This Doctor is Great

"Let me see!"

Mr. Huang Li 'grabbed' the ipad at once and looked at it.

Sure enough,

The patient's serum creatinine has risen a lot.

"Serum creatinine" is a product of human muscle metabolism. Once the kidney function is significantly reduced and the serum creatinine cannot be excreted, it will accumulate in the blood, and the detected serum creatinine value will increase.

The clinical significance of increased serum creatinine is: renal failure, heart failure, gigantism, acromegaly, salicylates therapy, etc...

By the way, bilirubin increased 5 times.

It means that there is also a problem with the liver.

"The case is solved, it may be a kidney-induced heart disease..." Mr. Huang Li sighed when he saw the serum creatinine.

"What do you mean?" the patient's wife wiped her tears and asked.

Teacher Huang Li explained: "It is your husband's kidney that has a problem, and then a large amount of metabolic waste cannot be excreted from the body, resulting in water and sodium retention. The high sodium ions will cause problems with heart function, and then cause Cardiac arrest."

"As for dizziness, it may be due to insufficient blood supply to the heart, which then causes hypoxia to the brain, and then faints..."

At this time, Dr. Liu, who was outside the gods, was not to be outdone: "There may also be another situation - "renal encephalopathy"! "

Then he explained the meaning of renal encephalopathy.

It is probably due to electrolyte imbalance, which leads to neurological problems, and coma is one of the symptoms.

"but!"

Mr. Huang Li said: "Whether it is encephalopathy or heart disease, it is not the point, the point is to solve the root cause - liver and kidney damage!"

Shenwai Teacher Liu: "Yes, to find out why liver failure and kidney failure occur?"

Teacher Huang Li: "Only by finding the cause can the patient be truly cured, otherwise the symptoms will not be cured."

Senior Brother Chen Dong from the emergency department: "Or, call the teacher of the Department of Nephrology for consultation..."

Teacher Huang Li: "This can be..."

Shenwai teacher Liu: "It's better to let the kidneys come over..."

Brother Chen Dong asked the nurse to call the nephrology department and asked the teacher from the nephrology department to come over for consultation.

But the consultation still needs to continue.

Brother Chen Dong asked the patient's wife, "I want to ask, did the patient eat anything special these two days?"

Liver failure and kidney failure are usually caused by eating the wrong things.

The wife thought for a while, then shook her head and said, "I don't know, because my husband always goes to work and eats out. He only eats dinner at home."

"Not sure?"

Everyone is disappointed.

He looked at the patient who was still in a coma.

"That may have to wait for the patient to wake up and ask."

"It may be that the patient ate something outside and was poisoned."

At this moment,

Zhou Mo said, "I have an idea."

Shenwai Teacher Liu looked at Zhou Mo with a surprised expression.

Teacher Huang Li: "What did you think of?"

Zhou Mo: "I thought about the patient's medicine... I just said that the patient had a cold and took medicine, so is it possible that it was caused by taking medicine?"

The doctors moved in their hearts.

yes,

Medicines are also possible.

Medicine is a three-point poison.

If you take too much medicine, your kidneys can't handle it, and you will naturally suffer from kidney failure.

When the wife heard this, she immediately shook her head and said, "Impossible, we all take medicine according to the instructions, three times a day, and the amount will not exceed..."

Zhou Mo: "What medicine did you take?"

Wife: "It's a common cold medicine. I used to take this kind of medicine for colds..."

Zhou Mo: "What's the specific name?"

The wife shook her head: "I only remember one, it's 999 Cold Spirit..."

"and many more!"

Zhou Mo shouted and found Huadian!

"You just said 'one of them'? How many did you eat?"

The wife is confused: "Eating the two together, what's wrong?"

Zhou Mo clapped his hands: "Look, the answer is out!"

Brother Chen Dong suddenly said: "I understand, taking two kinds of cold medicine together, the dosage is doubled! Then it will lead to kidney failure."

Zhou Mo nodded: "Yes, it must be like this."

At this time, Teacher Huang Li and Teacher Liu also reacted quickly.

drug reuse,

This is a problem that many patients have.

"Ah??" The wife looked in disbelief, "Isn't it possible? Isn't 999 Ganmao Ling a traditional Chinese medicine? The other one is Western medicine..."

Zhou Mo shook his head and didn't answer, but asked, "What kind of package is the other cold medicine you took? Is it dark pink?"

The wife nodded again and again: "Yes, yes! Deep pink, I usually use it for colds and fevers!"

Zhou Mo already had a guess.

Turn on the phone, brush the brush~~~

Soon a picture opens.

Paracetamol Suspension!

(The last picture of the big guy)

"Is that so?" Zhou Mo put the picture in front of the patient's wife.

"That's right! That's it!"

After seeing the picture, the wife recognized it immediately and nodded quickly.

Phew~~~

At this moment, all the doctors breathed a sigh of relief.

The case is solved!

It's paracetamol!

This medicine is used to reduce fever. It is one of the classic medicines for fever reduction (the other one is ibuprofen), but it also has some effect on colds and is often used as a cold medicine.

but,

Excessive amounts of acetaminophen can cause liver and kidney damage, severe heart damage, and even cardiac arrhythmia and cardiac arrest may...

Another medicine, 999 Ganmaoling, although it is a proprietary Chinese medicine, actually contains acetaminophen.

so,

It is equivalent to two servings of acetaminophen taken together.

Then the dose is too large, which leads to liver failure and kidney failure.

"It should be like this."

Huang Li, Teacher Liu, and others have no opinion on this speculation.

Senior Brother Chen Dong patted Zhou Mo on the shoulder and smiled in surprise:

"Awesome, last time b-ultrasound, this time it was diagnosed again!"

"I just read a lot." Zhou Mo smiled modestly.

Next,

There is nothing to say, just measure the blood concentration of "acetaminophen" in the patient's blood~www.readwn.com~.

As long as the overdose exceeds the standard, it is poisoning.

At that time, you can directly send it to the nephrology department for blood purification.

Teacher Huang Li: "Okay, now that it's done, let's go back... Zhou Mo, let's go!"

After speaking,

Turn around and leave the emergency room.

Zhou Mo followed.

The out-of-the-way teacher Liu also turned around and left.

Not long after, the nephrology doctor arrived, and after listening to Senior Brother Chen Dong's statement, he also thought it was drug poisoning.

Take the patient directly and send him to the Nephrology Department for hospitalization.

As long as the blood drug concentration comes out and it is confirmed that the acetaminophen is excessive, blood purification can be used to remove the acetaminophen, and then the drug that protects the liver and kidneys can be used to deal with the patient.

……

On the way back to the cardiologist,

Huang Li looked at Zhou Mo next to him and couldn't help sighing.

Zhou Mo's clinical talent is too high!

It's surprising every time.

It's such a pity that because of educational background, I was blocked by the hospital.

"You should want to stay in the hospital, right?"

"think……"

"Don't be discouraged, I will ask the teacher (Director Niu) to see if there is any way..."

"Isn't Director Niu about to retire, don't you want to be a director?" Zhou Mo had a general understanding of Director Niu's personality and psychology in the past three weeks.

Teacher Huang Li smiled and said, "Who made you so good..."

Excellent talents, no one will despise them.

The hospital stay is not without room for change.

E.g,

Read a blog for Zhou Mo...

Director Niu still has places in his hands.

.