socalfunplaces Chapter 425
Chapter 425
An hour later,
All the test results are out. ，
These results shocked Lin Feng.
Blood creatinine is significantly increased by 4 times!
Liver function, transaminases more than 5 times!
Urine routine, urine occult blood, in addition to urine protein ++++
What does occult blood in urine mean?
This means that blood (red blood cells) has been found in the urine!
The transaminases are more than 5 times, which can be sure that it is caused by liver cell damage, and the first thing to consider for this situation is a hepatitis disease, and in one is liver damage caused by other reasons.
"Hospitalized..."
Lin Feng said.
"Huh? Hospitalization? "
Huang Li was shocked, and his girlfriend was also shocked.
"Doctor Lin, is it so serious?"
"Yes, isn't it just that the kidneys are a little worse?"
Lin Feng explained: "If you simply have impaired liver and kidney function, it does not mean that you must be hospitalized immediately. But now your various indicators are worse than before, plus there is a rash on the trunk, there may be some big problem, or it is safer to be hospitalized..."
Lin Feng combined the whole process and analyzed the condition as follows:
At the beginning, the patient had impaired renal function, and later renal function + liver function were impaired.
Cause?
It should be a specific disorder that causes impaired liver and kidney function and causes a rash.
So, the next step is to determine what the disease is.
Impaired kidney function, the most common: kidney stones, high blood pressure, diabetes...
Kidney stones are ruled out first,
Because of the previous examination B ultrasound, no kidney stones were found, or the kidney stones were too small to be found.
"Do you have high blood pressure, diabetes?" Lin Feng asked.
"No..." Huang Li shook his head.
Excluding these three more likely factors,
Left:
There is a problem with food, what to eat...
Kidney damage caused by immune system problems, such as kidney disease caused by rheumatic immune diseases (such as systemic lupus erythematosus), combined with Huang Li's rash, increases this risk.
"Can you tell me what you ate before and after your 'kidney deficiency' (the patient's condition is deteriorating, so if there is food, it should be continuously ingested during this time)?"
"What I eat, it seems that there is nothing special..." Huang Li frowned, pondering.
"Specifically..."
"I can't say specifically, my life is quite monotonous, either in the company canteen, or at home, are relatively ordinary, and then my girlfriend eats the same as I eat at home, she is fine, can exclude the food at home, that is, the company's food, but the company's food should be healthy, right?"
After Lin Feng listened, there was really nothing special.
It should not be food that causes kidney damage.
Lin Feng thought about it:
"Otherwise, you go for a 'rheumatic immunological index test', then a 'CT', and if you can, a 'kidney biopsy'."
(B ultrasound is generally about 100 yuan, CT is generally about 400 yuan, so it is generally preferred to do B ultrasound, and there is no way to do CT.) ）
"Huh? Kidney, needle biopsy? "
As soon as patient Huang Li heard it, he felt a burst of kidney pain.
Lin Feng explained: "When there is a problem with the kidney, it is difficult to judge what specific kidney disease is based on various blood drawing indicators, and it is necessary to obtain the pathological tissue test of the kidney to distinguish which type of kidney disease." There are too many types of kidney disease, and there is no way to diagnose it without pathological results, and if it cannot be diagnosed, it cannot be well treated with medicine..."
Huang Li was weakly worried: "Dr. Lin, will the kidney puncture be unsafe and will it stab the kidney?" Will it lead to "kidney deficiency" from now on, affect sperm quality, and affect the health of their offspring..."
Blushed as he said.
Then I was pinched by my girlfriend behind me with a blush...
Lin Feng sweated furiously.
"You can rest assured of all this... It won't... And sperm is produced by the testicles, not kidneys. "
A meal of persuasion,
Finally, the patient Huang Li signed the "Consent Form"...
......
Until noon after work,
Before Lin Feng went to the canteen to eat, he came to the emergency ward to see the patient Huang Li.
"Doctor Lin..."
Huang Li lay on the hospital bed and wanted to get up, but his waist was weak, and he found it difficult to get up.
Lin Feng stopped: "No need to get up... How is it now? "
Huang Li: "I feel a little difficult to get up, by the way, my feet seem to be a little puffy..."
Lin Feng: "Edema?? "
At this time, the tube bed doctor said to Lin Feng: "Dr. Lin, his "CT" and "renal biopsy" examinations have come out. "
Lin Feng: "Let me see..."
Take the inspection report...
· CT, normal!
Renal biopsy: "Minor glomerular lesions, membranous nephropathy"
Lin Feng saw this result and easily gave a diagnosis.
Diagnosis:
Acute glomerulonephritis.
Acute glomerulonephritis, referred to as acute nephritis, is inflammation of the glomeruli in the kidney, which is the basic unit structure of the kidney.
It is an acute illness with a rapid onset.
And the principle is that the glomeruli are inflamed, and the glomeruli are destroyed.
When the glomeruli are destroyed, blood will leak out and be excreted with urine, so patients will have hematuria, proteinuria, etc.
In the clinical manifestations of patient Huang Li, urine protein (urine vesicles) + urine occult blood can correspond to it.
In addition, acute nephritis has another special symptom—————— "hematuria"!!
Urine, is red.
It is because the blood flows out of the urine and the concentration is high, so there will be a 'phenomenon' of hematuria.
furthermore
There is another symptom of acute nephritis - "edema", which also corresponds to the edema of the patient's leg.
"Doctor Lin, are you sure? What is the disease? "
"'Acute nephritis'..."
"Acute nephritis?" Huang Li: "Dr. Lin, what causes acute nephritis?" "
Lin Feng shook his head: "It's hard to say this, there are many reasons..."
Lin Feng said briefly.
However, because acute nephritis is a self-limiting disease, it means that it will be fine and recover.
Therefore, Lin Feng did not investigate what bacteria and viruses caused the inflammation, as long as he waited, rested, and treated with anti-inflammatory.
But
Now another problem arises.
Liver damage!
Acute nephritis, will it not cause liver damage?
What's going on?
At this time,
Lin Feng's gaze suddenly saw a cream placed on the hospital bed table, which had just been laid out.
Out of professional sensitivity, Lin Feng asked:
"What is this?"
"Ahem... A plaster to apply pimples..."
Huang Li was a little embarrassed.
Lin Feng glanced at the patient's face Huang Li, and sure enough, there were four pimples, but young people, it was normal to have pimples, so Lin Feng didn't pay attention at first.
"Plaster? What name? "
"I don't know..."
Lin Feng walked over, picked up the ointment and looked at it, but the result was only the words "No. B ointment".
As for what medicine, what ingredients, is completely absent.
“？？？"
This obviously does not comply with the regulations of the Food and Drug Administration.
Illegal drugs?
Lin Feng: "Where did this ointment come from?" "
Huang Li wondered: "Doctor Lin, what's wrong?" What's wrong with this ointment? "
Lin Feng was serious: "The problem is big... Where did it come from? "
Huang Li: "It's from the beauty salon..."
Lin Feng: The old man in the subway looks at his mobile phone ·jpg
Doctors and nurses: Metro elderly looking at mobile phones ·jpg
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