This doctor is great

Chapter 190 "Lin Daiyu", unknown gastroenteritis

All the doctors nodded upon hearing this.

The blood relationship and symptoms are exactly the same.

Not running!
It should be "familial Mediterranean fever"!

All the doctors cast appreciative glances at Zhou Mo behind the crowd.

Although Zhou Mo is a medical student, his thinking and vision are excellent.It is estimated that I often read foreign papers and journals, otherwise I would not be so familiar with "familial Mediterranean fever".

周墨声望+1+1+1+1+1……

……

The big rounds lasted until 11 o'clock before it ended.

Zhou Mo, who was following the large army, felt that his legs were numb.

Zhou Mo also saw many medical students and residents at the back of the line, secretly paddling with their mobile phones. Anyway, the bosses were all in front, and they couldn't see them through the dense crowd.

"Ding dong..."

News from the Propaganda Department.

Beauty from the Propaganda Department: "Brother Mo, Douyin hasn't been updated for several days, please speed up..."

Zhou Mo apologized: "These two days have been busy, so fix it today!"

Beauty from the Propaganda Department: "Okay. (Put out tongue)"

……

Back to the duty room,
Residents and medical students rushed to grab computers.

Computers are limited, but doctors are unlimited.

It's already 11 o'clock, if I don't finish those medical orders promptly, I will probably have to work overtime until eight or nine o'clock in the evening today.

Zhou Mo was not in a hurry, after all he was only a patient, so he gave up the computer to others first.

Taking advantage of this time,

Zhou Mo simply went to find a place to record "Seeing a Doctor for Lin Daiyu".

an office,

Pot background.

"Hello, everyone..."

"I've been busy in the past few days, and I don't have time to record videos, so I'm late..."

"Okay, let's continue to analyze today, what kind of disease is Lin Daiyu..."

"I have analyzed tuberculosis, bronchiectasis, lung cancer, mitral stenosis..."

"Let's analyze "congenital heart disease"..."

"First of all, the family history, as analyzed earlier, whether it is Lin Daiyu's patrilineal or maternal lineage, more people died, so the possibility of genetic diseases is very high. Combined, the possibility of hereditary congenital heart disease is very high. "

"In addition, Lin Daiyu is stunted and looks weak compared to her peers, which is in line with her congenital heart."

"Exertion and emotion can exacerbate symptoms, and these are actually common manifestations of heart failure."

"Cough related to the season, orthopnea in the late stage, and paroxysmal dyspnea at night, these symptoms are consistent with the performance of left heart failure."

"And hemoptysis and blood in the sputum suggest that the patient may have severe pulmonary hypertension."

"So, I deduce that Lin Daiyu should have a "congenital heart disease", and then gradually aggravated, resulting in a weak body. In the later stage, left heart failure occurred, and repeated episodes of acute pulmonary edema, orthopnea, and paroxysmal breathing at night difficulty……"

"When the condition worsened, the intima and media of the pulmonary arterioles and muscular small pulmonary arteries further thickened due to long-term pulmonary hypertension, the vessel lumen narrowed, and hemoptysis, right heart failure and other manifestations of Eisenmenger's syndrome appeared..."

"To sum up, the possible causes of Lin Daiyu's death are congenital heart disease and Eisenmenger syndrome."

finished recording.

Zhou Mo found that there were more than 2 minutes left,
So Zhou Mo simply talked about other things.

For example, online gambling online loan...

For example, blind date routines...

They all use suicide as a way to attract jade and lead to these two topics, which can be regarded as a reminder to those netizens.

"Okay, that's all for today's video, see you next time!"

finished recording.

End.

Zhou Mo sent it to the beauty of the propaganda department.

……

"Doctor Zhou Mo... pick up the patients, 80 beds..."

"Okay okay..."

When Zhou Mo finished recording the video and returned to the duty room, the nurses at the nurse station had already started shouting.

"It hurts... it hurts..."

A girl, probably in her early 20s, was lying on a flat car, clutching her belly, curled up.

Wow wow cry.

Cold sweat on his forehead.

On the flat car, water is hanging.

Accompanying her is her boyfriend.

Zhou Mo walked over quickly.

Nurse Xiao Chen introduced it to Zhou Mo: "Doctor Zhou, this patient came from the emergency department. He was suspected of having acute gastroenteritis, but he couldn't find the cause. The emergency department was short-staffed, so he sent it here."

Zhou Mo nodded, took over the patient, and asked his boyfriend to carry the patient to bed 80.

"Tell me what's the problem..."

The patient's boyfriend began to chatter.

The patient's name is Chen Ting.
Yesterday, symptoms of fever, nausea, vomiting and diarrhea suddenly appeared.

At that time, her boyfriend was terrified and grateful for taking her to a nearby community hospital for treatment.

After consultation, the doctor thought she was suffering from acute gastroenteritis, prescribed some medicine for her, and then hung the water.

but!

The girl Chen Ting's illness is obviously not that simple!
According to the medicine for acute gastroenteritis, after taking it orally and hanging water, I went home, but the abdominal pain became more and more severe.

The fever temperature was as high as 40 degrees.

In the end, I waited until today, and finally couldn't bear it anymore, and felt that there was something wrong with the community's diagnosis.

So I hurriedly sent it to the nearest Provincial Second Hospital,
Straight to the emergency room.

In the emergency department, we conducted consultations, physical examinations, blood tests... all routine examinations were done.

Questionnaire result: It feels like acute gastroenteritis.

Examination results: There is no problem with the stomach, soft, not hard, and no peritonitis.

"peritoneum",
It is a layer of membranous tissue. The peritoneum covers most of the organs in the abdominal cavity. It can secrete mucus to moisten the surface of the organs and reduce the friction between the organs.

The intestine is wrapped by it.

Once the peritoneum is inflamed, the stomach will become hard, and the peritoneum is stimulated to cause abdominal muscle spasms, and the abdominal wall often has obvious tension, and is even as rigid as a board.

Formation: "plate-shaped belly"!
And the patient's belly is soft, so it should not be peritonitis.

Then came the emergency blood draw.

Blood test results: white blood cells have increased significantly, liver function, kidney function... There is no problem.

So these problems of poisoning are ruled out.

After doing it again and again, the emergency doctor still decided that it was acute gastroenteritis.

but……

Here is a problem: the patient was in the community yesterday, and he was treated according to acute gastroenteritis. The emergency doctor also saw the medicine prescribed by the community doctor. There is no problem. Why can’t the medicine cure the acute gastroenteritis? inflammation?

For a while, the emergency doctor was also blinded.

And because the emergency department is quite busy and there are not enough observation beds, the patient is simply sent to the Department of Gastroenterology for hospitalization.

Let the gastroenterology department check it out slowly.

……

Zhou Mo followed the procedure to conduct consultation and physical examination

During the consultation, there was nothing special. Both the couple said that they hadn’t eaten anything special. The boyfriend cooked at home, fresh vegetables and meat, no problem.

Then Zhou Mo did a physical examination as usual:

belly soft
There was general abdominal tenderness and rebound tenderness.

Combined with the results of the blood test, Zhou Mo also thought it was acute gastroenteritis.

"Are you sure you didn't eat anything special?"

Zhou Mo asked with a puzzled look.

Chen Ting was lying on the bed, curled up, sweating profusely...

The boyfriend smiled bitterly: "I really didn't eat anything special, I'm sure! I cooked the food!"

"Is there any rat poison or something?"

"No, not a single mouse..."

I asked a few more questions and found nothing...

.

　I'm sorry, I'm late today, there are too many decorations, communication, door-to-door, all kinds of things...

　　
　
(End of this chapter)