This doctor is great

Chapter 233 Gout...

After working the night shift, I took a day off.

Zhou Mo started to stay at home, scanning this uptodate.

Most of them are related to the emergency department.

During the break, Zhou Mo checked the group and found that someone was talking about "Can you eat ice cream if you have a fever".

Both sides hold their ground.

If you are a non-medical person, you naturally do not approve of eating ice cream or cold drinks when you have a fever.

After all, this is an experience passed down from our ancestors. Doesn’t eating ice cream make the illness worse?
But as a doctor or nurse, the conversation will naturally be more scientific.

"I don't think I can eat ice cream, it hurts my stomach."

"That's right, the body is uncomfortable with a fever and the resistance is weak. After eating ice cream, wouldn't the stomach feel even more uncomfortable?"

"No, you are wrong. I think eating ice cream and drinking cold drinks is a very effective treatment. Because it is difficult to cool down a fever, the method of cooling the body surface is not effective. What kind of cooling patch on the forehead is an IQ tax, but drinking cold drinks directly , it is very effective in cooling the body."

"Also, fever is usually accompanied by inflammatory symptoms such as sore throat. Drinking cold drinks and eating ice cream can constrict blood vessels and inhibit inflammation."

"Also, with persistent high fever, there is a lot of body fluid loss, and the main components of ice cream are water and glucose, so patients with cold and fever eating ice cream can replenish the water and sugar lost due to fever, which is conducive to the recovery of the disease."

"No, no, no... we have to consider another point. When the body is hot, the body's metabolism and resistance will also decrease. Drinking cold drinks will stimulate the intestines, cause abdominal pain, and even indigestion, diarrhea and other symptoms..."

Zhou Mo glanced at the group, but didn't pay any more attention.

……

the next day,
Zhou Mo just went to work,
As soon as the teacher Zhang Mei opened her mouth, she gave Zhou Mo a series of life-threatening questions:
"Zhou Mo, tell me, if you have a fever, is it helpful to drink cold drinks?"

Zhou Mo: "..."

Could it be that yesterday's topic has already reached Mr. Zhang Mei?
What a pain in the ass!

Regarding this issue, Zhou Mo has his own considerations.

"The method of drinking cold drinks and eating ice cream when you have a fever must have been passed down from the Lighthouse Kingdom, right?"

"I think this method requires specific analysis of specific issues..."

"First of all, in the lighthouse country and many western countries, drinking cold water is their living habit, which is completely different from drinking hot water in our country. The stomach's tolerance to cold drinks is different."

"In the Lighthouse Country, I'm used to drinking cold water, and my stomach is used to cold drinks. The stomach and intestines are also acceptable for fever and cold drinks."

"In our country, drinking hot water is a daily routine, and the stomach and intestines are not too adapted to cold drinks...so when you have a fever, drinking cold drinks may not be able to achieve the therapeutic effect of the people in the Lighthouse country."

This is Zhou Mo's own point of view.

Everything needs to be analyzed concretely.

"Yes, Not Bad."

Teacher Zhang Mei actually supported the method of cold drinks to cool down, but this time he received an unexpected answer from Zhou Mo, and felt that what Zhou Mo said seemed to be correct.

"Okay, let's get to work..."

"Today, I am in the reporter's clinic in the morning and treat patients in the afternoon..."

"Ok."

……

10 minutes later,
The first patient walks into the consulting room.

This is a middle-aged man, supported by his wife, and walked into the consulting room.

Zhou Mo could clearly see that the middle-aged man was walking with a limp, his face was distorted, and he was obviously in extreme pain.

hiss~~~ah~~~~hiss~~~~ah~~~~~~
His wife respectfully greeted Zhang Mei and Zhou Mo: "Doctor..."

Teacher Zhang Mei: "Sit..."

Zhou Mo entered the information.

Chen Xu, 45 years old.

The wife supported her husband, Chen Xu, and said, "It's like this. My husband, I and a group of classmates went to Baiyun Mountain yesterday, and then in the middle of the night, I suddenly felt a sharp pain in my knee... It's been so painful until now."

Teacher Zhang Mei: "Did you eat anything yesterday?"

The wife thought for a while: "Yesterday we were in the class reunion, so we had another meal in the evening, seafood, and beer..."

Teacher Zhang Mei nodded.

Turning to look at Zhou Mo.

"Xiao Mo, tell me, the knee pain, what are the reasons..."

Checked again?
If it was another student, he would probably be caught blind. After all, this case is not a common emergency such as abdominal pain or trauma.

However, after Zhou Mo came to the emergency department, he checked a lot of uptodates and had a lot of understanding in this regard.

"If the knee hurts, there are several possibilities."

"The first one is that the knee joint is damaged and inflamed. After a long period of exercise, for example, you (the patient) climbed Baiyun Mountain yesterday. After a day of fear, the knee joint may be damaged, or the muscles and ligaments may be damaged. Damage, and then inflammation."

"The second type is the lumbar nerve, because in the lumbar spine, the sciatic nerve and femoral nerve are distributed all the way to the lower limbs, and the knee will also be covered in it, so if there is a problem with the lumbar nerve, there may be an illusion that it is knee pain. This The reason is the same as the metastatic lower abdominal pain of "appendicitis". "

"The third type is the osteoporosis that is often mentioned in TV commercials. When the body absorbs less calcium, it will cause osteoporosis, degeneration or obvious wear and tear. With mountain climbing, the first situation will appear."

"The fourth type is gout. I ate seafood and beer yesterday, and the weather is cold now, so I may have gout symptoms. The knee is the key area."

"There is a fifth type, which is rheumatism and rheumatoid. It is a problem with the immune system that causes joint pain."

"That's all I can think of."

Zhou Mo finished.

Zhang Mei: "..."

I go!

Zhou Mo evildoer!
The thinking is clear and complete, at least if you let her speak, it is at this level.

Zhang Mei thought about it, and said to Zhou Mo: "How about you come..."

Zhou Mo was overjoyed: "Okay!"

Get ready to try!

Do it yourself!
Patient Chen Xu, wife: "..."

However, the husband and wife seemed to recognize Zhou Mo, so they didn't have such a plan.

And I heard that young doctors are more patient and easier to get along with than old doctors.

Zhou Mo began to ask carefully.

"Does your back hurt?"

"No……"

"Have you ever had a herniated disc before?"

"No……"

Zhou Mo nodded.

Temporarily rule out nerve conduction pain caused by the lumbar spine.

"Yesterday, you went to climb Baiyun Mountain, right? How long did you climb? Did you reach the top?"

Chen Xu nodded: "It's the top, I'm quite tired..."

A little regret.

Yesterday I shouldn’t be so pretentious. I pretended to be young and climbed so high. I knew I would go up the cableway.

"Have you ever had knee pain before?"

"No."

Zhou Mo nodded.

Obviously, after a lot of exercise, the patient will definitely have some damage to the knee.

Knee damage is not ruled out.

Wait for X-ray or B-ultrasound for further examination.

Next, check your diet (gout).

Zhou Mo continued to ask: "What did you eat yesterday? Be specific."

Zhou Mo actually focused his attention on gout.

Because the patient had a lot of seafood + beer yesterday.

,

(End of this chapter)