radiothebook Chapter 157
Chapter 157
Chapter 157
“Huh, wait!!”
Lin Feng suddenly saw an anomaly!
In front of Worker Chen’s right ear, there was a raised spot.
Raised?
Varicose veins?
“Stretch your head, ~ right ear, let me see…”
Just now Lin Feng only noticed the ears, but didn’t notice this ‘bulge’-.
·This bump is about the size of ‘2cm’.
·Location: temporal (nie) superficial artery, superficial temporal vein (the distance between the ear and the eye is about a few millimeters)
This position belongs to a superficial temporal artery and a superficial temporal artery side by side.
Now ‘bump up’…
It’s like the varicose arteries of the thighs (the kind of blood vessels that are twisted and raised on the surface of the legs, and people who stand on more legs)!
“How can there be varicose veins in this position?”
Lin Feng was stunned!
Lin Feng has seen such varicose veins on the legs or hands of many people.
However, he had never seen anyone with such varicose veins on his face!
It’s another magical medical record!
Lin Feng went up and touched… Carefully touched, Lin Feng’s finger belly suddenly felt a continuous high-frequency tremor, as if the tail of the tuning fork was constantly trembling when the tuning fork was struck.
Lin Feng realized that the problem may be here!
So take the stethoscope and place it on the bump.
“Buzzing~~~~”
There was a violent high-frequency vibration from the stethoscope.
Press down…
Bounce~~
Press down…
Bounce~~
Lin Feng found that after squeezing this blood vessel, the sound disappeared.
confirmed!
This unexplained ‘tinnitus’ came from this ‘bulge’.
“When did you show up?”
“It was three months ago…”
“Three months, isn’t this about the same time as your tinnitus?!”
Worker Chen thought for a while: “Hey, Doctor Lin, it’s amazing, really!”
Lin Feng: “Tell me what is the reason, why is there a bump?”
Worker Chen: “I was from the road construction team. I fell into a pit again with my face on the ground. Then after I got up, a bag (blood stasis) appeared. After a few days, the bruise was gone, and then there was bulging. NS……”
Lin Feng listened!
Understood!
“Right superficial temporal arteriovenous fistula”!
Explain a “fistula”: it refers to a pathological drainage tube that is caused by an abscess and is connected between the body and an organ with a cavity or between two organs with a cavity.
And “right superficial temporal arteriovenous fistula”: it means that the arteriovenous fistula is only seen, and there is an extra channel!
Structurally speaking, there are two blood vessels, the superficial temporal artery and the superficial temporal vein, under the skin of the face in front of the ears, side by side and next to each other.
After the worker fell, he had a bruise and blood mass. After the lesion, a fistula (orifice) appeared. The blood from the superficial temporal artery (high pressure) entered the superficial temporal vein through the fistula. In this way, a “superficial temporal movement” was formed. Venous fistula”.
As for why there is a sound?
That’s because the arterial pressure is high, the blood flow is fast, and the venous blood flow is slow.
When the superficial temporal artery enters the superficial temporal vein through the breach, the blood flow will form vortex and turbulence (imagine a river), and then form high-frequency tremor.
Because the vein receives the high-pressure blood from the artery, the vein begins to bulge, forming a ‘bulge’!
And just so,
This position is right next to the ear, and then the high-frequency tremor is transmitted through the bones into the ear, forming a ‘buzzing’ high-pitched tinnitus.
Then it proved: squeeze it, it will not tinnitus! (Because there is no high-pressure blood flow into the vein)
‘Chain of Evidence’, perfect! !
Lin Feng smiled relaxedly.
Worker Chen looked at Lin Feng with a relaxed look and was overjoyed.
“Doctor Lin, have you found the cause?”
“The reason has been found, it is your ‘bulge’, right superficial temporal arteriovenous fistula, specifically…”
Lin Feng explained all the causes and so on.
Worker Chen suddenly realized: “Unexpectedly, Dr. Lin, you are too good… Dr. Lin, what should I do next?!”
Lin Feng: “Wait for you to do a B-ultrasound to confirm if it is right superficial temporal arteriovenous fistula. If it is confirmed, it is simple. A minor operation is enough, just a ligation, and the skin will be broken…”
This is indeed a minor operation, any surgeon can do it.
·Surgery method: ligation
·Specific operation: Option 1: If it is not too troublesome, you can reconnect the front and back ends of the artery and the front and back ends of the vein after the “fistula” is removed. Option 2. If it is troublesome, just cut off the fistula and ligate these four ports.
The two schemes are actually similar.
Because the human face is rich in reticular blood vessels, without these two right superficial temporal arteries and right superficial temporal veins, the blood supply to the brain will not be changed.
Lin Feng explained to Worker Chen in detail, and finally concluded:
“Specifically, this is the operation… It’s very simple!”
“Thank you Dr. Lin, thank you Dr. Lin!”
Worker Chen simply admired Lin Feng. He came to this hospital for seven or eight times, but no doctor noticed it. Dr. Lin is worthy of being a genius doctor from a big hospital in a big city!
…
at this time,
meeting room,
At this time, the county doctors have continuously improved their experience +10+10+10+10+10+10…
“So it is!”
“I went, why didn’t I find it?”
“I actually found this ‘bump’, but I didn’t think of going there!”
“Doctor Lin is still great!”
County doctors admire Lin Feng!
…
Keep calling…
The second, the third, the fourth…
They are all relatively common diseases, and Lin Feng can handle them easily…
the fifth,
“Doctor Lin, hello…”
This patient is a man of about 30 years old, with a lot of beard, wearing three clothes, shrinking together, as if cold.
“Um?”
Lin Feng frowned. It is September, which is a very hot day.
Although Xinyuan County is located in a mountainous area, the temperature is 28 degrees.
This patient, when he came to the hospital, still wears so many clothes?
cold?
Lin Feng: “Sit down, is there any discomfort in your body now?”
Patient: “Dr. Lin, I have a bit of fever (febrile), fatigue, feeling languid, headache…”
Lin Feng: “How long does the fever last?”
Patient: “It’s been several days, intermittently, just like about 38.5C…”
Lin Feng was recording, while thinking about fever-related diseases in his mind.
Fever is too common!
Most of them are caused by inflammation. What doctors fear most is fever, because there are too many causes.
As for the headache, it may be related to fever.
“Let me listen to your heart and lungs…”
Lin Feng took the stethoscope and started a physical examination.
There is no abnormality.
After a physical examination, there was no special abnormality.
Hmm… The mouth is a bit dry, but it may be the reason for drinking less water.
Lin Feng finished the physical examination and said to the patient: “At present, I have not found any problems. You can take some cold medicine, anti-fever medicine, drink plenty of water… However, I personally suggest that you have had a cold and fever for several days, or else Go for a chest X-ray? (Check for pneumonia), and then get a blood? (White blood cells)…”
0 ········Find flowers····
The patient nodded again and again: “Everything listens to the doctor.”
He also tried cold medicine and fever medicine these days, but it didn’t work at all.
Swipe~~~
The assistant issues the bill and hands it to the patient.
“You go get a chest X-ray, get some blood…”
“Okay, doctor…”
The patient left and went for a B-ultrasound…
…
halfway,
Lin Feng continues to see the patient…
After more than an hour, the patient came back.
“Doctor, this is the result…”
Lin Feng received the “chest radiograph” and “blood routine” results.
·Chest X-ray: Normal…
·Blood routine: normal, white blood cells are normal…
Lin Feng said: “There is no pneumonia, and the blood routine is normal… If you have nothing else to say, I can only diagnose to this level… You go back to take anti-fever medicine and drink plenty of water…”
Lin Feng finished speaking, ready to call the next patient.
“Wait, Doctor Lin…” the patient looked around and whispered, “Doctor Lin, there is one more thing I haven’t told you…”
………. 0
Lin Feng: “??”
Patient: “A few days ago, I went to Shanshui…”
Then he showed the mysterious expression of a man.
Lin Feng listened.
Understand in seconds!
Patient: “I don’t actually worry about fever or the like, but I’m afraid of Ai (Harmony) disease… I have checked it. If this kind of disease, it may cause fever, colds and the like…”
Lin Feng suddenly realized that this young man should be afraid that he would have Ai (harmony) disease.
Early AIDS (harmony) disease may only consist of fever and fatigue, which seems to be no different from the common cold.
His worry is actually justified.
Lin Feng nodded: “Be careful from now on… I’ll open an order for you to do a “virus nucleic acid” check…”
For Ai (harmony) disease, the “viral nucleic acid” can be checked in the early stage, and the “four immune items” can be checked in the later stage.
Lin Feng asked his assistant to open an inspection order.
Youth thanks: “Thank you Dr. Lin!”
at this time……
哐~~~
An old man with a patient pushed the door and came in: “Why is it still not good!”
“Scare~~~”
The young man was taken aback!
The young man cursed: “What’s the matter with you? You scared me!”
When the old man heard this, he was displeased: “I just pushed the door and scared you? Why are you so courageous!”
Lin Feng next to him was also surprised.
Such little things actually scared the youth?
Unreasonable?
A big man should be courageous.
“has a problem!”
Lin Feng realized that the young man’s physical condition was not right!
At this time, the young man said again: “Get out quickly, close the door, it’s cold!”
The old man was amused: “Cold? Are you still cold in this weather? Are you a big man so afraid of the cold?”
In other words, the central air-conditioning in this county hospital is very ordinary, and the air-conditioning is insufficient. In fact, the indoor temperature is about 26 degrees. It is definitely impossible to say that it is cold.
Even Lin Feng felt a little hot.
Lin Feng was suspicious.
At this time, the patient raised his neckline, pushed the old man out, and then closed the door.
Then he said to Lin Feng embarrassedly:
“Dr. Lin, this wind is a bit strong…”
Lin Feng: “Are you afraid of the cold?”
The patient tightened his clothes: “A bit, I am particularly afraid of the cold these days…”
. Knife.