radiothebook Chapter 268
Chapter 268
Chapter 268
“”Waterphobia”? ”
Lin Feng muttered to himself.
The condition of this patient really looks like hydrophobia!
Hydrophobia is a typical feature of “rabies”!
In Xinyuan County, Lin Feng diagnosed a “rabies patient” (Chapter 155). The patient went to the hospital because of fever. He was photophobic and water-phobic, and finally diagnosed as rabies.
“Wife, what’s wrong with you?”
At this moment, the fright of the husband turned into a deep worry.
“Is the water I gave too hot?”
“Sorry, I’ll get warm water right away…”
Lin Feng said to the nurse at this time: “Go get a glass of warm water…”
The nurse nodded and went out quickly.
In less than a minute, he walked in with a plastic cup and half a cup of warm water.
Lin Feng fixed his eyes on the female patient.
Seeing the female patient’s gaze, staring at the glass of water in the nurse’s hand, she seemed to swallow a sip, her expression panicked.
Soon, the cleaning aunt of the department walked in and mopped the floor.
Lin Feng initially retired:
“Rabies”!
Hydrophobia is one of the evidence.
This is troublesome! “Nine Seven Seven”
Rabies, once it is onset, it is bound to die.
100% mortality!
Lin Feng walked out of the rescue room and called her husband over.
“How long have you been married?”
“More than 3 years…”
Lin Feng felt relieved.
“For more than 3 years, have you heard that in the past year, has your wife been bitten?”
The incubation period of rabies, from the infection to the asymptomatic period before the onset, is mostly 1 to 3 months, and rarely within 1 week or more than 1 year.
It’s only happening now, and the cause must be within this year.
“What’s the meaning?”
The patient’s husband’s face changed.
“Doctor Lin, do you think my wife is rabies?”
The patient’s husband is also considered an ‘intellectual’ and naturally knows about rabies.
At this moment, his face changed drastically!
He knew that once rabies became ill, there would be no one’s life.
Lin Feng comforted: “This is just a preliminary inference, and it does not prove that it must be rabies… I just suspect it… Think about it, has your wife been bitten by a dog this year?”
“It seems… there really is!”
The patient’s husband turned pale,
“3 months ago, that was a neighbor’s dog. It scared my wife again, as if he was bitten…”
There really is!
Lin Feng’s heart sank and asked:
“Is there a vaccine?”
“Maybe not……”
this moment,
The patient’s husband panicked!
Without vaccinations, there is a 99% probability of rabies!
At this moment, finally crying, squatting in front of the stool, heartbroken.
I thought it was ordinary pneumonia, but I didn’t expect it to be rabies. The separation of life and death came so quickly that no one could bear it.
Obviously, he loves his wife very much!
He even gave birth to the urge to kill that dog!
Lin Feng quickly comforted: “Don’t worry, this is just my guess. The specific diagnosis needs to be done…”
Of course, this is just comfort.
Lin Feng is also 99% sure in his heart, that is-rabies! !
After all, how does pneumonia explain fear of water?
Lin Feng’s mood suddenly became heavy.
Powerless!
Full of helplessness!
…
Lin Feng returned to the ward and felt that the light suddenly brightened a lot.
Suddenly startled!
“Huh, that’s not right…”
Lin Feng frowned and looked at the energy-saving lamp on the ceiling…
now it is night,
But the lights in the rescue room are on.
The energy-saving lamps in the rescue room are not low in wattage, because they must be bright.
The rescue room, the light is very bright!
but!
You must know that “rabies” has symptoms of photophobia.
Convulsions may be caused by bright light, noise, touch, or air currents.
Now, Lin Feng felt that it was not rabies.
“Hello……”
Lin Feng walked to the patient.
The female patient looked at Lin Feng: “Doctor Lin…”
Lin Feng: “How do you feel when you look at this light? Will it feel bright?”
Female patient: “It’s kind of…”
Lin Feng thought for a while, and asked from another angle: “Do you feel disgusted and scared when you see this light?”
The female patient shook her head: “No…I just feel sleepy, it’s too bright…”
Lin Feng was overjoyed.
Really not afraid of light!
Turnaround!
Lin Feng asked, “I just asked your husband, saying that you were bitten by a dog three months ago…Where did you bite?”
“Left leg… calf…”
Lin Feng beckoned the nurse: “Xiaofeng, help her left leg calf pants…Let me look at the wound…”
The female patient shook her head slightly, and said slowly: “There is no wound…because I didn’t bite…it was blocked by pants…”
Lin Feng is really pleasantly surprised!
Did not bite!
“Are you sure you didn’t bite? Did you break the skin?”
“No……”
“Hahaha~~~~~”
Lin Feng laughed, very happy, very excited!
A false alarm!
Without breaking the skin, then naturally there will be no mention of rabies!
This information is too important!
Lin Feng calmed down and continued to ask: “Have you ever been bitten by a dog in the past year?”
The patient shook his head weakly: “No!”
“Snapped!”
Lin Feng slapped his thigh with excitement!
Can be ruled out!
Absolutely not-crazy! dog! sick!
And this happened to be heard by the husband who walked into the door.
At this moment, infinite happiness rushes down like a waterfall!
“Wife…uuuu…scared me to death!”
Holding the female patient and burst into tears.
This man almost had a nervous breakdown just now!
Unexpectedly, the joy came from the sky, and rabies was ruled out!
…
Lin Feng was also in a cold sweat at this time.
fine,
It is not based on the characteristic symptom of “waterphobia” (that is, only it has this symptom), and directly concludes “rabies”!
but,
Here comes the problem!
The patient is not rabies, why is there fear of water?
What is the cause of fear of water?
Lin Feng walked to the patient,
Decided to ask more carefully 0…
Maybe something was missing and it was not discovered by myself.
Lin Feng approached: “Hello, apart from the symptoms and discomfort that you and your husband said at the beginning, are there anything else that you missed…”
Female patient: “………………”
She wanted to talk, but raised her head slightly, opened her mouth, and finally seemed weak.
Shrugged his head…
Lin Feng was taken aback.
No energy?
I took a look at the ECG monitor, blood oxygen saturation, heart rate, blood pressure… everything is pretty normal?
Why are you running out of strength?
tired?
sleepy?
Lin Feng asked: “Are you sleepy?”
As a result, the patient shook his head very slightly!
Lin Feng was taken aback.
not sleepy?
That’s… lack of energy!
No strength… No strength…
Lin Feng muttered to himself… Suddenly, there was a flash of inspiration!
Thought of a disease!
“Myasthenia Gravis”!
“Oh My God!”
Lin Feng slapped his thigh!
Happy! !
“Why didn’t I think of it in the first place?!”
This is definitely myasthenia gravis!
“Myasthenia gravis”: is an autoimmune disease caused by transmission dysfunction at the nerve-muscle junction.
In normal times, our muscles are innervated by nerves. Why can nerves innervate muscles? That’s because there are some transmitters at the junction of nerves and muscles. These transmitters are secreted by nerve endings and act on the muscles. The muscles give orders.
At some point, when the handover process is obstructed, the muscles will not listen to nerves, and muscle weakness will occur.
Myasthenia gravis is possible 2.2 It can affect the whole body: such as respiratory muscles, neck muscles, eyelid muscles… etc.
Therefore, the patient can’t lift his head, open his eyes, have difficulty speaking, have difficulty breathing…
Everything is right! !
As for why it is “fear of water”?
Can also explain!
If the throat muscles are weak and breathing is weak, the patient will choke when drinking water.
At this time, people’s survival instincts take effect.
When I think of drinking water, I feel the fear of being choked into the airway and drowning, so I dare not drink water, I am afraid of seeing it.
So there is the phenomenon of “fear of water”!
This “myasthenia gravis” perfectly explained all the symptoms of this female patient!
Lin Feng is 99% sure, it must be it!
“Make a “Single Fiber EMG” now! ! ”
Lin Feng said happily.
Among all muscle weakness tests, this test is the most sensitive!
As long as this check is confirmed,
That “myasthenia gravis” is a solid nail, 100% sure!
——————
ps: Three shifts are over~~~
. .