blenderwars Chapter 475
Chapter 475
Chapter 475
At this time,
My mother was nagging again; “In addition to nagging the sun, I also drink sugar water for the baby. The elders say this can relieve jaundice…”
Lin Feng covered his face and said helplessly: “Sugar water is useless. There is no relevant information to prove that drinking glucose water can relieve jaundice. On the contrary, it may occupy the small stomach capacity of newborns, resulting in insufficient breast milk intake and reduced bowel movements. , Leading to aggravation of jaundice. Therefore, I suggest that you strengthen your baby’s breastfeeding and promote fecal excretion, which will help reduce jaundice…”
Mother was surprised: “Huh??? Is that true?”
Then angrily.
“I will never trust Baidu again!!”
Doctor Baidu expressed dissatisfaction·jpg!
Mother: “Then Dr. Lin, what should my baby do now?”
Lin Feng: “Be hospitalized first…”
Lin Feng is very solemn.
Why is it so solemn?
Because the bilirubin continues to rise, it will eventually affect the brain.
Once “bilirubin encephalopathy” occurs, it is irreversible 127, and the baby will have many sequelae.
“Bilirubin encephalopathy”: In the past, it was called nucleoflavia. Refers to when high unconjugated bilirubinemia occurs, free bilirubin passes through the blood-brain barrier and is deposited in the basal nucleus, thalamus, subthalamic nucleus, fastigial nucleus, ventricular nucleus, caudate nucleus, as well as the cerebellum, prolonged brain, and brain Cortex, spinal cord and other parts inhibit the use of oxygen by brain tissue, leading to brain damage.
The baby has been jaundiced for 12 days, and looking at the baby’s condition, it is obviously a bit serious.
Therefore, it is better to be hospitalized.
Lin Feng asked other questions.
For example: Are there fever, refusal of milk, fatigue, lethargy, or even convulsions? Current urine, stool color? Feeding methods and breastfeeding conditions? Maternity history, is it the first child? Is there any dystocia, clamped labor, etc.?
After the questioning, it was basically determined that it was jaundice, not other similar conditions (such as biliary atresia).
“I will give you a few checks… and then go through hospitalization by the way…”
“Thank you Doctor Lin…”
After being admitted to the hospital, they started to arrange blue light irradiation for the newborn as soon as possible to eliminate the occlusion.
However, the test results came out soon, and the most serious case-bilirubin encephalopathy did not appear.
Also considered lucky.
…
The thirteenth patient…
Continue to diagnose…
The first patient.
Jaundice again! !
Lin Feng: “???”
Why is there another jaundice?
I don’t usually see one jaundice, why does it come all of a sudden?
·Patient, name Huang Jiayi, 34 years old,
Recently, I suddenly noticed that my skin was a little yellow. I didn’t pay much attention to it at first. Then I got up today and found that my eyes and sclera were very yellow. Then I checked Baidu and found that it was jaundice, possibly liver disease. I panicked, so I hurried to the hospital.
“How often did it turn yellow?”
“I don’t know, it’s been at least five days…”
Huang Jiayi is a beautiful woman, but she has been busy with her work recently, so she didn’t notice this at once.
Lin Feng pondered.
Jaundice in newborns and jaundice in adults are not the same thing.
Neonatal jaundice is because the organs are not mature enough, just give birth to too much bilirubin…
However, adults do not have these two factors. The only cause of jaundice is the liver, gallbladder, pancreas and other organs.
Therefore, taking blue light is to treat the symptoms but not the root cause, and the root cause must be found.
“Apart from yellow, are there any other symptoms?”
(aicd) Lin Feng asked.
“For example, fever…”
The patient Huang Jiayi shook her head: “There is no fever…but there is a bit of abdominal pain…”
stomach ache?
Lin Feng’s heart moved: “How long has it been painful? Where does it hurt?”
“It hurts here (upper left abdomen) for 3 days…”
“How painful?”
“It hurts from time to time, sometimes it hurts, sometimes it doesn’t hurt…”
Lin Feng nodded.
·Jaundice + upper abdominal pain:
· Jaundice + epigastric pain + fever and chills (Charcot’s triad): acute suppurative cholangitis.
so,
Preliminary consideration of the female patient in front of us should be: “Consider liver abscess, biliary stones, biliary ascariasis”…
Lin Feng: “You lie on the bed, I will do a personality check for you…”
The female patient Huang Jiayi was lying on the bed.
Lin Feng put on gloves and pressed the female patient’s abdomen. The student was as small as aside.
Pressed the liver area where the ribs were exposed.
“Ah~~~”
The female patient was in pain.
Lin Feng judged that there was no hepatomegaly.
Then I pressed the upper right abdomen, there was pain, but not as painful as the upper left abdomen.
In addition, I pressed my abdomen again, and there was slight ascites, hard.
However, ascites should be a complication of jaundice.
The physical examination is complete.
Lin Feng considered the two conditions of “biliary stones” and probably ruled out “liver abscess” (enlarged liver) and “biliary ascariasis” (severe pain).
“Go for a B-ultrasound…and do a bilirubin test by the way…”
Lin Feng issued an order,
…
Half an hour later,
The B-ultrasound results came out.
·B-ultrasound: The bile duct is slightly or moderately dilated, and the tube wall is thickened; two echo-light bands can be seen on both sides of the bile duct.
“Biliary Ascariasis”! !
Lin Feng is still a little surprised at this point.
At first, he felt that the most likely thing was “biliary tract stones.”
The result turned out to be ascariasis. Forced out of work.
The so-called “biliary ascariasis” is an acute abdomen caused by roundworms in the intestine burrowing into the biliary tract.
In general,
Ascaris parasites in the lower part of the small intestine.
Once the parasitic environment changes, such as fever, decreased gastric acidity, insufficient dosage of anthelmintics, gastrointestinal dysfunction, and pregnancy, the roundworm may ascend to the duodenum, and the roundworm has the habit of drilling, that is Biliary tract disease.
(The exit of the common bile duct is in the duodenum. The bile duct is in the liver.)
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