bookmarkrole Chapter 425
Chapter 425
Chapter 425
It is not the first time that Lin Feng has encountered this kind of intractable disease that “has found many hospitals and has not been cured for a year or a few years.”
So a set of methods has been formed.
First of all, the medical record…
Then, find the corresponding rare disease…
Wang Chenchen’s mother had a very thick medical record, and she sorted it out very carefully.
Lin Feng began to look through the earliest medical records carefully.
1 minute……
3 minutes……
5 minutes……
It took 10 minutes for Lin Feng to read all the medical records.
·Result: Most of the corresponding inspection items were checked, and most of them were diagnosed as gastroenteritis.
at this time,
A “rare monster” appeared in Lin Feng’s mind.
“Crohn’s disease”! !
In China, this disease is relatively rare.
Even if there is, it may be misdiagnosed as “gastroenteritis.”
So many hospitals are not aware of this disease.
It is an intestinal inflammatory disease of unknown cause.
The “prosperity disease” that occurs mostly in beautiful countries, Western Europe and other countries (in fact, it is rare), “focus on” young people with strong resistance. This means that Crohn’s disease may be a disease caused by immunodeficiency.
The clinical manifestations: diarrhea, blood in the stool, fever, loss of appetite and physical weakness, significant weight loss, abdominal pain (lower right side of the abdomen), joint pain, and skin redness.
The course of the disease is protracted and recurrent.
And there is no cure for this disease, it can only be controlled and alleviated by a variety of methods, so it is also called “green cancer.”
In general,
Its cause is unclear, difficult to treat, recurring…
The symptoms of Wang Chenchen, the patient before him, are very similar to “Crohn’s disease.”
The parents looked at Lin Feng with anxious expression: “Doctor Lin, how about it?”
Lin Feng nodded: “I guess it is a relatively rare disease called “Crohn’s disease”, but it needs some tests to be diagnosed…”
The parents asked excitedly: “What is Crohn’s disease?”
Lin Feng pondered: “In layman’s terms, the intestines are full of ulcers, and all the nutrients are difficult to absorb or even unable to absorb… Therefore, diarrhea will continue to occur, and malnutrition will become thin…”
Lin Feng explained it in detail.
While listening, the parents nodded: “That’s right, it’s almost exactly the same as my son’s condition!”
And the little boy Wang Chenchen raised his head to look at Lin Feng at this time, with a look of expectation.
He hates this disease too much, because of it, he is often ridiculed and bullied at school.
Lin Feng: “Of course, this is just my guess, everything has to be checked…”
The parents couldn’t wait: “Dr. Lin quickly open the checklist and we will do it right away!”
Can’t wait for the result immediately!
Lin Feng lifted his head and opened: blood test, stool test, small bowel capsule endoscopy, magnetic resonance (MRI) enterography and other tests…
“Small intestine capsule endoscopy” is a relatively advanced examination method.
Specifically: the patient takes a “camera” the size of a capsule orally, and then walks through the digestive tract and excretes from the anus. During this process, the camera is continuously taken, and the stomach, small intestine, and large intestine can be clearly seen in the middle. Whether there are obvious ulcers, polyps, etc., or tumors… (no pain)
Lin Feng did not find this examination item in the medical records just now.
Lin Feng introduced the test while asking: “This test is more expensive, about 4,000 yuan, but it is the most intuitive and clear method to check for “Crohn’s disease”… So, it depends on whether you want to do this. an examination……”
The father is firm: “There is no problem with money, you have to do as much!”
Lin Feng nodded: “Okay!… But I want to remind you that you need to stop taking any drugs before the capsule endoscopy, and you can’t eat green leafy vegetables and beans, because this kind of food is more difficult to digest , The camera of the capsule lens will be blocked by secretions, which will affect the results of the examination… In addition, you should also eat liquid food, not rice or the like…”
“In addition… if your son has abdominal pain, nausea, and vomiting after the capsule mirror is done, please go to the hospital for examination and treatment in time…”
The parents nodded again and again: “No problem!”
Lin Feng issued an order,
The parents quickly took the patient Wang Chenchen for various examinations.
…
the next day,
The results of “small intestine capsule endoscopy” came out:
·There are many ulcers in it: including the duodenum, jejunum, ileum, colon, cecum, rectum, etc…. You can clearly see the traces of ulcers.
·In addition, it can be found that the intestinal wall tube is obviously thickened and the surface of the intestinal wall is no longer smooth. Instead, imagine the appearance of paving stones, and there are even a few fistulas…
These are typical manifestations of “Crohn’s disease”.
Then combined with blood routine tests, Lin Feng was finally diagnosed with “Crohn’s disease”!
“｀” Thank you Dr. Lin, thank you Dr. Lin! ! ”
The parents are really grateful this time.
Although I know that there is no cure for this disease, but if the cause is found, symptomatic treatment can be done to end this year-long recurrent diarrhea and other conditions!
So they are very grateful to Lin Feng!
Soon, they sent a pennant to Lin Feng.
Then, in Zhihu’s “How awesome is Dr. Lin Feng”, write down your own experience, and then add a ‘war (of promise) achievement’ to Lin Feng!
…
…
Lin Feng just diagnosed this patient,
Nurse Xiao Ai suddenly ran into the consulting room with a panic expression.
“It’s not good, Doctor Lin, something has happened!”
Lin Feng looked still.
“what’s up?”
Xiao Ai: “It’s like this. Just now, the Imperial TV station suddenly broadcast an interview, saying that you vain the arrangements of your family and put people to death…”
Lin Feng: “???”
Then reacted.
Lin Feng: “Could it be the old man who retired the night before…”
Xiao Ai nodded: “Yes, I think the person interviewed is the eldest son of the old man.”
Lin Feng chuckles when he hears this.
“Do not care……”
Then press the number calling machine to continue to the next patient.
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