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

Chapter 195 Have you ever traveled? !
"Oh? Someone is looking for me? Who is it?"

Lin Yi couldn't help but looked at him suspiciously and asked.

"Xiao Zhou from our emergency department, he said he has a patient to tell you about."

Wu Jiang pointed to the direction of the emergency room, and said to Lin Yi,

"Boy, I just asked him about the patient's condition, but he still didn't tell me. It's useless to say that he did."

Lin Yi couldn't help laughing, and said:

"Alright then, I'll go and have a look."

After finishing speaking, Lin Yi turned to look at the patient's family and said to him:

"I'll go there first. If you have any questions later, you can just go to Dr. Song."

"Okay, okay, doctor, you go to work, thank you!"

The man nodded repeatedly and said with a smile.

When Lin Yi and Wu Jiang came to the office, Xiao Zhou from the emergency department was already sitting on a chair in their office, waiting for them.

"What's the matter? Xiao Zhou?"

After Lin Yi came in, he looked at him and asked.

After seeing Lin Yi coming in, Xiao Zhou immediately stood up, and Lin Yi said:

"Doctor Lin, today I received a patient here, and his chest X-ray is a bit strange, please help me take a look."

After finishing speaking, Xiao Zhou handed the CT film in his hand to Lin Yi.

"Strange? How strange?"

Lin Yi asked suspiciously.

"You'll know when you look at it."

Xiao Zhou continued.

Lin Yi glanced at him, then took the film in his hand and looked up.

On the film, the patient's lungs had multiple round and quasi-circular shadows, ranging in size from 3 to 10 cm.

And the density of the lesion is uniform, cystic, with smooth and clear edges, and ring-shaped calcification.

After watching the film for a while, Lin Yi couldn't help asking Xiao Zhou:
"What is the patient's previous medical history, and what symptoms did he come to see?"

Xiao Zhou immediately replied to him:
"This patient came this morning. His main symptom... is cough."

"However, his cough and sputum are not obvious, and he occasionally coughs up blood, without fever or chest tightness."

"When he first had symptoms, he didn't take it seriously. When the cough became more serious, he prescribed some medicine at a small clinic near his home.

But after eating it, there was no effect, but he didn't go to the hospital for examination in time.

It wasn't until the last two days that he developed chest tightness, and it would be even worse if he was active, so he came to our hospital for an examination. "

"As a result, after I saw his film, I found that he didn't look like tuberculosis, nor did he look like pneumonia or lung cancer."

"That's why I'm more puzzled, what are the things on this film?"

Lin Yi nodded slightly after listening, and then stared at the film to ponder.

After a while, Lin Yi put down the film and asked Xiao Zhou:
"Where is the patient now, the ward of our emergency department?"

"Yes, in the ward."

Xiao Zhou nodded immediately, then looked at Lin Yi and asked:

"Doctor Lin, seeing you like this, do you see what's going on with him?"

Lin Yi nodded slightly as he walked out:
"It's almost obvious, but to make a diagnosis, you still need to see the patient."

"What is it, tell me first!"

Hearing this, Xiao Zhou hurriedly followed and said to him.

Lin Yi didn't speak, but walked quickly to the emergency ward.

"Which one?"

"You come with me!"

Xiao Zhou led Lin Yi to the door of the patient's ward, opened the door and walked in.

"it's him."

Xiao Zhou pointed to a hospital bed by the window and said to Lin Yi.

I saw that the patient lying on this hospital bed was a middle-aged man about 50 years old, and he was breathing oxygen at this time.

But he could still feel him gasping for breath.

So Lin Yi stepped forward and observed him carefully.

Then, he opened his mouth and asked him:
"Can you speak now?"

The patient took two deep breaths, then nodded, and said with difficulty:

"Yes, doctor."

"Let me ask you, have you always been healthy?"

After getting his answer, Lin Yi asked him immediately.

The patient nodded and replied:

"um, yes."

"Then have you been traveling recently?"

The patient lay on the hospital bed, thought for a while, then nodded and said:
"Well... yes, it was about a month ago. I went to the Northwest for a trip?"

After listening to his answer, Xiao Zhou and the others looked at Lin Yi suspiciously.

They didn't know that Lin Yi was going to ask this question. Could it be that his illness had something to do with traveling?

"Then you have cough symptoms, did you come back from the trip?"

After listening to his answer, Lin Yi couldn't help nodding slightly, and then asked.

"Yes, after coming back."

The patient nodded immediately, and then said:

"In retrospect, it must have been about a week after returning from the trip."

"At the beginning, I felt tired and coughed frequently, but I didn't pay attention at that time."

"After a few days, it gradually became more serious. I took some cold medicine prescribed by the clinic, but it didn't work."

"Until the last few days, I really couldn't bear it anymore!"

"I can't breathe anymore, and my cough has worsened. I've never had this kind of situation before. What's wrong with me?"

After finishing speaking, the patient couldn't help enduring the pain, and asked Lin Yi anxiously,
"And you just asked me if I went on a trip some time ago. What do you mean? Is this symptom related to my travel?"

Not only was the patient more anxious, but Xiao Zhou and other medical staff were also staring at Lin Yi eagerly, waiting for him to say something.

At this time, Lin Yi was already certain about his condition, so he no longer kept it a secret, but said directly:

"Your illness should be pulmonary echinococcosis, which has a lot to do with your trip to the Northwest some time ago!"

"Pulmonary echinococcosis?"

The patient suddenly asked in confusion.

Lin Yi nodded and said:

"Yes, echinococcosis, also known as echinococcosis, is a chronic parasitic disease caused by human infection with the larvae (echinococcus) of Echinococcus."

"Clinical manifestations vary depending on the hydatid cyst location, size, and presence or absence of complications."

"It's a zoonotic disease."

"High incidence and epidemic areas are mainly concentrated in alpine meadow areas, pastoral areas with cold climate, drought and little rain, and semi-agricultural and semi-pastoral areas."

"Wild animals, such as domestic dogs and foxes, are the main sources of infection."

"People may become infected through contact with domestic dogs, etc., or by ingesting water, vegetables and other food contaminated with eggs."

"You traveled to the Northwest some time ago and had contact with the epidemic area, so it is possible to contract the disease."

"Moreover, echinococcosis can last for several years to decades in the human body. The infection ability of this parasite is very strong!"

"It can post-parasitize anywhere in the human body and cause infection."

Lin Yi finished speaking in one breath, and the audience was silent.

The patient didn't expect that he had these symptoms, it turned out to be parasitic bugs in his body!
Just thinking about it makes my whole body go numb!
(End of this chapter)