Reasoning diagnosis: Big brother, your wife has been prescribed medicine!
Chapter 185 Thinking of matching diseases!
Chapter 185 Thinking of matching diseases!
"And it is now certain that her cataracts came after a mental problem, so it is necessary to link them together."
Immediately afterwards, Lin Yi continued.
"All right……"
Wu Jiang nodded, then frowned and thought.
"Cataracts and Psychiatric Symptoms..."
"This is a bit difficult, I can't remember it for a while..."
After Wu Jiang finished speaking, he looked at Yin Liang and the others again, and asked them:
"What about you? Have you ever thought of a disease?"
Yin Liang leaned against the table, touched his chin with his right hand, shook his head and said:
"No, I don't have a clue either."
Afterwards, Wu Jiang looked at Chen Qiang and Wang Qiaoya.
The two shook their heads again and again, waved their hands and said:
"we do not know."
"I can't even think of it, Brother Yi, do you have any ideas?"
Wu Jiang sighed, then looked at Lin Yi again, and asked him.
But Lin Yi didn't answer his words immediately, but stared closely at the front with a very serious expression.
It was not easy for Wu Jiang to interrupt him when he saw this, so he waited silently beside him.
A few minutes later, Lin Yi suddenly spoke:
"I think of a disease..."
"What disease?"
Everyone asked in unison.
"Wilson disease!"
Lin Yi replied directly.
"Wilson's disease?"
Everyone couldn't help showing puzzled expressions and asked back.
Lin Yi nodded and explained to them:
"Yes, this disease is a genetic disease of copper metabolism."
"Patients develop a range of psychiatric symptoms due to excess copper accumulation in the body, which is often mistaken for schizophrenia."
"The most important thing is that this Wilson's disease can cause symptoms of cataracts and liver cirrhosis in patients!"
After Lin Yi finished speaking, everyone was still shocked.
Because they didn't know whether Lin Yi was right or not.
After all, they had never heard of this disease, but from what Lin Yi said, it fit the patient's condition very well.
"Yes, that's right, it must be Wilson's disease!"
Lin Yi said again in affirmation.
He just kept searching in his brain and finally came up with this disease!
Immediately afterwards, Lin Yi couldn't help sighing with emotion, and continued to speak to himself:
"Before her husband and her son took her to the hospital in the small county to see doctors countless times."
"And all the doctors she saw thought she was schizophrenic, and she was treated for schizophrenia for more than two years..."
"It is important to know that a normal person who does not suffer from schizophrenia, taking a large amount of drugs for treating mental illness for a long time will definitely cause her brain damage, becoming unconscious, unresponsive, and talking nonsense!"
"It wasn't a big problem at first, but after doing this, the problem has become serious."
"Thinking about it this way, they are really pitiful..."
After Lin Yi finished speaking, everyone understood.
There was a dignified expression on everyone's face.
They feel desperate when they think about it. They were originally a happy family, but the patient suffered from this strange disease, and now they are in this state...
One can imagine how painful it would be for a patient without mental illness to be treated as a patient.
Everyone regards her as a lunatic, and no one will listen to what she says.
And the more you treat, the more confused you become, falling into a never-ending cycle until you are wiped out alive!
"Then...Brother Yi, how is the Wilson disease you mentioned, diagnosed and treated?"
After recovering, Wu Jiang immediately stared at Lin Yi and asked.
Lin Yi stared ahead, and said slowly:
"Let's wait for her to come out of the operating room first..."
"Well, that's right."
Wu Jiang couldn't help but nodded,
"With such a huge tumor, it is unknown whether the operation can be successfully completed... Sigh..."
A few hours later, a nurse walked in.
"Doctor Lin, you should go and see it quickly, the patient has finished the operation!"
After entering, the nurse immediately said to Lin Yi.
"Finished? Okay, I'll go now!"
Lin Yi stood up from the chair with a "bass", and walked directly to the door.
Seeing this, Wu Jiang hurriedly followed behind.
When Lin Yi and the others arrived at the door of the operating room, the patient had just been pushed out.
At this time, Yuan Gang also just came out from inside.
"Director Yuan, how is it? Was the operation successful?"
Lin Yi immediately stepped forward and asked.
Director Yuan wiped the sweat off his brow, looked at Lin Yi and smiled, and said:
"Is there any need to ask? You have invited me here. Is there any reason for the operation to fail?"
"Haha! That's great, it seems that it is a wise move to invite Director Yuan to come!"
Lin Yi breathed a sigh of relief after hearing the result.
"The tumor is just a little bigger. It will be fine if it is removed, and it will not affect it."
Yuan Gang said with a relaxed expression.
"Okay, great!"
Lin Yi nodded repeatedly.
Since there is nothing wrong with the tumor, the next step is to test whether she has Wilson's disease and then treat it.
If all goes well, then she will be able to return to normal!
Thinking of this, and thinking of the hopeful eyes of the little boy, Lin Yi immediately cheered up!
Check it out next time!
The detection of Wilson disease is actually very simple.
Because the cause of Wilson's disease is that the patient's body cannot effectively metabolize copper, which leads to excessive accumulation of copper in the body and those symptoms appear.
Therefore, it is only necessary to detect the KF ring under the slit lamp to confirm the diagnosis.
(KF ring: the full name is the Kaiser-Fleischer ring, which refers to excessive copper elements in the body, which accumulate around the eyes and can be seen with a slit lamp.)
"only………"
Immediately afterwards, Lin Yi couldn't help being in trouble again.
Because the slit lamp is only available in the ophthalmology department, it is not easy to move it out.
And the patient had just finished the operation, so it was not easy to get her to the ophthalmology department for a checkup.
In this case, it is not easy to check.
Afterwards, Lin Yi's brain was running fast, thinking about whether there was any better way.
correct!
You can check the ceruloplasmin content in her serum first!
If there is really too much copper in the patient's body, then the amount of ceruloplasmin bound to copper must be very small!
In this way, it can be judged whether there is much copper in her body!
Yes, just do it!
After thinking about it, Lin Yi didn't waste time, he first found the little boy and told him not to worry, her mother's tumor removal operation was very successful.
Afterwards, he immediately arranged for Wu Jiang to draw blood from the patient and take it for testing.
Wu Jiang started to do it immediately!
After a while, the inspection results will be released!
Wu Jiang took the report and found Lin Yi excitedly, and said loudly:
"It's out! Brother Yi! The serum ceruloplasmin level is 157mg/L!"
(End of this chapter)
"And it is now certain that her cataracts came after a mental problem, so it is necessary to link them together."
Immediately afterwards, Lin Yi continued.
"All right……"
Wu Jiang nodded, then frowned and thought.
"Cataracts and Psychiatric Symptoms..."
"This is a bit difficult, I can't remember it for a while..."
After Wu Jiang finished speaking, he looked at Yin Liang and the others again, and asked them:
"What about you? Have you ever thought of a disease?"
Yin Liang leaned against the table, touched his chin with his right hand, shook his head and said:
"No, I don't have a clue either."
Afterwards, Wu Jiang looked at Chen Qiang and Wang Qiaoya.
The two shook their heads again and again, waved their hands and said:
"we do not know."
"I can't even think of it, Brother Yi, do you have any ideas?"
Wu Jiang sighed, then looked at Lin Yi again, and asked him.
But Lin Yi didn't answer his words immediately, but stared closely at the front with a very serious expression.
It was not easy for Wu Jiang to interrupt him when he saw this, so he waited silently beside him.
A few minutes later, Lin Yi suddenly spoke:
"I think of a disease..."
"What disease?"
Everyone asked in unison.
"Wilson disease!"
Lin Yi replied directly.
"Wilson's disease?"
Everyone couldn't help showing puzzled expressions and asked back.
Lin Yi nodded and explained to them:
"Yes, this disease is a genetic disease of copper metabolism."
"Patients develop a range of psychiatric symptoms due to excess copper accumulation in the body, which is often mistaken for schizophrenia."
"The most important thing is that this Wilson's disease can cause symptoms of cataracts and liver cirrhosis in patients!"
After Lin Yi finished speaking, everyone was still shocked.
Because they didn't know whether Lin Yi was right or not.
After all, they had never heard of this disease, but from what Lin Yi said, it fit the patient's condition very well.
"Yes, that's right, it must be Wilson's disease!"
Lin Yi said again in affirmation.
He just kept searching in his brain and finally came up with this disease!
Immediately afterwards, Lin Yi couldn't help sighing with emotion, and continued to speak to himself:
"Before her husband and her son took her to the hospital in the small county to see doctors countless times."
"And all the doctors she saw thought she was schizophrenic, and she was treated for schizophrenia for more than two years..."
"It is important to know that a normal person who does not suffer from schizophrenia, taking a large amount of drugs for treating mental illness for a long time will definitely cause her brain damage, becoming unconscious, unresponsive, and talking nonsense!"
"It wasn't a big problem at first, but after doing this, the problem has become serious."
"Thinking about it this way, they are really pitiful..."
After Lin Yi finished speaking, everyone understood.
There was a dignified expression on everyone's face.
They feel desperate when they think about it. They were originally a happy family, but the patient suffered from this strange disease, and now they are in this state...
One can imagine how painful it would be for a patient without mental illness to be treated as a patient.
Everyone regards her as a lunatic, and no one will listen to what she says.
And the more you treat, the more confused you become, falling into a never-ending cycle until you are wiped out alive!
"Then...Brother Yi, how is the Wilson disease you mentioned, diagnosed and treated?"
After recovering, Wu Jiang immediately stared at Lin Yi and asked.
Lin Yi stared ahead, and said slowly:
"Let's wait for her to come out of the operating room first..."
"Well, that's right."
Wu Jiang couldn't help but nodded,
"With such a huge tumor, it is unknown whether the operation can be successfully completed... Sigh..."
A few hours later, a nurse walked in.
"Doctor Lin, you should go and see it quickly, the patient has finished the operation!"
After entering, the nurse immediately said to Lin Yi.
"Finished? Okay, I'll go now!"
Lin Yi stood up from the chair with a "bass", and walked directly to the door.
Seeing this, Wu Jiang hurriedly followed behind.
When Lin Yi and the others arrived at the door of the operating room, the patient had just been pushed out.
At this time, Yuan Gang also just came out from inside.
"Director Yuan, how is it? Was the operation successful?"
Lin Yi immediately stepped forward and asked.
Director Yuan wiped the sweat off his brow, looked at Lin Yi and smiled, and said:
"Is there any need to ask? You have invited me here. Is there any reason for the operation to fail?"
"Haha! That's great, it seems that it is a wise move to invite Director Yuan to come!"
Lin Yi breathed a sigh of relief after hearing the result.
"The tumor is just a little bigger. It will be fine if it is removed, and it will not affect it."
Yuan Gang said with a relaxed expression.
"Okay, great!"
Lin Yi nodded repeatedly.
Since there is nothing wrong with the tumor, the next step is to test whether she has Wilson's disease and then treat it.
If all goes well, then she will be able to return to normal!
Thinking of this, and thinking of the hopeful eyes of the little boy, Lin Yi immediately cheered up!
Check it out next time!
The detection of Wilson disease is actually very simple.
Because the cause of Wilson's disease is that the patient's body cannot effectively metabolize copper, which leads to excessive accumulation of copper in the body and those symptoms appear.
Therefore, it is only necessary to detect the KF ring under the slit lamp to confirm the diagnosis.
(KF ring: the full name is the Kaiser-Fleischer ring, which refers to excessive copper elements in the body, which accumulate around the eyes and can be seen with a slit lamp.)
"only………"
Immediately afterwards, Lin Yi couldn't help being in trouble again.
Because the slit lamp is only available in the ophthalmology department, it is not easy to move it out.
And the patient had just finished the operation, so it was not easy to get her to the ophthalmology department for a checkup.
In this case, it is not easy to check.
Afterwards, Lin Yi's brain was running fast, thinking about whether there was any better way.
correct!
You can check the ceruloplasmin content in her serum first!
If there is really too much copper in the patient's body, then the amount of ceruloplasmin bound to copper must be very small!
In this way, it can be judged whether there is much copper in her body!
Yes, just do it!
After thinking about it, Lin Yi didn't waste time, he first found the little boy and told him not to worry, her mother's tumor removal operation was very successful.
Afterwards, he immediately arranged for Wu Jiang to draw blood from the patient and take it for testing.
Wu Jiang started to do it immediately!
After a while, the inspection results will be released!
Wu Jiang took the report and found Lin Yi excitedly, and said loudly:
"It's out! Brother Yi! The serum ceruloplasmin level is 157mg/L!"
(End of this chapter)
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