radicalducati Chapter 708
Chapter 708
Since it is diagnosed.
Then it's much more convenient.
Lin Feng prescribed some anthelmintic medicine to the little girl, instructed her how to use it, and told her to come back later.
Xiao Ru sent the little girl out.
......
Ate at noon.
Lin Feng was sitting in the clinic.
A middle-aged man walked in.
It looks like it's about forty or fifty years old.
"Doctor, can you show me what's wrong with me? I've been having back pain, and I've been getting a little dizzy lately! After the patient sat down, he opened his mouth and said to Lin Feng.
"When did you start having back pain?" When does dizziness start again? Lin Feng asked immediately.
The patient thought about it and replied: "Half a year ago, I started to have some back pain, and at that time I thought I was tired from playing badminton. Later, it became more and more serious, and it all affected physical activity. Dizziness only begins during this time. "
Just these descriptions, Lin Feng couldn't figure out what the patient's situation was.
Since dizziness, measure the patient's blood pressure first, high blood pressure can also cause dizziness, and most people now have some high blood pressure.
Soon the results came out.
Blood pressure 130/80mmHg
It is also considered normal blood pressure and does not cause symptoms of dizziness.
There are also many conditions that can cause dizziness, such as glaucoma, and ear problems.
But that's not something that can be checked out now.
Immediately Lin Feng asked, "Have you had frequent urination or urgency recently?" "
Patients also have low back pain, most back pain in addition to considering cervical spondylosis, but also to see if the patient may be kidney stones, ureteral stones, etc., and lumbar muscle strain can also cause back pain, but it will not last so long.
The patient then shook his head.
Lin Feng didn't care, got up and walked to the patient's side to examine him.
Except for a little pain from tapping the lower back, nothing else is wrong.
Lin Feng returned to his seat and said while writing a bill to the patient: "Go for a urinary ultrasound, look at the kidneys, ureters, and then do an MRI." "
"No problem!" The patient immediately replied, and then continued: "Doctor, if you give me more examinations, this will also be able to examine my physical problems more comprehensively." "
Hearsay.
Lin Feng smiled.
This is also a rare patient, and the doctor is asked to add more examination items to him.
Then said softly: "Don't worry, I just checked you, if there is a problem, it is easier to see what is wrong with your body!" "
"Okay, then I'll go for a check." The patient answered immediately.
After the patient leaves.
Xiao Ru said with a smile: "Teacher, if only every patient in the hospital in the future was afraid of death like him, our work would be much easier." "
"Say what! What is afraid of death! Didn't your teacher teach you when you were in school? This is called saving your life! Every patient spares his life, otherwise how would he come to the hospital! Don't talk nonsense! Lin Feng immediately reprimanded Xiao Ru.
"Know! Spare your life, everyone save your life! Xiao Ru replied with a smile immediately.
Not for a while.
The patient came back again.
With the test results in hand, the MRI will not be available until tomorrow.
Lin Feng looked at the result checklist.
The kidneys, ureters, bladder are very beautiful and free of stones.
Then it's not a problem with the kidneys.
Lin Feng asked him to go back and come back for the MRI results tomorrow.
The patient nodded repeatedly.
Very relaxed left the hospital.
That day.
Before leaving work.
The patient came to the hospital again.
But this time it was sent by 120, directly sent to the rescue room, accompanied by the patient's wife.
When Lin Feng was called to the rescue room and saw this patient, he was stunned for a moment.
Subsequently, the doctor on the side began to introduce the patient's situation to Lin Feng.
The patient is drinking tea after dinner.
Suddenly, a pool of blood was vomited.
He was then sent to the emergency room.
"Blood vomited from the stomach? Or coughed up from the airway? Lin Feng asked immediately.
Dr. Guan Pei immediately said: "The patient said that it came out of the stomach. "
Lin Feng nodded.
This means that the patient is not hemoptysis, but hematemesis.
Hematemesis refers to blood coming out of the digestive tract, while hemoptysis is blood coming out of the airways and lungs.
This will.
The nurse has connected the patient to ECG monitoring, measuring blood pressure, heart rate, blood oxygen, etc.
Lin Feng then asked the patient, "Is this the first time you vomited blood?" Have you ever had stomach ulcers, duodenal ulcers, cirrhosis, hepatitis B, alcoholism, etc.? "
"No, no!" The patient continued: "This is the first time I vomited blood! Doctor, what's wrong with me? "
At this moment, the patient's wife was still a little shocked standing on the side.
"I'm going to check it out!" Lin Feng said immediately.
After speaking, he turned around and arranged to the doctor Guipei: "In any case, since the patient vomited blood, then hurry up with blood, blood transfusion, rehydration, and use some hemostatic drugs to avoid the patient from vomiting blood again and causing shock." "
Subsequently, Lin Feng began to examine the patient.
After checking it, he asked softly, "Have you ever had bloating before?" "
"Yes! My appetite has not been very good during this time, I don't eat much, and my stomach is a little bulging, does this have anything to do with my vomiting blood? The patient replied immediately.
Here Lin Feng also checked the patient's abdomen, the swelling was not obvious, the bowel sounds were somewhat active on auscultation, and the gastrointestinal bleeding was compounded.
"I need to give you a CT, a CT of your abdomen, to check the condition in your abdomen, to see if there is cirrhosis, liver cancer or whatever!" Lin Feng said immediately.
"Liver Cancer !!" The patient and his wife exclaimed at the same time.
Seeing this, Lin Feng soothed softly: "Not necessarily, I'm just a routine elimination!" "
This eased the tension between the patient and his wife.
"Do you usually drink a lot?" Lin Feng asked.
"Drink some occasionally, not much!" The patient answered.
Xiao Ru is drawing blood for the patient on the side.
Lin Feng did an electrocardiogram for the patient, and saw that there was no abnormality, and the patient's condition was relatively stable.
So I pushed him to the CT room.
The results came out quickly.
No cirrhosis, no liver cancer.
Only a little ascites.
Hearing this result, the patient and his wife relaxed at that time.
Whether it's cirrhosis or liver cancer, they all know that it's a very serious condition.
After the exclusion of liver and kidney problems.
Lin Feng could only suspect that it was a gastrointestinal problem.
Immediately said to the patient: "Since the liver and kidney have been ruled out, then the next step is to see if it is a gastroduodenal disease, such as ulcers, cancer rupture, etc., but this needs to be checked out by gastroscopy." "
For some reason!
It seems that all patients are very resistant to gastroscopy.
Including the more life-saving patient in front of him.
"This is non-negotiable! If you want to treat and save your life, gastroscopy must be done! Lin Feng said immediately.
Hearing the word life-saving, the patient immediately changed his tone and said: "No problem! "
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