socalfunplaces Chapter 723
Chapter 723
Lin Feng immediately said, "Don't worry. You go and review the CT first, so that you can see more clearly. It's also good to determine how to develop a treatment plan for you, see if you need surgery, percutaneous nephrolithotomy, and remove all those small stones!"
To have surgery!
The patient's heart is not calm.
"Then I will go for a CT first, if you don't need surgery, it's best, you can try whether other drugs have an effect!"
After that, I went to do a CT.
Soon returned with CT films.
The result is the same as the previous B-ultrasound.
There are small stones inside the left kidney, but not just one, and several smaller, scattered.
But the ureters don't, it's all in the kidneys.
"Doctor, why do I have a stone in my left kidney, but sometimes pain in my right lower back?" the patient asked suspiciously.
The pain was too painful for him, sometimes in the left lower back, sometimes in the right lower back.
However, whether it is ultrasound or CT, the examination is that there are stones in the left kidney and not in the right kidney.
Lin Feng said softly: "There will be pain involved." Sometimes the pain should be in the middle line, but you don't know if the pain is on the left or right side. "
The patient also seemed to understand and nodded.
Then Lin Feng continued: "You should still have a lot of medicine, but it is still a little difficult to kill the stone. Surgery is better, but there are risks. If you don't want surgery, then I'll give you some painkillers this time!"
The patient nodded approvingly.
With the addition of painkillers, there is still some effect.
The pain got better for the first two days.
But on the third day, the patient stopped working again, this time still had left back pain, and the pain was severe, sweating, and then rushed to the hospital again.
The medical staff in the hall saw that he had back pain and sweated, so he was directly sent to the rescue room and connected to the ECG monitoring.
The patient was also frightened by this formation, but because of the severe back pain, there was no rebuttal, just asked the medical staff to notify Lin Feng to come over.
Lin Feng arrived, just as the medical staff had just done an electrocardiogram for the patient.
Everything works fine, except for a slightly faster heart rate.
However, under such pain, it is normal for the heart rate to be faster.
There is nothing else.
There are also no symptoms of severe illness such as myocardial infarction.
The patient's wife saw Lin Feng's arrival and hurriedly stepped forward to hand Lin Feng the examination application done during this time.
However, Lin Feng first assessed the patient's condition.
Blood pressure, heart rate, oxygen saturation, breathing, etc. are all fine.
That's when you look at those check reports.
All the results show that it is kidney stones.
But what made Lin Feng puzzled was that the previous drug had no effect, and it still hurt every day, and there was no frequent urination, urgency, painful urination, blood in the urine, etc., which was really strange.
Put the report down.
Lin Feng prepares to percussion on both kidney areas of the patient.
The right hand just put it up.
The patient immediately screamed.
"Ah~~!It hurts~~~!"
Seeing this, Lin Feng withdrew his right hand, frowned slightly and said, "I just ran into it!"
The patient's forehead was full of sweat and said to Lin Feng: "Pain!
Seeing that the patient's appearance did not look like lying, he immediately said: "Do an abdominal CT enhancement first! You can see clearly, in addition to considering the cause of kidney stones, you must also be vigilant about whether there is a problem with kidney blood vessels, if there is a blood vessel blockage, you will also have this situation!"
For this patient, Lin Feng was still very cautious.
From the current situation, the patient was diagnosed with kidney stones, and the back pain caused by it was also suspicious.
First, such a small stone should not cause such severe pain, certainly not so absolutely.
Second, with so many drugs, the effect is not significant, which is very rare.
Third, anyone who has renal colic every day, generally after the inflammation subsides, it will be relieved.
There is no way to explain these in terms of kidney stones alone, there should be some hidden undetected conditions.
The benefits of CT enhancement are numerous.
You can see clearly whether there are other kidney stones, and you can also see whether it is other problems such as renal vascular embolism or deformity.
It can also see clearly the condition of the gallbladder, pancreas, bile ducts and other organs, so as to comprehensively assess the patient's condition.
At the same time, several tubes of blood were drawn for routine laboratory tests.
Before sending the patient to CT enhancement, the patient was in pain, and Lin Feng had to give him an injection of tramadol to relieve the pain, otherwise the patient's blood pressure would soar outrageously.
After one injection, the pain was much lessened.
Then push the patient to the CT room.
The CT scan with contrast was done very smoothly.
Before the results came out, the pain relief effect was over, and the patient began to have back pain again.
This time, it was mainly right back pain.
What makes Lin Feng wonder is this, obviously it is only a stone in the left kidney, why there is always a right back pain, and occasionally can talk about the past.
Immediately lifted the patient's clothes and took a closer look.
There is no abnormality in the local skin.
The tenderness is obvious, and the local muscles are tight.
The period of waiting.
The patient couldn't bear the pain and said to Lin Feng: "Doctor, can I apply for acupuncture to relieve pain, I remember that there is a Chinese medicine acupuncture in your hospital who is quite powerful." "
When he said this, the patient was cautious, and there was some pitiful meaning on his face.
After all, if you ask the doctor to invite another doctor to help with the treatment, that is not questioning the ability of other doctors!
Lin Feng agreed.
After all, the patient is in severe pain.
Xiao Ru on the side immediately trotted out after hearing Lin Feng's words.
After a while, he came back with a box in his hand.
"Teacher, the needle is here!" Xiao Ru said after returning.
"Hmm. Lin Feng nodded.
Xiao Ru handled the silver needle very quickly and handed it to Lin Feng.
Take the silver needle.
Lin Feng's hand was quick, and he instantly pierced the patient's right waist.
"Ah~~~!"
The patient screamed again.
Lin Feng's face was strange, and he looked at the silver needle that had not yet been pierced in his hand.
The muscles in the patient's waist were too tight, and the silver needle could not be pierced at all, and the needle was directly ejected.
Forthwith.
Lin Feng remained silent, changed the slightly thicker silver needle for a while, and pierced the patient's waist again.
However, it still did not plunge in.
"Relax, don't be so nervous. Lin Feng immediately soothed the patient.
Don't speak.
Lin Feng instantly had a flash of light.
The muscles in the waist are tight and the spasms are too strong.
The patient's back pain will not be caused by cramps!
Probably not!
Lin Feng was a little unacceptable to this reason.
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