medical treatment

Chapter 133 Accidental Visitors
Yu Zhiming flipped through the medical information, while quickly deducing various possibilities in his mind.

With the rapid development of blood in the stool and edema of the lower limbs, Yu Zhiming first thought of kidney damage.

Kidney damage, causing blood in the stool is well understood.

As for edema, if the kidney function is not good, the metabolism rate of the human body will be reduced, which is not conducive to the discharge of excess water in the human body.

The excess water in this part of the body will make people look swollen.

What is the reason for the kidney damage?
Yu Zhiming's eyes fell on a list of medications, which included both external ointments for anti-allergy and anti-itching, as well as internal medications.

There are six kinds of medicines taken orally, the main functions of which are anti-allergic, anti-inflammatory and antibiotics.

Perhaps, the patient took too many anti-allergic or antibiotic drugs when treating pityriasis rosea?

Many people have the problem of taking medicine indiscriminately.

Perhaps the old man took too much medicine, which not only caused kidney damage, but also disrupted the body's functions, weakened the immune system, and caused a series of subsequent physical symptoms?
The more Yu Zhiming thought about it, the more he felt that drug poisoning caused damage to viscera, which in turn caused a series of problems.

Just, can things be so simple?

This can be regarded as a test given to him by Teacher Qi, no matter what he has to turn two or three times...

Yu Zhiming glanced at Teacher Qi, and found that he was immersed in reading the materials on the desk, not paying attention to himself at all.

The old man's condition should not be so simple!

Thinking of this, Yu Zhiming, who had already looked through the information on his condition, started again.

He seems to remember a philosopher who said that things are so complicated that when you can't find a way to deal with it, you should look to the source.

Knowing what caused the problem in the first place and the context of solving the problem will naturally become clear.

The source of the complex situation of the elderly...

Dizziness and high blood pressure?
Or pityriasis rosea?

Yu Zhiming analyzed it and ruled out high blood pressure and dizziness.

The elderly have been treated for pityriasis rosea for more than a month, and it is most likely to cause problems.

Yu Zhiming searched and rummaged through his memory, trying to recall the knowledge about pityriasis rosea.

It is a common self-limiting inflammatory skin disease.

Typical skin lesions are characterized by rose-colored macules and maculopapular rashes covered with bran-like scales.

It tends to occur on the trunk and near the trunk of the extremities, and usually resolves spontaneously in four to eight weeks.

Its etiology is unknown, it may be related to viral infection, allergies, and certain drugs can also cause it.

Immune dysfunction may also have something to do with it.

However, in Yu Zhiming's memory, pityriasis rosea, a skin disease, will not cause damage to the kidneys and other internal organs.

So, is there any possibility of misdiagnosis?

Canadian doctors are human too, and misdiagnosis is inevitable.

Assuming a misdiagnosis, then the whole body rash, the external manifestations are similar to pityriasis rosea, but it can cause visceral damage?

Thinking of this step, a bright light suddenly flashed across Yu Zhiming's mind like a shooting star.

A word popped out.

Allergic purpura!
It is a vascular allergic disease.

It is the body's allergic reaction to certain sensitizing substances, resulting in increased fragility and permeability of capillaries.

This causes inflammation of the small blood vessels in the skin, joints, gastrointestinal tract, and kidneys, as well as bleeding.

All patients will have different degrees of purpura in the early stage of allergic purpura, most of which are located on the limbs and buttocks, and the external manifestations are purple papules.

Yu Zhiming quickly went through the knowledge of allergic purpura in his mind, which almost matched the physical symptoms of the old man today.

Such as blood in the stool, swelling of the lower limbs and hands, joint pain, stomach distension, etc.

Obviously, the old man was misdiagnosed in Canada, and Henoch-Schonlein purpura was diagnosed as pityriasis rosea.

The treatment is not symptomatic, and the allergic substances in the body have not been effectively removed, resulting in more serious physical symptoms.

Yu Zhiming looked at Qi Yue confidently.

"Teacher, it's allergic purpura!"

Qi Yue raised his head, and said with a flat expression: "The diagnosis is correct, but it took nearly half an hour, so-so."

Yu Zhiming looked ashamed and said, "Teacher, I will continue to work hard and make myself meet your requirements as soon as possible."

Qi Yue nodded slightly, then waved his hand again, indicating that Yu Zhiming could leave.

When Yu Zhiming left the director's office and gently closed the office door, a voice came to his eardrums.

"Damn, it's so stressful..."

At 120:[-] in the evening, Yu Zhiming completed the physical examination of [-] people today.

In addition to the inherent physical problems of the examiner, his new results are as follows:
There were 7 patients with cardiovascular disease of varying severity.

16 patients with other visceral problems.

Suspected cancer patients, 0 people.

At seven o'clock in the evening, Yu Zhiming returned to his residence in Zijinyuan Community and found that dinner was ready.

During the meal, Yu Xiangwan suggested that tomorrow is Fu Xiaoxue's military training parade for new recruits, and she will visit it.

Gu Qingning said that he would also go.

She also said that she was as tired as a dead dog after following Fu Xiaobo for the past two days, and she would take the opportunity to take a good rest tomorrow.

Yu Zhiming seriously despised this girl's lazy behavior of fishing for three days and drying nets for two days.

Seeing that the two were about to quarrel again, Yu Xiangwan interrupted: "Old Wu, Xiaoxue's military parade ended in the morning. In the afternoon and tomorrow, they will rest to welcome the university study life that will officially start next Monday."

"Xiaoxue asked me to remind you, the big meal you promised?"

Yu Zhiming said casually, "Then it will be tomorrow night."

"The Lu restaurant?"

"can!"

Yu Xiangwan suggested again: "Aunt Xiaoxue's daughter Zeng Yan, please come here too?"

"Sister-in-law gave us such a precious gift, we can't just ignore her daughter all the time, can we?"

Yu Zhiming hummed and said, "Sister, you just need to decide and arrange these things, I'm only responsible for paying the money!"

Yu Xiangwan responded with a smile, and said, "Old Five, regarding cars, I chose a model from Mercedes-Benz, BMW, Audi, Volvo, and Cadillac."

"I also brought a few copies of the model introduction, down payment price, installment payment, fees and other relevant information."

"After eating, take a look first."

Yu Zhiming let out a sigh, and said with a smile: "Sister, why did you choose big brands?"

Yu Xiangwan raised his eyebrows and said, "Of course, with your current status as a doctor, you can't drive a million-dollar luxury car, so the brand of this car has to be stronger."

She also said lively: "When the salesmen heard that it was a doctor from Huashan Hospital who bought the car, they offered the best discount without me talking about the price."

"Old Five, if I reveal your name again, maybe I can get another wave of discounts."

"You're a celebrity by now."

Yu Zhiming laughed and said, "Sister, that's not necessarily the case."

"Maybe in the hearts of those pretty salesmen, I'm a womanizer who molests her..."

After dinner, Yu Zhiming flipped through and compared the piles of car information brought back by the fourth sister, and was a little surprised to hear Gu Qingning talking on the phone with the eldest sister.

Nearly half an hour later, Yu Zhiming finished reading the car information, and Gu Qingning also ended the call.

Yu Zhiming asked suspiciously: "Gu Qingning, you don't know my elder sister well, do you have so much to say?"

Gu Qingning glanced at him sideways, and snorted, "It's because of unfamiliarity that we have more topics to talk about."

"Didn't you hear that the most we talked about was big sister, baby brother, baby son?"

Pausing for a moment, Gu Qingning said with a frowning face again: "My eldest sister said that I have a share of the sweet potato strips, peanuts, walnuts and other food sent over this time!"

Yu Zhiming cut lightly and ignored the girl.

He came to the kitchen door and said to Yu Xiangwan who was still busy in the kitchen: "I think all these cars are okay."

"Sister, let's go for a test drive on Sunday the day after tomorrow..."

After nine o'clock in the evening, the Xiaojia where Yu's siblings lived received an unexpected visitor.

Gu Qingran and Hua Sifan!

　Ask for monthly tickets, recommendation tickets and other support!
　　
　
(End of this chapter)