paranoianovel Chapter 557
Chapter 557
An hour later,
The female patient Zhang Chendi returned with the results of B-ultrasound.
· B ultrasound: the liver is not enlarged, the surface is uneven, nodules or jagged, step-like changes can be seen, the liver is irregularly atrophied and deformed, diffuse echo is enhanced, and the distribution is uneven...
Lin Feng looked at this B-ultrasound result,
Obviously,
Advanced cirrhosis!
Because the early stage of cirrhosis is a manifestation of liver enlargement.
After the early stage, the liver will slowly shrink, and the liver will return to about the same size in the late stage.
Other B-ultrasound manifestations are also consistent with the characteristics of cirrhosis.
"You have advanced cirrhosis..."
Lin Feng informed the patient Zhang Chendi of this cruel result.
"Is cirrhosis serious?"
The female patient obviously did not seem to know how serious the disease was, and her face did not have much solemnity.
Lin Feng: ".................."
Sweating wildly.
Lin Feng spent 10 minutes telling the patient that the severity of the advanced stage of liver cirrhosis, if it is early, active treatment may be reversed, but in the advanced stage of liver cirrhosis, liver decompensation, it is basically impossible to reverse.
That is to say, in the future, patients may have to take coagulation factor drugs from time to time, otherwise I am afraid that they will often have nosebleeds and the like. In addition, there will be a series of metabolic problems in the late stage of cirrhosis, which will be very troublesome.
For example, portal hypertension (varicose veins in various areas), edema, oliguria, spider angiomas, pigmentation, digestive tract dysfunction...
There will always be a lot of questions.
And further development, it may become liver cancer...
After the female patient Zhang Chendi was explained by Lin Feng, her face changed again and again, and finally she could only accept this reality helplessly.
At this time,
Blood routine and liver function have come out, which proves abnormal liver function and anemia.
......
......
The next patient.
A couple, the husband holding his wife, walked in.
"Dr. Lin... Help me see my wife, she's been saying chest tightness lately..."
"Sit..."
Patient, female, Chen Meijuan, 34 years old
Remind slightly fat, estimated at more than 120 pounds...
"Tell me about the situation..."
"Dr. Lin, it's like this, 2 days ago, I started to feel uncomfortable in my chest, a little stuffy..." his wife Chen Meijuan said a little weakly.
And he speaks quietly.
Saying a few words can also trigger shortness of breath.
"Then I got up this morning and found that the chest tightness was more serious, going up the stairs or walking briskly would make the chest tight, and I would have chest pain, I had high blood lipids and high blood pressure, so I was a little worried about coronary heart disease..."
The husband was worried: "That's it, I'm really afraid that something will happen to her, please ask Dr. Lin to help you see..."
Lin Feng nodded.
"Xiaoru, pull her an electrocardiogram..."
In this case, it is natural to do a fast and cheap examination at the first time - electrocardiogram.
As the patient said, if you have high blood lipids and high blood pressure, you should indeed consider coronary heart disease.
Of course, myocardial infarction is what Lin Feng is most afraid of.
"What exactly is the pain method? How long does it hurt each time? How many times a day does it hurt? Which position hurts the most? "
"This position (heart) hurts, I just started to hurt today, about a minute or two at a time, and then it eased... Once there is more activity, it will be aggravated..."
Connected to the electrocardiogram over there.
Click~~~~
Keep coming out of the paper.........
Then Xiaoru began to measure the patient's blood pressure for Chen Meijuan...
·140/80mmHg，
This blood pressure is definitely high for ordinary people, but for a hypertensive patient, it can only be said that it is okay, not serious.
Then Lin Feng took advantage of the time to listen to Chen Meijuan's heart and lungs.
Didn't find much abnormality.
"Teacher, electrocardiogram..."
At this time, Xiao Ru pulled out the one-meter-long electrocardiogram and handed it to Lin Feng.
Take a look.
Really!
There is a problem with the ECG!
An ECG can see a certain T wave inversion.
What does this say?
"Myocardial ischemia"!!
"Doctor Lin, how's it going?" The husband was very nervous and kept paying attention to Lin Feng's expression.
"The electrocardiogram prompts that your wife has myocardial ischemia, maybe she really has coronary heart disease..."
"Ahhh..."
"It turned out to be true!"
The husband and wife were shocked at once.
"Admit to the hospital, I'll open an admission slip for you later, your wife's disease needs to be investigated and monitored..."
Lin Feng said.
"Okay, okay..." the husband thanked him repeatedly.
"Dr. Lin, is my coronary heart disease serious? Will it be fatal? The wife asked a little worriedly.
"It's hard to say... Because the examination is not careful enough, only suggests myocardial ischemia, you say you have high blood lipids, that should be coronary artery narrowing, when your exercise intensifies, consumption will be too large, narrowed coronary arteries will be in short supply, so the heart will be ischemia, cardiac ischemia is terrible, will produce pain and chest tightness... This is so common that some people may die suddenly at once. "
"Huh?"
"So dangerous?"
The two couples were not frightened, and their faces turned white with fright.
Lin Feng hurriedly comforted: "Some patients are fine for several years, these are difficult to say, so don't be nervous, relax, wait for me to open a few examinations for you, and after the examination, you can determine whether the condition is serious or not." "
"Okay, okay, Dr. Lin, you can open the examination, you don't need to give us distress money... Healing matters! "
"There was nothing to check... Let's start with a myocardial enzyme profile, as well as liver and kidney function, blood routine, electrolytes..."
You can't get on nuclear weapons all at once - CT!
......
An hour later,
The patient and his wife went through the admission procedures.
The results of the blood draw are also in.
Troponin is normal, cardiac enzymes are normal...
These two things,
Usually there are cardiomyocytes, if there is really myocardial necrosis, then these proteins will leak out into the blood, blood tests can see that their number is significantly increased.
.