medical road high rise

Chapter 358 Rabies?
3 Chapter [-] Rabies?
Qin Feng didn't dare to delay too much, so he gave the patient atropine and pralidoxime.

At the same time, symptomatic measures such as rehydration and diuresis were also carried out for treatment.

After about two hours, the patient's consciousness gradually came to his senses. When Qin Feng used a flashlight to check the light reflex, the patient's pupils gradually returned to normal size.

Afterwards, Qin Feng directly arranged for the patient to enter the ward for monitoring, and the patient's mother accompanied him. After checking the medicine again, Qin Feng left directly.

In the afternoon, Qin Feng became busy again, and didn't rest until ten o'clock in the evening.

Just after drinking a glass of water, the hospital manager called Qin Feng again. Qin Feng could only rush to the emergency room. This was the first time Qin Feng went to the emergency room today. Qin Feng had already forgotten, and he was numb.

Qin Feng felt that he would have to ask for two days off after finishing the work these days, and Iron Man couldn't stand it.

Rescue the interior.

Lying on the hospital bed was a female patient, and Qin Feng was flipping through the patient's medical records.

The patient's state is still awake, but his mental state is not good, and everything about oxygen inhalation has been arranged.

"What's the patient's condition?"

Qin Feng asked while looking through the medical records.

"The patient had been coughing at home for several days. Tonight, he had sudden dyspnea at home, so he called us to 120. The blood pressure was measured on the spot and there was no problem, but the blood oxygen saturation was only 95%. I guess it was pneumonia." Follow the car doctor.

Qin Feng nodded, motioned Zhang Yao to record it, and then looked up at the ECG monitor.

The blood pressure is 97/60mmhg, which is indeed within the normal range, but it is a little lower. The heart rate is 120 beats/min, and the breathing rate is 26 beats/min. The heart rate is higher than the normal value.

"Change the patient to a mask to inhale oxygen first." Qin Feng ordered.

"Yes."

Soon the hospital chief arranged for someone to change the patient's nasal suction to face suction.

The advantage of face suction is that it can provide a higher oxygen concentration, which is better than nasal cannula. For people with extreme hypoxia, it is more suitable to use a face mask.

Qin Feng touched the patient's forehead and found that the patient's forehead was a little hot, so he immediately asked Zhang Yao to take the patient's temperature.

The temperature gun quickly came out with a result of 38.5°C.

This is still a high fever.

Qin Feng asked the patient to lie half-ly on the hospital bed and observe the patient's condition.

When the patient is inhaling, both the clavicle and the suprasternal fossa are somewhat sunken, which is a typical manifestation of hypoxia.

Qin Feng's initial judgment was that there was something wrong with the patient's heart and lungs.

Taking the stethoscope, Qin Feng listened to the patient's heartbeat first. Apart from the faster heartbeat, there was no problem.

Then listening to the lungs, Qin Feng heard moist rales.

Rough rales are if there is excess fluid in the bronchi and alveoli, the sound of these liquid blisters will be broken when air enters and exits the airway.

This indicates that the patient's lungs are leaking fluid and may be inflamed.

Since the patient was unable to answer the questions while inhaling oxygen, Qin Feng called the patient's husband after taking back the stethoscope.

"Has the patient had any congenital heart disease before?" Qin Feng asked.

"No, my wife has always been in good health, but she suddenly feels unwell these few days." The patient's husband said.

"Have you had trouble breathing before?"

"No, I just have difficulty breathing tonight."

"Have you seen a doctor recently? Have you taken any medicine?"

"I haven't seen a doctor, but I bought some medicine under the guidance of a doctor in the pharmacy. I took a photo here." The patient's husband showed Qin Feng the photo carefully.

Qin Feng took a look at the medicines. It was normal amoxicillin, antibiotics, cold medicine, and several kinds of Chinese patent medicines. The doctors in the pharmacy were also very cautious in prescribing medicines.

"Well, let's do a chest X-ray and blood test first, and wait for the results." Qin Feng opened the checklist.

Zhang Yao and the hospital manager pushed the flat bed and sent the patient over.

Half an hour later, the test results came out.

The patient's left lung had a little inflammation, which surprised Qin Feng. It was a little different from what Qin Feng imagined.

The current patient's condition, how could it be just a little inflammation, even pneumonia.

In severe cases of pneumonia, breathing difficulties will occur.

Of course, there is another situation, that is, the film does not look serious, but the symptoms are actually very serious, which is also possible.

It's just that this kind of situation usually occurs in the elderly. The patient in front of me is not even 35 years old, so it should be impossible.

Qin Feng asked Zhang Yao to urge the results of the blood draw. Pneumonia inflammation is inseparable from white blood cells.

The more severe the inflammation, the higher the white blood cell index.

White blood cells are specialized to deal with bacterial invasion. Once inflammation occurs, white blood cells will gather around the inflammation to phagocytize the invading cells, so the blood test data will show that the white blood cells are elevated.

10 minutes later, the results of the blood routine examination showed that the white blood cell index above did not increase abnormally, which was a normal value.

Then it means that the patient is not pneumonia, but it is not pneumonia, so what is it?
Qin Feng suddenly felt that this medical record was a bit interesting, but did the patient have any serious illnesses in the past medical records, and there were even few minor illnesses, and he had never had an abortion.

There is no history of bed rest, no long-term oral contraceptives, blood pressure is not very viscous, and pulmonary embolism can also be ruled out.

As for lung cancer, Qin Feng thinks it is still possible, but the premise is to rule out heart disease first.

Heart disease is more terrifying than cancer. Cancer can live for at least a few years. Once a heart attack occurs, bad luck will be gone.

The current social environment has made heart disease a common disease. No matter men, women, or children, it is easy to suffer from heart disease, especially for 996 young people. Arrhythmia, heart failure, and myocardial infarction are the norm.

Qin Feng took an electrocardiogram for the patient, but strangely, the results of the patient's electrocardiogram were also normal.

Just when Qin Feng was thinking about what to examine the patient next, the patient suddenly spoke.

"Water, I want to drink water."

The nurse carefully took off the mask for the patient, placed the water glass gently on the patient's mouth, and the patient took a sip.

"puff!"

He spit out all the water he drank, and wet the nurse's uniform.

The nurse's expression is nothing, this is already the norm in the hospital.

The patient's husband apologized to the nurse.

"Sorry, my wife didn't mean it."

"It's okay, it's normal."

"No, this is not normal." Qin Feng looked at the patient with a hint of panic.

This is rabies?
Qin Feng also dealt with a rabies patient before, and the current situation of this patient is very similar to fear of water. One of the symptoms of rabies is fear of water.

Qin Feng frowned, and decided to have a good talk with the family members first, so that the family members could have a better understanding.

Pulling the patient's husband outside the emergency room, Qin Feng asked a question directly.

"Has your wife been bitten by an animal in the past year?"

The incubation period of rabies is still very long. From infection to asymptomatic period before onset, it is basically about one year, and there are very few cases of more than one year.

Another point is that the mortality rate of rabies is 100%, and there is no cure.

(End of this chapter)