radiothebook Chapter 429
Chapter 429
Chapter 429
after an hour,
All the inspection results came out. ,
These results surprised Lin Feng.
·The blood creatinine is significantly increased by 4 times!
·Liver function·Transaminase super 5 times!
·Urine routine·Urine occult blood, plus urine protein++++
What does urine occult blood mean?
This means that blood (red blood cells) was found in the urine!
The transaminase is more than 5 times, and it is certain that a liver cell is damaged. For this situation, we must first consider a hepatitis disease, and the other is liver damage caused by other reasons.
“Be hospitalized…”
Lin Feng said.
“Huh? Hospitalized?”
Huang Li was shocked, and so was his girlfriend.
“Doctor Lin, is it so serious?”
“Yes, isn’t it because the kidney is a little bit worse?”
Lin Feng explained: “If you have liver and kidney damage alone, it does not mean that you have to be hospitalized immediately. But now your various indicators are worse than before, plus trunk rashes, there may be a major problem. , It’s safer to be hospitalized…”
Lin Feng combined the entire process and analyzed the condition as follows:
In the beginning, patient 08 had impaired renal function, and later both renal function and liver function were impaired.
reason?
It should be a special disease that caused damage to liver and kidney function and caused a rash.
So, the next step is to determine what disease it is.
·Impaired renal function, the most common: kidney stones, high blood pressure, diabetes…
First rule out kidney stones,
Because of the previous examination of B-ultrasound, no kidney stones were found, or the kidney stones were too small to be found.
“Do you have high blood pressure or diabetes?” Lin Feng asked.
“No…” Huang Li shook his head.
Excluding these three more likely factors,
That’s left:
·There is a problem with food, what to eat…
· Kidney damage caused by immune system problems, such as rheumatic diseases (such as systemic lupus erythematosus) caused by kidney disease, plus Huang Li has a rash, which further increases this risk.
“Can you tell me what you are eating before and after your’kidney deficiency’ (the patient’s condition is getting worse, so if you have food, it should be a continuous intake of food during this period)?”
“What I eat seems to be nothing special…” Huang Li frowned and thought.
“To be specific…”
“I can’t tell you the specifics. My life is quite monotonous. Eating in the company canteen or at home is relatively common. Then my girlfriend is the same as I eat at home. She is okay and can be ruled out. The company’s food is the company’s food, but the company’s food should be considered healthy, right?”
After Lin Feng listened, there was really nothing special.
It shouldn’t be kidney damage caused by food.
Lin Feng thought about it:
“Or else, you can do a “rheumatism and immunity index check” and then a “CT”, if you can, you can do a “kidney biopsy.” ”
(B-ultrasound is generally about 100 yuan, and CT is generally about 400 yuan, so it is generally preferred to do B-ultrasound, and there is no way to do CT.)
“Huh? Kidney, needle biopsy?”
When the patient Huang Li heard it, he felt a burst of kidney pain.
Lin Feng explained: “When there is a kidney problem, it is difficult to judge the specific kidney disease by relying solely on various blood tests. It is necessary to obtain a pathological tissue test of the kidney to distinguish which type of kidney disease. There are too many types of kidney disease. No, there is no way to make a diagnosis without pathological results, and without a diagnosis, you can’t be treated well with medicine…”
Huang Li is weak and worried: “Dr. Lin, will a kidney puncture be unsafe? Will it puncture the kidney? Will it result in “kidney deficiency”, affecting sperm quality, and affecting the health of his offspring…”
He blushed while speaking.
Then he was pinched blushingly by the girlfriend behind…
Lin Feng sweats wildly.
“Don’t worry about these…no… and sperm are produced by the testicles and have nothing to do with the kidneys.”
Persuaded,
Finally let the patient Huang Li sign the “Consent Form”…
…
Until the end of get off work at noon,
Before Lin Feng went to the dining hall for dinner, he came to the emergency ward to see the patient Huang Li.
“Doctor Lin…”
Huang Li was lying on the hospital bed and wanted to get up, but his waist was weak.
Lin Feng stopped: “No need to get up…how about now?”
Huang Li: “I feel a little difficult to get up. By the way, my feet seem a little swollen…”
Lin Feng: “Edema?”
At this time, the tube bed doctor said to Lin Feng: “Dr. Lin, his “CT” and “kidney biopsy” examinations have been added. ”
Lin Feng: “Let me see…”
Received the inspection report…
·CT, normal!
·Kidney biopsy: “mild glomerular disease, membranous nephropathy”
Lin Feng looked at the results and gave the diagnosis easily.
diagnosis:
· Acute glomerulonephritis.
Acute glomerulonephritis is abbreviated as acute nephritis, which is inflammation of the glomeruli in the kidney, which is the basic unit structure of the kidney.
It is an acute disease, with a rapid onset.
The principle is that the glomerulus is inflamed and the glomerulus is destroyed.
If the glomerulus is destroyed, blood will leak out and be excreted with urine, so the patient will have hematuria, proteinuria, etc.
In the clinical manifestation of the patient Huang Li, high urine protein (urinary vesicles) + urinary occult blood can be matched.
In addition, acute nephritis has another special symptom——————“hematuria”! !
Urine is red.
It is because the blood flows out into the urine, and the concentration is high, so there will be a “phenomenon” of hematuria.
also,
There is another symptom of acute nephritis-“edema”, which corresponds to the edema of the patient’s legs.
“Doctor Lin, are you sure? What is the disease?”
“”Acute Nephritis”…”
“Acute nephritis?” Huang Li: “Doctor Lin, what causes acute nephritis?”
Lin Feng shook his head: “It’s hard to tell, there are many reasons…”
Lin Feng said briefly.
However, because acute nephritis is a self-limiting disease, it means that you will get better and you will recover.
Therefore, Lin Feng did not investigate what bacteria or viruses caused the inflammation, just wait, rest, and anti-inflammatory treatment.
but,
Now there is another problem.
Liver damage!
Acute nephritis, logically does not cause liver damage?
what happened?
At this moment,
Lin Feng’s gaze suddenly saw a cream placed on the bed cabinet, which had just been laid out.
Out of professional sensitivity, Lin Feng asked:
“What is this?”
“Ahem…a plaster for acne…”
Huang Li was a little embarrassed.
Lin Feng glanced at the patient’s face, Huang Li, and she had four pimples, but for young people, it’s normal to have pimples, so Lin Feng didn’t pay attention at first.
“Plaster? What’s the name?”
“do not know……”
Lin Feng walked over, picked up the ointment and looked at it, only the words “B ointment”.
As for what medicine and what ingredients, there is absolutely no.
“???”
This obviously does not meet the regulations of the Food and Drug Administration.
Illegal drugs?
Lin Feng: “Where did this ointment come from?”
Huang Li wondered: “Doctor Lin, what’s wrong? What’s wrong with this ointment?”
Lin Feng is serious: “The problem is big…Where did it come from?”
Huang Li: “It’s from the beauty salon…”
Lin Feng: The old man in the subway looks at his mobile phone·jpg
Doctors and nurses: the subway elderly people look at their phones·jpg
. .