A hundred days after signing in, the first surgery shocked the world!

Hyperthyroid crisis, a serious comorbidity of jealous weight gain and life-threatening thyrotoxicosis, is uncommon but has a very high mortality rate.

Hyperthyroid crisis can have high fever, arrhythmias, nausea and vomiting, impaired consciousness, severe diarrhea, and other manifestations.

It seems that the patient's diarrhea is not gastroenteritis, but the consequence of hyperthyroidism to a certain severity, which is a hyperthyroid crisis!

Fortunately, Lin Feng found that the patient first had an arrhythmia, and then found that her hands were shaking, she loved to sweat, and her eyes were a little convex, thinking of the possibility of hyperthyroidism!

If she is really treated according to acute gastroenteritis, I am afraid that she will die!

Of course, this is also thanks to Lin Feng's rich experience.

The treatment of patients in the back is more cautious.

The patient also actively cooperated with anti-hyperthyroidism treatment, the condition was relieved, and the most difficult time was passed.

Later, he also accepted the fact that he had hyperthyroidism.

......

Afternoon.

Lin Feng is looking at the case in the office.

I don't have to sit with him today.

Just after seeing the cases of two patients, Xiaoru trotted to the office.

"Teacher, why don't you answer the phone?" saw Lin Feng here, and immediately asked anxiously.

Don't answer the phone?

Lin Feng took out his mobile phone and found that there were more than two dozen missed calls on it.

Then he said, "Oh, I was silent during the operation just now, I forgot to tune it back!

"The nephrology department has been looking for you, I want you to come to the consultation, but I am anxious!" said Xiaoru immediately.

"Oh, I'll go over now!" Hearing this, Lin Feng immediately got up.

Ask him for a consultation!

It usually happens when you encounter a problem.

This means that the situation is urgent.

Lin Feng did not dare to delay, after all, the delayed time was a hope for the patient.

Leave the office and head straight for the nephrology department.

Five minutes.

Lin Feng came to the Department of Nephrology.

Walked to the doctor's office and didn't wait for him to speak.

A doctor immediately said, "Dr. Lin, you're finally here!

After that, he pulled Lin Feng and went to their conference room.

Push the door in.

Lin Feng saw that there were already several chief physicians sitting inside.

He knew one of them, a hematologist in the department of hematology.

"Director, Dr. Lin is here!" the doctor immediately said to the one sitting at the top.

"Sorry, the phone forgot to turn back the sound, so there was some delay. Lin Feng then explained.

"It's okay, Dr. Lin, you sit down, just as everyone wants to hear your advice!" the director said softly.

Lin Feng nodded and found a place to sit down.

A doctor next to him began to introduce Lin Feng to the patient's situation.

The patient is a man, 30 years old.

At first, I had a sore throat and a low-grade fever.

When I went to the local hospital, the doctor thought it was the flu and prescribed some symptomatic drugs.

The patient ate for a few days, felt that the effect was not great, and did not continue to eat.

The throat is still uncomfortable, and it still has no effect after going to the pharmacy to buy some medicine, and it is not a matter of care later.

A few days later.

The patient found that he had some edema in both lower limbs, which was still found while wearing socks.

The foot is swollen so badly that there is a pit when the finger is pressed.

I thought I was tired from climbing the mountain, but when I got up the next day, I found that my eyes and face were also a little edematous, as if I had been filled with water.

This surprised him.

I immediately took a leave of absence and went to the hospital again.

First check.

Because the patient's feet were swollen and his eyes were swollen, he was assigned to the Department of Neurology.

After understanding, it was found that the patient had muscle and joint pain.

At the time, it was thought to be systemic lupus erythematosus.

However, this disease mostly appears in young girls and young women of childbearing age, and the ratio of men is very rare to be about 1:10.

The patient was also hospitalized on the advice of a doctor.

Start checking for systemic lupus erythematosus.

First, a complete set of autoimmune antibody tests were done, which was basically normal.

Directly made the doctor wonder!

Not lupus erythematosus.

However, in the results of the examination, it was found that the patient was hypothyroid, and it was thought that the patient should be hypothyroid!

At that time, the explanation was that the patient's hypothyroidism was due to the lack of thyroid hormones, which was mainly manifested as a decrease in metabolic rate and decreased sympathetic excitability, and there would be chills, force, swelling of hands and feet, edema, joint pain, constipation, etc.

Without waiting for the doctor to finish, the patient himself knew that it was him.

Not wrong at all.

Hypothyroidism can explain all the symptoms that a patient has!

Why hypothyroidism!

In fact, there are many reasons, such as autoimmune damage to the thyroid gland, such as subacute thyroiditis, or autoimmune thyroiditis.

Anyway, it has something to do with endocrine.

Immediately, the patient was arranged to do thyroid ultrasound.

It is true that there are nodules in the thyroid gland and the thyroid gland is problematic.

At the same time, I consulted with an endocrinologist to determine the treatment plan, eat euthyroid, supplement thyroid hormones, and regularly review and adjust the dose of drugs.

Ben came to an end.

Unexpectedly, after 2 weeks, the patient felt that his stomach began to swell.

According to the patient, he actually felt that his stomach was big a month ago, but he thought he was eating fat and long meat.

Now it's because my stomach is getting bigger and bigger, and I feel like there's water in my stomach.

The doctor's examination found that the patient did have water in his stomach.

However, according to the diagnosis of hypothyroidism, there will be edema, but I have basically never seen that there may be water in the stomach.

So at that time, it was decided to give the patient a color ultrasound to confirm whether there was water in the stomach.

Just before the color lead, the patient confessed that he had hepatitis B.

This is indeed a wary thing, if hepatitis B is not well controlled and worsened, there will be cirrhosis and even liver cancer, which can lead to a large amount of ascites.

However, the patient was not told at that time, mainly for fear of scaring him.

Later the color ultrasound results came out.

The patient does have a lot of fluid in his stomach.

Not only ascites, but also pleural effusion, pericardial effusion, but not much.

There is water all over the patient's body!

This is confusing, but the good news is that the patient has no cirrhosis and no liver cancer.

And there is not even hepatitis B, it cannot be said that there is none, the patient is only a carrier of hepatitis B, and the liver function is normal.

Do not wait for the doctor to discuss the patient's condition.

The patient has a new condition.

It didn't just come out, but it always had, but the patient didn't say.

That's tired!

Both lower limbs are very tired, I thought I was tired of climbing the mountain, but then I found that I had to rest after walking for ten minutes, I felt that my feet were very heavy, I couldn't lift up, and walking on the ground was like stepping on cotton.

In addition to being tired, I occasionally feel numb in my hands and feet, just like many ants are afraid of them.

Patients also think it is a side effect of the drug.

How is this possible!

The doctor immediately believes that there is a problem with the patient's nervous system.

Just said this conclusion.

The patient twisted and pinched, and his face was red before he said that he had been a little dysfunctional X for two months.

After hearing this, Lin Feng was surprised, after all, the patient was still quite young, and immediately began to understand the patient.

After asking, I didn't find anything suspicious.

There are only two reasons to explain this, one is the side effects of thyroid hormones and the other is the presence of an underlying disease.

First of all, thyroid hormone side effects were sent, so it was determined that Bin Ren and he still had undiscovered underlying diseases.

Later, a urologist was also invited for consultation.

It was determined that the patient had an undetected disorder that caused ascites, limb weakness, numbness, impotence, and possibly even hypothyroidism.