This doctor has a system

Chapter 569 Chapter 632. The truth comes out
"His father is a deputy senior executive of our county, and his sister is..."

No wonder the man was so arrogant, it turns out he really had some background.

But this is the provincial capital. He must have been kicked in the head by a donkey, but he still treats this as his own little piece of land.

"He beat me at home, and when I came to the hospital, he beat the nurse. Wuuuuuuuu." The woman's tears kept flowing. "What sin did I commit in my previous life?"

"Family, stop crying." Gao Feng felt helpless for a moment, "Why don't we take the child to see a doctor first?"

The patient's condition was rather strange, with bleeding in the eyes, but the ophthalmologist did not find any problems after a careful examination.

There were no obvious wounds on the skin, and peripheral blood examination showed that all three series were within normal range, and the coagulation function was also normal.

"Where did the blood come from?"

"I don't know." Everyone was also very surprised.

Gao Feng also had no idea. He had never encountered such a case before. Could it be another rare disease?

"Check the immune-related indicators as well." He said to Mao Wen, who nodded.

Over the next few days, the patient's condition waxed and waned.

During the first three days of hospitalization, bleeding usually occurred in the afternoon, and was also more likely to occur when holding the breath or exerting force. There was no bleeding after falling asleep at night, and there was no obvious pattern in the bleeding at other times:
Sometimes it manifests as bleeding from the right nasal cavity or right corner of the mouth

Bleeding, sometimes from two locations at the same time;

There was no damage to the skin or mucous membrane at the bleeding sites, which was very puzzling.

How can there be bleeding without a wound?

On the eighth day, symptomatic treatment such as hemostatics and VitC was given to control the number and amount of bleeding.
It has decreased compared with before.

On the fourth day, the bleeding worsened, mainly from the right corner of the mouth.

On the seventh day, transient right nasal bleeding occurred, but the frequency and amount of bleeding were significantly reduced, not exceeding 3 times per day.

On the fifteenth day, the patient's bleeding worsened significantly, mainly at the corners of the mouth on both sides, the skin of the knuckles and the fingertips on the extensor surface of the ten fingers of both hands and feet, and the bleeding was lighter in color.

"What's going on? How come the condition is getting worse!" the patient's father said dissatisfiedly, "It was my fault for beating you, but now... I've paid the money and I'm in jail, what else do you have to say?"

"If you have any problem, come to me, don't mess with my child!"

"Yours." Li Youliang said.

"What! You're talking nonsense!" The patient's father was furious. "I'm his father, how could I scold him?!"

"But before you came back, the child's condition had clearly improved." Mao Wen also chimed in, "It became like this after you came back."

"Dad, I didn't bleed much yesterday," said the patient.

……

For this patient, Mao Wen put in a lot of effort and basically checked everything that needed to be checked.

He also specifically found a director of the laboratory and took a smear of the patient's freshly exuded blood. He found that the composition was basically consistent with that of peripheral blood, mainly red blood cells, accompanied by some neutrophils and a small amount of lymphocytes.

Over the next three days, the patient's bleeding sites continued to change, including the face, limbs, abdomen, and dorsum of the feet. One night, the patient also developed mental symptoms: crying loudly, convulsing, and an emergency CT scan of the head showed no abnormalities. The patient was given an injection of the sedative diazepam, and the symptoms were relieved.

Gao Feng also felt a headache. This patient was not the most critically ill patient he had ever encountered, but he was definitely the most troublesome one.

Every time a bleeding occurs, both family members and medical staff feel extremely nervous.

The patient's father was irritable and impulsive at first, but now he looks listless and a little depressed.

"Gao Feng, why haven't you been active lately? Have you written any articles recently?" Academician Bao called. He now has high expectations for this talented disciple.

"There has been some breakthroughs in the lab, but not very big." Gao Feng replied, "I am planning to save up and publish an article in Nature or New England Journal of Medicine."

"Or you can publish natural medicine now."

“No, no!” Academician Bao said quickly, “Go at your own pace! I don’t mean to rush you.”

"Teacher, I have a complicated patient here." Gao Feng told Academician Bao about the patient's condition. "The child only has painless bleeding, and the peripheral blood picture is normal. The general condition is good. The ESR and CRP are normal, and the circulating immune complexes are also normal."

"Do you know which professor in your country has research interests related to this?"

"Not sure." Gao Feng was a little disappointed by Academician Bao's answer.

"But it sounds like hemathidrosis. You can try this treatment."

Hematohidrosis?

Gao Feng quickly looked for information on this matter.

This is a very rare and special skin bleeding phenomenon, which has two important characteristics: 2. The skin is intact and intact; 1. Spontaneous skin secretions contain red blood cells, white blood cells, etc., which are basically consistent with the components of peripheral blood. The amount of bleeding is very small, only a small amount of blood seeps out from the pores, which can form blood drops or occasionally form a small blood flow.

The bleeding spots are mostly distributed on the head, eyelids, around the nail beds, and sometimes can be seen on the skin of the armpits or perineum.

The pathogenic mechanism of this disease is not yet fully understood and may be related to factors such as autonomic nervous system dysfunction.

Studies have shown that the sweat glands in the skin are connected to the outside world through the openings of the glandular ducts. There are many capillaries around the sweat glands and the glandular ducts. The glandular ducts run for a long distance. Under certain specific circumstances, the permeability of the capillary walls increases, and red blood cells enter the sweat glands and the glandular ducts overflow from the body, causing hemorrhage.

"You mean my son is a Ferghana horse?!"

"Now that you mention it...it doesn't seem impossible..." Mao Wen hesitated.

"But it's not completely certain yet. We will give him medication next to see how it works."

From that day on, the patient was given intravenous infusion of methylprednisolone sodium succinate and immunoglobulin. Five days later, his bleeding was completely relieved and he no longer had any psychiatric symptoms.

"Although I lost 2 yuan and was detained, I still want to say thank you to you." The patient's father put on his black shirt again, and he seemed to have become the grumpy uncle again.

Gao Feng raised his hand towards him, and the latter was startled.

"What the hell, what are you doing?!"

This guy still has some memory, Gao Feng thought.

(End of this chapter)