Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 111 Sudden skin ulceration!Is there another cause?

Chapter 111 Sudden Skin Breakout!Is there another cause? (Please subscribe!)
Why does this case only get one primary reward? !

Is it just because the treatment process is not very complicated, and I just found out that she is taking diet pills?
But even if this is the case, it should be rated as an intermediate level, not a low level!

This is the second time I have received a low-level reward after watching a more complicated disease...

And for the first time, it was because the real cause of the disease was not found out.

Thinking of this, Lin Yi couldn't help feeling a little uneasy.

"Brother Yi, you are really amazing! If she hadn't gone to school to investigate her diet pills, she wouldn't have said it herself, and we wouldn't have found out at all!"

In the office, Chen Qiang said to Lin Yi with an excited smile.

But Lin Yi frowned and sat on the chair without speaking.

"What's the matter, Brother Yi? You just diagnosed an intractable disease, why are you depressed?"

Seeing his expression, Chen Qiang couldn't help but wonder.

Brother Yi's temper is really a bit weird, now it should be a happy moment, why is he still somber.

On the other hand, Wu Jiang spent the longest time with Lin Yi. Seeing his state, he knew that he must have noticed something wrong.

So he got up and walked to Lin Yi, and asked him:

"Brother Yi, what's the matter? Do you feel something is wrong?"

"Tell me... why is Hanhan still so fat after taking diet pills for half a year?"

Lin Yi had reasoned through the whole incident just now, and this was the unreasonable thing he could think of.

"This...maybe it's because the weight-loss pill doesn't have any effect. It's probably produced by a small factory. It's used to collect money and tax IQ."

Wu Jiang thought for a while and said immediately.

"But her mother took it and it worked..."

Lin Yi stared at the front and murmured.

"This……"

Wu Jiang couldn't help but frowned, and then asked:

"Brother Yi, do you think there is something wrong here?"

"I can't tell. I just feel something is wrong. I have to go to her ward again."

Lin Yi shook his head and said.

"I will go with you."

After finishing speaking, Lin Yi and Wu Jiang walked out of the office and walked towards Hanhan's ward.

Chen Qiang couldn't help frowning as he watched them leave and said to Yin Liang:
"Is Brother Yi so cautious? We have to work hard to explore every little problem."

Yin Liang shook his head in thought, and said:
"I don't know, but I know that generally what Brother Yi thinks is a problem is not that simple."

Lin Yi and Wu Jiang walked into the ward.

At this time, Hanhan's mother was chatting with Hanhan who was lying on the hospital bed.

Seeing Lin Yi and the others coming in, he stopped and looked up at them.

"Doctor Lin, why are you here? Is there anything else?"

Hanhan's mother couldn't help but asked in doubt.

"Hanhan, tell the truth, have you been taking diet pills every day for the past six months? Or just occasionally?"

Lin Yi looked directly at Hanhan who was lying on the hospital bed, and asked.

Hanhan mother and daughter were stunned for a moment, then Hanhan said:
"Well... basically every day, sometimes maybe a day or two apart."

"Have you lost any significant weight?"

Immediately afterwards, Lin Yi continued to ask.

Hearing this question, Hanhan's eyes suddenly dimmed. She shook her head and said disappointedly:
"Basically nothing has changed."

"It hasn't changed much. You see, this is a picture of her from a few months ago. It's basically the same as it is now."

After her mother finished speaking, she took out her mobile phone from her pocket, found out the photos she had taken of Han Han before, and handed them to Lin Yi for him to see.

Lin Yi took a look, and sure enough, Hanhan in the photo hadn't changed much in terms of body shape except that he was a little shorter than now.

"This is very strange. It stands to reason that it shouldn't have no effect at all..."

Lin Yi narrowed his eyes slightly and said in his mouth.

"Yeah, who's to say no, diet pills don't work, maybe she's just so fat."

Hanhan's mother took a look at Hanhan, saddened.

"Hanhan, do you feel uncomfortable now?"

Afterwards, Lin Yi looked at Han Han worriedly and asked again.

"Uncomfortable place?"

Han Han was suddenly asked by Lin Yi, so she thought about it. After a while, she said to Lin Yi:

"I don't have any other discomforts, but I have always had some muscle soreness, and it hasn't eased now. Instead, I feel a little more painful."

"It hurts more?"

Lin Yi immediately became nervous.

Her previous symptoms were indeed muscle soreness, but Lin Yi thought it was a side effect of the diet pills, so she didn't pay much attention to it.

But she now says the symptoms are not going away, but getting worse.

This could not help but aroused Lin Yi's vigilance.

"What's uncomfortable?"

Immediately afterwards, Lin Yi looked at her again and asked.

"It's the back, and the stomach."

Han Han thought for a while, pointed at her body and said.

"Pull up your shirt a little bit, and I'll take a look at your belly."

After hearing this, Lin Yi immediately walked to her hospital bed and said to her.

"it is good."

Han Han nodded in agreement, then lifted up her clothes, exposing her belly.

Immediately, after seeing her belly, all the people present were stunned!

I saw a large dark bruise on her stomach, the size of two palms.

The bruise was black from inside to outside, very obvious.

"This...doctor, she...what's going on with her?"

Hanhan's mother panicked when she saw this scene, and hurriedly asked Lin Yi.

Lin Yi immediately said nervously to Hanhan:

"Turn over quickly, and I'll look at your back again!"

Seeing that her stomach had become like this, Han Han was also scared.

Lin Yi called her twice before she realized it, and turned over immediately.

Lin Yi immediately showed her back.

as predicted!

There is also an obvious bruise on the back!

"This is... skin necrosis!"

Seeing this scene, Lin Yi blurted out.

There are obvious signs of festering in the bruised place!
How could this happen?

Lin Yi couldn't help staring at Hanhan, his brain thinking quickly.

Even after taking diet pills, there are side effects, but there will be no skin ulcers!
What exactly is going on!

"This... Brother Yi, why is this?"

Wu Jiang couldn't help turning his attention to Lin Yi.

This situation was also unexpected to him!

"I'm not sure about this, let's continue to observe it first, let's go back and study it."

Lin Yi shook his head, then looked at Hanhan's mother, and said to her.

"Okay, doctor, you must quickly think of a way! What's wrong with her..."

As she spoke, her voice became anxious and weeping.

"Okay, don't be too nervous, this situation is not necessarily serious."

After Lin Yi comforted her, he and Wu Jiang hurried back to the office.

"Brother Yi, what do you think is going on? It's impossible for diet pills to cause skin necrosis! There must be other problems with her body."

After returning to the office, Wu Jiang immediately looked at Lin Yi and asked questions.

After thinking for a while, Yin Liang said hesitantly:
"You said, could it be that she was infected with staphylococcus in the hospital, which caused skin necrosis?"

"Or...warfarin?"

"It's not right either. Before giving her warfarin, she was injected with heparin."

Immediately afterwards, Yin Liang shook his head and said.

"What you said is not impossible."

Lin Yi frowned tightly, thinking and said,

"So, now give her intravenous heparin first, and then subcutaneous low-molecular-weight heparin to see if it works."

"Okay, I'll go now."

Yin Liang agreed and walked out immediately.

"I now feel that her obesity is more like a symptom of a disease than normal obesity."

Afterwards, Lin Yi expressed his thoughts to everyone.

"Why do you think so?"

Wu Jiang looked at him and asked.

Later, Lin Yi explained:
"Because she took weight-loss pills for half a year, and she even suffered from heart disease, but it still didn't work. This is very strange in itself, and it is not in line with common sense."

"It stands to reason that taking diet pills for ordinary obesity will definitely have an effect!"

Speaking of this, Wu Jiang roughly understood what Lin Yi meant, so he tentatively asked:

"So you think that the patient's obesity, muscle soreness, and skin ulcers are all symptoms of a disease she is suffering from?"

"Yes, that's what it means. I don't think we have found her cause at all now!"

Lin Yi nodded in affirmation.

This can also explain why the system only gives itself a primary reward!

"But what disease causes obesity and skin ulcers?"

Afterwards, Lin Yi couldn't help staring at the desktop and thinking again,
"We must now speed up the progress and find out the cause as soon as possible."

"Her current situation is very dangerous. Her skin will continue to fester, and her muscles will also die. When the time comes, it will penetrate the abdominal wall, but it will be too late to say anything!"

Wu Jiang also realized the danger of his condition. He thought for a moment, looked at Lin Yi and asked:

"Brother Yi, do you think she has vasculitis secondary to ulcer?"

"Doesn't Ulcerative Secondary Vasculitis Cause Obesity and Skin Ulcers at the Same Time?"

"will not."

As soon as Wu Jiang finished speaking, Lin Yi shook his head directly,
"Ulcerative secondary vasculitis will only ulcerate the skin, but will not cause skin necrosis."

"And now the patient's skin has obvious signs of necrosis!"

"It's... alright."

Wu Jiang was not originally a dermatologist, so he was not very proficient in it.

So Wu Jiang made a suggestion:
"Otherwise, I'll find an expert in the dermatology department to see if they have any ideas?"

Lin Yi thought for a while and nodded:

"Alright."

Now my skin disease knowledge is still at an advanced level and has not reached the expert level, so it is still difficult to diagnose.

Although the knowledge of diseases of the doctors in the dermatology department may not be able to surpass their own, but after all, there are multiple people with multiple ideas, so it is good to discuss it together.

"Okay, then I'll go over now!"

After Wu Jiang said something, he hurried out.

Ten minutes later, Wu Jiang walked in with a 10-year-old doctor.

"Brother Yi, this is the director of the dermatology department, Director Cai."

Realizing that the condition was serious, Wu Jiang directly invited the director of the dermatology department over.

"Director Cai, hello, my name is Lin Yi."

Lin Yi hurriedly got up and greeted him.

"Doctor Lin, hello, I have heard of you, you are young and promising!"

Director Cai said to Lin Yi with a kind smile on his face.

"Director Cai, you're flattering, let's go, let's go to the patient's ward!"

Lin Yi said modestly.

"it is good!"

Director Cai agreed, and his face immediately became serious.

Several people walked into the ward, and Hanhan's mother immediately asked with concern:
"How is it? Doctor, have you found out what's wrong with my daughter?"

"Director Cai from our dermatology department is here, let him take a look."

Lin Yi said something to her, then immediately walked to Han Han's side, and lifted up her blouse.

"Director Cai, look here."

Lin Yi pointed to her belly and said to Director Cai.

But in the next second, Lin Yi couldn't help but look surprised!
Because Hanhan's skin is necrotic, the color is darker than before!
And... there are already signs of collapse.

Director Cai fixed his gaze, staring closely at her stomach and walked forward.

"Such a large area?"

Director Cai asked in surprise.

He is in his early 50s and has practiced medicine for more than [-] years, so he has rich experience.

But seeing the situation in front of him, he still couldn't help being shocked.

"Yes, there is one on the back too."

Lin Yi nodded, and asked Hanhan to turn around, exposing her back.

"This………"

Director Cai secretly shook his head after seeing it,
"How could there be two skin necrosis with such a large area, and... this is ruptured?"

After he finished speaking, Lin Yi also observed carefully, and immediately took a breath!
Because the necrotic part on the back has already ruptured, which is much worse than before!

He didn't expect the disease to develop so quickly.

After the skin breaks down, the dead cells attack the fatty tissue and penetrate the abdominal wall!
When that time comes, Hanhan's life will also be in jeopardy!

Her life is counting down now!
"It's developing too fast, it's really developing too fast..."

Wu Jiang looked at the breach and shook his head in a daze.

Director Cai also frowned and said:

"Doctor Lin, the patient's condition is really critical. If this continues, whether we can persist until tomorrow is a question!"

When Hanhan's mother heard this, her emotions immediately collapsed.

She looked at Director Cai excitedly and asked:
"Doctor, what do you mean? Is she very ill?"

"But when she came here, it was only a slight problem. How could she be admitted to the hospital, and she was like this in just one or two days?"

"What did you inject her with just now, could it be a problem with your treatment!"

Lin Yi and the others felt helpless when they heard her mother's words.

The meaning behind the words is that the doctor caused her...

Sometimes there are indeed family members of such patients, and the first thing the patient thinks of is to blame the hospital for any problems.

"Ma'am, don't worry, we are still investigating her condition."

Director Cai said aloud, then fixed his eyes on the broken part, and began to think.

(End of this chapter)

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