blenderwars Chapter 417
Chapter 417
Chapter 417
Why, when Lin Feng saw the aunt on the opposite side of the video call doing actions such as ‘rubbing his left shoulder, frowning, propping his jaw, and twisting his neck’,
Will rely on these, think it is a heart disease?
Because the human heart is on the left.
Once the heart suffers from coronary heart disease such as “myocardial infarction”, “angina pectoris”, “arterial dissection”, etc., it may cause pain in the precordial area and then radiate to the back, left arm and left neck…
(Coronary heart disease is divided into: angina, myocardial infarction, ischemic heart failure (ischemic heart disease) and sudden death, asymptomatic myocardial ischemia (occult coronary heart disease)… these 5 clinical types.)
The pretty girl opposite the video: “Doctor Lin, when is it convenient for you, shall we have a meal?”
Lin Feng: “Yes, but I have a request.”
When the pretty girl heard it, she was overjoyed.
The male god agreed!
I can eat with the male god!
And the pretty girl her mother was also very surprised.
Dr. Lin Feng is handsome, he is kind and decent, and he is also a doctor with superb medical skills.
Simply perfect son-in-law!
If you can become your own son-in-law, then you will be lucky!
The pretty girl couldn’t wait: “Male god…what do you want?”
Lin Feng: “Let the auntie also come to eat together, and eat near the hospital, and then you come to the hospital more than 4 o’clock…”
Lin Feng: “Fortunately, you came early because of myocardial infarction…but it’s not serious…”
The mother and daughter screamed together: “How can it be myocardial infarction?”
Although I don’t know what it means, TV commercials are often shown on elderly people with myocardial infarction…
Lin Feng explained what is called myocardial infarction, which is probably a certain part of the heart tissue has cell death.
(I have written a lot about myocardial infarction, so I didn’t write it carefully.)
Then apply for admission,
Continue to observe and treat.
…
The next patient,
“Cough cough cough~~~ cough cough cough~~~ cough cough cough~~~~~~~”
He heard his voice before seeing him.
When Lin Feng heard this voice, he got some information.
·The voice should be from a middle-aged man,
·The cough is very serious, and it feels comfortable to cough up the lungs
Then,
A middle-aged male patient bowed and walked into the consulting room, coughing constantly.
By the way, I still have a thick stack of cases in my hand.
“Doctor Lin…”
“sit……”
The patient sat down and coughed uncomfortably: “Doctor Lin, I must save me. I cough and cough so hard to die.”
Then began to talk endlessly about his tragic experience.
The patient, named Zhang Hong, is a high-speed rail worker.
I don’t know why I started coughing 2 years ago.
One cough is 2 years.
In the patient’s words, it is: coughing until my mother no longer knows it, coughing until I doubt life, and coughing until I want to pierce my lungs with a knife and scrape out the sputum.
How does he cough up sputum?
Every morning, when he goes to bed together, the first thing he does is to cough up sputum, because sputum has accumulated all night, and it has to be coughed up to be comfortable. So get up, sit down, start to pose and start coughing up sputum.
A set of movements, performed every day, is extremely proficient, smooth and flowing, and at the same time full of sadness.
The internal passages of the lungs are very sensitive.
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It only allows the presence of air (oxygen, carbon dioxide), blood, and a little foreign body, it will desperately cough up.
He is a native of the province. He saw three hospitals over there, but he couldn’t find the reason.
Then I heard the reputation of the imperial capital Lin Feng, and the folk rumors of “Cure all diseases”, and then came to the imperial capital.
Lin Feng was ashamed after hearing this: “Thank you…our Harmony Hospital still has many very good doctors…”
Patient Zhang Hong: “Doctor Lin is humble…”
at this time,
Lin Feng began to sort out the cause of the patient.
Cough for 2 years,
This is a chronic cough.
What is the most common cause of chronicity?
Common ones are:
·Cough variant asthma…
·Upper airway cough syndrome (postnasal drip syndrome)…
·Eosinophilic bronchitis…
·Cough related to gastroesophageal reflux…
Together, the above several causes will probably account for 80% of the causes of chronic cough.
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Even without any auxiliary examination, as long as we ask some basic conditions of the patient, we can diagnose the cause based on experience.
first,
Lin Feng through bronchial stimulation, the patient did not cough, ruled out “cough variant asthma”
Then,
The patient does not have diseases such as allergic rhinitis, sinusitis, or pharyngitis, and is not eligible for “upper airway cough syndrome.”
Later,
The results of the patient’s previous examination in the hospital ruled out: “Eosinophilic bronchitis”
After that,
Gastroesophageal reflux? The patient had no stomach problems for 2 years, and had not tried any hiccups or nausea. Obviously, it was also ruled out.
“Do CT?”
Lin Feng thought for a while, no need to do it.
Because the three first-class tertiary hospitals have done 3 CTs, Lin Feng has looked at them one by one and found no results.
·Medical record CT results: no tuberculosis, interstitial lung disease, lung cancer, bronchiectasis, etc…
Lin Feng deliberately stroked all the medical records brought by the patient Zhang Hong. (Some words are too scribbled to be recognized)
Basically, the inspections that should be done have been done,
No cause was found.
Lin Feng thought for a while,
“Have you ever done a “fiberbronchoscope”? ”
Lin Feng did not see this examination on the medical record.
What is a fiberoptic bronchoscope?
It is actually similar to a gastroscope.
Use a tube with a thick finger to enter from the nose and into the trachea. This tube has a camera on the head, and then you can see the situation inside the trachea (including branches and bronchi) through the camera.
The bronchi, the next branch of the trachea, extends into the lungs and transports oxygen to various parts of the two lungs.
The patient Zhang Hong shook his head again and again: “I haven’t done it, it’s too expensive… I heard it costs more than 2,000…”
This price is prohibitive!
. again.