This doctor has a system

Chapter 206 204. You Are Not Unfilial!
Gao Feng suddenly felt the chrysanthemum tighten, "Don't come here!"

It's a pity that the fat man didn't respond to his words, and rushed over straight. Gao Feng couldn't bear it anymore, and he rushed forward with a stride, and the fat man was kicked on his ass by him, and turned several times on the floor .

A nurse hurried over, "This is a patient who suddenly went crazy at home today."

"Where's the family?!" Ma Liang yelled, "How can I let him run around in the hall alone!"

How dare I explode my chrysanthemum!His tears are still flowing at this time.

"It's just a child, and the patient's wife hasn't arrived yet." The nurse wanted to help the patient up, but the tonnage of the patient was too large.

"Let him lie down." Gao Feng said, "It's not a solution for him to keep running around, but find a restraint to control him."

"It's too fat, and the restraint belt can't be tied." The nurse smiled wryly, "Director Qi also said to have a CT scan of the head. Make a yarn like this."

Indeed, the patient is jumping up and down like this, let alone CT, it is probably difficult to measure blood pressure.

"Have you tested your blood sugar?" Gao Feng asked.

"Tested, normal." The nurse replied, "The patient's 9-year-old son said that he is usually in good health and has no underlying disease. His wife also said the same on the phone."

"Okay, did you go crazy all of a sudden?" Ma Liang touched his chrysanthemum and asked, "There must be a reason."

Director Qi from the emergency department also came over at this time, "It's quite strange, the patient's blood pressure and blood sugar are normal, the muscle strength and muscle tone of the limbs are also good, and there is no restriction on activities, and he runs around like having fun."

Isn't that right, just now I was killed for a thousand years!Dr. Ma Liang finally recovered now.

"What about the orientation of consciousness?" Gao Feng was quite curious about this patient.

"There is indeed a problem with the orientation of consciousness. He keeps saying that he is some kind of tiger power immortal, and he even regards the emergency room as some sort of training ground."

"Yes, I kept talking nonsense. When I first came here, I even said that other people had bright circles on their heads." The nurse echoed.

"Investigate the cause and seek the result: Please help the "crazy" Gan Xiangbao to make a clear diagnosis as soon as possible. After completing the task, you can get 10 skill points." The system released the task.

"Wake up, what's your name?" Gao Feng patted Gan Xiangbao's fat face.

"Bold, how dare you disrespect me!" Gan Xiangbao struggled to stand up.

Seeing this, Gao Feng squeezed the fat around the opponent's waist, "Tell me, what's your name."

"Ah!" The patient howled miserably, "Gan Xiangbao, my immortal name is Gan Xiangbao."

As if not completely crazy, Gao Feng was determined, "What did you have for lunch?"

"You don't care! Ben Daxian wants to..."

Before he finished speaking, Gao Feng pinched him hard again.

Gan Xiangbao burst into tears in pain, "Eating mushrooms!"

mushroom?Director Qi's eyes lit up, "Where did you get the mushrooms?"

"Say it quickly!" Gao Feng stretched his hand towards the patient's waist.

"I picked it myself." Gan Xiangbao opened his hand, "What are you going to do to me?"

"It feels like wild fungus poisoning." Director Qi said, "Tryptamine compound poisoning and hallucinogen poisoning in wild fungi can cause such symptoms of visual hallucinations, auditory hallucinations, and hallucinations, and dancing is also very common."

As the saying goes: eat sheep in the north, eat crabs in the south, eat all over the natural world in Guangdong and Guangxi, scald everything in Sichuan hot pot, dip the world in big sauce in Northeast China, and go to the fairyland in Yunnan with mushrooms!
Gan Xiangbao claimed to be the Great Immortal of Huli, so it was obvious that he had entered the fairy world.

"Call his son over." Gao Feng gestured to the nurse.

"The mushrooms your dad ate at noon?"

"Yes." The child was quite nervous.

"Have you eaten yet?" Gao Feng asked

"I didn't eat."

"Why don't you eat it?" Ma Liang asked curiously, "Dad has worked so hard to pick mushrooms for cooking, but you don't eat them. You are not filial!"

"I ate instant noodles." The child was about to burst into tears. "Mom usually doesn't let me eat them. She's not at home today, so I dared to ask my father to make them for me."

"And I don't like mushrooms either."

"Don't scare the child." Director Qi glared at Ma Liang, "Where's your mother? When will you be there?"

As soon as she finished speaking, a middle-aged woman ran over in a panic, "Old Gan, Lao Gan!"

"Doctor, what's wrong with my husband?" The woman hugged her son anxiously, "It's fine this morning."

"It may be poisoned by wild mushrooms. He ate the mushrooms he picked from somewhere at noon." Director Qi said, "Of course, this is only a preliminary suspicion, and the specifics need further inspection and observation."

"Mushroom?" The woman was stunned for a moment, "Oh, it's broken, my dad just called to ask if the mushrooms in the pot are edible."

"Hurry up, call and ask." Director Qi urged.

"Dad, I'm Huijuan, are you okay?"

"Well, I should be fine." An old male voice came from the phone, "Huijuan, why are there so many villains in your family, they keep turning around and shining?"

"You got 5 skill points."
-
"It's not a big problem with the lungs." Gao Feng looked at the CT of this patient with chest pain and fell into thought. "The pleura is not thickened, and it doesn't match the performance of pleurisy."

"This patient is probably not a patient of our respiratory department." Just as he was about to say this, the system's voice suddenly rang.

"Strange chest pain: Gui Sanjin has been troubled by strange chest pain for five years. Do you know how she survived these five years! You can get 5 skill points for completing this task, and 5 skill points will be deducted if you fail."

"I want this patient." Gao Feng said to Ma Liang, "Please accept it for me."

Aunt Gui Sanjin's mental state is not bad, she doesn't look like a patient who has been troubled by pain for five years.

"I didn't pay much attention to the pain at the beginning. After a few days of suffering, the pain didn't ease at all." The patient said, "My daughter flew back from Shai immediately after she knew about it, and insisted on taking me to check it out."

"My daughter is just too filial, you don't know her"

her daughter is beautiful

her daughter works well
Her daughter sends her money every month
her daughter.
"Auntie, let's not talk about your daughter." Dong Qianqian interrupted her, "Go ahead and talk about your illness."

Aunt Gui felt a little unsatisfied.

"After arriving at the cardiology department of the hospital, the doctor there said that I had unstable angina pectoris and sent me to the hospital."

After electrocardiogram, coronary CT, and cardiac color Doppler ultrasound examination, no heart problems were found in Aunt Gui, and after staying in the hospital for a few days, her chest pain symptoms seemed to be relieved, so she was discharged from the hospital with some medicines for heart treatment.

"My daughter is too busy, I don't want her to stay with me in the hospital all the time."

However, after she was discharged from the hospital, Gui Sanjin's chest pain symptoms still recurred, and she herself concluded a certain pattern, "It seems to be obvious in autumn and winter. The pain is more when cooking and at night, and sometimes I can't lie down."

Two years ago, the patient had back pain again, and the pain was obviously aggravated after exertion. It had nothing to do with eating, and there was no sourness or heartburn.In the gastroenterology department of the local hospital, he was treated according to gastroesophageal reflux, and the application of proton pump inhibitors was invalid.

Many people don't know that gastroesophageal reflux can also cause chest pain symptoms.The reflux stimulates the esophagus and may cause chest pain, which can radiate to the back, shoulders, and front of the heart.

The chest pain caused by this situation can be relieved by oral proton pump inhibitors: omeprazole enteric-coated capsules and rabeprazole enteric-coated capsules.

One year ago, Gui Sanjin found common bile duct stones during a physical examination, and went to the gastroenterology department again. The doctor at that time thought that the chest pain might be related to bile duct stones.

"I insist on having an operation. It seems to be called ERCP, and it says that the stone will be removed."

"In the end, the money was spent, and the crime was suffered. It's still the same."

It can be seen that Gui Sanjin is not satisfied with this visit.

Half an hour later
"Oh my mother." Dong Qianqian breathed a sigh of relief, "This auntie is so eloquent, I almost couldn't keep asking."

Gao Feng also smiled and shook his head, "Any ideas?"

"No." Dong Qianqian replied bluntly, "There is no major problem in the patient's examination."

"Could it be menopause?"

Menopause is the physiological stage of women before and after menopause. It mostly occurs between the ages of 40 and 65. More than 80% of menopausal women have menopause-related symptoms, and different stages have different manifestations.Many patients will suffer from poor spirits, sleep disturbance, low cognitive ability, low back, joint pain and other symptoms.

"I don't think so." Gao Feng analyzed, "The joint pain that occurs during menopause is generally not fixed, and there is no regularity, but this patient always said that it is before and after the sternum, and it is severe in autumn and winter."

"From what I know now, let me roughly summarize the characteristics of her medical history:"

1. Chest pain is a paroxysmal attack, and the symptoms are relatively obvious at night.

2. Chest pain is recurrent, especially in autumn and winter when the weather turns cold, and it occurs basically every year.

3. Chest pain is reversible and occurs after cooking and activities such as climbing stairs.

"It seems that there are not many diseases that have these three characteristics at the same time." Gao Feng suddenly felt blessed, "Do the parents of the patient have a history of asthma?"

"Her mother has allergic rhinitis." Dong Qianqian replied, "Do you suspect that the patient is asthma?"

"That's right, let her go for a lung function test now." Gao Feng said.

Asthma, namely bronchial asthma, is a chronic airway disease characterized by chronic inflammation in the airway.The clinical manifestations are recurrent symptoms such as wheezing, shortness of breath, chest tightness, or coughing, which often occur or aggravate at night and in the early morning. Most patients can relieve themselves or be relieved by treatment.

However, a small number of asthmatic patients do not have the symptoms of typical asthmatic wheezing, shortness of breath, chest tightness or cough, and their main discomfort is chest pain, that is, chest pain variant asthma.

Among the inducing factors of chest pain, exercise is the most common. Of the 30 cases reported by X and the hospital, 20 cases had obvious inducing factors, and exercise was the most common inducing factor, followed by smelling irritating odor and emotional agitation. .

Looking at it this way, Gui Sanjin's symptoms are very consistent. You must smell a pungent smell when cooking, and going up stairs is also exercise.

Soon, the results of lung function came out, and the provocation test was positive, which meant that the patient's asthma diagnosis was confirmed.

"Doctor, isn't asthma all about chest tightness?" Gui Sanjin's son didn't quite believe it. "My mother has chest pains. Doesn't it have something to do with it?"

Gao Feng patiently explained this special type of asthma to him, but family members and patients were still skeptical.

"Don't be so entangled, let's treat it and see if it's all right." Dong Qianqian said, "If the diagnosis is correct, your symptoms will definitely improve significantly with the medicine."

"If the medicine has no effect, it means that the real cause has not been found yet."

"That's right!" Gui Sanjin agreed with her very much, "It's because you, a girl, have a good brain."

Gao Feng's treatment plan for the patient was: nebulized inhaled glucocorticoid (budesonide) + oral leukotriene receptor antagonist (montelukast sodium tablets).As expected, after 5 days of taking the medicine, Gui Sanjin did not have the symptoms of chest pain she had before. She even went up many stairs to verify it.

"Great, now I can finally do some work." Gui Sanjin is very happy. Since she got this disease, she hasn't been in the kitchen, and her son doesn't let her take care of his grandson anymore. She is in a panic all day long. .

"The patient's family environment is really good." Dong Qianqian said to Gao Feng, "This aunt is sick, and the family doesn't dislike her at all."

"The husband cooks at home every day, and the daughter-in-law has no complaints about the old man's inability to take care of the children. The daughter and son lead her to spend money on medical treatment everywhere, and call from time to time to care."

"The mental state is nothing like being troubled by chest pain for 5 years!"

"Did you think of Fu Jie's cousin?" Gao Feng smiled, "Actually, this is a normal family atmosphere. The situation of Fu Jie's cousin is still rare."

"I think it's just the opposite," Dong Qianqian said.

"Damn it, come and see it!" Wang Liang yelled.

"What are you howling here in the early morning?" Hu Jiaran walked in, "Have you finished your work?"

"Lao Yue seems to have synthesized the substrate of Step 3!"

"Really?" Hu Jiaran was overjoyed, "Have you verified it?"

"I'm doing it, nine out of ten." Wang Liang replied, "Yue Yue stayed up all night yesterday."

"Aren't you two in a group?" Hu Jiaran asked, "Why did he stay up all night, and you look radiant?"

"I have an appointment today." Wang Liang replied weakly, "I have to take a leave of absence this afternoon..."

"Go." Hu Jiaran flatly agreed. It was not easy for Goblin Wang Liang to find a partner, so he had to give him strong support.

"Then can I drive your Audi?"

"Didn't you say you wanted to buy a car a few days ago?" Hu Jiaran remembered this, "Have you decided?"

"It's settled!" Wang Liang smiled slightly. "At first I went to see the Accord, and then I went to see the Audi. After combining the two, I finally bought the Yadea."

……

"You're even pickier than Manager Zhao!" Hu Jiaran said speechlessly.

"No, the main reason is that my girlfriend doesn't let me buy it. She thinks buying a house is the most important thing, and the car can be put in the back." Wang Liang couldn't help but raise his lips, "She has already considered the future of both of us."

　happy sunday everyone
　　
　
(End of this chapter)