Chapter 554

“Doctor Lin, that painkiller…”

“Not yet, let’s boil it first, and then use the painkiller after the examination.”

Again, the condition is too complicated, and painkillers will affect the results of the examination.

The patient pushed to the rescue room.

While drawing blood, give patients fluids at the same time.

Diarrhea, abdominal pain, there will definitely be a little lack of water and electrolytes, so make up first.

As for shortness of breath,

Lin Feng did not pay too much attention, because the patient has COPD, and abdominal pain itself can cause shortness of breath.

There are thousands of causes of abdominal pain, common appendicitis, cholecystitis, cholangitis, pancreatitis, gastrointestinal perforation, intestinal obstruction, pneumonia, myocardial infarction, etc., rare aortic dissection, mesenteric embolism, etc., once misdiagnosed fatal.

Coupled with the discovery that the patient’s sclera was slightly yellowish, Lin Feng naturally did not dare to be careless. When there is no more evidence to support the physical examination, supplementary examinations should be carried out as soon as possible, and the correct diagnosis can be made as soon as possible, so as to be treated as soon as possible.

After rehydration,

After drawing the blood,

The patient’s uncle’s vital signs are good 180.

“Go get an abdominal CT…”

Lin Feng said.

Generally speaking, CT is a big move, with large radiation, and it is rarely used by ordinary patients.

Basically, X-rays and B-ultrasound are used to assist in diagnosis.

But Uncle Chen was afraid of sudden illness, so he went directly to the CT scan.

result……

·Abdominal CT: No problem…

·Liver, no problem…

It is not the same as Lin Feng imagined.

It’s not the liver…

Brought back to the rescue room from the CT room,

Then change the bed again…


but,

Not long after I changed the bed, the accident came.

“Ah~~~ uh uh uh…”

Uncle Chen suddenly screamed, then his teeth were closed, his limbs twitched, and his mouth was foaming.

Lin Feng was shocked.

It also shocked other medical staff.

The daughter was even more frightened and panicked.

“dad……”

He shouted helplessly, and pressed his twitching father’s leg with distress…

“It’s epilepsy!”

Lin Feng reacted the fastest and hurriedly placed the patient in a lateral position, so as not to get foamed into the airway and cause suffocation.

“Calm down, hurry up!”

The rescue room routinely calms and stabilizes 10mg, quickly intravenously…

At this time Lin Feng pulled the patient’s daughter away.

“Don’t press him, it will hurt him… the convulsion will heal soon…”

Fortunately, just after changing the bed, the ECG monitor was connected immediately, so the patient’s Uncle Chen’s vital signs can be seen.

The heart rate and blood pressure are a bit high.

They all went up suddenly because of epilepsy.

As the tranquilizer went down, Uncle Chen soon calmed down.

After a few minutes,

The patient’s Uncle Chen’s convulsions stopped, and his blood pressure and heart rate also slowly dropped.

The patient eased over.

epilepsy,

Lin Feng’s first reaction was naturally a brain problem.

The most direct way is to look at the eyes.

Open your eyelids,

Lin Feng was relieved to find that the patient Uncle Chen was still sensitive to light reflection.

“what……”

“This sclera seems to be more yellow…”

Yes,

It is more yellow to the naked eye!

It shows that the jaundice has deepened!

Either there is a problem with the liver or hemolysis.

Because CT did not find it, so we have to wait for the blood test results to determine what it is…

“Xiaoru, check the system to see if his inspection results have been passed?”

“Good… (aicd)”

Xiaoru brushed it.

“Teacher, the result hasn’t come out yet…”

“Always brush…”

“OK……”

Before the blood test results came out, Lin Feng asked the patient’s daughter again.

First introduced the condition.

“Your father’s condition is a bit serious now, and the cause has not been found out. It is more complicated…At present, there may be problems with the liver and brain…”

“We will have to do a head CT later to rule out the possibility of cerebral hemorrhage, brain tumors, etc.”

“Okay, okay, Doctor Lin can do whatever you want…”

at this time,

Xiaoru suddenly shouted: “Teacher, the result of the blood draw came out…”

Lin Feng heard,

I quickly walked to the computer and looked at it.

one look,

surprised!

·Liver function: transaminase and bilirubin rise three times!

·Kidney function: blood creatinine rises 2 times!

Liver and kidney failure! !

Open the blood routine quickly.

fine!

·The hemoglobin and red blood cell counts are basically normal, and there is no abnormal anemia, so hemolysis can be temporarily ruled out.



In other words,

The patient has liver and kidney problems.

And the kind that is progressing fast!

Acute liver failure!

So,

What are you considering?

·Systemic infection!

·Or there is drug food poisoning!

But there is nothing wrong with the white blood cells of the blood routine, so it points to-

Drug, food poisoning!

Lin Feng found the patient’s daughter.

“Did your father have any problems with the liver before?”

“Liver? It’s pretty good, right? My dad will have a physical examination every year. I didn’t say that there is a problem with the liver…”

“Then think about it, except today, did your dad have any unusual symptoms yesterday? Fever? Or what did you eat?”

“No fever… Nothing else seems to be happening. Except for COPD, there is nothing wrong with everything else. My health is pretty good…”

“In other words, it started this morning, right?”

“Yes……”

“What did you take this morning? To be more detailed…Did you take any medicine?”

“The medicine? I inhaled the mist to relieve my cough… I have inhaled it before, no problem… If you eat it, fish, rice… There is nothing wrong with it… The fish is also cooked…”

Lin Feng: “………………”

It doesn’t look like there is a problem…

“Think about it, have you eaten anything?”

“…Fish gall…Yes, fish gall!”



The patient’s daughter suddenly thought of this and said loudly.

Fish gall?

Lin Feng: “!!!!!!!!!”

..

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