia, hypokalemia, obesity, high blood pressure, etc. are caused.
(It just corresponds to the “hypokalemia” in front of it.)
Because it was discovered by a doctor named Cushing, it was called “Cushing syndrome” (transliteration).
In other words, the reason is-“glucocorticoids”!
So,
Back to the main complaint of the girl Chen Ruizhu-schizophrenia!
but!
Things suddenly went beyond Lin Feng’s expectations!
After the CT results came out,
. …. …….
·Pituitary gland, no change…
·Adrenal glands, no change…
Lin Feng: “???”
Lin Feng informed the mother and daughter of the CT results.
Mother and daughter are disappointed…
The loneliness in his eyes is very obvious.
The girl Chen Ruizhu just had light in her eyes, and this moment was once again overwhelmed by darkness.
Lin Feng blamed himself a bit.
Sudden,
“wrong!”
Lin Feng thought of a question, ACTH is not necessarily secreted by the pituitary gland!
It may also be a tumor in other parts!
Medically, this phenomenon is called:
“Ectopic ACTH Syndrome”!
It means non-pituitary and adrenal Cushing’s syndrome. It is more common in APUD tumors, such as small cell bronchial lung cancer, pancreatic islet cancer, medullary thyroid cancer, lung adenocarcinoma, liver cancer…
Lin Feng: “Or… do a chest CT…”
Lin Feng explained it again.
As a result, the mother and daughter seemed to have caught a life-saving straw.
“Do! Do!”
Soon, push to do CT!
In less than an hour, the chest CT results came out.
· There is a 3 cm nodule in the left lobe of the liver.
Generally larger than 2cm, the probability of basic liver cancer is greatly increased.
This time,
The probability of Cushing’s syndrome suddenly increased.
The mood of the mother and daughter is almost like a roller coaster, going up and down.
Lin Feng also gave the patient Chen Ruizhu another examination:
“Alpha-fetoprotein”!
. again.
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