blenderwars Chapter 349
Chapter 349
Chapter 349
Mr. Zhang thought it was a common cold and fever, so he bought some medicines from the drugstore…
The effect of taking medicine is average, and repeated fever has a great impact on work and life.
So he went to a community clinic.
Because Mr. Zhang himself is a kind of rejection of the hospital, because every time he goes to the hospital, he can’t pay for less than 1,000 yuan.
(Two or three inspections really cost more than 1,000 yuan.)
So, he went to the community hospital.
Community hospitals are an effective supplement to large hospitals. If it is a minor illness, going to a community hospital is the most appropriate choice. It is not necessary to go to a large hospital.
After the community doctor consulted Mr. Zhang, he took a blood test and took a chest radiograph (X-ray).
·Stethoscope: no wet rales in the lungs…
·Chest radiograph: exclude pneumonia, tuberculosis…
·Blood routine: white blood cells are higher…
·Final diagnosis: bronchitis…
Then, the community doctor prescribes anti-fever medicine and cough medicine.
4 days later…
The effect of the medication fluctuated, but it could not be cured…
Nowadays,
Mr. Zhang was at work. He obviously felt feverish and dizzy, and his energy was lacking in 08, which affected his work. Thinking in his heart, he should go to the big hospital for a visit.
However, he felt that his chest radiograph was definitely not good for his disease, and he needed CT to be accurate. He was also afraid of the big hospital CT waiting in line for several days.
“Go to Doctor Lin…”
A young female colleague, after learning about Mr. Zhang’s distress, recommended.
“Dr. Lin? That Doctor Lin Feng?”
“Yes, he is in an emergency department. I accompany my mother to see a doctor. He has a CT scan quickly, and the results are available within an hour, so there is no need to wait for the next day…”
Female colleagues highly recommend Lin Feng.
When Mr. Zhang heard it, his heart moved.
At this moment,
“Hmm~~~~”
Mr. Zhang slammed his stomach, with a throbbing pain…
Suddenly, the whole person squatted on the ground, and there was a burst of severe pain, and cold sweat on his forehead suddenly appeared.
“Lao Zhang, what’s the matter with you?”
“it’s okay no problem……”
…
Lin Feng,
Emergency department, sit out.
“Please Zhang*xin go to Clinic No. 3 for treatment…”
Then,
Mr. Zhang clutched his stomach and walked into the consulting room.
“Doctor Lin, help me see what the problem is…”
Mr. Zhang flexed his body with difficulty and sat on the stool while he was throbbing pain.
Lin Feng’s heart was tight.
“Do you have a stomachache?”
“Yes.”
“Tell me what happened…”
“I originally wanted to see a fever today. Five days ago, I started to have a fever and went to the community clinic. The clinic doctor took a chest X-ray and blood test for me, and diagnosed me as bronchitis…”
Mr. Zhang was out of breath, obviously very difficult, whether it was a cough, obviously his condition was not optimistic.
“After taking the medicine for 4 days, it didn’t work, and the fever kept coming back and forth… and then I started to have stomach pain this morning… until now…”
Lin Feng frowned.
“How many hours…”
“3 hours……”
“…”
After so long, the condition is definitely not mild!
Lin Feng quickly stood up: “Go to the bed, go to the rescue room…”
Mr. Zhang was stunned: “Huh? The rescue room, no, doctor, I just have a stomachache…”
Lin Feng shook his head: “Not sure, but it’s safer to go to the rescue room first.”
Mr. Zhang was frightened and nervous.
soon,
The patient was pushed to the rescue room.
The nurse was swift and connected to Mr. Zhang’s ECG monitoring.
· Blood pressure 140/80mmHg,
·The heart rate is 120 beats/min.
Lin Feng breathed a sigh of relief. Although his blood pressure was a little higher, it was not very high.
The causes of abdominal pain are too many to count.
Simple acute gastroenteritis, severe myocardial infarction, aortic dissection can even kill people quickly.
Myocardial infarction is a sudden illness that Lin Feng needs to check for the first time.
“Come on, do an electrocardiogram first… first see if there is any problem with the heart…”
(The monitor is definitely not as accurate as an electrocardiograph…)
Experience: Patients over the age of 40, with abdominal pain and chest pain, should give priority to the ECG.
Mr. Zhang linked to the electrocardiogram.
one look,
·No problem with ECG!
·There is no sign of myocardial infarction, the waveform is okay…
Lin Feng breathed a sigh of relief.
Aortic dissection?
Measure the blood pressure of the left and right arms.
Not like…
“I’ll check your abdomen… You can bear with me…”
Physical examination:
Lin Feng pressed Mr. Zhang’s abdomen. The overall abdomen was still soft, the muscles were not too tight, and the bowel sounds were relatively weak.
Now, can you tell me what the reason is?
“Have you had any disease before? Have you ever had any pain?”
“For example, what about appendicitis, gastric ulcer, cholecystitis…”
“No, my body has always been healthy.” Mr. Zhang is really a little nervous at this time, feeling that Dr. Lin Feng is very serious, is his illness very serious?
Panicked.
Lin Feng asked about the detailed diagnosis process of the outpatient clinic…
“Dr. Lin, I have a cough and fever. Could it be a problem with my lungs? Tuberculosis? Lung cancer… I looked for an X-ray, but the outpatient doctor said that the X-ray accuracy rate is not as high as that of CT…”
tuberculosis? Lung cancer… is the most feared disease of Mr. Zhang.
Lin Feng did not answer, but picked up the X chest radiograph from the community clinic.
Then I took a look at the medications in the outpatient clinic.
The outpatient doctors diagnosed tracheal infections and colds, both of which were viral infections. They only used antipyretics and cough medicines.
Lin Feng has one more idea.
“Is it pneumonia?”
Pneumonia is a bacterium, antibiotics are needed, but antipyretics and cough medicines are useless.
Lin Feng held a stethoscope and listened to the patient’s lungs.
Um,
Wet rales.
Although a small amount, the high probability is pneumonia.
Lin Feng instructed the nurse:
“Give him an amoxicillin injection…”
Amoxicillin is a commonly used antibiotic,
Pneumonia is a minor problem for Mr. Zhang. As long as antibiotics are continued, it will be cured soon, unless it is a critically ill patient.
Solve the problem of fever and cough…
Lin Feng put his eyes on 030 abdominal pain.
“Go and be a CT…”
“As soon as CT of the abdomen was done, the liver, gallbladder, spleen, pancreas, intestines, and everything came out…”
Mr. Zhang nodded again and again: “Good, good.”
He has long wanted to do CT…
Payment,
Then endured the pain and limped to the imaging department.
…
30 minutes later……
The CT report came out.
“Dr. Lin…this is a CT result, look at it…”
Mr. Zhang limped and came back clutching his stomach.
Lin Feng looked at CT,
Suddenly look serious! !
·CT film: see the edge of the spleen and kidney, there are low-density shadows (white), 6 pieces.
·It is an infarct focus.
Infarction!
The so-called infarction refers to something blocking blood vessels, blood can’t get through, tissue ischemia and hypoxia and necrosis.
Although, there are only six of these lesions, each of which is only a little bit as big as a soybean!
But this is definitely a big problem!
An organ cannot be infarcted properly!
It must be because of ischemia!
There is a problem with the blood supply!
In other words:
·Either a blood clot (or a foreign body) is blocking the blood vessel!
·Either there is a problem with the blood supply to the heart!
No matter which one, it is very serious!
Mr. Zhang’s abdominal pain, which can now be explained, is an infarction.
“Doctor Lin, am I serious now?”
. .