This Doctor is Great

Chapter 145: Exudes fishy smell, what is the disease?

Zhou Mo began to ask in detail: "Where are you feeling now..."

The husband hurriedly said: "My wife has no appetite recently, and she can't eat anything that is slightly greasy. I always get her some porridge, as well as green vegetables and oil-free chicken soup for her... Also, she has no strength, and she feels average. , also lethargic..."

Zhou Mo looked at the patient: "Is that so?"

What Zhou Mo wanted to know more was the patient's own statement.

The patient, Chen Jinhong, had no energy, just nodded to Zhou Mo lightly, and then continued to lie there.

Zhou Mo: "Have you taken any drugs orally for a long time?"

Husband: "No, my wife has always been healthy before..."

Zhou Mo: "In terms of pregnancy preparation, do you take any medicine?"

The husband also shook his head: "No, we are not too old, so we are not in a hurry. We didn't take any medicine for pregnancy."

Zhou Mo: "You mean, you haven't had children before, right?"

Amenorrhea caused by childbirth, also exists, the specific reason is the change of the pituitary gland.

The pituitary gland is very important in the human body. It is the most complex endocrine gland in the body. The hormones it produces are not only related to the growth of the body's bones and soft tissues, but also affect the activities of the endocrine glands.

The most famous adrenal glands, for example, are also affected by it. Sometimes there is a problem with the adrenal glands, which is likely to be caused by a problem with the pituitary gland.

The husband nodded: "Yes, we don't have children yet."

Zhou Mo looked at the patient's MRi, and there was indeed no pituitary changes.

Pituitary gland can be excluded.

Zhou Mo: "How much did you eat for that recipe? How long?"

The husband didn't think about it: "It didn't take long for me to eat it, about three and a half days. I felt it was too unbearable to drink, so my wife stopped it."

Zhou Mo: "That's okay... When did liver cirrhosis appear? I looked at your wife's examination report. There was only one liver function test in our hospital. The provincial women and children didn't have liver function, so I didn't bring it over. Still haven't checked?"

If it is not the liver cirrhosis caused by the remedies, it is necessary to continue to trace the source to find out what caused the liver cirrhosis.

The problem is that Zhou Mo didn't see the liver function test of the provincial women and children two months ago, nor did it show in the discharge report. I don't know if liver cirrhosis was confirmed two months ago.

Husband: "I don't know, it seems that I haven't checked..."

Zhou Mo had a headache.

What causes cirrhosis of the liver?

According to monism, could it be that liver cirrhosis and amenorrhea have the same source?

"Forget it, let's brush it again..."

First clear the liver cirrhosis.

First, most causes of liver cirrhosis are:

Viral hepatitis: For example, hepatitis B and C viruses make the liver resist (inflammation), and repeated long-term resistance makes the liver gradually fibrosis.

· Alcoholic hepatitis. (Ethanol in alcohol has a direct effect on the liver, especially after heavy drinking, the liver metabolizes alcohol and increases the burden on the liver.)

· Cholestatic hepatitis. (There are many bile ducts in the liver, and when there is a problem with the bile ducts, cholestasis can lead to cirrhosis.)

·Autoimmune liver disease...

Basically all of the above.

There is also a Budd-Chiari syndrome.

"Do you usually drink?"

"If you don't drink it, you will be allergic to alcohol, so you basically don't drink."

"Have you had hepatitis B and C before? Even as a child? Or does anyone in your family have cirrhosis?"

Liver cirrhosis is not hereditary, but hepatitis B is contagious. If elders have it, it may be transmitted to children.

The patient Chen Jinhong thought for a while and shook his head weakly.

Zhou Mo was disappointed.

When I asked about it, I found nothing.

After doing a physical examination, there was no sign of liver enlargement and no liver ascites.

This can rule out Budd-Chiari syndrome (hepatic venous blood cannot enter the heart, and the liver accumulates and causes cirrhosis), because the typical features of Budd-Chiari syndrome are: hepatic ascites, hepatomegaly.

"Be hospitalized first, do some tests..."

On the one hand, the cause of cirrhosis is determined.

On the other hand, to determine what stage is cirrhosis now? (If it is a compensatory period, there is also a chance to reverse it.)

...

When Zhou Mo returned to the duty room, it was already past 1 o'clock.

Write in hospital, medical records, doctor's orders, and then report to teacher Zhang Luojia, etc...

At this time, Huang Yiming came in from outside.

Depressed face.

"What's wrong?" Zhou Mo asked curiously.

Huang Yiming said with a gloomy face: "One of my patients, a 78-year-old grandmother, underwent colon cancer resection last month, but the prognosis was poor and the adhesion was a little serious, so she came to the gastroenterology department to be hospitalized. "

Zhou Mo: "Then what?"

Huang Yiming sighed: "Grandma feels that these days are painful every day, it's too hard, and there are 2 sons and 2 daughters. Now we are discussing and taking them home... The problem is that Grandma's health is not very good. I did it last time. After the operation, for some unknown reason, either anesthesia or other drugs made her very weak, her vital signs were not stable, and the hospitalization was relatively stable.

Zhou Mo patted his shoulder: "Every family has a scripture that is difficult to read. We are outsiders, and we are not qualified to say..."

Huang Yiming: "I understand, but it's just a little uncomfortable..."

Zhou Mo shook his head and laughed.

There are many joys and sorrows in the hospital, and if you see it too much, you will be numb.

"Why don't I tell you a joke..."

"A little boy had a fever and came to the children's hospital for an IV. The nurse said to the little boy: "Little boy, don't be afraid, auntie will give you some sugar water, and your illness will be cured! The little boy looked at a little girl beside him who was drinking dark brown potion and said, "Auntie, I want to make Coke, not sugar water!" ""

puff~~~

Huang Yiming finally raised the corner of his mouth.

...

afternoon, 15:30,

The blood draw results and other test results of each patient were returned.

Zhou Mo sat beside the computer and watched.

Soon came the 78-bed patient Chen Jinhong.

- Hepatitis C and hepatitis B test: negative.

——Data of total bilirubin, direct bilirubin, bile acid, etc.: normal, excluding liver cirrhosis caused by cholestasis!

- Result of immune antibody test: negative. Liver cirrhosis due to immune disorders was excluded.

Zhou Mo: "..."

There is no problem!

In other words, the cause of liver cirrhosis has not yet been found.

The only good news is that according to various blood draw indicators, the current stage of liver cirrhosis is still in the compensatory stage (the liver function can barely maintain the normal operation of the body). If you are lucky, the patient's liver cirrhosis can be reversed.

Keep all test results in mind.

Zhou Mo began to round the rooms one by one.

At 16:28, Zhou Mo came to bed 77, and patient Chen Jinhong, who was in bed 78, happened to walk in from outside with the help of her husband.

"Hello Doctor Zhou..."

"You... um??"

Zhou Mo was stunned for a moment, and took a breath.

A strange smell...fishy? The smell that entered his nostrils~www.readwn.com~ was the female patient Chen Jinhong who was about to pass him by.

"Wait...strange smell...fishy smell..."

Zhou Mo suddenly had a flash of inspiration.

He hurriedly asked the patient Chen Jinhong, "Have you eaten fish today?"

Chen Jinhong was stunned for a moment: "No... I don't have a good appetite right now, and the fish doesn't dare to touch it at all."

Zhou Mo: "But you feel like there is a fishy smell."