blenderwars Chapter 331
Chapter 331
Chapter 331
Although Lin Feng feels that the patient is so young, it is unlikely that he will suffer from the ‘elderly disease’ of “stroke.”
but,
Lin Feng couldn’t help asking about the symptoms of “stroke”:
“Do you feel dizzy? Especially the one that feels dizzy all of a sudden?”
“Can.”
“You just said that when you were walking, you suddenly became numb and then you fell… Will your tongue be numb? Or will your lips be numb?”
“Doctor, how did you know?”
Lin Feng: “………………”
It feels more and more like “stroke”.
Because the above are all signs of stroke!
Lin Feng asked: “Have you ever experienced a sudden inability to speak well, or unclear words?”
When the fat man listened,
stunned.
“Yes, yes, when I was talking about ppt today, I suddenly said something awkward…”
Isn’t that the case this morning?
Lin Feng: “Did one or one limb twitch involuntarily?”
The fat man hesitated: “This… seems to have…”
Lin Feng: “What about the eyes? See things?”
Fatty: “It’s just that sometimes, my eyes can’t see things for a while…but rarely…”
at this time,
The fat man is already very guilty.
I feel that I should be sick, it should be unusual.
“Doctor Lin, I…”
His voice trembled a little.
Lin Feng: “The initial diagnosis is a stroke…that is, a stroke…”
“Huh? A stroke?”
Fatty Zhang Cheng jumped in surprise.
“No, Dr. Lin, how can I have a stroke when I am so young? In my impression, shouldn’t this be a senile disease?”
Lin Feng nodded: “Generally speaking, strokes often occur in the elderly, and there are very few young people. You are the youngest patient I have ever seen.”
Fatty: “Dr. Lin, can you make a diagnosis wrong?”
Lin Feng: “I dare not be 100% sure, but the questions I just asked are symptoms of stroke…”
Fatty: “………………”
Lin Feng: “Let me ask you a few questions first, and when the questions are over, I will go directly to have a brain imaging or MRI…”
The fat man nodded repeatedly: “Okay, okay.”
He panicked, and only hoped that Lin Feng could finish the question soon and check the result earlier.
After Lin Feng’s 10-minute consultation,
I probably understand the reasons for the fat Zhang Cheng.
Zhang Cheng works at a nearby Internet company and sleeps less than 4 hours a day on average.
Almost most of the time, I was sitting and lacked exercise.
I usually eat irregularly, take out three meals a day, and I am still a senior “stay-up party”:
In addition, smoking is an old smoker!
correct,
Lin Feng also found another problem through consultation. The patient snored very seriously.
Combined with the patient’s obesity,
There may be “sleep apnea syndrome (SAS)”. (Appeared once in Chapter 280)
Taking into account the lack of exercise, this will cause atherosclerosis, which is the cause of stroke.
…
billing.
Let the patient do an “HRMRI”…
It is an upgraded version of MRI, which can show the entire carotid artery.
Emergency billing is faster than other specialties, so you don’t have to wait a few days…
2 hours later…
The hrMRI results came out.
There are 3 cerebral arteries with atherosclerosis, and each blood vessel is blocked by more than two-thirds!
This also caused part of the brain tissue to lack oxygen supply.
Lin Feng informed the fat man Zhang Cheng of the result.
“I actually had a brain stroke…”
Zhang Cheng couldn’t believe his eyes.
I’m only 28 years old!
(aicd) Why did you get senile disease.
“Doctor Lin, what should I do?”
“This situation… Take medicine for a period of time to expand the blood vessels and block the blood vessels to avoid direct cerebral infarction…”
“Besides, exercise is very important. You can’t sit all the time and exercise, otherwise your blood flow will slow down, you will be prone to thrombosis and atherosclerosis…”
“In addition, it is necessary to ban smoking, limit the salt content in the diet, eat more fresh fruits and vegetables…”
“You can’t get fat. If you get fat, fat accumulates, atherosclerosis will be more serious, and blood vessels will be narrower…”
Lin Feng said a lot of precautions.
“Dr. Lin, stroke…is it serious?”
“Of course it’s serious…Did you see a single big sign at the entrance of the hospital-“Stroke” sign? Other diseases don’t necessarily put a sign like this at the entrance of the hospital. Only a stroke is inserted… that shows its seriousness…”
“It shows that it is more dangerous than other diseases!”
“Once it happens, the direct person may be gone!”
Fatty Zhang Cheng: “……………………”
Panic!
“I’m going to exercise right away, exercise every day!!!”
Fatty Zhang Cheng cried loudly.
…
2 streets next door.
Some high-end coffee shop.
A middle-aged man is drinking coffee with a beautiful young woman.
“If you ask me for dinner, are you afraid that your wife will find out?” The young woman was full of resentment.
“Oh, Huang Lian Po I will be afraid of her?” The middle-aged man laughed.
“Then you should be bolder, divorce, so that I can be with you.”
The middle-aged man stopped talking.
Although he wants to get a divorce, he knows that he can’t live without it. After a divorce, he must divide his property and lose a lot of money.
That’s right, these two people are the dating scene of married couple + mistress.
Pick up the coffee.
Drink it.
He frowned soon.
In the past half month, he has been feeling uncomfortable in his throat, and he feels slight pain when swallowing anything.
Swallow…
Sudden……
Puff~~~~
He coughed sharply, then choked, and squirted out.
A sip of coffee is sprayed directly on the table, all over the table.
The young beauty was startled, and then avoided disgustingly.
“what happened?”
“I am not sure as well……”
The middle-aged man wiped his mouth,
Suddenly,
He stared blankly at the tissue in his hand to wipe his mouth.
Blood!
Bright red blood!
“I… just vomited blood?”
Then, at this time, he felt another discomfort in his throat…
Like expectoration, he ‘sputum’ vigorously, and then spit out a mouthful of ‘phlegm’!
This is phlegm!
is blood! !
“what happened?”
“How could I vomit blood?”
The patients described in the TV series suddenly sounded in his mind.
Lung cancer, liver cancer…vomiting blood! !
All of a sudden, my mind was dumbfounded!
“Do I have lung cancer? Liver cancer?”
And the young woman just saw the blood on the tissue in his hand.
“You…you…you…vomited blood? Cancer?”
(The TV series is harmful to others·jpg)
(TV series o(╥﹏╥)o: It’s the pot of stupid screenwriters~~~)
The young woman looked at the middle-aged man in shock, her eyes gradually becoming disgusting.
He picked up the bag and went straight away.
“I…………”
The middle-aged man looked at his young and beautiful young girlfriend, and just ran away, and suddenly 10,000 horses ran across.
At this time,
“Ahem~~~~”
He coughed up a little blood again.
The whole person panicked.
“You must go to the hospital right away!!”
…
Harmony Hospital,
Emergency Department.
16:30,
Half an hour before getting off work…
After Lin Feng diagnosed a patient with a fever, he glanced at the emergency department and there were seven or eight queues outside. He couldn’t help but feel pain in his brain.
Sudden,
“Doctor Lin, here is a patient who vomits blood!”
The nurse broke in and brought in a middle-aged man.
“Coughing up blood?”
Lin Feng was taken aback.
Coughing up blood is very dangerous, that is: the patient’s esophagus and arteries are pierced by fish, and the main artery of the aorta is directly bleeding (or it is not a fish bone, esophageal cancer may also be possible).
Fortunately, the patient does not seem to have any problems at this time.
The skin is healthy and rosy.
Then his hands and feet are swift.
Lin Feng’s questioning:
“When did you start coughing up blood?”
“Just now, while drinking coffee…”
“What part?”
“Here… (point to the position 3cm below the Adam’s apple)”
“Suddenly coughing up blood? Was there any discomfort before?”
“I felt uncomfortable half a month ago, and I felt very uncomfortable even after eating and swallowing.”
“Is it difficult for larger, coarser food? Does it hurt?”
“difficult!”
Lin Feng suddenly became vigilant.
Typical “progressive dysphagia”!
Basically ruled out lung cancer or something.
For the time being consider: “fishbone and other foreign bodies” and “esophageal cancer”.
“Fishbone and other foreign bodies”, this will not be explained. In the previous cases, the fishbone pierced the artery and caused bleeding.
And “esophageal cancer” means that the esophagus has a tumor, which causes the passage of the esophagus to become narrow.
Then it leads to: It must be more difficult when the food passes. At first it may be difficult to eat bread, but later it is difficult to drink water…
Which one is it?
Lin Feng needs to ask a doctor clearly.
“Have you ever eaten fish before your sore throat? You got stuck by a fishbone?”
“Have!!”
The patient patted his thigh.
“Dr. Lin, you reminded me that I did eat fish half a month ago, and then accidentally swallowed a fishbone. Later I swallowed it directly with green vegetables…Dr. Lin, am I a fishbone?”
“It’s possible…”
Lin Feng felt that the possibility of a fishbone exists.
“Do you usually drink hot tea? Or eat hot things?”
Lin Feng continued to ask.
“I like to drink hot tea. I drink Kung Fu tea…Drink hot and delicious…What’s wrong? Dr. Lin, is there a problem with this?”
“The problem is a bit big…Drinking hot tea can easily burn the esophagus and inflammation. In severe cases, it can cause esophageal cancer…”
“Huh? Doctor Lin, do you think I might have esophageal cancer besides the fishbone?”
“Now for analysis, there is this possibility… I’ll make a gastroscope for you…”
Gastroscopy is the easiest way to find the cause clearly.
However, before doing a gastroscope, an electrocardiogram must be done.
Because gastroscopy is somewhat risky, in case the patient has myocardial ischemia, I am afraid of problems.
why?
Because of gastroscopy, if you encounter a more sensitive person, it may induce a myocardial ischemic attack, and it is easy to die.
Therefore, before the gastroscope, you need an electrocardiogram!
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ps: Three shifts are over~~~
. .