bookmarkrole Chapter 317
Chapter 317
Chapter 317
However, even if the electrocardiogram shows no problem.
Doesn’t mean it’s really okay.
It can only mean that the heart is fine during the period of time being tested.
Otherwise, it won’t come up with a “Holter Cardiogram” inspection item.
“Holter”, the hospital provides a device to the patient, the device + many wires + electrodes, the electrodes are connected to the body, the whole device is worn home, and the patient is also wearing…
In this case, the Holter device can record Holter for several hours, ten hours, or 24 hours…
This is the most complete ECG.
certainly,
Many people do a 24-hour Holter chart once, and may not be able to catch the arrhythmia. They may have to do it twice or three times or more. The more you do it, the greater the probability of catching it.
Or directly do further “electrophysiological examination”, which is to stimulate the heart.
but,
Holter, too long.
Lin Feng generally does not do this.
“Be a CT first…”
“good……”
Lin Feng swiftly billed her.
“It’s off work now, I’ll give you a rush…”
“Thank you Doctor Lin…”
…
20 minutes later…
The female patient returned.
“Doctor Lin, this is the result…”
“Let me see……”
Lin Feng looked at CT,
no problem……
very healthy!
This is surprising!
Will it be a problem with the nerve center?
Lin Feng couldn’t check his chest tightness, so he couldn’t help but start to check the symptoms of ‘dizziness’.
“How is your usual physical strength?”
If you have good physical strength and can cope with strenuous exercise, your cardiopulmonary function will definitely be fine.
It may be necessary to consider diseases in other parts.
“I used to have good stamina. I used to be the lead dancer in the square dance…” Speaking of this, the female patient recalled with a face, obviously proud of this glorious time.
Lin Feng heard,
Immediately ruled out the cranial nerve problems.
Cranial nerve problems will not cause a decrease in physical strength.
so,
Still a heart and lung problem.
“Unfortunately, half a year ago, with my chest tightness, my stamina began to fail. I always felt that I couldn’t lift my breath, and it was easy to dizzy after strenuous exercise… Then, there was no way to dance square dance, and now don’t talk about square dance. The stairs don’t feel breathy.”
Lin Feng heard,
Can’t help but think of the old man with ‘Mitral Regurgitation’ [Chapter 284].
but,
The electrocardiogram is no problem, and it certainly cannot be mitral regurgitation.
However, ECG and CT still cannot rule out the more ‘severe’ symptom of “chest tightness”.
“Go and be a heart color Doppler ultrasound……”
“good……”
At this time,
Lin Feng took a look at the time.
17:30…
Even if Lin Feng can stay off work, he can’t let the imaging department accompany him to work overtime, right?
“Well, it’s 17:30 now. The colleagues in the B-ultrasound room should be off work and can’t do the check-up… You come here early tomorrow morning, and I’ll be the first one to do the check-up…”
The female patient took a look at the time.
Not embarrassed.
“Okay, I’ll call on Dr. Thorin tomorrow morning.”
“fine.”
“Thank you Doctor Lin.”
The female patient took the slip, thanked her, and left the hospital slowly.
It can be seen that her body is indeed not very good.
…
the next day,
Early in the morning.
As soon as Lin Feng went to work, he saw yesterday’s chest tightness female patient waiting outside the clinic.
“Dr. Lin early…”
“Morning, come, I’ll bill you, and go to do a color Doppler ultrasound immediately…”
Lin Feng opens the order.
“Echocardiography”……
The female patient took the checklist and went to the B-ultrasound room…
…
after an hour,
The female patient returned to the clinic with a cardiac ultrasound.
·Result: Everything is normal! !
Lin Feng: “……………………”
However, it was a sigh of relief.
Since the heart color Doppler ultrasound + ECG + chest CT, it’s all right.
It means that the patient’s heart must be fine, which is a blessing.
Now that the heart and lungs are excluded…
Lin Feng thought of other possibilities:
“Could it be anemia?”
“Or hyperthyroidism and hypoglycemia?”
Anemia, the oxygen supply will definitely decrease…
With hyperthyroidism, patients are prone to hungry and need to eat a lot of food, but they are also prone to low blood sugar. Once low blood sugar, they may have symptoms of chest tightness and dizziness.
Lin Feng: “Do you usually eat too much? Are you hungry easily?”
Female patient: “I don’t eat a lot, and I don’t get hungry easily…”
Hearing this, Lin Feng ruled out hypoglycemia, hyperthyroidism…
Is it anemia?
Anemia, Lin Feng’s first reaction is-iron deficiency anemia.
What are the manifestations of iron deficiency anemia?
·First of all, the face is pale, bloodless, weak, short of breath… etc.
·There are manifestations of angular cheilitis and glossitis in the oral cavity, flushing and blistering of the corners of the mouth, atrophy of the tongue papilla…
·Pale nails, thinning, flattening, and even spoon-shaped nails…
·Pica, such as wanting to eat inedible substances such as soil…
“You open your mouth to show me…”
Lin Feng spoke to the female patient.
The female patient opened her mouth.
Involuntarily “Ah~~~”
Lin Feng used a tongue depressor and flashlight to check.
Then he was taken aback.
what,
This female patient’s mouth actually has something red that looks like a rash…
Is it really iron deficiency anemia?
“Show me your nails…”
“nail?”
The female patient subconsciously put her hand in front of Lin Feng.
Her nails have been groomed to a certain extent, shopping beautifully.
But it also affected Lin Feng’s observation.
“Are there any special changes in your nails? In the past six months?”
“Yes, I have……”
When the female patient heard this, she immediately talked about the changes in the past six months.
“When I used to lead the dance, my nails were very beautiful, but I don’t know why later, they suddenly become dry and easy to split, as if they are still dehydrated…No way, I can only do nail art…”
After Lin Feng listened,
I’m probably determined in my mind!
Did not run away!
It should be iron deficiency anemia!
“If you have a taste for normal food, do you have the urge to eat something else?”
“this……”
When it comes to this, the female patient is a bit twisted.
“I’m a doctor, I’m helping you with your illness, clean up and don’t hide it from me…”
0 0 …….
“Okay… I’ll just tell the doctor. I do sometimes want to eat soil… Doctor, don’t tell others, I will be ashamed to say it…”
At this time, Lin Feng didn’t pay attention to the latter.
He heard the female patient in front of the urge to “eat dirt”.
Iron deficiency!
Definitely lack of iron!
This is exactly the same as the symptoms of iron deficiency anemia!
Why does the patient eat soil?
There is a saying, “Whatever people lack, they want to eat”… This makes sense.
If you want to eat soil, it may be that the human body lacks iron, and then sends a signal to the brain center to replenish iron, and then you want to eat soil…
“Pica”……
For the human body, iron is an indispensable trace element.
Among the dozens of trace elements necessary for the human body, iron ranks first in terms of importance and quantity.
Why?
Those who have studied high school chemistry know that iron is a very active variable element, and there are three kinds of iron tetroxide, iron trioxide and ferrous oxide.
·When the blood enters the lungs, the iron in the red blood cells combines with fresh oxygen, and the iron changes from a low price to a high price;
·When the blood enters other parts of the body, the iron in the red blood cells changes from a high price to a low price, and oxygen is released.
so,
Iron element is an important element for transporting oxygen!
so,
When the iron element is lacking, the oxygen transported to the whole body will be greatly reduced.
The organs, tissues and cells of the whole body may be hypoxic…
Therefore, it causes dizziness, headache, tinnitus (hypoxia in the brain), palpitations, shortness of breath (hypoxia in the heart), appetite (hypoxia in the digestive tract), fatigue, and fatigue (hypoxia throughout the body).
This is not just the symptoms of female patients,
Is it exactly the same?
. again.