blenderwars Chapter 353
Chapter 353
Chapter 353
“No blood in the stool…”
“Do you have constipation?”
“No, it’s normal…”
“Show me your nails…” (see if there is iron deficiency anemia)
The patient stretched out his hand.
Lin Feng took a look at the patient’s fingernails. They were healthy and no problem.
Temporarily rule out “anemia”.
Next, start to check for “muscle weakness”…
Just when Lin Feng wanted to ask a doctor…
At this time, the patient spoke again:
“Doctor Lin, in addition to my poor appetite and lack of energy, I also often have lower limbs numbness, which just feels numb…”
Lin Feng was taken aback!
In this case, if it is a serious disease, it may be a problem with the brain nerves, or it may be that the lumbar spine compresses the nerves and causes numbness in the lower limbs…
Lin Feng asked: “Does it often happen?”
Patient: “It’s not… It’s just “zero three seven” once or twice a day, two or three times, three or four minutes each time…”
Lin Feng frowned…
This situation can only be clarified by inspection, and it may be a problem with one’s own nerves.
“I will give you 3 orders to see “Lumbar MRI”, “Cranial CT”, “Electromyography”…”
first,
There are numbness and weakness of the lower extremities. It is said that neurological problems should be considered first. Head CT must be done. First, it is possible to rule out whether there is cerebral hemorrhage, cerebral infarction, brain tumor, etc.
At the same time, the lower limbs are numb, and lumbar spine may be compressed, so lumbar MRI examinations are also required.
The electromyogram corresponds to “muscle weakness.”
Lin Feng explained these three to the patient.
“Doctor Lin, you can prescribe it.”
Now the patient is still very scared of his current illness. At this time, he doesn’t care about the money anymore, and he doesn’t dare to save the money.
…
2 hours later,
All three inspections yielded results.
·Lumbar MRI: a little lumbar disc herniation. This level is far from the point where the nerves are compressed, and this is not enough to cause pain and numbness in the limbs.
· Brain CT: No problem.
·Electromyography: The nerves of the lower limbs are damaged, and the nerve conduction speed slows down.
Lin Feng looked at the result,
With a sigh of relief.
Sure enough, muscle weakness! !
However, muscle weakness is just a manifestation.
What is the cause?
Acute myelitis?
Periodic paralysis?
Myasthenia gravis?
Lin Feng thought for a while, but didn’t feel like it.
Especially for myasthenia gravis, as long as the muscle strength is improved after rest and sleep, but the patient said that after a week of rest, it did not get better, indicating that it was not.
At this moment,
Lin Feng suddenly thought of another illness:
“Guillan Barre Syndrome”!
The symptoms of this disease are muscle weakness and numbness. It is inflammation of the peripheral nerves, which may be related to autoimmunity. The patient may also have fatigue and anorexia. Because of the inflammation of the nerves, there will be numbness and weakness. Some serious cases may even There will be paralysis and respiratory failure.
“At the moment, you may have “Guillan Barre Syndrome”…”
Lin Feng explained what “Guillain Barre Syndrome” is…
After the patient listened, “Dr. Lin, I believe you, what do you want to do next?”
Lin Feng: “If it is “Guillain Barre Syndrome”, the cerebrospinal fluid will show up, so it is best to do a “lumbar puncture”…”
“what?”
“No, if you want to diagnose Guillain Barre syndrome, this test must be done… If the diagnosis is not clear, if you become paralyzed in the future and cannot walk, it will be even more difficult.”
Lin Feng threatened.
The kind that is deliberately the most serious.
“paralysis?”
At this moment, the patient and his wife were shocked and screamed in surprise!
“So, we still have to do this check… By the way, if there is local anesthesia, it won’t be very painful.”
“this……”
After several minutes of struggling, the patient finally agreed to the lumbar puncture.
The puncture is more uncomfortable than the paralysis.
…
Soon, Lin Feng performed a lumbar puncture on the patient.
“Alcohol?”
He smelled the smell of alcohol, strong…
Lin Feng glanced at the patient’s bed, and then saw a bottle of wine on the bedside table, like Erguotou…
Lin 2.3 Feng frowned: “Are you drinking?”
The patient was embarrassed: “Ahem…this…yes…”
The bedkeeper suddenly became angry: “Isn’t it emphasized not to drink? Why are you drinking? You are all like this, and you still drink?”
She didn’t realize it, she was a little frustrated, and she was a little angry.
The patient scratched his head and was embarrassed: “Suddenly I am addicted to alcohol… I am from the Northeast, so it’s just a bite…”
And at this time,
Lin Feng’s heart moved,
Thought of a possibility!
Is it a disease caused by drinking?
Happy in my heart!
“Do you like drinking?” Lin Feng asked urgently.
“Yes, I’m from the northeast, I have been drinking since I was young…” the patient sneered.
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ps: The three shifts are over…
. .