This Doctor is Great

Chapter 199 Zhou Mo... Oh no, Brother Mo is pretending to be forceful again!

"After potassium supplementation, it became more serious?"

Zhang Luojia, Zhou Mo and others were surprised.

"Yes, it's more serious, and the skin of the lower limbs begins to show obvious tenderness, and the hands are numb..."

"?????"

This time, Zhou Mo and others were confused!

"That is to say, the patient's muscle weakness is not some hypokalemic periodic paralysis?"

"Yes, ruled out."

Brother Zhang Mingyu said: "After excluding hypokalemia, I arranged a further examination for the patient, MRI of the spine and lumbar spine, in order to exclude the compression of the spine and lumbar nerves by tumors and other diseases, resulting in weakness of the upper and lower limbs..."

"And the final inspection results were nothing out of the ordinary."

"Then I also did a thyroid B-ultrasound to see if there was a disease that caused abnormal hormone secretion and low potassium... But nothing abnormal was found."

Zhang Luojia, Zhou Mo, and Li Dongmei fell into deep thought.

"What kind of sickness is this?"

The scumbag Huang Zhichao also fell into contemplation, pretending to think: "What is the disease?"

Brother Zhang Mingyu said: "The biggest trouble now is that the patient has not found the cause, but his condition has worsened, and his limbs are sluggish, numb, and weak... And what is even more serious is that it has spread to the face, causing facial paralysis."

"Besides, the most serious problem is that the patient had difficulty coughing up phlegm half an hour ago... I'm afraid that at this time, his heart may have a problem..."

Obviously, the patient in front of me is definitely weak.

The heart has myocardium, and muscle weakness will also spread to the heart. At that time, the heart may stop beating directly, resulting in the death of the patient.

These are the worries of Dr. Zhang Mingyu.

Zhang Luojia said to Zhou Mo, "Xiao Mo, you came out of the Cardiology Department, and you show the patient about heart problems."

Zhou Mo nodded: "Okay."

To Senior Brother Zhang Mingyu: "Is there a B-ultrasound machine?"

Senior Brother Zhang Mingyu nodded: "Yes...but do you know how to use it?"

Looking at Zhou Mo with surprise.

B-ultrasound should not be used by ordinary doctors, right? Zhou Mo was so young.

Zhou Mo nodded: "I have studied in cardiology."

Myocardial weakness is not actually a professional term, but heart failure, that is, heart failure. The examination is very simple, just look at the ejection value. If the value is too poor, there must be a problem.

Soon,

The ultrasound machine came over.

Zhou Mo re-adjusted the parameters, scanned the patient's heart, and quickly came up with the result: poor blood ejection (in the case of taking into account high blood pressure).

"It should be heart failure..."

Zhou Mo told everyone about the data, then analyzed it and came up with the result.

Zhang Mingyu: "So, I'm in a hurry now, but I can't find the reason... Senior Sister, have you thought of anything?!"

Looking at Zhang Luojia expectantly.

Zhang Luojia fell into contemplation. All kinds of problems were fine. It was muscle weakness and low potassium. However, after potassium supplementation, not only did it not relieve, but it worsened.

This disease is a little strange.

Li Dongmei is also thinking.

Huang Zhichao pretended to be thinking.

Zhang Luojia suddenly said: "Have you checked, is it "Guillain Barre Syndrome"? "

"Guillain-Barre Syndrome",

The symptoms of this patient are somewhat similar.

The specific manifestations of "Guillain-Barre syndrome" are muscle weakness, numbness, and inflammation of peripheral nerves, which may be related to autoimmunity. Patients may also have fatigue and anorexia. Because of nerve inflammation, there will be numbness, Weakness and other manifestations, and even paralysis and respiratory failure in some severe cases.

With the patient's condition, very good match.

However, this is the Department of Neurology. Obviously, the doctors are no strangers to "Guillain-Barre Syndrome" and must have checked it out long ago. .

Sure enough, Zhang Mingyu shook his head: "We also considered this at the beginning, we also did cerebrospinal fluid puncture, extracted it, and finally confirmed that it is not Guillain-Barre syndrome."

Then, Senior Brother Zhang Mingyu said, "We also checked for poliomyelitis, myasthenia gravis... neither..."

It can be said,

The Department of Neurology almost takes many diseases into consideration.

All checked.

But it's not the end result! !

"and many more!!"

At this time,

Zhou Mo suddenly had a flash of inspiration, thinking of the cases he had experienced before, he had written about the difference between potassium chloride and potassium citrate.

Is it possible that——

Difference Between Potassium and Magnesium!

"Brother Zhang, have you checked your blood magnesium?"

Zhang Luojia, Li Dongmei, and Huang Zhichao came to see them one after another.

"Ah?" Senior Brother Zhang Mingyu was stunned for a moment: "Blood magnesium? No... Only checked blood sodium and blood potassium..."

Zhou Mo said: "Check it out... I think there may be a problem with blood magnesium..."

Zhang Mingyu was stunned.

He seems to have figured it out! !

Yes, blood magnesium!

Forgot about this!

Zhou Mo continued: "Although you have already supplemented potassium, because the renal tubules absorb potassium, you need a sodium-potassium pump, and the sodium-potassium pump needs magnesium ions to assist..."

Having said that, Zhang Luojia also understood.

Clap your hand!

That's right! Magnesium!

It's possible!

Li Dongmei and Huang Zhichao: "......"

Shit, I don't understand, what should I do?

Li Dongmei was at a loss.

Huang Zhichao showed the expression "I understand"!

Magnesium is one of the most abundant cations in the body. Adults contain 0.823 to 1.234 mol of magnesium, of which 50% are present in bones, 45% in intracellular fluid, and 5% in extracellular fluid. Liver, kidney and muscle contain more magnesium.

In intracellular fluid, the content of magnesium is second only to potassium, ranking second!

So it is also a very important item.

Zhou Mo continued: "If the patient has hypomagnesemia, because of the lack of magnesium, the patient simply supplements potassium, which may lack the assistance of magnesium ions, and the potassium supplementation becomes ineffective..."

"Even if potassium is supplemented all the time, the concentration of potassium may become too high, but it cannot be used..."

Senior Brother Zhang Mingyu clapped his palms: "It makes sense! Why didn't I think of it?"

upset!

Then nonstop.

"Go check serum magnesium now!!"

He had a strong hunch that serum magnesium might be the right answer in the end! ...

Zhang Luojia, Zhou Mo, etc., naturally cannot wait for the results of serum magnesium in the Department of Neurology.

Back to Gastroenterology.

on the way,

Li Dongmei and Huang Zhichao once again expressed their admiration and conviction to Zhou Mo.

Huang Zhichao's heart: "The big guy is the big guy!"

Li Dongmei: "I'm a dignified scholar, but during this period of time, I've turned into a salted fish. I can only call 666... ​​No, I have to work harder!"

back to the classroom,

Zhou Mo made something,

After half an hour,

The neurology department called and the blood magnesium test results have come out~www.readwn.com~ low blood magnesium!

Not running!

The reason for the patient's muscle weakness is definitely this!

"Mexico is awesome!!"

At this moment, Huang Zhichao, who was older than Zhou Mo, couldn't help but call Zhou Mo 'Mexico'!

Huang Yiming: "????"

Worthy!

Who is this guy?

Take my lead position?

Huang Yiming sent a WeChat message to Zhou: "Brother Mo, invite you to dinner tonight!"

Zhou Mo: "Okay, but Senior Brother Chen Bing also invited me, do you want to be with me? (hehe expression

Huang Yiming: "Together! I'll treat you!"

Zhou Mo: "Is it convenient?"

Huang Yiming: "Why is it inconvenient? I haven't eaten with Brother Chen Bing for a long time!"

At this time,

A message was sent out in the group.

——"Shocked! 38,000 yuan in 3 days! The mortuary of a hospital in the capital city was accused of charging sky-high funeral expenses. Family members: 600 yuan for the deceased to eat!"

?? I want to code two chapters today, but I have no choice but to change the situation in Baiyun.

? (Book friends guessed that I was in Baiyun, afraid of being sent a knife, and shivered (dog head saves my life))

?A large area was sealed off at once today, and the situation is estimated to be very serious.

?In the morning, I was doing nucleic acid, buying rice, vegetables and oil... I struggled until the afternoon to get it done.

?The vegetable market has already begun to loot, and the price of vegetables in some stores has soared. I bought 4 large packs of rice, and I was sweating madly~~

? CDC says this time may be more serious.

?Hey, hope it gets better soon!

?…

?I have two updates tomorrow, absolutely no problem!

?Sorry book friends!

?

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