medical road high rise

Chapter 315 The Uncle with Abdominal Muscles
Chapter 316 The man with abs
The patient's CT results came out, and there was some inflammation in both lungs, but it was not serious.

Three items of data showed that the patient's partial pressure of oxygen was only 78mmhg, partial pressure of carbon dioxide was 56mmhg, and pH7.28.

This belongs to type [-] respiratory failure, accompanied by acidosis.

Qin Feng looked at the analysis results and wrote it down in the medical record.

The most common disease of type [-] respiratory failure is that the lungs are obstructed. The lung tissue cannot absorb enough oxygen and cannot expel too much carbon dioxide smoothly, resulting in hypoxia and carbon dioxide retention.

Qin Feng made a phone call to the Department of Respiratory Medicine. The patient's disease may be acute, and it would be better to hand it over to the Department of Respiratory Medicine for ventilation treatment.

The doctor on duty in the Department of Respiratory Medicine received the call and after learning about the situation, he quickly came over for consultation.

The patient was checked again, and it was determined that the patient's acute exacerbation of COPD required non-invasive positive pressure ventilation therapy.

"I'm not on a ventilator." The patient shook his head, resisting the suggestion of the respiratory physician.

"Don't worry, we won't intubate you. This is non-invasive. You just need to put on a mask. We will give you a ventilator through the mask. It's not that painful. Our department has treated many patients with similar cases to you. Patient." The respiratory physician said.

"I was treated in your respiratory department before." The patient said.

"That's better."

"I think it's better to take an electrocardiogram for the patient." Qin Feng suggested.

The respiratory physician and Qin Feng took turns to persuade, and the patient agreed to have an electrocardiogram.

The electrocardiogram showed that the patient did not have a typical pattern of pulmonary embolism. In addition to the three blood gas analyzes and CT images, it did not look like a pulmonary embolism. Qin Feng felt relieved and handed the patient over to a respiratory doctor.

The respiratory doctor took the patient away, and Qin Feng continued to see other patients, just treating this patient as an episode.

After receiving the last patient, an old couple, Qin Feng sat up straight.

In the hospital, when encountering elderly patients, doctors will be more cautious.

Older people are more likely to get sick than younger people.

"Doctor, please help my old man, he has been complaining of stomach pain since he finished eating in the morning." The old woman said.

"You should go to the gastroenterology department to register." Qin Feng said.

"We've finished reading it. They recommended us to come to you, so we came." The old woman continued.

Qin Feng nodded. This is a recommended patient, which is very common in hospitals. He simply asked a few questions.

"Is there any bloating or diarrhea?" Qin Feng asked.

"No, it's just that my stomach feels uncomfortable and hurts a lot," the patient said.

……

After asking the question, Qin Feng glanced at the patient's medical records and found that the patient had hemorrhoids in the medical records, but they had not been removed.

Now at this age, Qin Feng would not advise him to cut hemorrhoids, even if Qin Feng is good at cutting hemorrhoids.

"Uncle, lie down and I will give you a physical examination." Qin Feng pulled the curtain aside and asked the uncle to lie flat on the examination bed.

Lifting off the uncle's shirt, Qin Feng found that the uncle actually has abdominal muscles!
What the hell!

The uncle is still your uncle!

What Qin Feng most wanted to have from school to now is actually seen in an old man, and he is still in his 60s.

It can be seen that the uncle should exercise regularly and take good care of his body. However, because of his age, his abdominal muscles look a little deformed, which is also related to the physical degeneration of the elderly.

Qin Feng pressed the patient's stomach, and then listened with a stethoscope.

There was no obvious tenderness in the abdomen, no rebound pain after releasing the hand, and no bowel sounds were heard on auscultation.

Qin Feng also looked at the series of examinations recommended by the gastroenterology department, but he couldn't find the cause at all.

But to be on the safe side, Qin Feng still kept the patient for observation.

In another case, the patient may have gastroenteritis, so take some medicine to relieve intestinal spasm.

After arranging the patients, Qin Feng took Zhang Yao and the others to dinner.

After eating, Qin Feng went to the respiratory department to take a look at the patients received in the morning.

At this time, the patient's breathing has gradually become smoother, and the blood oxygen saturation is gradually increasing, which is good news.

I went to see the uncle again in the ward, and the uncle still frowned in pain.

Seeing Qin Feng approaching, the old woman quickly pulled Qin Feng and said, "Doctor, your medicine doesn't work. My old man is still in severe pain."

Qin Feng also frowned, there is no antispasmodic medicine?That proves that the patient is not gastroenteritis either.

This is a little troublesome. Abdominal pain combined with various examinations is the easiest lesion to diagnose, but now Qin Feng has no clue at all.

If the patient has other symptoms, such as diarrhea, nausea, vomiting, etc., Qin Feng can also consider other aspects.

Qin Feng made a phone call to Li Xuewen. As the saying goes, three cobblers are worth one Zhuge Liang, and two thoughts are better than one.

Li Xuewen came over and frowned after listening to Qin Feng's narration.

"Are you sure the patient's abdomen is normal, there is no organic disease, no inflammation?" Li Xuewen asked.

"determine."

"Is it possible that the patient has a psychological effect? ​​According to what you said, the patient's bowel movements are normal, but it still has dull pain." Li Xuewen put forward a point of view.

Psychological effects, this is also relatively common in hospitals.

The most typical is that patients think they are sick, but in fact they are not sick after examination. Basically, they can meet one within a period of time.

Qin Feng was also taken aback for a moment, thinking that what Li Xuewen said was reasonable, and the psychological effect was also possible.

Hidden pain is something that can't be determined, can't be found out, and it's very confusing.

"I'll ask again." Qin Feng took Li Xuewen and stood around the hospital bed.

"I want to ask about the patient's previous medical records." Qin Feng said.

"Doesn't your hospital have archives? Why do you still have to ask?" The old woman was a little dissatisfied.

Her husband is still in pain, and the doctor came here to ask things, but he didn't do anything, which made her a little dissatisfied.

"In some cases, we can judge in person." Qin Feng explained, "Some illnesses..."

"Okay, don't say so much, you just ask directly." The old woman waved her hand and said impatiently.

"Is the patient's diabetes under control recently? Is the medication stable?" Qin Feng asked.

"Okay, blood sugar is basically under control, and sugar and food are basically taboo, and I haven't taken medicine for several days." The patient said to himself.

As soon as Qin Feng heard that he didn't want to take the medicine, he hurriedly said: "Master, you can't stop the medicine casually. Even if you control it, you have to take as many courses of medicine as the doctor prescribed."

"Oh, I've got it under control. Why do I still need to take medicine? It's a waste to take it. I might as well save it for next time." The patient said, "Besides I have high blood pressure and atrial fibrillation, I always take it." If the medicine for diabetes is not good, what should I do if it affects other diseases?”

Qin Feng was about to speak, when he heard the word atrial fibrillation, his eyes slowly widened.

This is not mentioned in the medical records!

(End of this chapter)