blenderwars Chapter 383
Chapter 383
Chapter 383
New day,
Lin Feng came to the emergency department,
I met Director Zhang Guofeng head-on.
“Lin Feng, come here…”
“Director, what’s the matter?”
“You have also come to Harmony Hospital for almost a year, and it’s time for you to bring interns… It just so happens that tomorrow will be a new round of internships. There will be about 40 people in the emergency department at the Harmony Hospital. I will leave one for you… …You bring…”
“good……”
“Do you want a man or a woman?”
“It will be all right……”
“Then girl, look at Shu Xin…”
Director Zhang Guofeng laughed.
Because of Lin Feng in the emergency department, there are a lot of interns (including doctors and nurses) who report to the emergency department. 80% of interns want to practice in the emergency department, and only 20% in other departments.
…
the next day,
When Lin Feng was at work, he saw hundreds of interns and nurses lined up at the gate of Harmony Hospital.
review……
Just like Lin Feng was reviewed at the “Zero Six Three” in the City No. 1 Hospital four years ago.
When Lin Feng passed by,
I was seen by sharp-eyed interns.
“Look, it’s a male god!”
“Wow, Doctor Lin!”
“so hot!”
“Haha, I went to the emergency department, and I can see it every day from now on.”
One by one, the female nurse interns looked at Lin Feng, and their eyes were crazy.
Lin Feng: “………………”
Male intern: “………………”
…
Lin Feng came to the clinic,
Turn on the calling machine,
Start receiving patients.
“Wang Yun, please go to Clinic No. 3…”
Outside, Zhang Chen, a student of Shuimu University, was waiting outside with his girlfriend.
Yesterday, Zhang Chen went to play basketball and then fell again, which cast a shadow over his heart.
In a flash, 3 hours passed, more than 11 o’clock…
Finally it was Zhang Chen’s turn.
Zhang Chen walked into the consulting room with a nervous heart, holding his girlfriend’s hand.
“Doctor Lin…”
“What’s the problem? Tell me…”
Lin Feng saw that this patient (Zhang Chen) was very young, with a ruddy complexion, healthy and sunny, strong and powerful, and he did not look like a sick person.
“It’s like this. In the past three months, I have always had low back pain from time to time, and sometimes dizziness…”
Lin Feng heard,
A series of speculations emerged,
Lumbar spine? hypertension? Brain? nerve? Cardiovascular?
Of course, the condition is not that simple. For example, dizziness can also happen in many ways. Some people can also be dizzy with glaucoma, and dizziness with ear problems…
It took 3 minutes for Zhang Chen to finish introducing his situation.
At this time, nurse Xiao Ai also did the simplest blood glucose test + blood pressure measurement for Zhang Chen…
Immediately results:
·Normal blood sugar
· Blood pressure: 130/80mmHg. It is considered normal blood pressure and will not cause dizziness.
Exclude these two…
Considering the problem of the lumbar spine, MRI is needed, and we will consider it later.
It may also be kidney stones, ureteral stones, lumbar muscle strain, etc…
“Do you have frequent urination or urgency? (check for kidney stones, etc.)”
“No……”
“I’ll press it for you to see if it hurts…”
Lin Feng checked Zhang Chen’s lower back and back,
Tap,
“Does it hurt?”
“It’s kind of…”
Lin Feng nodded. It didn’t seem to be very painful, it was just a slight pain. The possibility of stones is unlikely, because stones are generally very painful.
but,
Still have to check in more detail.
“Go and do a “Urinary Tract B-ultrasound”, look at the kidneys and ureters, and then do a “Cervical spine and lumbar MRI”… and blood and urine routines…”
Lin Feng issued an order,
Zhang Chen went to pay the fee and go for an inspection.
…
Half an hour later,
·B-ultrasound results came out: the kidneys, ureters, and bladder are all very beautiful, without stones!
Same as Lin Feng thought.
After another half an hour,
The blood test and urine test have not yet come out.
Lin Feng looked at the time,
It is already 12 noon.
“I’m going to have a meal. When the result comes out in the afternoon, you will find me again…”
“Okay, okay…Thank you Dr. Lin…”
…
Lin Feng went to eat,
Go to work at 2 o’clock in the afternoon.
Lin Feng just walked into the consulting room,
Zhang Chen and his girlfriend walked into the clinic with the results of the examination.
first,
MRI: The cervical and lumbar spine have a certain degree of intervertebral disc herniation, but it is not too serious, and there is no obvious compression on the nerve.
With Lin Feng’s rich experience, these two can be ruled out with certainty, causing dizziness and low back pain.
Then there is blood routine, urine routine,
· Routine blood: the red blood cell count is only one-third of the normal value, and the hemoglobin is only one-fourth!
·Urine routine: normal…
Lin Feng saw this,
stunned.
Why is the red blood cell count and hemoglobin count so low?
anemia?
Lin Feng’s first reaction was anemia!
What causes anemia?
There are only three reasons:
·Insufficient hematopoietic function (such as iron deficiency)
·Red blood cell destruction
·Bleeding
Lin Feng was speculating that among these three, one of them caused the patient’s anemia…
Sudden,
Patient Zhang Chen seemed a little uncomfortable, covering his mouth…
Then,
“Wow puff~~~”
A mouthful of blood, sprayed out 0 ……..
Fortunately, Zhang Chen’s hands were fast, and he subconsciously pulled the collar directly to block the blood spray and sprayed directly into the inside of his clothes.
Lin Feng was shocked!
Zhang Chen’s girlfriend was also shocked, extremely nervous!
“Zhang Chen, what’s wrong with you?”
“what happened?”
Lin Feng suddenly became vigilant.
The patient was checked for anemia just now, and now he vomits blood directly. Obviously, there is a problem with the patient’s digestive system!
(Lin Feng watched it live, so he ruled out airway hemoptysis…)
Hematemesis is an emergency that requires emergency treatment. If a patient has vomiting blood for the first time, he may have vomiting blood for the second time. Once the amount of vomiting blood is too much, it is very easy to cause hemorrhagic shock and death.
So it must be sent to the rescue room immediately for real-time monitoring!
Lin Feng hurriedly: “Sit down and don’t move!”
Quickly ran out of the consulting room and asked the nurse to push a flat car over.
Boom boom boom~~~
The pulley of the flat car slid across the ground, and then pushed the patient to the rescue room.
At this time, the patient Zhang Chen was also dumbfounded.
“I……”
“This is the first time you vomit blood?”
“I haven’t vomited before…”
Lin Feng asked, on the other hand, the nurse quickly connected the ECG monitor.
Then there are those new interns who just happen to be bored, don’t know what to do, and feel like being rejected inside and out.
Hear the movement of Lin Feng.
Can’t help but run over.
“problem occurs?”
“It seems to vomit blood…”
“What are the reasons for vomiting blood?” 2.3
“It is necessary to distinguish clearly whether it is the trachea or the esophagus…”
“It seems to be the esophagus… the digestive system…”
The interns over there are onlookers, full of interest,
“When I first came to the emergency department, I was fortunate enough to see Dr. Lin rescued. Lucky!”
“As soon as I joined the job, I heard that Dr. Lin is proficient in cases in various departments and is known as the’Magic Claw’ and’Firefighter’…”
“Doctor Lin, horrible!!”
Lin Feng: “………………………………”
Terrible!
Do you want to add: This child must not be kept? !
On this side, Zhang Chen’s ECG monitor was connected, and his girlfriend looked worried on the side.
·Heart rate: normal…
·Blood pressure: normal…
·Blood oxygen: normal…
Everything is normal!
Lin Feng: “???”
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ps: In the evening, see if you have time to work hard to get a chapter, book friends don’t wait~~
. .