radiothebook Chapter 319
Chapter 319
Chapter 319
Wait and wait…
From the morning, until 3 o’clock in the afternoon, 8 patients were cut in the queue.
finally!
3:23 minutes,
It was her turn.
“Doctor Lin…”
“Sit, are you uncomfortable there?”
When Ms. Wang saw Lin Feng up close at first sight, her eyes couldn’t help but shine.
Lin Feng is very handsome, even through a mask, you can feel Lin Feng’s bright eyes, as well as the bridge of the nose and eyebrows…
Although Lin Feng’s voice was cold, he didn’t give people any discomfort, on the contrary, he had a strange affinity.
Ms. Wang vowed that if she was 20 years younger, she might rush to pursue Dr. Lin frantically.
Pity.
My daughter hasn’t grown up yet, she’s only 10 years old…
Forget it, her daughter is not worthy!
(daughter:”………………”)
“Doctor Lin, it’s like this, I’m a little dizzy…”
Then I will compare my symptoms, the diagnosis of a small tertiary hospital, and the diagnosis experience of Professor Wang Changtian…
Said it again.
Lin Feng listened carefully and nodded.
Finished,
Lin Feng’s conclusion: mainly dizziness!
Lin Feng started to ask for a doctor.
“What is the dizziness method of dizziness? For example, is it a feeling of spinning around the world in 08? Does it feel that the house is spinning?”
“no……”
“Is there any tinnitus or vision loss?”
“No.”
“Is there any memory loss?”
“No.”
“Like motion sickness when there is no seizure?”
“No……”
Lin Feng nodded.
“Meniere’s disease” excluded.
This is a common disease.
It is caused by tympanic labyrinth caused by lymphatic metabolism disorders in the inner ear, excessive lymphatic secretion, or malabsorption.
The specific symptoms are those Lin Feng asked above.
Excluding this “Meniere’s disease”, Lin Feng gave Ms. Wang a stethoscope to stop her heartbeat, and then made an electrocardiogram…
Because of heart problems, it can cause cerebral ischemia and cause dizziness…
·Auscultation + ECG conclusion: The heart is okay.
Then I measured my blood pressure.
High blood pressure and low blood pressure can also cause dizziness.
· Blood pressure measurement results: normal, no high blood pressure, low blood pressure…
Then,
Anemia can also cause dizziness.
Lin Feng asked: “Do you have anemia? Do you have a lot of menstrual flow? Do you have long-term bleeding from hemorrhoids? Black stools?”
Ms. Wang shook her head: “There are no hemorrhoids, and the Yue meridian is normal, not many.”
Lin Feng nodded.
Basically rule out dizziness caused by anemia again.
“Eyes…do you think what you see is different from usual?”
“No……”
And at this time,
Ms. Wang also felt Lin Feng’s professionalism.
The question is too much, too detailed.
This gave her a kind of regret: “Why didn’t you find Dr. Lin earlier? Why waste time in front of the first two doctors?”
(Professor Wang Changtian: “………………” I am orthopedics, what are you doing with me?)
At this moment,
Lin Feng finally picked up the MRI result and looked at it.
obviously,
·Cervical spine is not serious, exclude…
Then consider cerebral infarction.
Ms. Wang asked worriedly: “Dr. Lin, is my cerebral infarction severe? Should I be hospitalized?”
Lin Feng glanced at the MRI: “Don’t worry, this cerebral infarction is just a lacunar infarction.”
“Doctor, what kind of lacunar infarction, will you die?”
She always wanted to ask this question.
“Won’t die… The so-called lacunar infarction refers to the infarction of very small blood vessels, which generally does not affect brain function, and is a very small disease… But if you do not control the risk factors, such as blood pressure, blood sugar, blood lipids, etc. Wait, I’m afraid that more serious cerebral infarction will happen in the future.”
“That’s good…” Ms. Wang breathed a sigh of relief.
Lin Feng: “It suggests that multiple lacunar infarctions may indeed cause dizziness. This is an intracranial vascular disease. You will be hospitalized first… Then we will use some drugs to dredge blood vessels and nourish nerves to see how effective they are, and continue to observe …”
“Okay…”
Lin Feng opens the order.
Admission form, blood routine…
…
Ms. Wang was admitted to the hospital quickly, afraid of death…
Soon after,
The blood routine came out.
There is no anemia, hemoglobin and other indicators are normal, that is, the electrolytes suggest that the blood sodium and chlorine are lower.
However, this is low, and there are many influencing factors, such as eating less salt, just recently Ms. Wang has a bad appetite.
…
1 day……
2 days……
3 days……
After 3 days of treatment, Ms. Wang’s dizziness still did not improve significantly.
Ms. Wang couldn’t help wondering.
“Dr. Lin, can’t it?”
She couldn’t help but give birth to the idea of changing to a doctor.
Moreover, it seems that her condition has worsened in the past few days, giving her a sense of fear that she might die at any time.
Early in the morning.
Lin Feng rounds.
“Doctor Lin, when can I get better?”
Lin Feng frowned.
It makes no sense.
Lin Feng uses symptomatic drugs.
Even if it doesn’t get better, it won’t get worse, right?
At this moment, Lin Feng finally faced it.
“I will give you a comprehensive inspection…”
“good.”
This time,
Lin Feng is very serious.
From head to toe, give Ms. Wang a comprehensive physical examination.
Head, feet, limbs, chest, abdomen…
When Lin Feng touched 010 in the patient’s armpit,
“what……”
Lin Feng suddenly felt something was wrong.
feel,
There is a bump!
It feels like there is a piece of meat, when it is pressed, it will bounce and slide under the skin…
Swollen lymph nodes!
The size is about 2cm in diameter.
Lin Feng suddenly thought of the tumor.
“Does it hurt or itchy?”
“It doesn’t hurt or itchy.”
Lin Feng hesitated…
If this kind of lump… if it is pain, it is a trifle.
It doesn’t hurt… Then it might be a tumor…
“Have a fever?”
“No……”
“Do you have nausea or vomiting?”
“No……”
Lin Feng thought of two possibilities.
· Swollen axillary lymph nodes (especially R adenocarcinoma, or lung cancer, it is easy to metastasize to the ipsilateral axillary lymph nodes, which manifests as swollen lymph nodes.)
·Lymphoma:
“Go, do a B-ultrasound of the R gland and CT of the lungs to see if there are tumors…” Lin Feng has nothing to hide.
“Huh? A tumor?”
“Let’s check to see if this is possible…”
This time,
Ms. Wang panicked even more!
Tumor? !
You have a tumor? !
——————————
ps: The three shifts are over…
. .