This Doctor is Great

(Because the case was harmonized, more than 1,000 words were deleted from this chapter.)

(The final result of the case is that the egg is twisted, causing the blood flow to be blocked, and emergency surgery is needed. Because of the nerve crossing, symptoms such as abdominal pain and nausea will be manifested.)

...

Gastroenterology clinic,

next patient,

A woman in her 30s walked in.

Female patient: "Doctor, help me see..."

Li Dongmei: "What's the problem?"

Female patient: "I'm a little constipated. It's been more than half a year. I've been taking medicine, but it doesn't help."

"Have you been to the hospital?"

"I've seen two or three..."

"Have you ever had a blood draw or something? Are there any abnormalities? Have you ever had a colonoscopy?"

"I have drawn blood, but I have never had a colonoscopy." The middle-aged woman shook her head.

Li Dongmei nodded: "In addition to constipation, do you have other symptoms? For example, abdominal pain?"

The middle-aged woman shook her head: "No, it's just constipation."

? ? ? ?

Constipation for half a year?

No abdominal pain?

It must be a special disease in the intestines.

Li Dongmei: "How about farting? How much? Does it smell bad?"

Middle-aged woman: "Farts have become more frequent, and they stink."

That's a little better.

At least you can rule out intestinal obstruction and the like.

Next,

Physical examination, no problems were found, the stomach was normal, no pain, no hard things.

"Go for a colonoscopy..."

Li Dongmei glanced at Teacher Zhang Luojia with a guilty conscience.

Teacher Zhang Luojia nodded in agreement.

Li Dongmei was instantly invigorated and greatly encouraged!

After n hours, colonoscopy results: "colon melanosis"!

In layman's terms, the colonic mucosa has a large amount of lipofuscin deposition.

Like snake skin.

(picture)

Finally, after consulting the female patient, I learned that the female patient had been taking a black beauty medicine given by the beauty salon for more than a year.

The real culprit should be this beauty drug.

...

...

next patient.

"Your hospital is really troublesome!"

The patient is an uncle, about 50 years old, and said angrily as soon as he came in.

Li Dongmei squeezed out a smile and asked, "Uncle, what's wrong?"

Uncle blew his beard and stared: "I already came to the outpatient clinic once in the morning, and it turned out that you guys were good, and gave me a checkup. After the checkup, the doctor was off work in the afternoon, which caused me to continue to register in the afternoon, and it took me a whole day to toss. ."

Uncle babbled, a long rant and scolding.

Li Dongmei smiled stiffly, a little overwhelmed.

Zhou Mo broke the deadlock at this time: "Uncle, what kind of disease are you seeing?"

Uncle started chattering again and talking about a lot of his illness.

Zhou Mo summed it up roughly as follows:

In the past few days, Uncle is always prone to general weakness, soreness, and no appetite...

Then, I went to the doctor in the morning. The doctor in the morning thought that Uncle's disease was "hypokalemia", which caused the weakness of the limbs.

Later, in the morning, the doctor considered another disease, "hypoglycemia". After pricking his finger, he found that it was indeed hypoglycemia. And low blood sugar can just cause the problem of limb weakness.

So, I asked Uncle to buy some sugar water and other food, and also gave Uncle a check: serum potassium item, arterial blood gas, urine routine...

According to the doctor's instructions, Uncle went to buy some sweet drinks and rice, ate them, and replenished the blood sugar, but the limbs were still weak.

When I came back to see the doctor, the doctor was already off work.

Annoyed uncle.

I was a little weak, but I had to wait until the afternoon, so I naturally became very angry, so I started cursing as soon as I entered the door.

hear here,

Zhou Mo: "..."

Zhang Luojia: "..."

I am Nima!

If there is no blood sugar and muscle weakness, it is likely to be "hypokalemia"! !

Who is the doctor in the morning? such a big heart? !

What if Uncle suffered a cardiac arrest and died due to hypokalemia and insufficient potassium ions, it would be a disaster!

"Uncle, don't worry, I'll show you right away... Have you done the inspection?" Li Dongmei reassured.

She also had sweaty palms.

"Done."

"let me see."

Quick result check report~www.readwn.com~ take a look!

Worthy!

Really "hypokalemia"! !

A cold sweat!

When potassium ions are low, the channels of sodium ions and potassium ions are changed, resulting in increased myocardial excitability, which induces arrhythmias, and in severe cases, the heart stops beating.

This uncle, the low potassium has not happened so far, so I am lucky!

.