This Doctor is Great

Emergency Department.

After Mr. Huang Li and Zhou Mo arrived at the restless and lively emergency department, they went straight to the emergency room.

at this time,

The family members were waiting anxiously outside the rescue room.

Teacher Huang Li and Zhou Mo walked into the emergency room.

"Mr. Huang... Hey, are you Zhou Mo from last time?"

After Dr. Chen Dong saw Zhou Mo, he recognized it at once.

"Hello, Senior Brother Chen..."

"what happened?"

Huang Li looked at the patient.

Lying on the hospital bed was a middle-aged man of about 35 years old, wearing an oxygen mask and closing his eyes.

"Blood pressure": 160/90mmHg,

"Heart Rate": 128 beats/min...

"Blood oxygen saturation": 99%...

Chen Dong began to introduce: "The patient, 36 years old, suddenly fainted at home 53 minutes ago. The family called an ambulance and sent him to the emergency department... When the ambulance came to the door of the hospital, the patient started to have ventricular fibrillation. Now, after defibrillation, epinephrine, and cardiopulmonary resuscitation, the spontaneous heartbeat has been successfully restored..."

"Then an arterial blood gas analysis was performed on the spot..."

(Blood gas analysis is relatively fast, blood is drawn to the machine on site, and the results come out all at once. The main purpose is to see acid-base, partial pressure of oxygen, partial pressure of carbon dioxide, ions, etc...)

"The pH measured at that time was only 7.2..."

Zhou Mo remembered that the normal value was 7.35-7.45.

Although this 7.2 is low, it is not serious.

"The electrocardiogram was done, but no major problems were found."

"Then there are heart and lung sounds, there is no problem."

"Considering that the patient's condition was a bit urgent, and suddenly stopped beating and ventricular fibrillation, I performed extensive examinations on the patient, including routine blood tests, myocardial enzymes, liver function, kidney function...";

At this moment,

The emergency room opened again.

A middle-aged doctor walked in.

"Old Liu..."

Zhou Mo looked at his work card and realized that he was the attending doctor on duty in neurosurgery.

"Introduction to the situation..."

"What's the condition of the patient?"

"..."

Senior Brother Chen Dong, who was in the emergency department, had a bitter expression on his face, so he could only re-introduce it to Dr. Liu, the neurosurgeon.

1 minute later...

"Does the patient have a history of cerebral and cranial diseases? Also has a history of hypertension, diabetes, hyperlipidemia, etc.?"

Teacher Huang Li asked.

Usually suddenly dizzy,

Either there is a problem with the blood supply to the heart, or there is a problem with the brain itself, like a tumor, cerebral infarction or something.

Brother Chen Dong: "I have asked, the patient is relatively young, and the family members said that there is no such medical history..."

Shenwai wondered: "The patient didn't say that he hit his head too much?"

Senior Brother Chen Dong shook his head, "No..."

Teacher Huang Li: "What about the family history of genetic diseases?"

Senior Brother Chen Dong still shook his head: "No..."

Above, the patient is young, has no previous medical history such as high blood pressure, and has not bumped his head, so it should be unlikely for cerebral hemorrhage or cerebral infarction.

However, it can be considered that the patient has an arterial malformation in the brain, such as an aneurysm, and then rupture and bleeding may lead to coma.

Or maybe there is a heart problem.

Sometimes ECG is not a panacea, and it may not be able to detect heart problems. Otherwise, B-ultrasound and CT equipment will not be needed.

If there is a problem with the brain, then it will be managed by the Department of Neurosurgery and Neurology.

If it is said that there is a problem with the heart, then it will go to the Department of Cardiology and Cardiac Surgery.

This is also the reason why this patient (fainted + ventricular fibrillation), the emergency department will invite a doctor inside and outside the mind to consult.

Zhou Mo stayed by the side at this time, unable to speak, so he simply took the 3m to the bedside and listened to the patient's heart and lungs.

After listening to it, there is really nothing wrong.

Teacher Huang Li looked at Zhou Mo and signaled to ask.

Zhou Mo shook his head: "I didn't hear anything wrong with my heart and lungs."

Teacher Huang Li: "Have the blood drawn results come out?"

Brother Chen Dong: "It should be soon, 30 minutes have passed now..."

The results of emergency examinations are generally faster.

Huang Li pondered for a while, and said to Senior Brother Chen Dong: "The current situation is not clear enough... If we want to let the patient's family in, I think there is a woman about the same age, she should be the patient's wife? Let her in, I asked. some questions..."

Senior Brother Chen Dong nodded: "Okay."

soon,

The patient's wife came in anxiously, ran to the bedside, and saw her husband lying unconscious on the bed, her heart was burning.

"Doctor, how is my husband?"

The patient's wife grabbed Teacher Huang Li's hand and asked anxiously.

In fact, the patient's wife didn't know which doctor was the best, but seeing Dr. Huang Li a little bald, she must be older.

Teacher Huang Li: "......"

Feeling offended.

I'm not that old, I'm just a little bald!

Angry! !

(Dr. Liu, a pretty boy next to him, proudly touched his well-preserved black hair jpg)

Mr. Huang Li endured his irritability and squeezed out a smile: "You can rest assured for the time being. Your husband's condition is relatively stable. I called you in to ask you some questions..."

The wife hurriedly said: "Doctor, you ask!!"

Teacher Huang Li asked, "Before the patient's accident, did the patient say that his chest was tight, painful, etc.?"

Signs of heart disease.

The wife and parents looked at each other and finally shook their heads: "No..."

Teacher Huang Li nodded: "Did your husband get sick during this time?"

Wife: "Yes, I have a cold..."

Dr. Huang Li and Dr. Liu Shenwai looked at each other.

"cold?"

cold?

bacteria? Virus?

Viral encephalitis?

Explosive myocarditis?

Zhou Mo was also startled.

I also thought of fulminant myocarditis.

In Zhou Mo's paper, he has introduced many patients with myocarditis~www.readwn.com~ who often have a history of "cold".

It probably means that the virus that causes a cold enters the bloodstream, enters the heart, and then causes myocarditis.

(In fact, it can also be reversed, causing a cold due to myocarditis.)

Dr. Huang Li asked a few more questions, but he couldn't find anything crucial.

And Dr. Liu, who is outside the gods, also asked the patient's wife a few questions, but he found nothing.

"I didn't find..."

"Then wait for the blood draw results..."

"Clues should be able to be seen from the blood draw..."

Several people began to wait.

The patient's wife squatted by the bed, holding her husband's arm.

Zhou Mo's heart was moved, and he felt that this was the real husband and wife.

At this moment,

"Doctor Chen, the patient's result is out!" an intern shouted.

Zhou Mo and the others all turned their attention.

ipad,

Senior Brother Chen Dong took the iPad and looked at it.

"what……"

"What's wrong?"

"The number of white blood cells is more than 10 times... Several indicators of myocardial enzymes have increased several times..."

"This is normal. A cold, a cardiac arrest, there must be problems. Are there other things?"

"Hey... there's something wrong with the liver and kidney functions!"

"what is the problem?"

"Serum creatinine was 10 times higher, transaminase was 8 times higher, bilirubin was 5 times higher..."

"??!!!"

"Have your kidney function increased so much?"

Teacher Huang Li was shocked.

Zhou Mo was also shocked.

I thought it was the heart, I thought it was the brain, but it turned out to be the kidney...

.

Monthly pass, recommended votes.