bookmarkrole Chapter 336
Chapter 336
Chapter 336
Because there are no patients,
So the emergency department of Harmony Hospital tonight,
Quietly~~~
Quiet and silent~~~
Sudden,
A young man rushed into the emergency department.
The triage nurse who was about to doze suddenly woke up.
“Beauty, beauty, it’s miserable, I have a cerebral infarction!” Wang Chen looked anxious and miserable.
“???”
The nurse was dumbfounded.
Looking at this extremely young patient in front of him, how could he have a cerebral infarction at such a young age?
“Give me the money, and then go to Clinic No. 3…”
“Okay…”
Wang Chen quickly scanned the code to pay, and then rushed into Lin Feng’s clinic with anxious heart.
“Fuck, Doctor Lin!”
Wang Chen’s eyes lit up.
Excited! Unexpectedly, I met Doctor Lin.
“Sit down, what’s the matter?”
“Dr. Lin, this is the case. I feel I have a stroke. Give me a CT…”
“……………………”
Lin Feng is so stupid!
“What’s the matter? Don’t worry!”
Lin Feng naturally does not do what the patient says he wants to do. Everything needs Lin Feng’s own diagnosis.
What the patient said doesn’t count.
Wang Chen cried anxiously: “That’s it, I just stayed up late…”
“Oh? Novelist…”
“Khan, writer, writer…”
“Stay up all night, then what?”
“My stomach hurts, and then I had diarrhea five or six times. It was a little weak. I ate some bread, but when I was going to fill the water, I fell directly once, and then after eating the bread, I fell again…I just came to the emergency room. I still fell once…”
Lin Feng is wary.
I fell three times…023…
This should indeed be vigilant, strokes cannot be ruled out…
However, the patient in front of him is very young.
Lin Feng looked at the medical record book.
Hmm…Forget it, I’m only 27 years old…
Moreover, if you fell three times, it may be due to muscle weakness, not necessarily a stroke, and the probability is very low.
However, stroke is more serious, Lin Feng can rule out this first.
“Do you have a headache?”
“No, just dizzy…”
“Can you vomit?”
“No, I just don’t feel comfortable…”
“Are there visual impairments in the eyes? Can you see things clearly?”
“No…it’s normal.”
“Then you said that you fell because of dizziness, or was it another fall? What was the cause of the fall?”
“It seems that the legs have no strength, the reaction is slow for a beat, and then fell…”
“Speaking, have you ever tried to suddenly become uncomfortable?”
“No……”
Lin Feng observed the patient again, and there was no feeling of “slobbering” or “unconsciousness”.
Um……
Exclude the patient as the cause of stroke.
Lin Feng considered that the patient just said to raise his leg slowly…
“You raised your legs and took a slow shot. Why?”
“It doesn’t seem to have much strength…”
“Lack of energy… Then will your breathing feel harder than usual?”
“Yes, now I feel I need to breathe harder…”
Patient Wang Chen nodded repeatedly, feeling that Lin Feng had grasped his condition.
“Doctor Lin, am I having a stroke?”
“The possibility is very small, don’t worry…” Lin Feng smiled.
“Really?” The patient Wang Chen immediately became happy.
“I’ll do a check for you…”
at this time,
Lin Feng probably judged a more likely disease from the main complaint of the patient:
“Hypokalemia”!
“Hypokalemia” caused by acute diarrhea can cause mental weakness, muscle weakness, low knee reaction, abdominal distension, weakened bowel sounds, and arrhythmia.
so,
Corresponding inspection can be done:
Measure blood pressure, electrocardiogram, auscultate the abdomen, and then do a knee reaction test…
5 minutes later……
All inspection results:
·Blood pressure: normal…
·Knee jumping response: slow…
·Electrocardiogram: ST segment depression, T wave depression, widening, inversion, delta wave appearing, Q-T time prolonged…
·Abdominal auscultation: bowel sounds are weakened…
(Ps: Bowel sounds: the abdomen, the sound of air passing water, 4 to 5 times per minute, appear regularly.)
(Ps: Decreased bowel sounds: the first possibility: low gastrointestinal motility. The second possibility: electrolyte disturbance in the body. The third possibility: peritonitis)
(Ps: Low potassium is one of electrolyte disorders.)
Physical examination results,
All meet “hypokalemia”! !
The probability of “hypokalemia” is as high as 90%!
The remaining 10% requires more detailed inspections.
…
“Doctor Lin, how am I now? What’s the reason?”
“It may be “hypokalemia”…”
Lin Feng explained and opened the order…
·Take blood tests to check the potassium ion concentration…
·Urine test…
…
At night, there are still people in the laboratory.
After paying the fee, Wang Chen went to draw blood and kept urine.
Next is the time to wait for the results.
When he was idle and bored, he subconsciously opened the chat group.
The author’s chat group are all authors, and they usually brag together.
Thinking of today’s experience, he (aicd) was afraid for a while.
Can’t help but send a message in the group:
“All of you full-time colleagues, you must keep active while you are writing. Nothing is as good as a good body. Trying to get sick with your body, your limbs are weak, and it is a problem to sit down and stand up.”
At this time, there are still several authors who stayed up late.
As soon as his message was sent out, someone replied.
“Ah? Four Young Masters, what’s wrong with you?”
“Is your body okay?”
Wang Chen: “I’m in the hospital now, staying up too much late, and then having diarrhea, a bit of blood. I couldn’t stand firm when I sat up just now, fell to the ground, and fell three times…I don’t know what’s wrong…”
“Depend on……”
“So exaggerated?”
Wang Chen: “Everyone must stay active. This is a blood lesson for me. Now in the hospital, it happens that Dr. Lin Feng is helping me see a doctor…”
“?? Doctor Lin Feng?”
“Isn’t Dr. Lin harmonious? Fourth Young Master, you are from the Imperial Capital? And you are the Second Ring? Fuck!”
“How!”
“Imperial capital boss!!”
Then the building crooked.
Wang Chen smiled bitterly: “Everyone, pay attention. I actually feel that my body is not as good as before, and I have too little activity. It’s a pity that the new book is directly dragged down, and I have to start again.”
“Where does the giant open a new book?”
“I’ve been in Feilu… Feilu is newer and can’t stand it anymore. It’s really time to change my lifestyle.”
“What did Doctor Lin say?”
“Dr. Lin said that I was “hypokalemia”, that it was electrolyte disturbance caused by diarrhea, potassium ions were pulled out, and the potassium ions in the body were not enough… But we have to wait for the final blood draw result…”
At this time,
Another author ran out:
Do you have chest pain or something? How does blood pressure feel? what did the doctor say?
“The blood pressure is quite high, 130, no chest pain…”
“That’s good, there should be no blood clots when the blood pressure is high, and there should be no problem with the heart without chest pain…”
Wang Chen sighed, “Anyway, I was scared to death, and I fell on the ground twice, both face-to-face.”
…
In a flash,
One hour passed.
The results of blood test and urine test came out.
Wang Chen printed the report from the report printer in the hospital.
one look,
can not read……
Take it back to the emergency department and show it to Lin Feng.
Lin Feng took a look at the inspection results…
·The potassium concentration is only 2.3, and the normal is above 3… Obviously, low potassium is certain.
·In addition to potassium, the concentrations of sodium and magnesium all have a certain decrease, which is lower than the lowest normal level.
·Urine test: urine potassium concentration decreases, urine pH is acidic…
Taken together,
OK: “Hypokalemia”! !
The probable cause is that diarrhea caused the loss of potassium ion plasma and electrolyte disturbance.
As for the treatment, the answer is very simple: replenish electrolytes!
Hanging water.
Lin Feng: “I will prescribe you some potions for supplementing potassium and magnesium, and then you still have a little inflammation. I will prescribe antibiotics and just sit in the infusion hall… Don’t stay up late to know…”
Wang Chen hurriedly said, “Don’t dare, don’t dare!”
To be honest, Wang Chen was really scared.
Fortunately, this time it is hypokalemia, not a serious disease, but if it is really a cerebral infarction or myocardial infarction, what is the use of making money?
Come to the infusion room.
The nurse gave him an infusion and put medicine on it.
Wang Chen turned on the phone and wrote in the group:
“The result came out, “hypokalemia”…I’m receiving fluids now, and I will exercise more…”
“That’s good……”
“I want to exercise more…”
“The boss of the imperial capital gave me a warning…”
. .