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

Chapter 99 There is a possibility of vomiting blood and dying at any time! (Please subscribe!)
"He answered the phone just now and said something happened. He didn't know where he went. He was really mad!"

The woman said angrily.

At this moment, her cell phone rang suddenly.

"what?"

She quickly took out her mobile phone, her eyes lit up, and she said:

"My husband called me!"

After speaking, she directly pressed the answer button.

"Hello? My husband, where are you? Are you back?"

"Yes, I'm here in the emergency room, come here quickly! Hurry up!"

She hung up the phone and said to Lin Yi:

"My husband is here, I'll go outside to pick him up."

"okay."

Lin Yi nodded in agreement.

Then, the woman walked out of the consulting room.

After a while, she led a disheveled man in a suit and walked in.

"Doctor, he is my husband."

After coming in, the woman pointed at him and introduced Lin Yi.

"Hi, doctor."

Xu Fengqi looked at Lin Yi with confused eyes, and said something weakly from his mouth.

"Okay, please sit down."

Lin Yi motioned him to sit down.

"Check the patient's examination report!"

Afterwards, Lin Yi stared at Xu Fengqi and said silently in his heart.

Immediately, all the inspection report information of this man appeared in front of his eyes.

Lin Yi looked over one by one.

Sure enough, there have been no inspection records in recent years.

Hmm... I had gastritis six years ago and had a gastroscopy.

Hepatitis B was also detected?However, it is a carrier and has not undergone relevant treatment.

It's not a problem, hepatitis B carriers really don't need treatment.

As for other information... there is nothing valuable.

Lin Yi scanned the inspection information from beginning to end, then looked away.

He looked at Xu Fengqi and said directly:

"Your wife has explained your situation to me just now."

"Well, let's take a blood test first, and see the result."

Xu Fengqi looked at Lin Yi with a dull expression and didn't reply.

His wife on the side nodded repeatedly and agreed:

"Okay, doctor!"

Afterwards, Lin Yi issued a list and asked them to do relevant inspections.

After the two walked out of the consulting room, Wu Jiang looked at Lin Yi and asked:

"Brother Yi, do you have any ideas?"

"At present, it seems that it is indeed more likely to be a mental problem. Let's wait for the test results to come out."

Lin Yi thought for a while, then said.

"okay!"

After a while, the husband and wife returned to the consulting room with the results of the blood test.

Lin Yi took the report and looked up.

Can not help but frowned.

There are indeed many problems shown in the report...

The most obvious is poor liver function, albumin is only 25g/L!

(The albumin of a normal person should be maintained at 38-48g/L, and usually an albumin lower than 35g/L can be diagnosed as hypoalbuminemia.)
At the same time, transaminases and bilirubin were also high, and these data all reflect poor liver function.

"There is a problem with liver function."

After Lin Yi finished reading, he spoke directly to them.

"What? There is a problem with liver function, how...how is this possible?"

"Hasn't his liver been fine all the time, why did he suddenly have a problem!"

The woman became anxious all of a sudden, and immediately looked at Lin Yi and asked anxiously.

"It's just that you didn't do the test before, but now the result is like this according to the data, and he is also a carrier of hepatitis B, which you should have known before."

Lin Yi casually said something to her, then stared at Xu Fengqi's stomach, and said:
"Take off your suit, unbutton your shirt, and let me see your stomach."

Xu Fengqi didn't react when he heard it, but closed his eyes slightly, as if he was dozing off.

Hearing this, his wife immediately came up to do it, took off his clothes and unbuttoned his shirt.

Lin Yi looked directly at his abdomen carefully.

I saw his abdomen swelled high, like a pregnant woman who is four months pregnant.

"Look, doctor, his stomach is very distended now!"

After the woman saw it, she pointed to his stomach and said anxiously.

Lin Yi didn't speak, just put his hand on his stomach, pressed down with a little force.

"How? Does it hurt?"

Lin Yi stared at Xu Fengqi and asked him.

Xu Fengqi opened his eyes, pondered for a moment, then shook his head and said:
"Basically nothing."

"The tenderness is not obvious..."

Lin Yi muttered something, and then said:

"I have to do an abdominal ultrasound. In this way, you go to the hospital first, and then go for an examination."

"Then...is his condition serious?"

When the woman heard that she was hospitalized, she became even more worried.

Lin Yi nodded and said:
"His current situation is indeed complicated, and a detailed examination is required to find out the cause."

"Okay, don't waste time, go quickly."

Lin Yi quickly opened the order.

"It's… okay."

Seeing this, the woman could only nod her head, called her husband and walked out.

"Do you have any thoughts on his condition?"

After the two went out, Lin Yi took a sip of tea, then turned to ask Wu Jiang.

Wu Jiang thought for a while, then immediately said:

"I think these symptoms of his are not difficult to analyze and should be viewed separately."

"First of all, the lack of appetite, nausea, and bloated stomach are all due to the liver function problems detected by the examination."

"As for him defecating everywhere and being mentally disturbed, it should be schizophrenia. After all, he has a family history of the disease, which is easy to figure out."

"As for why he didn't get sick before..."

"I think it should be because of his poor physical condition recently, which triggered his anxiety and led to a sudden outbreak of schizophrenia."

After Wu Jiang finished speaking, the water friends in the live broadcast room couldn't help sending barrage to express their agreement:
"Yes, Doctor Wu can figure it out after saying that!"

"A potential psychopath, after receiving some stimulation, is likely to stimulate his psychotic symptoms!"

"Originally, he was a senior executive of the company, and he was so good at work, but because of his health, he had more energy than he wanted, and he definitely couldn't accept it in his heart!"

"That's right, this kind of person is very strong, and you can't allow your state to decline!"

"This patient's symptoms are nothing more than this! Then treat his liver first, and then look at the mental problems!"

After Wu Jiang finished speaking, seeing that Lin Yi didn't respond, he couldn't help asking:
"Brother Yi, what do you think?"

Lin Yi stared at the table, shook his head slightly, and then said:

"I don't think it may be..."

"Not necessarily? Which aspect are you referring to not necessarily?"

Wu Jiang couldn't help frowning, and asked suspiciously.

"He may not be suffering from mental illness, defecation may have nothing to do with mental illness."

Lin Yi said slowly.

"Isn't open defecation a symptom of psychosis?"

Wu Jiang couldn't help but smile a little after hearing this, and then said:

"Brother Yi, don't be joking. What do you mean... Our patient has been so bold that he suddenly likes the freedom of defecating anywhere?"

After Wu Jiang finished speaking, it immediately caused a burst of laughter from the water friends in the live broadcast room.

"Hahahaha! I laughed so hard!"

"It's really not sure, maybe he had this habit before, but now he suddenly wants to open it!"

"If you like to unbutton your pants, you will be bold!"

"He doesn't want to be imprisoned by the toilet!"

"Fuck you, awesome!"

Lin Yi didn't laugh because of his joke, but still frowned, looking worried.

Seeing Lin Yi's state, Wu Jiang didn't bother him anymore, so he had to wait for the results of the examination first.

After the hospitalization was arranged, Xu Fengqi went for an abdominal CT.

Check the results out.

Lin Yi stared at the report in front of him, and said to Xu Fengqi and his wife in front of them:
"Sure enough, he has serious liver problems..."

"It can be seen from CT that he has liver cirrhosis, splenomegaly, and ascites!"

"This shows that his liver cirrhosis is no longer at an early stage!"

"It belongs to the decompensated period of liver cirrhosis. During this period, patients are likely to vomit blood directly, which is life-threatening!"

After Lin Yi finished speaking, the woman took a breath and blurted out in surprise:
"No way? Is it so serious!"

She never imagined that her husband, who had always been in good health before, suddenly became like this? !

On the other hand, Xu Fengqi, who was sitting next to him, had an indifferent expression, as if this matter had nothing to do with him.

Afterwards, after the woman became anxious, she couldn't help looking at Lin Yi suspiciously, and questioned:
"Doctor, you won't misdiagnose my husband, will you?"

"At most, he has gastrointestinal problems. Why did you see that his liver is not good enough, and he is almost dead?"

"Are you sure about what you're saying?"

After listening to her words, Lin Yi couldn't help but forced a smile.

It is true that some family members of patients, after hearing the patient's serious illness suddenly, are emotionally broken first and do not want to believe it.

As a result, doctors become their targets of attack, and behaviors such as questioning and berating doctors may appear.

This is not easy for doctors...

Afterwards, Lin Yi smiled slightly, and said to the woman:

"Ma'am, please calm down first, I can understand your feelings."

"But the inspection report is here now, I can't talk nonsense with you."

"Yes, ma'am, Dr. Lin is an expert in our emergency department. Don't question it casually. If you want to save your husband, you have to listen to him!"

Wu Jiang on the side also chimed in.

After being told this by them, the woman's emotions gradually eased, and she sighed and said:
"I'm sorry, doctor, I'm sorry, I was really dizzy."

"Go on, what's the matter with my husband, why does he vomit blood?"

She couldn't help trembling when she heard the word "vomit blood".

At the same time, the water friends in the live broadcast room also stared at the screen quietly, waiting for Lin Yi's explanation.

Because it's really scary, but I don't have a good appetite and my stomach feels uncomfortable. Is it possible to vomit blood and die at any time?
I usually have this situation too!
So they pricked up their ears, for fear of missing something!
"The reason why he vomits blood is because after liver cirrhosis, the liver will become very hard, and the blood in the portal vein cannot flow into the liver smoothly, so it is forced to stay outside, resulting in esophageal and gastric varices."

"And if one is not careful, these veins will burst and bleed, leading to vomiting blood!"

"Then this..."

The woman roughly understood what Lin Yi said, but she still asked unwillingly:

"But he is obviously fine, what is the reason for this?"

"If I'm not wrong, it should be caused by the stimulation of hepatitis B and alcohol!"

Lin Yi pondered for a moment, then said,

"Does he often drink and socialize?"

"That's right! Due to the nature of his work, he often has to go out to drink with clients, and sometimes he has to catch several sessions a day!"

"I often come back drunk at night, and it hurts my heart!"

"But there is no way, otherwise, his work will not be easy to carry out, and our whole family will rely on him to make money!"

As she said that, the woman shed tears again, and then she couldn't help stroking Xu Fengqi's head with her hands, her eyes full of distress.

"It's okay, wife, isn't it just drinking, I can drink! This little alcohol is nothing!"

Hearing their conversation, Xu Fengqi who had been silent by the side looked at her laxly and said directly.

Seeing his dull look, the woman felt even more sad.

Lin Yi continued to explain:
"Many people are carriers of hepatitis B when they are young, but because they do not pay attention to maintenance in the later stage, especially drinking a lot of alcohol, hepatitis B will become active and turn into chronic hepatitis B."

"If it is not detected in time and antiviral treatment is not carried out, hepatitis will turn into cirrhosis of the liver again, and the early cirrhosis of the liver will gradually drag into the advanced cirrhosis of the liver, which will be serious..."

After listening to Lin Yi's explanation, the water friends in the live broadcast room couldn't help sending out barrage:

"So serious? Brothers! Don't drink alcohol!"

"Damn it! I'm a carrier of hepatitis B, and I often drink with clients. Am I going to quit?"

"After watching the live broadcast, I have to call his dad and tell him to drink less in the future, because he has a bad liver!"

"It's too scary to vomit blood and die at any time!"

"I have to check and check, too!"

After the woman finished listening, she asked Lin Yi anxiously:
"Then how is he going to treat him now? You put it this way, his mental problem is a minor problem now, and he needs to solve his liver problem first!"

Lin Yi nodded and said:
"Don't be in a hurry, he still needs further inspections, and I will issue an inspection list now."

Afterwards, the woman took Xu Fengqi through a series of inspections according to the inspection items prescribed by Lin Yi.

Seeing the test results, Lin Yi couldn't help but sighed, and said:
"Sure enough, the hepatitis B two-and-a-half shows that it is Xiao Sanyang hepatitis B, and the content of hepatitis B DNA is relatively high. He is no longer a carrier, but has a lot of hepatitis B virus in his body!"

"Now his liver has been damaged by the virus and is riddled with holes..."

Every word Lin Yi said made the woman's heart tremble violently, and she almost sat on the ground.

With tears in her eyes, she turned her head to look at Xu Fengqi at the side, shook his shoulder and said:

"Husband! Did you hear that? You should respond!"

"At the beginning, I advised you to take care of your health, but you didn't listen, now it's better!"

"It's true that misfortunes never come singly...not only is there a liver problem, but also a mental problem...what kind of evil is this?"

Seeing Xu Fengqi's sluggish look, the woman felt even more heartbroken!
"His series of abnormal behaviors are not schizophrenia."

Suddenly, Lin Yi said in a deep voice.

(End of this chapter)