This Doctor is Great

Zhou Mo patiently asked in detail, "I mean, why did you go to the emergency department? Why did the emergency department send you to the cardiology department?"

Patient Chen Zhongxin: "Oh, that's what you're talking about... It's like this, I was moving things at home this morning, and the rider on the horse didn't know what was going on. He was carrying the table, which was square... ( omit a few cross adjectives), I was dizzy and sat on the ground to rest..."

"You don't know, doctor. At that time, my eyes were dark and I didn't have the strength..."

"I'm scared shit, I think I can't do it anymore..."

The patient Chen Zhongxin looked horrified.

It took several minutes for Zhou Mo to understand the situation.

The patient, when he was lifting 40 to 50 jin, fainted and collapsed to the ground.

For a big man, it would not be so serious to lift forty or fifty pounds.

Then I was sent to the emergency room by a friend and woke up in the emergency room.

Then the emergency department was diagnosed and then sent to the cardiology department.

Zhou Mo: "Is there any medical history? Three highs, surgery, etc.? And family medical history..."

After a few minutes of communication, I'm sure nothing.

Zhou Mo only took out the patient's examination report at this time.

Emergency EKG.

Emergency · blood sugar.

Why take an electrocardiogram?

Because the patient faints, it is natural to suspect that there is a heart problem, so checking the ECG of more than ten yuan is the basic quality of emergency doctors to avoid the most dangerous situations such as myocardial infarction.

Why check blood sugar?

Because the patient expresses lack of energy, it is very likely that there is a problem with blood sugar, which is the symptom of hypoglycemia. The blood sugar result is obtained by pricking a finger, so blood sugar also needs to be checked.

The two inspection results were:

ECG: Widening of p-wave duration...

Blood sugar: normal.

Obviously, there is something wrong with the heart.

So the emergency department simply sent the patient to the cardiology department.

In addition, the emergency department also performed a blood routine for patient Chen Zhongxin, but the results have not yet come out.

At this moment,

The ECG that the nurse was playing with the patient was ready, and the ECG began to come out bit by bit.

"Yi Ming, go and push a B over here..."

"it is good."

Huang Yiming left quickly.

This time waiting for b-ultrasound, part of the electrocardiogram came out.

Zhou Mo picked it up and looked at it.

ECG: Widening of p-wave duration...

Soon,

Huang Yiming got the b-ultrasound.

Zhou Mo began to perform a cardiac ultrasound on the patient. Huang Yiming looked envious, but unfortunately he couldn't learn it.

After 3 minutes, the result came out.

"Enlarged left atrium."

"There was also mild mitral regurgitation."

"But the good news is that there is no calcification, contracture, or prolapse of the valve on the color Doppler ultrasound."

After Zhou Mo put down the b-ultrasound probe, he told Huang Yiming.

"Reflux?"

"Do you know that the left atrium is enlarged, what are the reasons?"

Huang Yiming suddenly felt nervous about being tested by the teacher, and quickly searched it in his mind, but fortunately his knowledge was relatively solid:

"The left atrium is enlarged, there are several possibilities..."

"The first is rheumatic heart disease, especially stenosis or regurgitation of the mitral valve."

"The second is dilated cardiomyopathy. This dilated cardiomyopathy is manifested by the expansion of the various chambers of the heart. In addition to the expansion of the atrium, there can also be expansion of the ventricle, thinning of the ventricular wall and weakened myocardial contractility."

"Third, congenital heart disease, including atrial septal defect, ventricular septal defect, and patent ductus arteriosus, when these congenital heart diseases develop to a certain stage, may also lead to enlargement of the left atrium..."

Huang Yiming spoke fluently at once.

Patient (reader): "…………"

I don't understand, hey!

Huang Yiming: "Why does the left atrium get bigger?"

Zhou Mo: "I'm also curious... so I'm looking for a reason."

The two think.

at this time,

Senior Brother Chen Bing walked quickly into the ward from the outside, looking nervous.

Zhou Mo: "Senior brother, what's wrong?"

Senior Brother Chen Bing: "This patient had a blood routine, and the results just came out. The laboratory department issued a system alarm, severe anemia!"

What?

Severe anemia? !

Both Zhou Mo and Huang Yiming were taken aback.

Senior Brother Chen Bing nodded, then asked the patient, "Your name is Chen Zhongxin, right?"

The patient Chen Zhongxin was made nervous by Senior Brother Chen Bing's nervousness: "Yes, it's me. Doctor, am I going to die? If I am going to die, please tell me in advance..."

"I want to delete those contents of my phone..."

Zhou Mo: "..."

Chen Bing and Huang Yiming: "..."

What the **** is going on with your phone?

Could it be that 'A Bing's high school grades were not ideal'? Or what is 'high righteousness'...

We are curious! ! ! !

Ahhh~~~~ Zhou Mo's three people's thoughts were almost interrupted.

Zhou Mo: "How much is hemoglobin?"

Senior Brother Chen Bing said, "It's only 57g/l."

I go!

57?

Zhou Mo and Huang Yiming were both shocked!

A normal adult man's hemoglobin should be 120-150g/l, and now less than half of the patient's hemoglobin is, and less than 60g/l is severe anemia.

In other words, this patient has lost half of his blood!

Zhou Mo hurriedly said, "Then arrange for a nurse to give him a blood transfusion first!"

Senior Brother Chen Bing: "It has been arranged... What's the condition of the patient?"

Zhou Mo: "Enlarged left atrium... Combined with such severe anemia, if the anemia is anemia for a long time, it may be anemia-induced heart disease."

'Anemic heart disease': various causes of hemoglobin (hb)

Zhou Mo looked at the paleness on the patient's face.

This should be an anemic appearance.

Originally this week Mo didn't think about it.

The patient's so-called "weakness" may be a symptom of anemia, which can be explained.

As for the coma,

Such severe anemia can lead to coma.

If the blood supply is not enough for the brain to use, then the brain function is bound to be hindered, such as dizziness, nausea, etc., and even a brief coma in severe cases.

This is a reasonable inference.

The issue is,

Why is he severely anemic?

Where did the lost half of the blood go?

Blood, is it lost in a short time, or is it lost for a long time?

If it is lost for a short time, it is naturally not anemic heart disease, but if it is lost for a long time, it is.

The causes of anemia are nothing more than:

Less blood!

Bleeding a lot!

One in and one out.

Basically include:

Iron deficiency anemia...

Did you vomit blood...

Aunt's bleeding is normal or abnormal... No~www.readwn.com~ This is a man...

Black stool is not black, any history of disease (hemolytic anemia), whether there is hemorrhoids...

Iron deficiency is not iron deficiency, this needs to wait for blood to do a 'serum iron test'.

Zhou Mo asked the patient, "Have you always felt that you have no strength? Or have you only recently felt that you have no strength?"

The patient thought for a while: "I don't know, maybe I felt it a long time ago? It seems that running or something is more tiring."

Zhou Mo: "Do you usually feel like you are bleeding? Spitting up blood or something?"

The patient rolled his eyes: "Aren't you talking nonsense? Surely not... Doctor, you are so stupid..."

Zhou Mo: "..."

looking around,

Where's my needle? I'm going to sew his mouth shut!

.