bookmarkrole Chapter 318
Chapter 318
Chapter 318
Although Lin Feng passed the diagnosis, he felt that the patient was iron-deficiency anemia.
but,
In the end, a “blood test” and “serum ferritin test” are needed…
Let’s make the final decision!
Lin Feng issued an order,
The patient goes to draw blood and check the “serum ferritin test”.
…
2 hours later,
The patient returned with the examination report.
“Serum ferritin examination”: serum ferritin decreased (12μg/L); serum iron decreased (8.95μmol/L)……
confirmed!
“Iron Deficiency Anemia”!
“That’s right, you are indeed lacking iron…”
“Then Doctor Lin, should I just take iron supplements?”
“Yes…wait, I’ll prescribe some medicine for you. Remember to follow your doctor’s instructions. Don’t eat randomly, or you will be poisoned…”
Don’t take too much iron supplementation, otherwise it will lead to “iron poisoning”. (【Chapter 91·Chelizi Iron Poisoning】)
but……
Now only iron deficiency anemia has been diagnosed!
Lin Feng needs to find out why!
“Why iron deficiency anemia?”
Etiological treatment is the first principle in the treatment of iron-deficiency anemia.
In the textbook,
“Iron Deficiency Anemia” and “Zero Seven” are described as follows:
Generally, it is more common in women of childbearing age (yue meridian, pregnancy), and children in the growth and development period, because the demand for iron is significantly increased. At the same time, the elderly are also frequent groups…
There are many causes of iron deficiency anemia, such as:
·Iron deficiency in the diet,
·Uterine fibroids in gynecology,
·Chronic bleeding in the digestive tract: chronic ulcers and malignant tumors in the digestive tract…
·hemorrhoid……
Lin Feng needs to conduct investigations one by one according to these.
Lin Feng: “What you usually eat is not normal? Have you eaten those red fruits and vegetables? (Generally red ones are rich in iron)”
Female patient: “I usually eat everything, no problem. I eat everything.”
Lin Feng: “Do you have hemorrhoids?”
Female patient: “No.”
Lin Feng: “Did you have blood in your stool when you were going to the toilet? Or often black stools? (The blood that comes out is black instead of red)”
The female patient shook her head directly: “No, there should be no…”
Lin Feng nodded.
The above ruled out lack of diet, hemorrhoids…
Can not rule out uterine fibroids, digestive tract problems…
The female patient hesitated: “Do I know… but I feel a little bit more!”
Lin Feng nodded: “Okay, let me prescribe a “B-ultrasound” for you…”
B-ultrasound is currently the most commonly used auxiliary diagnosis method for “uterine fibroids”.
at this time,
Time 10:10…
…
1 hour later…
The female patient returned with a result.
·B-ultrasound results: no uterine fibroids! !
Lin Feng: “……………………”
The remaining gastrointestinal bleeding (chronic ulcer, or intestinal tumor), the probability has increased to 99%! !
but,
Doing these checks is very troublesome!
If iron deficiency anemia caused by gastrointestinal tumors is to be ruled out, it is often necessary to check tumor markers, or perform gastroscopy and colonoscopy simultaneously…
trouble.
Still cost money.
So Lin Feng checked the uterine fibroids first and left this last.
If it is a chronic ulcer (not a disease, it is a syndrome), it will be more troublesome, and we need to find various causes…
The patient has been dragged from yesterday to now.
Lin Feng has a headache.
…
after an hour,
Lin Feng made an MRI for the patient…
The murderer was finally diagnosed:
“Small intestine tumor”!
benign! !
The size is only 1cmX2.2cm…
The presence of the tumor tore a section of vein, and then caused chronic bleeding…
Because the total length of the small intestine is 4-6 meters, which is very long, you only need to cut off the small intestine where the small tumor is located, and you are done…
This is a very kind tumor.
After Lin Feng was diagnosed, the female patient was admitted directly to the hospital. She was water-free and fasted for 2 days before undergoing laparoscopic resection of the tumor, which was minimally invasive and healed quickly.
“Doctor Lin, thank you…”
The female patient looked at Lin Feng gratefully.
She didn’t expect that her small iron deficiency was due to the tumor.
Fortunately, Lin Feng discovered it early.
…
the other side,
Orthopedics, specialist clinics…
Wang Changtian, a professor of orthopedics, is on a visit.
Ms. Wang, 46 years old, came to an expert for registration because of dizziness.
She runs a clothing store, 3 stores, plus 5 Taobao stores in a city next door.
It can be regarded as a small business owner, with a small net worth.
However, she didn’t know why a month ago. She felt a little dizzy and heavy.
Later, it became more and more serious.
Not only do you feel dizzy for more than ten minutes, but if you change your position a little, you will get more dizzy and sometimes feel like vomiting.
Half a month ago, she couldn’t stand it anymore, so she went to the emergency department of a nearby tertiary hospital for an examination.
At that time, the doctor was relatively young. After doing a lot of examinations on her, he finally found out the cause from an X-ray:-herniated cervical intervertebral disc.
The doctor said that dizziness was caused by the compression of nerves and blood vessels by the cervical spine.
Cervical disc herniation usually occurs between 40-50 years old. The common symptoms are neck and shoulder pain, upper limb pain, and limb numbness. A small number of patients will have dizziness…
After finding the cause of the disease, the doctor told her not to work so hard and rest more. Then I prescribed some hot compresses and analgesics.
Then I also taught some massage methods.
but……
After continuing the treatment for half a month,
Effect = zero…
At this time, Ms. Wang felt that the diagnosis might be wrong, and she decided to come to the Imperial City to find an expert and professor.
I have money and bought a scalper ticket directly, the harmonious orthopedics professor Wang Changtian!
The old professor of orthopedics in the Imperial Capital Harmony, shouldn’t there be any problem?
Professor Wang took a look at Ms. Wang’s disease and combined with the previous treatment process, he felt that the herniated cervical intervertebral disc did not look like 0…
He is a professor of orthopedics,
His first reaction was: This is not an orthopedic disease.
The patient asked him blindly.
However, of course he would not say that, instead he opened 2 orders for Ms. Wang: “Head mri” “Cervical spine mri”…
Insufficient blood supply to the brain can cause dizziness, and even some cerebral infarctions can cause dizziness. Don’t take it lightly…
Therefore, it is no problem to open the “head mri”.
And “cervical mri” is to see the degree of compression of nerves and blood vessels, to see if it is really because of it.
Ms. Wang took the bill and paid the fee.
However, the MRI queue will take longer than CT and b-ultrasound…
The whole hospital is queuing.
Ms. Wang waited for 3 days to formally conduct the MRI inspection, and then it took another day to get the MRI results.
Queuing for 4 consecutive days,
Let her feel the difficulty of seeing a doctor in the Imperial City Hospital.
What she didn’t know was that Lin Feng, a handsome man in the emergency department, always gave priority to MRI and CT in the hospital…
Why?
Because Lin Feng is handsome!
For female doctors and nurses in the imaging department, the favorability is directly at the full level!
Then,
She bought another number and went to see Professor Wang Changtian for follow-up.
Professor Wang Changtian will naturally look at mri.
result:
·Cervical spine vascular and nerve compression, not serious
· There is cerebral infarction, but it is not serious, only a small branch of the blood vessel is blocked and necrotic.
“I have a cerebral infarction? Is it serious? Will it cause death?”
Ms. Wang panicked at this moment!
Her husband died early, and her daughter was only 10 years old, she didn’t want to just die like this.
“It’s not enough to die, but you have to go to the internal medicine department, or the emergency department…”
After all, Professor Wang Changtian is only in orthopedics, and he is not very in-depth in this aspect.
Waved and sent Ms. Wang away.
“Professor Wang, you just said that you want me to go to the Department of Internal Medicine, right?”
Ms. Wang asked hurriedly at 2.3 points.
Wang Changtian thought for a while, this patient has wasted 4 days in his own place. If it is not a cerebral infarction problem, wouldn’t it be a waste of a few more days to go to the Department of Internal Medicine?
then,
Professor Wang Changtian thought of Lin Feng.
Lin Feng is in the emergency department, and he understands most of the diseases, and he is very serious.
If you go to Lin Feng, you may be able to find the cause all at once.
“You go to the emergency department, go to Dr. Lin Feng, your disease, he is more suitable…”
“Lin Feng…Is that the hotter doctor Lin Feng on the Internet?”
When doing business on the Internet, Ms. Wang is naturally familiar with people who are relatively popular on the Internet, and she immediately recognized Lin Feng.
“Yes, it’s him, maybe he can help you.”
“Thank you Professor Wang!!”
Ms. Wang thanked her and left quickly.
Then ran to the emergency department.
When I went to the emergency department, I found that Lin Feng was the most popular emergency doctor. Many patients liked to ask the nurse to arrange for Lin Feng.
When she came to line up, there were already 18 patients in line.
Moreover, her illness is not considered urgent, only for other emergency patients to jump in the queue, not for her to jump in the queue.
. .