socalfunplaces Chapter 155
Chapter 155
"Hey, wait!!"
Lin Feng suddenly saw an abnormality!
In front of the right ear of this Chen worker, there is a raised place.
Bulge?
Varicosity?
"Head out, right ear, I'll see..."
Just now, Lin Feng only noticed his ears, but did not notice this 'bulge'.
・This bulge, about '2cm' in size.
Location: Superficial temporal artery, superficial temporal vein (about a few millimeters from the ear to the eye)
This position belongs to a superficial temporal artery and a superficial temporal artery juxtaposed.
Now 'bulge'...
It's like varicose arterial veins in the thighs (the kind of blood vessels that are twisted and bulging on the surface of the legs, and people who stand on the legs more)!
"How can there be varicose veins in this position?"
Lin Feng was stunned!
Lin Feng has seen such varicose veins on many people's legs or hands.
However, he had never seen anyone with such varicose veins on their face!
Another magical medical record!
Lin Feng went up and touched it... Touching carefully, Lin Feng's finger belly suddenly felt a continuous high-frequency tremor, as if the tail of the tuning fork was constantly trembling when he hit the tuning fork.
Lin Feng realized that the problem might be here!
So take the stethoscope and put it on top of the bulge.
"Buzz~~~~"
A violent, high-frequency vibration sound came from the stethoscope.
Press down...
Pop up ~~
Press down...
Pop up ~~
Lin Feng found that after squashing this blood vessel, the sound actually disappeared.
Sure!
This unexplained 'tinnitus' came from this 'bulge'.
"When did your bulge appear?"
"It was three months ago..."
"Three months, isn't this about the same time as your tinnitus?!"
Worker Chen thought for a while: "Hey, Doctor Lin, God, it's true!"
Lin Feng: "Tell me what is the reason, why is there a bulge?"
Worker Chen: "I was from the road construction engineering team, I fell into the pit again, my face hit the ground, and then after I got up, a bag (blood stasis) appeared, and after a few days, the bruises were gone, and then it bulged up here..."
Lin Feng listened!
I see!
"Right temporal superficial arteriovenous fistula"!
To explain "fistula": refers to a pathological pus drainage duct caused by an abscess that connects between the outside body and a luminal organ or between two luminate organs.
And "right temporal superficial arteriovenous fistula": it means that the arteriovenous is only seen, and there is one more tube!
Structurally: under the skin of the face in front of the ear, there are two blood vessels, superficial temporal artery + superficial temporal vein, side by side, next to each other.
This worker should have fallen after the bruised blood mass, after the lesion, a fistula (mouth) appeared, and the blood of the superficial temporal artery (high pressure) entered the superficial temporal vein through the fistula, and in this way, the "superficial temporal arteriovenous fistula" was formed.
As for why there is a sound?
That's because the arteries have high pressure, fast blood flow, and slow venous blood flow.
When the superficial temporal artery enters the superficial temporal vein through a breach, the blood flow forms vortices and turbulence (imagine a river), and then high-frequency fibrillations form.
Also because the veins receive high-pressure blood from the arteries, the veins begin to bulge and form 'bulges'!
And it just so happens that
This position, right next to the ear, then the high-frequency tremors are transmitted through the bones to the ear, forming a 'buzzing' high-pitched tinnitus.
Then it proves: Flatten it, it won't tinnitus! (because there is no high-pressure blood flow into the veins)
'Chain of evidence', perfect!!
Lin Feng showed a relaxed smile.
Worker Chen looked at Lin Feng with a relaxed look and was delighted.
"Doctor Lin, has the reason been found?"
"The reason has been found, it is your 'bulge', the right temporal superficial arteriovenous fistula, specifically..."
Lin Feng explained all the causes and so on.
Worker Chen suddenly realized: "I didn't expect this to be the case, Doctor Lin, you are too powerful... Dr. Lin, what next?!"
Lin Feng: "Wait for you to go for a B-ultrasound, confirm whether it is a right temporal superficial arteriovenous fistula, if it is certain, then it is simple, do a small operation, ligate it, and break the skin..."
This is indeed a minor operation, and any surgeon can do it.
Surgical method: ligation
Specific operation: Solution 1: If it is not troublesome, you can reconnect the front and back of the artery and the front and back of the vein after the "fistula" is removed. Option two, if it is troublesome, just cut off the fistula, and then ligate these four openings.
Both schemes, in fact, are similar.
Because the human face has rich reticular blood vessels, without these two right superficial temporal arteries and right superficial temporal veins, there will be no change in the blood supply to the brain.
Lin Feng explained to Worker Chen in detail, and finally concluded:
"That's exactly how the operation was... It's simple!"
"Thank you Dr. Lin, thank you Dr. Lin!"
Worker Chen simply admired Lin Feng, and he came to this hospital seven or eight times, but no doctor found it. Dr. Lin is worthy of being a divine doctor from a big hospital in a big city!
......
At this point,
conference room
At this time, the experience of the county doctors is constantly improving +10+10+10+10+10+10...
"So it is!"
"I went, why didn't I find out?"
"I actually found this 'bulge', but I didn't want to go over there!"
"It's still Dr. Lin!"
One by one, the county doctors admired Lin Feng!
......
Keep calling...
The second, the third, the fourth...
They are all relatively ordinary diseases, and Lin Feng can easily handle them...
Fifth,
"Doctor Lin, hello..."
This patient, a man of about 30 years old, has a large beard, wears three clothes, and is curled together, as if he is very cold.
"Huh?"
Lin Feng frowned, it was September, it was a very hot day.
Although Xinyuan County is located in a mountainous area, the temperature is also 28 degrees.
This patient, when he came to the hospital, actually wore so many clothes?
Cold?
Lin Feng: "Sit down, do you feel any discomfort now?"
Patient: "Dr. Lin, I have a little fever (fever), fatigue, feeling bored, headache..."
Lin Feng: "How long is the fever?"
Patient: "It's been a few days, intermittently, it's about 38.5C..."
Lin Feng recorded while thinking about fever-related diseases.
Fever is all too common!
Most of them are caused by inflammation, and doctors are most afraid of fever, because there are too many causes.
As for headache, it may be related to fever.
"I'll listen to your heart and lungs..."
Lin Feng took the stethoscope and began to examine the body.
There are no exceptions.
After some physical examination, there were no special abnormalities.
Well...... The mouth is a little dry, but it may be the reason to drink less water.
Lin Feng finished the physical examination and said to the patient: "At present, I have not found any problems, you can take some cold medicine, fever medicine, drink more water... However, I personally recommend that you have been having a cold and fever for several days, why not go for a chest x-x? (to check for pneumonia) and then to have a blood draw? (white blood cells)..."
The patient nodded repeatedly: "Everything depends on the doctor." "
He has also tried cold medicine and fever medicine in the past few days, but it has no use at all.
Brush brush brush ~~~
The assistant opens the bill and hands it to the patient.
"You go for a chest x-ray, draw a blood..."
"Okay, doctor..."
The patient leaves, goes for ultrasound...
......
midway
Lin Feng continued to see the patient...
After more than 1 hour, the patient returned.
"Doctor, this is the result..."
Lin Feng received the results of "chest x-ray" and "blood routine".
Chest x-ray: normal...
Blood routine: normal, normal white blood cells...
Lin Feng said: "There is no pneumonia, and the blood routine is normal... If you don't have anything else to say, I can only diagnose to this extent... Go back and take fever-reducing medicine and drink plenty of water..."
After Lin Feng finished speaking, he was ready to call the next patient.
"Wait, Dr. Lin..." the patient looked around and whispered, "Dr. Lin, there's one more thing I didn't tell you..."
Lin Feng: "??"
Patient: "A few days ago, I went to the landscape side..."
Then reveal the mysterious expression of the man.
Lin Feng listened.
Seconds understand!
Patient: "I'm not actually worried about fever or anything, but I'm afraid of Ai (harmony)... I checked, this disease may cause fever, colds and the like..."
Lin Feng suddenly realized that this young man should be afraid that he had Ai (harmony) disease.
Early AIDS (harmony) disease may only have fever and fatigue, which looks no different from the common cold.
His concern is actually justified.
Lin Feng nodded: "Be careful in the future... I'll give you a bill and do a "viral nucleic acid" test..."
For AIDS (harmony) disease, you can check "viral nucleic acid" in the early stage, and "four immune items" in the later stage.
Lin Feng asked the assistant to open a checklist.
The youth thanks: "Thank you Dr. Lin!"
Just then...
Syllable~~~
An old man pushed the door and came in: "Why is it not good!"
"Scared ~~~"
The young man was taken aback!
The young man cursed, "What's wrong with you? You scared me!"
When the old man heard this, he was not happy: "I'll push the door and scare you?
Lin Feng next to him was also surprised.
Such a trifle actually scared the youth?
Unreasonable?
A big man, according to reason, should not be small.
"There is a problem!"
Lin Feng realized that something was wrong with this young man's physical condition!
At this time, the young man said again: "Hurry out, close the door, cold!"
The old man was happy: "Cold? Are you still cold in this weather? Are you a big man so afraid of the cold?"
In other words, the central air conditioning of this county hospital is very general, the air conditioning is insufficient, in fact, the indoor temperature is about 26 degrees, and it is certainly impossible to say cold.
Even Lin Feng felt a little hot.
Lin Feng was suspicious in his heart.
At this point, the patient raises the neckline, pushes the old man out, and closes the door.
Then said to Lin Feng embarrassedly:
"Doctor Lin, this wind is a bit strong..."
Lin Feng: "Are you afraid of the cold?"
The patient tightened his clothes: "A little, I am especially afraid of cold these days..."
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