Medical road ahead
Chapter 66 Gout
"Director Liu!"
After Qin Xiao and Qiao Tan followed the medical staff from the emergency department, as well as the patients and their families to the endocrinology department, Gou Youli also brought his colleagues from the nutrition department to the hospital gate to welcome Liu Yaxiu's safe return.
"Director Liu, it's all my fault, I should go with you, I"
Seeing the tiredness on Liu Yaxiu's face and the still black and blue forehead, Mu Shan blamed himself, and choked up as he spoke.
"Take it quickly!"
Liu Yaxiu hurriedly stopped, frowned and looked around, and then led a few people into the outpatient building, "You are crying like this, what if the people in the emergency department saw you? Then Jin Xue passed it to Chen Dean, this matter will not end well, you don't want to see Dean Chen rushing into our nutrition department to hug me and cry bitterly?"
"Er Dean Chen hugged you and cried bitterly? It's not enough, is it?"
Mu Shan twitched his face, but he really couldn't imagine that scene.
"Xiao Mu, you have not been in the hospital for a long time, so you don't know our Dean Chen's temperament very well. Although he is usually serious and rigid, he is actually a literary and artistic young man in his heart, and he likes to hurt the spring and the autumn. If he finds out that our Director Liu Dr. Qiao encountered a mudslide and was injured, I'm afraid he will beat his chest and blame himself for a long time, but he only regrets that he didn't send more people to accompany him." Gou Youli explained with a smile.
"But I should be blamed for this matter. Knowing that Director Liu and Dr. Qiao are just two weak women, I shouldn't let them go back alone." Mu Shan still blamed himself.
"Weak woman?"
Hearing this, Liu Yaxiu almost laughed, "What? You think we won't encounter mudslides if you're in the car?"
"At least I have experience in dealing with it." Mushan rubbed his hands and said.
"In the face of sudden natural disasters, experience will only be greatly reduced. However, after this distress, Yaoyao and I will be blessed if we survive the catastrophe!"
Liu Yaxiu smiled, patted him on the shoulder and comforted him: "Don't worry about this matter, especially don't let it slip."
"Yeah, I didn't even talk about Maomao." Mu Shan nodded.
"By the way! Where's Dr. Qiao?" Gou Youli asked suddenly.
The male doctors were all thick-headed and careless. After surrounding Liu Yaxiu and returning to the nutrition department, they realized that there was one person missing.
"Yaoyao went to the endocrinology department to assist Director Qin, and it seems that he met a young gout patient." Liu Yaxiu said.
"A young gout patient? Eleven or twelve years old?" Cai Ya asked curiously.
"Three or four years old." Liu Yaxiu replied.
"what?"
Everyone was shocked.
"It's really gout-induced ankle swelling."
After checking the uric acid of the three-year-old girl named "Huihui", Qin Xiao became more confident.
Although it is best to draw starvation blood for uric acid testing, due to Huihui's illness and her father also suffering from gout, Qin Xiao can rely on this uric acid level result far greater than 357mmol/L for Huihui. Diagnosis - hyperuricemia, and this disease is also the direct cause of gout.
"But she's only three years old!"
Huihui's mother still doubted it, but Huihui's father, who had been ill for a long time and became a doctor, knew something about gout. He looked at Qin Xiao and asked, "Is it because of genetic problems?"
"It's not just genetic factors, but Huihui's condition does belong to the category of primary gout, which is caused by both genetic and environmental factors, specifically caused by uric acid excretion disorders, and has a certain family susceptibility." Qin Qin Xiao explained.
"Environmental factors? But we have always taken good care of Huihui!"
Huihui's father seemed to grasp the key point in Qin Xiao's words.
It is precisely because he knows that his gout may be passed on to Huihui, so Huihui's father asks his family to take care of Huihui with extreme care.
but who ever thought
"I heard from you before that Huihui suddenly fell ill after lunch?" Qin Xiao asked.
"Yes!" Huihui's mother nodded.
"Then what did Huihui eat for lunch? Can you explain in more detail?" Qin Xiao asked again.
"Well"
Huihui's mother frowned and recalled seriously.
"Grandma's pork ribs and lotus root soup."
At this moment, Huihui, whose pain had subsided a little, pointed her fingers at Qin Xiaoyi, "There are also tofu flowers, yes, my feet hurt only after eating tofu flowers. Never eat bean curd anymore!"
"That's right."
Huihui's mother finally remembered, "She just ate another bowl of tofu flower after eating, and then complained that her feet hurt. At that time, I was busy washing the dishes, so I didn't pay much attention. Her grandparents I also went back to the house to take a nap, and when I finished my work, the child's feet were already swollen, and she burst into tears when touched, so I called her father to come back, and finally called 120."
"Doctor Qin, Huihui's gout is probably caused by that bowl of tofu flower?"
Then, Huihui's mother looked at Qin Xiao and asked with frowned eyebrows.
"Soy products are foods that contain moderate amounts of purines. Regular consumption of such foods may indeed increase the blood uric acid concentration and cause an acute attack of gout."
Qin Xiao nodded to explain, then looked at Huihui, leaned over and asked, "Huihui, do you drink soup every meal?"
"Yes, Uncle Doctor."
Huihui nodded obediently, and Nuo Nuo answered.
"Then how many bowls do you drink a day?" Qin Xiao continued to ask.
"Sometimes it's two bowls, sometimes it's three bowls." Huihui counted on her fingers.
"This is hyperuricemia caused by long-term consumption of high-purine foods!"
Qiao Tan frowned, and finally understood why Huihui inherited her father's gout at such a young age.
She is a disease fed by her family!
"Ouch, my feet are hurting again."
Huihui suddenly yelled, and everyone present felt distressed when they heard it. Qiqi turned to look at Qin Xiao.
"Doctor Qin, can you relieve my daughter's pain first?"
Of course, the most anxious ones are naturally Huihui's parents.
"Director Qin, Huihui is young, so you must be careful when taking medication." Qiao Tan reminded her in a low voice.
"Yes, I know."
Qin Xiao frowned and nodded, and immediately ordered his subordinates to prepare a low dose of colchicine for Huihui to take, and then called a nurse to apply ice compresses to Huihui for pain relief.
"Do you need to stay in the hospital for observation?"
Seeing that Huihui's brows were slowly relaxed under the effect of ice compress after taking the medicine, Qiao Tan was relieved and asked Qin Xiao.
"It's best to be hospitalized. I need further examination of her condition. In addition, I also need the assistance of your nutrition department to prepare a nutritious diet for her." Qin Xiao said.
"Ah."
Qiao Tan nodded, and then joined Huihui's gout treatment
"Director Qin, why is the age of gout becoming so severe? If I remember correctly, before Huihui, the youngest gout patient our hospital has ever received was 12 years old, nine years older than Huihui."
After Huihui's parents placed her in the children's ward, Qiao Tan followed Qin Xiao out and expressed his doubts to him.
"There is an idiom called too much, it is very suitable to describe today's parenting methods." Qin Xiao summed it up.
After Qin Xiao and Qiao Tan followed the medical staff from the emergency department, as well as the patients and their families to the endocrinology department, Gou Youli also brought his colleagues from the nutrition department to the hospital gate to welcome Liu Yaxiu's safe return.
"Director Liu, it's all my fault, I should go with you, I"
Seeing the tiredness on Liu Yaxiu's face and the still black and blue forehead, Mu Shan blamed himself, and choked up as he spoke.
"Take it quickly!"
Liu Yaxiu hurriedly stopped, frowned and looked around, and then led a few people into the outpatient building, "You are crying like this, what if the people in the emergency department saw you? Then Jin Xue passed it to Chen Dean, this matter will not end well, you don't want to see Dean Chen rushing into our nutrition department to hug me and cry bitterly?"
"Er Dean Chen hugged you and cried bitterly? It's not enough, is it?"
Mu Shan twitched his face, but he really couldn't imagine that scene.
"Xiao Mu, you have not been in the hospital for a long time, so you don't know our Dean Chen's temperament very well. Although he is usually serious and rigid, he is actually a literary and artistic young man in his heart, and he likes to hurt the spring and the autumn. If he finds out that our Director Liu Dr. Qiao encountered a mudslide and was injured, I'm afraid he will beat his chest and blame himself for a long time, but he only regrets that he didn't send more people to accompany him." Gou Youli explained with a smile.
"But I should be blamed for this matter. Knowing that Director Liu and Dr. Qiao are just two weak women, I shouldn't let them go back alone." Mu Shan still blamed himself.
"Weak woman?"
Hearing this, Liu Yaxiu almost laughed, "What? You think we won't encounter mudslides if you're in the car?"
"At least I have experience in dealing with it." Mushan rubbed his hands and said.
"In the face of sudden natural disasters, experience will only be greatly reduced. However, after this distress, Yaoyao and I will be blessed if we survive the catastrophe!"
Liu Yaxiu smiled, patted him on the shoulder and comforted him: "Don't worry about this matter, especially don't let it slip."
"Yeah, I didn't even talk about Maomao." Mu Shan nodded.
"By the way! Where's Dr. Qiao?" Gou Youli asked suddenly.
The male doctors were all thick-headed and careless. After surrounding Liu Yaxiu and returning to the nutrition department, they realized that there was one person missing.
"Yaoyao went to the endocrinology department to assist Director Qin, and it seems that he met a young gout patient." Liu Yaxiu said.
"A young gout patient? Eleven or twelve years old?" Cai Ya asked curiously.
"Three or four years old." Liu Yaxiu replied.
"what?"
Everyone was shocked.
"It's really gout-induced ankle swelling."
After checking the uric acid of the three-year-old girl named "Huihui", Qin Xiao became more confident.
Although it is best to draw starvation blood for uric acid testing, due to Huihui's illness and her father also suffering from gout, Qin Xiao can rely on this uric acid level result far greater than 357mmol/L for Huihui. Diagnosis - hyperuricemia, and this disease is also the direct cause of gout.
"But she's only three years old!"
Huihui's mother still doubted it, but Huihui's father, who had been ill for a long time and became a doctor, knew something about gout. He looked at Qin Xiao and asked, "Is it because of genetic problems?"
"It's not just genetic factors, but Huihui's condition does belong to the category of primary gout, which is caused by both genetic and environmental factors, specifically caused by uric acid excretion disorders, and has a certain family susceptibility." Qin Qin Xiao explained.
"Environmental factors? But we have always taken good care of Huihui!"
Huihui's father seemed to grasp the key point in Qin Xiao's words.
It is precisely because he knows that his gout may be passed on to Huihui, so Huihui's father asks his family to take care of Huihui with extreme care.
but who ever thought
"I heard from you before that Huihui suddenly fell ill after lunch?" Qin Xiao asked.
"Yes!" Huihui's mother nodded.
"Then what did Huihui eat for lunch? Can you explain in more detail?" Qin Xiao asked again.
"Well"
Huihui's mother frowned and recalled seriously.
"Grandma's pork ribs and lotus root soup."
At this moment, Huihui, whose pain had subsided a little, pointed her fingers at Qin Xiaoyi, "There are also tofu flowers, yes, my feet hurt only after eating tofu flowers. Never eat bean curd anymore!"
"That's right."
Huihui's mother finally remembered, "She just ate another bowl of tofu flower after eating, and then complained that her feet hurt. At that time, I was busy washing the dishes, so I didn't pay much attention. Her grandparents I also went back to the house to take a nap, and when I finished my work, the child's feet were already swollen, and she burst into tears when touched, so I called her father to come back, and finally called 120."
"Doctor Qin, Huihui's gout is probably caused by that bowl of tofu flower?"
Then, Huihui's mother looked at Qin Xiao and asked with frowned eyebrows.
"Soy products are foods that contain moderate amounts of purines. Regular consumption of such foods may indeed increase the blood uric acid concentration and cause an acute attack of gout."
Qin Xiao nodded to explain, then looked at Huihui, leaned over and asked, "Huihui, do you drink soup every meal?"
"Yes, Uncle Doctor."
Huihui nodded obediently, and Nuo Nuo answered.
"Then how many bowls do you drink a day?" Qin Xiao continued to ask.
"Sometimes it's two bowls, sometimes it's three bowls." Huihui counted on her fingers.
"This is hyperuricemia caused by long-term consumption of high-purine foods!"
Qiao Tan frowned, and finally understood why Huihui inherited her father's gout at such a young age.
She is a disease fed by her family!
"Ouch, my feet are hurting again."
Huihui suddenly yelled, and everyone present felt distressed when they heard it. Qiqi turned to look at Qin Xiao.
"Doctor Qin, can you relieve my daughter's pain first?"
Of course, the most anxious ones are naturally Huihui's parents.
"Director Qin, Huihui is young, so you must be careful when taking medication." Qiao Tan reminded her in a low voice.
"Yes, I know."
Qin Xiao frowned and nodded, and immediately ordered his subordinates to prepare a low dose of colchicine for Huihui to take, and then called a nurse to apply ice compresses to Huihui for pain relief.
"Do you need to stay in the hospital for observation?"
Seeing that Huihui's brows were slowly relaxed under the effect of ice compress after taking the medicine, Qiao Tan was relieved and asked Qin Xiao.
"It's best to be hospitalized. I need further examination of her condition. In addition, I also need the assistance of your nutrition department to prepare a nutritious diet for her." Qin Xiao said.
"Ah."
Qiao Tan nodded, and then joined Huihui's gout treatment
"Director Qin, why is the age of gout becoming so severe? If I remember correctly, before Huihui, the youngest gout patient our hospital has ever received was 12 years old, nine years older than Huihui."
After Huihui's parents placed her in the children's ward, Qiao Tan followed Qin Xiao out and expressed his doubts to him.
"There is an idiom called too much, it is very suitable to describe today's parenting methods." Qin Xiao summed it up.
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