I can see health

Chapter 316

"You... you... this..."

For a while, Wang Xueyang became a little incoherent.

This is the first time she has seen a patient like this.

"Doctor, my mother has always been like this, you can just relieve her pain now!" The young man said immediately, "You don't need to worry about other things!"

Wang Xueyang frowned deeply.

She picked up the stethoscope, auscultated the patient, and then began the abdominal examination.

"Family, please help lift the patient's clothes and expose the stomach." Wang Xueyang ordered.

"Hey, just use a painkiller! Why are you making such trouble..." The young man muttered, but he still lifted up the woman's clothes according to Wang Xueyang's instructions.

The moment when the clothes are lifted to reveal the skin of the abdomen.

Wang Xueyang was taken aback again.

The skin of the woman's abdomen is all dark pigmented and purple, and it's all scars.

"You...what's the matter with your skin?"

However, the woman didn't seem to hear this sentence.

She yelled again: "I have a stomachache, stop the pain quickly! I want painkillers!"

With her yell, Wang Xueyang stopped asking about the skin problem, and began to auscultate her bowel sounds.

"Bowel sounds are very active, it may be a general intestinal spasm." Wang Xueyang said, "I will give you an intramuscular injection of medicine to see if it can be relieved."

Lu Chen on the side was about to speak.

But her son said suddenly: "Actually, we came to Jinghua Second Hospital in the morning to see the dermatology department. We had a stomachache just after seeing her. The pain got worse an hour ago, so we came to you."

"To see the dermatology department?" Wang Xueyang frowned.

"Yes." The young man said.

"Is it because of the skin on the stomach?" Said Wang Xueyang got up and began to check the body again.

She found that in addition to the obvious deposition of pigment on the stomach and thighs, the patient's skin was densely covered with small rashes.

Wang Xueyang continued to ask: "What does the dermatology department say?"

"The dermatology department said it was allergic, but it was not serious, so let us go back."

"When did your stomach hurt?"

"After leaving the dermatology department, it hurts"

Wang Xueyang noticed that her son spoke with obvious impatience!

In fact, Lu Chen really wanted to remind Wang Xueyang that he had seen this patient before, and he also wanted to express his thoughts on diagnosis.

However, Wang Xueyang has been asking doctors and checking up.

It is a very disrespectful behavior for Lu Chen to interrupt her like this.

He was going to wait for Wang Xueyang to finish his consultation before expressing his thoughts.

"Then I'll give you a hormone to see if the rash disappears and if the stomach pain can be relieved!" Wang Xueyang frowned.

She thought to herself, is this kind of skin allergic purpura?
But at this time, the woman replied directly, "I don't take hormones! I don't take hormones!"

After saying it twice in a row, she was quite emotional.

Immediately afterwards, his son suddenly said: "Actually, my mother also had a stomachache yesterday, and she went to... the hospital to see her."

Wang Xueyang frowned. The patient and family members in front of him kept running the train, and their words were inconsistent.

"What about the results of your examination at the hospital yesterday?"

"I didn't bring it, but the results of abdominal CT, liver and kidney function, blood routine, etc. are all normal. You can call her 6542. After yesterday's call, she will feel better."

Do you know so much about the disease and medicine?
Wang Xueyang nodded, "OK."

She gave the woman a 6542 and they went out.

……

After the two went out, Lu Chen was planning to inform Wang Xueyang about his condition, but at this time, three more patients came to the emergency room in a row.

Suddenly he became busy, and Lu Chen couldn't find time to communicate with Wang Xueyang.

About 10 minutes later.

After seeing the three emergency patients, the woman and her son walked into the consulting room again.

The woman covered her stomach with her hands, lay directly on the examination bed, and shouted: "My stomach hurts, please help me!"

Wang Xueyang immediately got up and asked, "Are you all right?"

"It's not good at all, it hurts even more, open my stomach quickly, there is something in my stomach, it's very cold, open my stomach quickly."

Her son came in with her.

Wang Xueyang said in a deep voice: "No matter what the disease is now, I must have another CT and blood test. I will give painkillers only after I am sure everything is fine."

Whether the patient is allergic purpura or other acute abdomen, the abuse of painkillers is likely to cover up the condition and cause more serious consequences!
What's more, Wang Xueyang didn't see the patient's test results yesterday, what if the family members lied again?

The patient's son frowned: "I just finished it, and I'm still doing it?"

"No way, she really hurts." Wang Xueyang patiently explained, "If it's really an abdominal organ disease, it's even more dangerous to abuse painkillers!"

The patient's son became even more impatient when he heard this.

"Yesterday's doctor and previous doctors said she was really in pain. Why can't you take painkillers?"

"CT and blood have been prescribed, you take them first." Wang Xueyang's attitude was very firm.

Seeing this, the woman and her family members turned around and left.

……

Seeing the two leave, Lu Chen finally had a chance to speak.

"Teacher, I have seen this patient before!"

Wang Xueyang looked at Lu Chen in surprise, "Where did you meet?"

"In a temple in Jinghua, this woman suddenly fainted."

"Oh." Wang Xueyang nodded, "Is there anything else unusual?"

If you just saw her, it would not help the patient's diagnosis and treatment.

Lu Chen said in a deep voice: "Actually, I discovered these abnormal signs of the patient at that time, sickly pale, and skin scars and so on."

"Well, what then?" Wang Xueyang continued, she felt that Lu Chen had more to say.

"I feel that the appearance of the patient is especially like a foreign image, that is... a vampire!"

As soon as Lu Chen finished speaking, Wang Xueyang was taken aback for a moment.

"vampire?"

It seems to be true!
Wang Xueyang frowned, recalling all the physical signs of the woman.

Lu Chen said slowly: "After I went back to the dormitory, I checked the relevant information and found out that this is a rare disease - porphyria!"

"Porphyria?" Wang Xueyang asked in surprise.

"Well, it's caused by a lack of enzyme activity in the heme biosynthetic pathway."

Then, Lu Chen briefly talked about some characteristics of porphyria.

"Porphyria, the main symptoms are acute painful photosensitivity skin lesions and acute abdominal pain!"

All these symptoms correspond to the signs of a woman!

The doubt in Wang Xueyang's eyes was gradually replaced by Qingming.

She originally thought that the patient was allergic purpura.

But judging from what Lu Chen said, the probability of porphyria is not small!

However, any clinical diagnosis cannot rely solely on clinical symptoms, but also requires laboratory or imaging examinations.

Moreover, the diagnosis of porphyria cannot be done in Jinghua Second Hospital.

Wang Xueyang said in a deep voice: "Whether it is allergic purpura, porphyria, or other acute abdomen, this patient is very troublesome. After the abdominal CT scan, we will try our best to transfer her to a higher-level hospital."

The upper-level hospital of Jinghua Second Hospital is only Kyoto.

(End of this chapter)