socalfunplaces Chapter 540
Chapter 540
Next
Lin Feng asked the patient's old man's son again for safety.
"Your dad, I used to have hepatitis, cirrhosis, liver cancer, liver ascites... Wait for medical history? "
"Huh?"
The patient's son was stunned for a moment, and then shook his head repeatedly.
"No, no! My dad's body is still very healthy..."
"Okay, got it..."
The patient does not have liver disease, but there is a big liver problem in front of him.
At this time, Lin Feng could already roughly conclude that it was fake Sanqi medicine and wine poisoning!
(Later, after the patient woke up, he learned that the patient's old man went to the wholesale market to buy Tian Qi, and Tian Qi, which had no formal packaging, only bulk, so he bought fake Sanqi without knowing it.) ）
As for the next treatment?
Lin Feng didn't say a word, and sent the patient directly to the ICU!
Because of this disease, the process is very fast, and liver failure, jaundice, ascites have appeared in just over two hours... And so on symptoms.
Moreover, next, there will be cardiolary, biliary spleen and pancreas, etc... Organ failure damage...
The equipment of the emergency department is afraid that I can't carry it.
All the equipment of the ICU is top-notch, even a flat car is worth 150,000 yuan, not to mention other instruments and equipment.
Lin Feng explained to the patient's son, and after the son listened, he immediately nodded and signed, for fear of delaying his father's illness.
He was a single parent, and his father worked hard to raise him, and the relationship between father and son was extremely close.
"Doctor Lin, money doesn't need to be saved, I just want my dad to live!"
"Don't worry, our doctors will do our best to treat patients..."
Lin Feng comforted.
......
As if it were a night shift curse,
As soon as he was said by the crow's mouth, tonight became particularly busy.
After Lin Feng sent the patient to the ICU, handed over with the ICU doctor, and returned to the emergency department,
Another patient came to the emergency department.
This patient,
Probably in his 30s,
A look like a social elite.
Even if I come to see a doctor late at night, I wear suits and trousers and pay attention to my image.
Patient, 34 years old, Wang Zirui
"Dr. Lin, in the past two days, my eyes have been a little swollen... You help me see..."
Wang Zirui sat down, a pair of thick edema eyes, squeezed out a squint, looked at Lin Feng curiously, and was surprised that Lin Feng was 100 times more handsome than himself, and he was ashamed of himself.
Lin Feng could see the patient's edema eyes at a glance.
It's special after all.
It's like being stung by a bee.
Of course, it just looks like it, but there is still a difference. A bee sting is an allergic reaction, not edema.
Edema is another matter.
Lin Feng put on gloves and pressed the patient's eyes.
"You don't just have swollen eyes, but even your surrounding face is swollen..."
Pressed the face next to it.
Recessed,
Then there will be no rebound.
In addition, the skin becomes smooth and thin...
It is indeed "edema"!
"This edema is still mild, not afraid..."
Lin Feng said.
"Edema",
Many people are familiar with this word, but there is not much real deep understanding.
First of all
In the human body, the content of water in healthy adults generally accounts for about 60%.
Everyone knows this.
True ・ women are made of water ·jpg!!
This water is divided into intracellular fluid and extracellular fluid, which maintain a dynamic balance in different areas of the human body.
Then the question arises: where the flow goes and whether the flow does not flow.
When the human body is sick, the imbalance of water in the human body, too much accumulation in a certain place, will appear - "edema".
This is what edema means.
Then, the patient in front of him, the eyes and face are edematous, and it is quite serious.
"Legs sticking out for me to see..."
"And hands..."
Lin Feng examined the patient's hands and feet.
No edema was found.
That is, this edema currently appears only on the face.
so
How to trace the root cause and find its cause?
Analyze from scratch:
Common causes of edema:
Cardiogenic...
• Nephrogenic ...
Hepatogenic...
Dystrophic ...
And Lin Feng, the first reaction is - "nephrogenic edema".
Nephrogenic edema is characterized by eyelid and/or facial edema that can be found when waking up in the morning early in the early stages of the disease.
This edema usually starts on the eyelids or face and can quickly spread throughout the body.
What is the principle of "nephrogenic edema"?
The kidney is an important and indispensable organ of the human body, its basic function is to produce urine, so as to remove metabolites and certain wastes and poisons in the body, urine carries these 'harmful substances' out of the body.
In addition to the discharge function, there is another absorption function: retain water and other useful substances, such as glucose, protein, amino acids, sodium ions, potassium ions, sodium bicarbonate, etc., to regulate the water, electrolyte balance of the whole body and maintain acid-base balance.
Nephrogenic edema diseases can lead to sodium and water retention, decreased osmotic pressure of plasma colloids, etc., and finally lead to imbalance of body, electrolyte, acid-base balance.
The light is edema, high blood pressure, hypoproteinemia, anemia and other discomforts, and the worst is the need for dialysis, which is the so-called "uremia".
Uremia: In layman's terms, the kidneys do not have the function of detoxification and drainage, and all the problems of water and electrolytes in the human body can no longer be solved in the kidneys, so only the dialysis machine can replace the human kidney function.
......
This patient in front of you,
The eyes and face begin to edema, and there is no edema in the lower limbs and upper limbs, so the initial consideration is naturally "nephrogenic edema".
So
Naturally, kidney function should be checked.
The most basic examination, there are 3 items:
·「 Urinalysis"...
·『 Kidney work'...
· B ultrasound...
As for what pyelography, renal arteriography, MRI, radionuclides, renal blood flow measurement, kidney biopsy and other examinations, it is necessary to wait for the results of the previous three and the indications of these examinations to appear.
Of course
Ocular edema is not only a cause of nephrogenic edema.
It may also be caused by lack of sleep, pillow is too low, excessive drinking before going to bed or crying before going to bed, etc., which affects the blood return of the face, which can basically subside naturally.
However, this can be ruled out, because the patient is not only around the eyes, but also the face is a little edematous.
In addition, there may be acute inflammation, trauma, allergic diseases, hypothyroidism, etc...
Lin Feng asked a few questions and ruled out the previous ones.
Finally, "Jia Gong" remains...
......
"Have you ever paid attention to peeing? How many bubbles? "
"Huh... Dr. Lin, how do you know that I have a lot of urine bubbles? "
The patient looked surprised.
Lin Feng rolled his eyes: "Because I'm a doctor... You have a lot of urine bubbles, it should be a kidney problem, and the protein content in the urine is too high..."
So
The biggest possibility is that there is a kidney problem.
Initial consideration of nephritis.
。