I can see health

Chapter 145 Hyperthyroid Crisis!

"Hyperthyroidism?" He Qin's eyes widened, but they were still so small.

Lu Chen nodded and said, "Not necessarily, but it must be considered."

The patient sweats a lot, his eyes are a little protruding, and his hands are trembling a little. There is absolutely reason to suspect the existence of hyperthyroidism.

"Shaking hands may be due to nervousness, and sweating may also be due to nervousness, but I love sweating a lot, and my eyes are so bright, if we don't give people a thyroid function test, then we have to throw away our clothes. "Wang Xiaodong sighed.

He glanced at Lu Chen aside, and felt a trace of indescribable admiration in his heart.

Speaking of symptoms, everyone knows it is hyperthyroidism.

But not everyone has the ability to detect these symptoms clinically.

"Brother, the patient has hyperthyroidism, does it have anything to do with our illness?" He Qin didn't understand the patient's condition for a while.

Wang Xiaodong calmed down a bit, and continued: "If the patient really has hyperthyroidism, then this arrhythmia can be explained."

Many patients with hyperthyroidism will have arrhythmia, and many people do not know that they have hyperthyroidism before arrhythmia occurs.

Wang Xiaodong continued: "You must know that when you have hyperthyroidism, the thyroid hormone in the body increases. The thyroid hormone is very strong, and it will constantly stimulate various organs in the whole body. Stimulating the gastrointestinal tract will lead to eating more and pulling more, and stimulate the muscles. Bones can cause hand tremors, and those that stimulate the heart can cause arrhythmia, and may damage the heart in the long run."

"So it is." He Qin suddenly realized.

"What's worse..." Lu Chen said in a deep voice, "If the patient really has hyperthyroidism, then the diarrhea this time will be extraordinary."

Wang Xiaodong was taken aback, thinking of what Lu Chen said, he immediately said, "Let's take a blood test for nail function first, and I'll call Endocrinology later and ask for advice."

……

In the emergency ward.

"You said I have hyperthyroidism?" Xiao Yunfei was surprised.

She didn't believe she had hyperthyroidism at all.

"Do you usually have a hot temper, eat a lot, and pull a lot, but you can't gain weight?" Wang Xiaodong said, "Also, do you like to sweat a lot?"

Xiao Yunfei was left speechless by the question.

Want to answer no, but the situation seems a bit like.

I want to answer yes, but I don't want to admit it.

"We are the company's executives, whoever doesn't get angry, and the subordinates will definitely be taught a lesson if they do something wrong."

"It's normal to eat a lot with such a heavy workload. Work pressure is so great, no matter how much you eat, you can't gain weight. Many people are like this, so what's so surprising?"

Dead ducks have tough mouths.

"Then wait for the results to verify." Wang Xiaodong said.

Lu Chen frowned: "Brother, it will take 1-2 days for the results of thyroid function..."

"I can't wait, let's do a B-ultrasound of the thyroid to see if the thyroid is enlarged."

"But there is no emergency thyroid ultrasound at night..." He Qin said abruptly from the side.

Lu Chen nodded in agreement.

Emergency ultrasound can only look at the heart or chest or abdomen.

Wang Xiaodong smiled: "It's okay, there will be an emergency echocardiogram in the evening, and I'll let them stop by to see the thyroid ultrasound. And I have an acquaintance in the ultrasound department, let me say hello to him."

"But, on the surface, it seems that her thyroid gland is not big, and it's not big to the touch." He Qin wondered.

She also specially gave Xiao Yunfei a thyroid examination just now.

Wang Xiaodong nodded and said, "By the time we can see it with our naked eyes, the thyroid gland is already very large."

"Also, there is another possibility, that is, the thyroid gland grows into the chest cavity instead of outward. In this case, even if the swelling is very large, we will not be able to see it. We must do an examination." Lu Chenzai explained.

Listening to Lu Chen's explanation, He Qin couldn't help but sigh in her heart.

This junior brother, it seems that it is really not simple!

Not only can he completely keep up with Wang Xiaodong's thinking, but he can also come up with new insights.

By the way, he will also insert a gastric tube!
Is he really Yanyi's freshman?

……

After Wang Xiaodong contacted the ultrasound department, Xiao Yunfei was immediately sent to have a thyroid B-ultrasound.

The result came out immediately.

Goiter!
Moreover, there are many nodules in the thyroid gland, which can be seen as a problematic thyroid gland.

Seeing the report card, Xiao Yunfei couldn't believe it.

"The company has a physical examination every year, and my physical examination last year was normal."

"That was last year!" Wang Xiaodong said.

This time it's a stone hammer!
doctor's office.

Wang Xiaodong sighed, "I almost stumbled."

"Brother, shouldn't it be enough for us to diagnose it now?" He Qin felt a little strange. Hearing Wang Xiaodong's tone, it seemed that he almost made a mistake?

"Junior Sister, do you remember why the patient came to the hospital?"

He Qin was taken aback, "Diarrhea? Isn't this caused by acute gastroenteritis?"

Lu Chen on the side shook his head and said, "The patient's diarrhea may be caused by acute gastroenteritis, but it must be considered that it may be caused by hyperthyroidism."

In fact, a pack of chicken feet is not too unclean.

However, if it is really gastroenteritis caused by uncleanliness, then other colleagues who ate it should also have problems.

But according to Xiao Yunfei, the others seemed to be fine, but she had diarrhea for a few days alone.

Then it's suspicious.

"Junior brother, you mean the diarrhea caused by hyperthyroidism?" He Qin asked suspiciously.

Lu Chen nodded, "Well, if the diarrhea is really caused by hyperthyroidism, then the patient is likely to develop hyperthyroid crisis later!"

Wang Xiaodong glanced at Lu Chen, it seemed that his junior brother really wanted to go with him.

"Hyperthyroid crisis?!" He Qin opened her mouth wide.

Seeing Wang Xiaodong's expression of approval, she knew that Lu Chen's diagnosis was probably correct.

He Qin has never encountered hyperthyroid crisis in clinical practice, but only learned about hyperthyroid crisis in books, but he also knows the danger of this disease!
When the condition of hyperthyroidism is not under control, the condition of hyperthyroidism suddenly aggravates due to some stimulating factors of stress, which seriously endangers the health and life of the patient.

Medically called thyroid storm, or simply called hyperthyroid storm.

Hyperthyroid crisis is uncommon but has a high mortality rate.

Hyperthyroid crisis may have high fever, arrhythmia, nausea and vomiting, disturbance of consciousness, severe diarrhea and so on.

This diarrhea may not be gastroenteritis!
Perhaps it is the consequence of hyperthyroidism reaching a certain degree of severity, that is, hyperthyroid crisis!

"I just contacted the doctor in the endocrinology department." Wang Xiaodong continued to ask for a consultation, "The consultation doctor will be here soon."

……

Endocrinology.

After Min Ling experienced two busy night shifts in a row, she managed to take a relaxing night shift today.

From taking over to now, nothing happened.

She originally planned to be the same as the previous two night shifts, ready to deal with all kinds of emergencies at any time.

But up to now, only one or two patients have high blood sugar.

"Doctor Min, emergency department please consult urgently!"

Just when Min Ling was about to go to the duty room to rest, the nurse suddenly called out to the office.

"Okay, I'll go right away."

Min Ling was a little puzzled, why did the emergency department invite an endocrine emergency consultation?

Endocrine emergencies are generally diabetic ketoacidosis, hypoglycemia coma and so on.

In these situations, the emergency department will not ask for consultation, and generally will directly admit the patient to the hospital.

With this doubt, Min Ling came to the emergency department.

　Many students have been diagnosed with hyperthyroidism.

　　
　
(End of this chapter)