bookmarkrole Chapter 394
Chapter 394
Chapter 394
As soon as Chen Xu saw Lin Feng’s expression, he realized that the problem was serious and couldn’t help being scared.
“Doctor Lin, am I serious?”
“It must be serious!”
Lin Feng said solemnly.
There are more bubbles in the urine because there are more proteins in the urine, and the kidneys lose a lot of protein in the urine.
Accidents often occur.
“It was like this a month ago?”
“Yes……”
“Raise your leg and show me…”
“what?”
“lift……”
Chen Xu raised his leg with a confused look.
one look,
Obvious edema, chubby.
Lin Feng put on sterile gloves and pressed his thumb against the calf and the back of the foot. Once pressed, there was a pit, and it would not rebound.
Pitting edema!
Low protein in the human body will cause edema, and the edema of the feet is the most obvious.
“For a month, you haven’t noticed edema in your feet 08?”
“Huh? Edema?”
“Don’t you feel like you can’t wear your shoes?”
“It’s a bit, I can’t wear the shoes I usually like, so I changed to a pair of big shoes…”
“My heart is so big!”
Lin Feng shook his head.
I checked other parts of Chen Xu’s body, hands, back…no other edema.
“Xiaoru, take his blood pressure…”
A measure of blood pressure,
·150/80mmHg
“Have a history of hypertension?”
“No……”
Then this value is a bit high!
“Doctor Lin, what’s the problem with me?”
“Edema… the most common cause of edema is problems with the heart, liver, and kidneys.”
·Heart: In patients with heart failure, blood cannot be pumped into the lung circulation smoothly due to heart failure, blood will accumulate in the systemic circulation, and excess water will leak to the tissues, manifesting as edema of the lower limbs, ascites, and liver enlargement.
·Liver: Mostly because the liver can no longer synthesize protein, the protein level in the human body is low, and the water in the blood vessels can not be retained, and it will run to the extravascular space, and it will also show edema (whole body)…
After Lin Feng explained it again, he concluded
“You have a lot of protein in your urine, so you can rule out heart and liver problems. It should be kidney problems. When the structure of the kidney is damaged, the protein will leak out and enter the urine…”
“Do several tests: blood test, kidney function, urine test…”
Lin Feng opens the order.
Chen Xu was a little scared at this time, so he quickly paid the fee and went for an inspection…
…
Half an hour later,
All three results came out.
·Urine occult blood (+), (This means that there is blood in the urine, but not much.)
·Urine protein (++++), four +, obviously more serious, too much protein!
Then the blood routine, nothing unusual,
Kidney function: all normal! !
Lin Feng: “???”
Kidney function turned out to be normal?
Lin Feng was surprised.
Chen Xu was frightened: “Doctor Lin, have you found the cause?”
Lin Feng shook his head: “Not yet…Next, let’s do a kidney puncture…”
“Huh? Piercing the kidney?”
When Chen Xu heard it, he was scared!
Lin Feng nodded: “Yes, according to my experience, this kidney function is normal, indicating that it is not a common disease. I think it is not direct enough to check for tumor markers, immunity, and so on. It is better to do a puncture directly. , Get the pathological tissue to test, and see what pathological result is…”
Then, Lin Feng explained what puncture means, and then comforted that puncture can be anesthetized and it will not hurt…
finally,
Lin Feng’s signboard still worked.
Chen Xu trusted Lin Feng, so he finally decided to do a “puncture pathological biopsy.”
after an hour,
The puncture is successful and the tissue is obtained.
Send it for inspection.
“The results of the examination will take two to three days or longer, you have to wait patiently…”
…
This wait is 5 days.
·Pathological results: Membranous nephropathy!
It is one of the pathological types of nephrotic syndrome.
Its characteristic is that a large number of “immune” complexes are deposited on the epithelial side of the glomerular capillary loop.
This kind of “immune” complex is deposited and it is easy to form thrombus, which needs to be carefully prevented.
Lin Feng carefully told the patient about the disease, such as blood clots, pulmonary embolism, sudden death…
The patient was frightened.
The next step is medication.
The focus of treatment is: diuresis and hormones.
Hormone is the key, it can immediately stop the immune inflammation inside the kidney and reduce kidney disease.
(Ps: The difference between hormones and antibiotics: antibiotics are drugs that have antibacterial and anti-inflammatory effects, while hormones are a trace substance secreted by the human body, which can regulate the nervous system, immune metabolism, etc.)
Just as Lin Feng gave a doctor’s order,
When prescribing medicine to patients,
Sudden!
“Cough cough cough~~~~”
Chen Xu suddenly coughed violently!
Hold your chest!
Lin Feng was taken aback!
“What’s wrong?”
“Doctor, I…I’m so uncomfortable…here (pointing to chest)…”
Sometimes coughing, sometimes gasping…
Lin Feng’s face changed.
Combined with the patient’s condition, thrombosis…
“not good!!”
Pulmonary embolism!
Am I knocking you! !
Lin Feng was so excited to fly!
It’s been a long time since there has been a rescue incident, and now it suddenly happened in front of me!
“Come on, rescue!”
“Pulmonary embolism! Emergency room! Prepare for me!”
Lin Feng rushed out of the clinic and shouted outside!
Then rushed back to the consulting room and carried the patient onto the bed in the consulting room.
Quickly withdraw the bed from the consulting room and dash towards the rescue room!
And Chen Qingru, this adorable new intern, was at a loss all of a sudden, at a loss.
.
——————
ps: The three shifts are over…….