After divorce, the beautiful CEO asks to live together
Chapter 751 Difficult diseases caused by pneumonia
The female patient asked anxiously: "Doctor, what is wrong with me?"
Ye Chen said: "I'm thinking it's probably pneumonia."
When the female patient heard that it was pneumonia, her expression suddenly changed.
There was also a look of regret on her face.
She didn't pay much attention to her cough before, thinking it would go away if she persisted, but it got worse and worse.
In fact, many patients have this experience. The disease gets worse as time goes by.
The female patient coughed twice more and then asked: "Doctor, what should I do now?"
"Cough cough!"
As the female patient spoke, she coughed twice and coughed up a mouthful of thick phlegm.
Ye Chen said: "Go to the hospital first. I will prescribe some medicine for you. You can take it first and then observe the development of the disease."
The female patient nodded quickly after hearing this: "Doctor, thank you."
Ye Chen wrote an order for the female patient to be hospitalized for observation.
During this period, blood was drawn and a tuberculosis screening was done.
Through the blood routine, Ye Chen saw that the patient's white blood cells had doubled. This basically showed that the patient had a bacterial infection in the lungs, which also proved the possibility of pneumonia.
However, a blood test showed that there was no tuberculosis bacteria in the patient's body, ruling out tuberculosis.
Ye Chen prescribed some oral medicines and some injected antibiotics to the female patient.
Although the initial diagnosis was pneumonia, Ye Chen was still very conservative in prescribing medicine. After all, judging from the CT results, the patient's symptoms of tuberculosis did not seem to be very serious.
However, in the afternoon, the female patient suddenly developed a fever.
The body temperature is 37.7 degrees.
But for Ye Chen, these are minor problems.
Just take some fever-reducing medicine.
Ye Chen got off work in the evening and handed the patient over to another doctor.
The patient's mother also came to the hospital to stay with her in bed at night.
However, at night, the patient's condition became even worse.
His recurring fever temperature was always around 38 degrees.
As for the symptoms of cough, some drugs and antibiotics used before seemed to have no effect on Feng'er.
And judging from the patient's condition, the patient's condition seems to be getting worse.
The patient also experienced muscle soreness.
After struggling all night, the patient did not sleep well.
This night was simply too uncomfortable for the female patient.
But the female patient was very happy.
Because she wanted to go home at first, but was persuaded by Ye Chen.
If I go home and my condition is so strong, my condition may become more serious.
The next day, Ye Chen went to work and learned about the patient's condition with the doctor on duty.
After hearing this, his brows suddenly wrinkled.
Because the female patient's condition actually worsened.
According to the previous medication, if it was ordinary pneumonia, his condition should not be serious.
"Isn't the patient suffering from ordinary pneumonia?"
Ye Chen thought of diseases more serious than pneumonia.
The female patient's mother pulled Ye Chen and begged: "Doctor, you must save my daughter. It's not easy for her. Her husband is gone and she has no one to support the two children."
After hearing this, Ye Chen said: "Auntie, don't worry, I will try my best."
The female patient's mother nodded.
Ye Chen came to the hospital bed and asked, "Do you feel sore all over your body now?"
The female patient nodded: "Well, my whole body feels very sore and I have no strength. I had a fever yesterday and I didn't sleep all night."
"I'll show you again..."
Ye Chen listened with a stethoscope and found that the patient's crackles were worse than before.
She opened the female patient's trouser legs and made a new discovery.
The female patient's calves developed edema.
Ye Chen pressed it with his hand. It was soft, basically like a pit.
It won't pop up at all when pressed.
This is a typical symptom of lower limb edema.
Why does lower limb edema occur?
Ye Chen frowned.
If it is pneumonia, the patient should not have symptoms of edema.
Generally, edema occurs due to problems with the heart, liver, and kidneys.
The occurrence of edema proves that the previous judgment is probably wrong.
Therefore, Ye Chen could only re-examine one item at a time.
Ye Chen looked at the patient and asked, "Do you have a history of heart disease, or is there a genetic history of heart disease in your family?"
The female patient shook her head: "No, I have never had a heart disease, and I have no history of heart disease."
After hearing this, Ye Chen nodded.
Although there is no history of heart disease, a sudden heart attack cannot be ruled out.
After all, the patient's fever and cough are most likely due to myocarditis caused by the pneumonia virus.
Eventually leading to heart failure.
Heart failure can cause edema.
Ye Chen immediately placed an order for the patient to undergo a heart examination.
Including electrocardiogram, color ultrasound...!
Then Ye Chen asked again: "Have you ever had a history of hepatitis B or kidney disease?"
The female patient shook her head and said, "I don't remember this."
The mother of the female patient on the side quickly said: "Doctor, she had hepatitis B when she was a child. I remember it was quite severe and she vomited for several days."
Ye Chen nodded after listening.
If the patient had hepatitis B when he was a child, he should pay attention to the condition of his liver.
Ye Chen made another order for the patient to do a liver function test.
Continue to ask questions.
There is no genetic history of the patient’s kidneys, so the only option is to check the kidney function.
Ye Chen opened a bunch of orders in a hurry.
Because there were a lot of orders opened, Ye Chen explained it to the patient.
After all, the doctor-patient relationship is more complicated now.
When patients see a doctor writing a bill, what they think of is that the doctor defrauded them of their money.
Ye Chen said: "Based on your symptoms, I think your cough is probably not caused by pneumonia. Now I see that you have edema in your lower limbs, so I have to check all the causes of edema in your lower limbs, one by one. exclude."
This female patient also knew that Ye Chen was a good doctor and had great trust in the doctor and was very cooperative.
"Thank you Dr. Ye, I'll go for a check-up right now."
About an hour later, the female patient came back with the test results.
All cardiac examinations were normal.
Ye Chen let out a long breath.
Then there is the examination of the liver.
The liver was generally normal, but there was a problem with the protein data of liver function, which was reduced by one-third.
This is followed by a test of kidney function.
There was also a problem with the kidney function test, and the blood creatinine was twice as high as the normal value.
Ye Chen's eyes lit up. It seemed that there was something wrong with the patient's kidneys.
This can also explain why the patient's albumin disappears.
Because of kidney disease, albumin can leak out and be excreted in the urine.
Ye Chen thought about it and found out that there should be a problem with the patient's kidneys, which caused the blood creatinine to be high, which then led to the loss of albumin, and eventually led to edema of the lower limbs.
All the answers point to problems with the woman's kidneys.
However, there are many kidney diseases that require further examination.
The patient's symptoms were those of pneumonia, but there was also a kidney problem.
Ye Chen's intuition told him that there were other inducements, but what were the inducements?
Now we can only treat it conservatively and continue to find the cause.
When Ye Chen got off work in the evening, all he thought about was the patient's condition. Ye Chen went to work the next day.
When I saw the female patient, I found that the patient had been intubated and put on a ventilator.
Ye Chen's expression changed. The female patient's condition has worsened again?
Ye Chen said: "I'm thinking it's probably pneumonia."
When the female patient heard that it was pneumonia, her expression suddenly changed.
There was also a look of regret on her face.
She didn't pay much attention to her cough before, thinking it would go away if she persisted, but it got worse and worse.
In fact, many patients have this experience. The disease gets worse as time goes by.
The female patient coughed twice more and then asked: "Doctor, what should I do now?"
"Cough cough!"
As the female patient spoke, she coughed twice and coughed up a mouthful of thick phlegm.
Ye Chen said: "Go to the hospital first. I will prescribe some medicine for you. You can take it first and then observe the development of the disease."
The female patient nodded quickly after hearing this: "Doctor, thank you."
Ye Chen wrote an order for the female patient to be hospitalized for observation.
During this period, blood was drawn and a tuberculosis screening was done.
Through the blood routine, Ye Chen saw that the patient's white blood cells had doubled. This basically showed that the patient had a bacterial infection in the lungs, which also proved the possibility of pneumonia.
However, a blood test showed that there was no tuberculosis bacteria in the patient's body, ruling out tuberculosis.
Ye Chen prescribed some oral medicines and some injected antibiotics to the female patient.
Although the initial diagnosis was pneumonia, Ye Chen was still very conservative in prescribing medicine. After all, judging from the CT results, the patient's symptoms of tuberculosis did not seem to be very serious.
However, in the afternoon, the female patient suddenly developed a fever.
The body temperature is 37.7 degrees.
But for Ye Chen, these are minor problems.
Just take some fever-reducing medicine.
Ye Chen got off work in the evening and handed the patient over to another doctor.
The patient's mother also came to the hospital to stay with her in bed at night.
However, at night, the patient's condition became even worse.
His recurring fever temperature was always around 38 degrees.
As for the symptoms of cough, some drugs and antibiotics used before seemed to have no effect on Feng'er.
And judging from the patient's condition, the patient's condition seems to be getting worse.
The patient also experienced muscle soreness.
After struggling all night, the patient did not sleep well.
This night was simply too uncomfortable for the female patient.
But the female patient was very happy.
Because she wanted to go home at first, but was persuaded by Ye Chen.
If I go home and my condition is so strong, my condition may become more serious.
The next day, Ye Chen went to work and learned about the patient's condition with the doctor on duty.
After hearing this, his brows suddenly wrinkled.
Because the female patient's condition actually worsened.
According to the previous medication, if it was ordinary pneumonia, his condition should not be serious.
"Isn't the patient suffering from ordinary pneumonia?"
Ye Chen thought of diseases more serious than pneumonia.
The female patient's mother pulled Ye Chen and begged: "Doctor, you must save my daughter. It's not easy for her. Her husband is gone and she has no one to support the two children."
After hearing this, Ye Chen said: "Auntie, don't worry, I will try my best."
The female patient's mother nodded.
Ye Chen came to the hospital bed and asked, "Do you feel sore all over your body now?"
The female patient nodded: "Well, my whole body feels very sore and I have no strength. I had a fever yesterday and I didn't sleep all night."
"I'll show you again..."
Ye Chen listened with a stethoscope and found that the patient's crackles were worse than before.
She opened the female patient's trouser legs and made a new discovery.
The female patient's calves developed edema.
Ye Chen pressed it with his hand. It was soft, basically like a pit.
It won't pop up at all when pressed.
This is a typical symptom of lower limb edema.
Why does lower limb edema occur?
Ye Chen frowned.
If it is pneumonia, the patient should not have symptoms of edema.
Generally, edema occurs due to problems with the heart, liver, and kidneys.
The occurrence of edema proves that the previous judgment is probably wrong.
Therefore, Ye Chen could only re-examine one item at a time.
Ye Chen looked at the patient and asked, "Do you have a history of heart disease, or is there a genetic history of heart disease in your family?"
The female patient shook her head: "No, I have never had a heart disease, and I have no history of heart disease."
After hearing this, Ye Chen nodded.
Although there is no history of heart disease, a sudden heart attack cannot be ruled out.
After all, the patient's fever and cough are most likely due to myocarditis caused by the pneumonia virus.
Eventually leading to heart failure.
Heart failure can cause edema.
Ye Chen immediately placed an order for the patient to undergo a heart examination.
Including electrocardiogram, color ultrasound...!
Then Ye Chen asked again: "Have you ever had a history of hepatitis B or kidney disease?"
The female patient shook her head and said, "I don't remember this."
The mother of the female patient on the side quickly said: "Doctor, she had hepatitis B when she was a child. I remember it was quite severe and she vomited for several days."
Ye Chen nodded after listening.
If the patient had hepatitis B when he was a child, he should pay attention to the condition of his liver.
Ye Chen made another order for the patient to do a liver function test.
Continue to ask questions.
There is no genetic history of the patient’s kidneys, so the only option is to check the kidney function.
Ye Chen opened a bunch of orders in a hurry.
Because there were a lot of orders opened, Ye Chen explained it to the patient.
After all, the doctor-patient relationship is more complicated now.
When patients see a doctor writing a bill, what they think of is that the doctor defrauded them of their money.
Ye Chen said: "Based on your symptoms, I think your cough is probably not caused by pneumonia. Now I see that you have edema in your lower limbs, so I have to check all the causes of edema in your lower limbs, one by one. exclude."
This female patient also knew that Ye Chen was a good doctor and had great trust in the doctor and was very cooperative.
"Thank you Dr. Ye, I'll go for a check-up right now."
About an hour later, the female patient came back with the test results.
All cardiac examinations were normal.
Ye Chen let out a long breath.
Then there is the examination of the liver.
The liver was generally normal, but there was a problem with the protein data of liver function, which was reduced by one-third.
This is followed by a test of kidney function.
There was also a problem with the kidney function test, and the blood creatinine was twice as high as the normal value.
Ye Chen's eyes lit up. It seemed that there was something wrong with the patient's kidneys.
This can also explain why the patient's albumin disappears.
Because of kidney disease, albumin can leak out and be excreted in the urine.
Ye Chen thought about it and found out that there should be a problem with the patient's kidneys, which caused the blood creatinine to be high, which then led to the loss of albumin, and eventually led to edema of the lower limbs.
All the answers point to problems with the woman's kidneys.
However, there are many kidney diseases that require further examination.
The patient's symptoms were those of pneumonia, but there was also a kidney problem.
Ye Chen's intuition told him that there were other inducements, but what were the inducements?
Now we can only treat it conservatively and continue to find the cause.
When Ye Chen got off work in the evening, all he thought about was the patient's condition. Ye Chen went to work the next day.
When I saw the female patient, I found that the patient had been intubated and put on a ventilator.
Ye Chen's expression changed. The female patient's condition has worsened again?
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