blenderwars Chapter 401
Chapter 401
Chapter 401
After Lin Feng settled the Japanese encephalitis patient, he went back to the clinic.
The next patient.
This is a middle-aged male, about 40 years old, looks like a white-collar worker.
Lin Feng enters the information.
·Zhang Wu, male, 38 years old…
“Doctor Lin…cough cough…”
The patient Zhang Wu sat down and coughed a few times, making Lin Feng couldn’t help but glance at it.
“Tell me what happened…”
“That’s it. A week ago, I started coughing. At first I thought I had a cold and caught a cold. I bought some cough medicine, but found it was useless. Then I went to the community clinic. The doctor said I had pneumonia and prescribed it. Antibiotics, but after taking it, I still coughed, which didn’t work well… And just last night, when I coughed, I coughed up blood!”
When talking about this, the patient Zhang Wu’s face was very panicked.
He was obviously coughing up blood and terrified him.
Lin Feng: “Is it hemoptysis? Or vomiting blood? Or blood in the mouth and then vomit it out? Which one do you think these three are?”
The three are different.
The first is the airway, the second is the digestive tract, and the third is the oral cavity 077.
Patient Zhang Wu: “I’m pretty sure, I coughed up when I coughed…cough cough…”
at this time,
“Ahem~~~”
Zhang Wu quickly took out a piece of tissue and covered his mouth.
Coughed a few times.
Soon, Zhang Wu finished coughing and opened the paper towel. Lin Feng saw the white paper towel with shocking bright red blood.
“Dr. Lin, look, it’s this blood…Dr. Lin, am I seriously ill!”
Zhang Wu looked at Lin Feng with a worried expression.
Lin Feng comforted: “Don’t panic, it’s not necessarily a serious illness…”
What disease is starting to think about in my mind?
first,
Lin Feng saw the whole process just now.
Coughing up blood is certain!
That is the blood of the respiratory system!
For hemoptysis, we must first consider “tuberculosis”, because tuberculosis is a very common cause of hemoptysis!
In addition, there are the following reasons:
·Bronchiectasis… (Explanation: The main cause is the rupture of pulmonary capillaries, which is caused by violent coughing. A violent coughing will damage the blood vessels and cause obvious bleeding.)
·Lung cancer (aicd)……
·Pulmonary embolism…
·pneumonia……
·Lung abscess…
·Pulmonary parasitic disease
·Some blood diseases can also cough up blood, such as leukemia, hemophilia, etc…
“Is there any medical history? There are family genetic diseases?”
Zhang Wu: “Medical history…no…As for the family inheritance, I really don’t know this, but there was an uncle in my ancestor who died of lung cancer coughing up blood…”
Saying here,
“Could it be… I am lung cancer?”
Zhang Wu began to panic.
Lin Feng: “Don’t worry, maybe it’s not… You have to check before you know…”
Then,
Lin Feng asked about other symptoms.
Zhang Wu shook his head: “There is no nasal discharge, no fever, no bad spirits…just a cough…”
Lin Feng nodded.
Start physical examination.
Lin Feng carefully checked the patient’s skin and found nothing special.
The skin is ruddy and not pale, just a little rash, but Lin Feng didn’t care too much.
Red rash, many people may have a rash due to contact problems.
Take out the stethoscope.
Listen to the heart and lungs…
Only a few wet rales in the lower right lung, and no other obvious abnormalities.
It should be pneumonia.
Other than that, there is no special discovery.
“Open your mouth and show me…”
Lin Feng was afraid that when he encountered the last time, his teeth were bleeding, and then he mistakenly thought he coughed up blood…
The patient opened his mouth.
Lin Feng took a look.
“Huh… do you have ulcers?”
Lin Feng saw many white spots in the patient’s mouth.
I looked it up carefully,
Seven or eight white spots of ulcers.
“When did your ulcer appear?”
“For several years…I often get ulcers. This ulcer has several holes, even more than a dozen holes. It’s very exaggerated. I can’t eat rice. I can only drink porridge…”
Lin Feng was surprised.
However, it is clear that ulcers have nothing to do with hemoptysis. After all, ulcers have been a disease for several years, and hemoptysis only appeared yesterday.
Do not consider ulcers.
“Take a chest CT first…”
Do CT, you can probably see lung cancer, tuberculosis, bronchiectasis…
billing.
The patient paid the fee quickly and went to take a CT scan.
…
after an hour,
The patient returned with the CT results.
·CT results: multiple pieces of ground glass shadows in both lungs, mainly in the lower lungs. (Probably meaning pneumonia)…
· In Lin Feng’s opinion, on CT films, pneumonia is not serious, at least not to the extent of “coughing up blood”…
·No traces of tuberculosis or lung cancer were found…
·No trace of bronchiectasis…
Lin Feng was surprised.
It turned out not to be.
What is the reason?
Lin Feng: “First of all congratulations, it’s not lung cancer, nor tuberculosis…”
“Not lung cancer?” Zhang Wu breathed a sigh of relief.
Lin Feng became serious: “However, the CT scan just now did not find the cause. Then, a major investigation may be required… Next, a lot of inspections will be done, and five or six tubes of blood may be drawn…”
Patient Zhang Wu: “Although come, as long as the cause can be found…”
Life is more important than money!
Lin Feng nodded: “Okay!”
Then the “blood routine, liver and kidney function, electrolytes, coagulation index”, tumor index, tuberculosis acid-fast bacillus examination… etc. were ordered…
The patient took the bill, went to pay the bill, check…
…
at this time,
Wu Haoming took the patient, father and daughter, to Harmony Hospital.
“Wow, it’s big!!”
“It deserves to be the best hospital in the country!”
Wu Haoming stood outside the gate of the hospital, looking at the buildings of Harmony Hospital, and sighed.
This is within the second ring road of the imperial capital!
Awesome!
Take a sip, and feel that the medical skills have risen!
“Go, let’s go to Lin Feng…”
Wu Haoming took the father and daughter into the emergency department and found the nurse at the front desk.
Wu Haoming: “Hello beauty, I am a former colleague and younger brother of Dr. Lin Feng. This time I came to see Dr. Lin Feng. These two are Dr. Lin’s patients and came from outside the province…”
The nurse at the front desk knew that Lin Feng was from the First Hospital of Pengshi City, and couldn’t help but glance at Wu Haoming, then looked at the father and daughter, and said:
“Dr. Lin is now in the No. 3 consultation room to see patients, you can wait a moment, go to our rest room and wait…”
“Okay… I’ll meet the boss first…”
. .