radiothebook Chapter 283
Chapter 283
Chapter 283
“It wouldn’t be like this before, would it?”
Lin Feng put down the old man’s eyelids and asked.
Old woman: “No, it’s all right before.”
Lin Feng nodded.
This kind of eyelid drooping may be congenital, most of which are acquired.
The reasons for the day after tomorrow are as follows:
·The disease of the eye itself (eye surgery, trauma, contact lens, infection, tumor), etc…
·There is a tumor in the brain compressing the intracranial nerve…
·Myasthenia gravis…
Lin Feng thought about it,
The quickest test for myasthenia gravis.
That is-EMG.
Among them, the “single fiber EMG” is the most sensitive and accurate.
(The last time patients with myasthenia gravis also used this.)
soon,
Send the patient for examination.
“Nine Eight Seven” 10 minutes,
Check the results:
·Diagnosed: Myasthenia gravis!
In other words, the structure that connects nerves and muscles is called neuromuscular junction, and there is a barrier to receiving information.
“It’s so simple?”
The old woman was surprised.
They thought it was a very complicated disease and required various examinations.
As a result, Dr. Lin did an examination and it was confirmed.
“Dr. Lin, you don’t need to save us money, you can do all the examinations that should be done.” The old woman said a little boldly.
Lin Feng smiled and said: “Other tests are unnecessary…it is definitely “myasthenia gravis”…”
“By the way, after the head is out, will the whole body be weak?”
“good……”
Lin Feng nodded.
“That means it’s not serious. Wait, I’ll prescribe a medicine for you.”
Lin Feng prescribed the medicine “Bromopistigmine”.
This medicine, based on the same principle as the famous dichlorvos, can increase acetylcholine, but one is a poison and the other is a life-saving medicine.
“Acetylcholine”: When the body’s acetylcholine is unable to bind to the receptor, it will not be able to produce contraction movement, which will lead to myasthenia gravis.
Therefore, increasing acetylcholine can treat myasthenia gravis.
Prescribe medicine,
For the single old woman…
“Thank you doctor~~~~”
The old woman and the old man are ready to leave.
Sudden!
“and many more……”
Lin Feng shouted.
One thing came to mind.
Myasthenia gravis may be accompanied by another disease-“thymoma”, statistically, there is a 10% probability.
If the average patient, Lin Feng would not have such a mouthful.
But just now the old woman said that she didn’t need to save money.
Moreover, this old man is not young, and suddenly has myasthenia gravis, and the possibility of tumor is quite high.
“What’s wrong? Doctor Lin?”
“That’s it, I want to check the old man…”
The old man sat down again.
Lin Feng started to examine the old man.
Generally, there are benign tumors and malignant tumors in thymoma. Smaller benign thymoma has no obvious tissue. Larger thymoma can cause chest pain, chest tightness, coughing, anterior chest discomfort and so on.
auscultation.
Hey, the sound is really weird…
Because thymoma is located between the heart and the breastbone, if there is a change, it will affect the sound of the heart’s stethoscope.
“Auntie, how about I open a CT form and go for a checkup?”
“Doctor, what’s the matter?”
“I just suspect that there may be something weird. I’ll know when the CT results come out…”
The old woman nodded when she heard it.
“Okay, I believe Dr. Lin, go to check now.”
“Thank you for understanding!”
Lin Feng is very happy, his favorite is this kind of patient who supports doctors.
…
after an hour,
The CT results were returned to Lin Feng.
· There is a 3.6 cm diameter mass in the chest cavity, which is suspected of thymoma.
Lin Feng told the two elderly people about this result.
The old lady and old man couldn’t believe it.
With a slight anger:
“We are just looking at our eyes, why is there a tumor on the chest?”
Lin Feng patiently explained: “Auntie, this is the case. According to statistics, about 10% of myasthenia gravis are combined with thymoma… This is why I suddenly want to check the chest CT… Of course, it is only suspected thymus at present. Tumor does not mean it is really a thymoma…”
The old lady and old man soon calmed down.
After all, they still trust the doctor and Lin Feng0 ……..
“Doctor Lin, what do you want to do?”
“Do a more precise examination, such as enhanced CT, or MRI…”
“Okay, check!”
The old woman continued to take the old man to check…
This drag,
It’s the afternoon!
In the afternoon,
The result of reviewing enhanced Ct came out:
Diagnosis: Thymoma (Phase III)!
At this time, the two elderly people panicked and checked their eyes and found a tumor!
I don’t know whether I should thank Lin Feng for his excellent medical skills or scold Lin Feng for his excellent medical skills!
“Dr. Lin, do you have an operation?”
Lin Feng shook his head: “There is no surgery now, because many “medical guidelines” make it clear that patients with muscle weakness symptoms should try not to perform surgery, it is very dangerous.”
Old woman: “That’s not right, isn’t my old man all right now? My eyes are widening.”
at this time,
After the old man took Lin Feng and prescribed the medicine, (morning to afternoon), the effect of the medicine came into play.
The eyes are already wide open!
Lin Feng shook his head: “This is only temporary, not sure yet…in half a month, come back for review and see if surgery is considered…”
“Thank you Doctor Lin!”
Thanks to the two elderly.
Turned and left.
Lin Feng continues to the next patient…
Sudden! !
The old man who walked to the door, 2.2
Clang~~~
A sudden fall!
Lin Feng was taken aback and ran to help him up.
“Aber, what’s the matter?”
“I… don’t seem to have much power…” the old man said tremblingly.
powerless?
Lin Feng was taken aback.
not good!
The condition got worse!
Lao Li used to have ocular muscle weakness, only manifested as eyelid weakness, and now he unconsciously falls forward, indicating that the weakness has developed to the whole body, causing the body to become weak and becoming generalized myasthenia gravis.
but,
The drug has been given!
How could it get worse?
Lin Feng felt anxious and thought of the problem of systemic myasthenia gravis:
Breathlessness…suffocation…shock…
(Last muscle weakness patient)
. .