This Doctor is Great

this rash,

It immediately attracted the attention of Zhang Mei and Zhou Mo.

So many previous tests have not confirmed what the disease is for the time being.

And a rash may rule out a lot of options at once.

Teacher Zhang Mei and Zhou Mo quickly came to the patient's bed.

"You have a rash, right?"

"yes."

"When did it happen, is it itchy?"

"There were two days ago..."

"Let me see."

Teacher Zhang Mei said.

The patient Chen Xiuya looked at Zhou Mo, blushed, and finally nodded.

"Trouble the doctor."

The patient's parents next to him glanced at Zhou Mo, but out of trust in the doctor and because Zhou Mo's appearance was pleasing to the eye, he wasn't rude, so he hesitated before saying anything.

Patient Chen Xiuya lifted her clothes to reveal the rash on her abdomen.

Zhou Mo looked over.

Zhang Mei looked over.

It was indeed a red rash, but I didn't know what kind of rash it was.

Zhang Mei looked at Zhou Mo: "Did you see anything?"

Zhou Mo shook his head, thinking hard.

Because the rash has complex causes, there may be dozens of rashes for the same manifestation.

Take a look at the disease:

The patient has: hair loss, fever, cough, hemoptysis, joint pain, rash, thrombocytopenia, leukopenia...

If you want monism,

Pneumonia, tuberculosis, leukemia, are impossible.

"What is the disease?"

"Is there a disease that explains it all?"

Sudden,

A disease appeared in Zhou Mo's mind.

The night before yesterday, after Zhou Mo experienced a "gout patient", he went back and checked a lot of information on gout, rheumatism and immunity on uptodate.

mutual identification.

Achieve a lot!

And one of them was sick,

——"Systemic lupus erythematosus"!

It is a rheumatic immune disease!

Lupus erythematosus is called lupus because when the disease was first discovered, it was found that the rash on the patient's face was similar to the wound that appeared after being bitten by a wolf, so it was called lupus.

"Rheumatic immune diseases": refers to a group of diseases that mainly invade the bones and joints, muscles, bones and soft tissues around the joints, causing pain, swelling and stiffness, and can cause damage to multiple systems throughout the body. Common diseases include rheumatoid arthritis joints, systemic lupus erythematosus, ankylosing spondylitis, and Sjögren's syndrome.

actually,

At the beginning, when Zhou Mo was considering the rheumatology and immunization department, he thought about this disease, but at that time, because the patient's symptoms were high fever of more than 39 degrees. But rheumatic immune diseases are basically low fever.

So, for the time being ruled out.

But now, there's more of a rash.

The likelihood of lupus erythematosus is much higher.

monism,

It just explains all the symptoms of the patient.

Fever: There is a problem with the immune system, and it is natural to have a fever.

Hair loss: This disease will cause changes in the skin and hair follicles, so hair loss is also a high probability! Many "systemic lupus erythematosus" patients have symptoms of hair loss!

Low platelets, low white blood cells: It should also be systemic lupus erythematosus that causes problems with the immune system.

As for hemoptysis, it's just a complication, a complication of thrombocytopenia.

However, there is one problem:

Systemic lupus erythematosus, the typical red rash, is - butterfly erythematosus.

The patient in front of her, Chen Xiuya, was just an ordinary rash.

"Zhou Mo, has the rheumatism immune system come out?"

"not yet."

"Hurry up... In addition, let the doctors of dermatology and rheumatology come over."

"it is good."

...

Waited another 20 minutes,

Patient Chen Xiuya's rheumatism immunity kit, and the result came out.

Multiple positives! !

Diagnosed: Systemic lupus erythematosus!

Zhang Mei, Zhou Mo

"What disease is this?"

"Doctor, is the pressure serious?"

"Is this also the reason for hair loss?"

Chen Xiuya was a little surprised!

She has been looking for the cause of hair loss, and now the answer is found.

Ladies, what about hair loss?

The parents are happy to find the cause, as long as the cause is found, the disease can be cured.

At this time, another patient was brought in.

The patient, a young and beautiful girl, was stabbed twice, with stab wounds on the head, and was chopped off on the main road. I don't know why.

Zhang Mei: "Xiao Mo, explain to them, I'll deal with the patient."

Zhou Mo: "Leave it to me, don't worry."

Then Zhou Mo began to explain to the three family members: "This disease is like this..."

"This disease is an autoimmune inflammatory connective tissue disease that affects multiple organs and occurs mostly in young women. It produces a large number of antibodies to attack the own immune system, and then cause damage to various organs and tissues throughout the body."

Patient Chen Xiuya: "..."

parents:"…………"

(Reader: "..." I seem to understand this time.)

Parents: "Is that serious?"

Zhou Mo thought for a while and paid attention to his words: "This disease...is more troublesome."

There is basically no cure for this disease.

very serious illness.

In front of this patient, Chen Xiuya, whether it is thrombocytopenia or leukopenia, shows that her "systemic lupus erythematosus" has progressed to a relatively serious level.

at this time,

Zhou Mo instructed the nurse to ask the doctor from the Department of Rheumatology and Immunology to come and collect the patient.

but,

Rheumatism immunization, yes, the doctor hasn't come yet,

The patient has a problem.

While Zhou Mo was still explaining to the patient's family,

Zhou Mo suddenly glanced at the ECG monitor from the corner of his eyes.

"!!!!!!"

Oxygen saturation!

91%! ! !

Zhou Mo was shocked.

Although this blood oxygen saturation level is not dangerous, it reveals something not very good!

Lungs, blood oxygen has been maintained very well!

Why did it suddenly drop?

When did it fall?

Looking at the state of the patient Chen Xiuya, her face seemed a little pale and a little groggy. Didn't have the excitement of finding out the reason for my hair loss just a few minutes ago.

"It's not good!"

At this moment,

Zhou Mo suddenly saw that 91% fell again, and 90% fell!

Zhou Mo's face changed!

"Could it be... lupus crisis?!"

Crisis is the first stage of a disease.

Such as pituitary crisis, thyroid crisis, parathyroid crisis, hypercalcemia risk, hypocalcemia crisis, diabetic crisis, hypokalemic crisis…

a lot of.

It is also very common in clinical practice.

Each is very dangerous and easily fatal.

lupus crisis,

It can also be called "severe systemic lupus erythematosus".

The death rate is high!

The disease of lupus erythematosus~www.readwn.com~ will produce a large number of antibodies, attack the own immune system, and then cause damage to various organs and tissues in the body.

At present, the hematopoietic system, limbs and joints have been damaged.

Next, other organs will be damaged, causing other organs and tissues to fail, or have already caused failure...

Zhou Mo hurriedly called Teacher Zhang Mei.

But it took a long time to get through.

At this time, Zhou Mo was in a hurry.

He quickly instructed the nurse: "Go to Teacher Zhang Mei... Then, make a call to icu!"

At this time, it is the safest for the patient to send the ICU to hang himself.

The emergency department is actually very difficult to deal with this disease.

"Also, call the rheumatology and immunization department, why hasn't it come yet?"

Zhou Mo's tone was a little anxious.

.