blenderwars Chapter 308
Chapter 308
Chapter 308
Lin Feng nodded. The absence of fever does not mean it is not pneumonia, because some pneumonia does not have a fever.
Then check other parts…
No special discovery.
“Go get a chest CT…”
Lin Feng opened an order.
“Okay…thank you doctor…”
The female patient was coughing, took the CT checklist, went to pay the fee, and took the film…
…
After an hour and a half,
The female patient came back coughing and brought back the checklist.
CT results: flake or patchy infiltrating shadows can be seen in the lesion area, and bronchial inflation signs are often seen in the lesion.
· Consider: pneumonia.
Lin Feng looked at this CT film,
I knew it was pneumonia.
“Doctor, how is it?”
“CT result is pneumonia…”
“Really pneumonia?”
The female patient was taken aback.
Suddenly regret it.
I had known that when I coughed, I came here earlier, but now I am dragging and dragging, and I have become pneumonia.
Of course, it may not be the cough that caused the pneumonia as she thought, it might be that the cough was caused by the pneumonia.
“Doctor Lin, what should I do now? Ahem…”
Another mouthful of sputum, coughed up.
Lin Feng thought for a while: “Now that the New Year is approaching, it just happens that the bed is not too tight, so you will be hospitalized first, give you medicine, and then observe the development of the disease…”
The female patient nodded quickly: “Thank you doctor, thank you doctor.”
Lin Feng issued the admission form,
Payment,
For admission,
Then I took blood, got a blood test, and then got tuberculosis.
· Blood test results: The white blood cell count has doubled.
·It is confirmed that the bacteria are infected with pneumonia. (Interstitial pneumonia, etc.)
·Pulmonary tuberculosis smear: no tuberculosis bacteria…exclude tuberculosis.
Lin Feng prescribes some medicines to patients, both by mouth and by injection, most of which are antibiotics.
At this time, Lin Feng’s medication was still a bit conservative, and he did not go for a deeper examination, because from the CT, the female patient’s pneumonia was not too serious.
…
afternoon.
The condition of the female patient has changed.
Have a fever!
The highest body temperature is 38.7 degrees!
However, they are all minor problems. Fever is just evidence of pneumonia.
Just take a fever-reducing medicine.
…
Lin Feng gets off work,
The female patient was handed over to another doctor.
That night, the husband of the female patient came to accompany the bed to take care of her.
However, the condition of the female patient became troublesome.
Repeated recurrence of fever, the highest is 38.8 degrees.
And the cough, after taking antibiotics, not only did not relieve, but it seemed a little worse.
at the same time,
The female patient also felt sore muscles all over her body, especially her waist. She couldn’t sleep well, turned over and over again, couldn’t fall asleep at all, and was sluggish all night…
This night,
For female patients, it is not wonderful.
Even the female patient is lucky: “Fortunately, I was admitted to the hospital by Dr. Lin, or I wouldn’t know if I died at home.”
…
the next day,
Lin Feng continues to work.
Handover.
Before arriving at the female patient’s bed, Lin Feng and the doctor on night shift learned about the patient’s condition.
Suddenly frowned.
“It’s getting serious?”
“Isn’t it a common bacterial infection of pneumonia?”
Lin Feng thought of more serious diseases like tuberculosis.
The husband begged: “Dr. Lin, I have heard about you, you must save my wife~~~”
Lin Feng nodded: “Don’t worry… I will check the patient first…”
The husband nodded again and again: “Doctor Lin, please!”
Lin Feng asked the female patient: “The whole body is sore now?”
The female patient nodded painfully: “I feel irritated and sour. I haven’t slept all night…”
Lin Feng: “Let me check it for you…”
Stethoscope…
Lin Feng found that the wet rales in the lungs became more serious.
Pull up the trouser legs of the female patient…
“what……”
Lin Feng found that the female patient’s feet, ankles, and calves were all swollen.
When he pressed his finger down, there was a pit suddenly, sunken, and it won’t play for a long time.
“Edema”!
Lower limb edema…
“How can it be edema?”
Lin Feng was surprised.
According to reason 2.3, whether it is pneumonia or antibiotics, it is impossible to cause edema?
But heart, liver, and kidney diseases can cause edema.
·Heart: In patients with heart failure, due to the poor pumping function of the heart, the systemic circulation will slow down and congestion occurs, especially in the lower extremities, where the static pressure is the highest, blood cannot return, and excess blood accumulates in the lower extremities, and lower extremity edema will occur.
·Liver: One of the functions of the liver is to synthesize a lot of protein. When the liver function is poor, there will be “hypoproteinemia”. The protein level in the blood vessels is low, and the water cannot be held down. Edema of lower extremities.
·Kidney: Almost all kidney diseases can cause edema…
·There are many diseases that can cause edema… “Lymph” “Pregnancy” “Endocrine”… etc…
What Lin Feng has to do now is,
One by one investigation.
Peel the cocoon! !
A lot of inspections may be done and it will cost a lot of money.
. .