Reasoning diagnosis: Big brother, your wife has been prescribed medicine!
Chapter 245 A Woman Who Can't Walk!
All the young doctors in the conference room looked at Zhang Yi as if they were big guys.
It really is Dr. Lin, not just for nothing, they are completely admired!
Yang Hang opened his mouth in surprise and didn't know what to say. Fortunately, he listened to Lin Yi and didn't act rashly.
The young doctor wearing glasses stood there in a daze.
At this moment, before everyone recovered from the shock, Director Chen continued to say:
"The Imaging Department said that Director Liu is allergic to ionic contrast media, so he used non-ionic contrast media."
"But at present, it seems that the side effects of non-ionic contrast agents on Director Liu are also very large."
"You should send Director Liu back to the emergency department first. Remember to treat it as an anti-allergic treatment. Director Liu is undoubtedly allergic to the contrast agent."
Yang Hang nodded repeatedly and said:
"Okay, Dean Chen!"
At this time, Director Liu, who was lying on the ground, began to improve his blood pressure, which had dropped because the medicine was gradually taking effect.
Including other vital signs are maintained in a stable state.
Now, the doctors who were half-trusting Lin Yi just now realized it!
It turned out to be an allergy!
If it's an allergy...
If the medicine hadn't been injected in time just now, Director Liu might have gone into anaphylactic shock!
It was too thrilling!
Yang Hang and the others quickly carried Director Liu onto the stretcher, and then quickly ran to the consulting room for the next step of life support.
Seeing the backs of several people in the emergency department disappearing, the panic in the conference room finally calmed down.
At this time, Lin Yi, who was the focus of the audience, returned to his seat calmly.
"Okay, let's continue the meeting!"
After the episode just now, the emotions of everyone present have not calmed down.
So Director Chen returned to the podium and said to everyone.
After the meeting, Lin Yi returned to the consulting room.
After a while, a man broke in with a woman on his back.
Lin Yi immediately asked:
"Hello, what's the situation?"
The man said out of breath.
"Doctor, I, my wife, suddenly can't go!"
"Suddenly unable to leave?"
Lin Yi was startled.
"Yes! She couldn't go all of a sudden!"
The man said out of breath.
The two quickly looked at the female patient.
The female patient is about 40 years old, with fever, occasional nausea and vomiting, and no other trauma.
Wu Jiang in the consulting room hurriedly conducted a preliminary examination for the female patient and asked:
"Before the onset, did you have any symptoms? Or did you encounter anything?"
The man sighed and said.
"Some time ago, my daughter-in-law was playing at the beach with some of her friends, and accidentally fell into the water on the way back."
"My daughter-in-law can't swim either, so she choked on the water."
"Although everyone rushed to rescue her immediately, she began to vomit non-stop after arriving home."
"At first, my wife and I thought it was not a problem. After all, this kind of situation will happen more or less after the village chokes."
"But the symptoms have not been relieved. My wife and I were scared, so the doctor in the village we found showed it."
"After the examination, the village doctor said that it was nothing else, but that my daughter-in-law had acute gastritis and needed infusion therapy."
"After a few days of infusion, the symptoms not only did not relieve, but worsened!"
"Before I brought my daughter-in-law over to see a doctor, the weather changed."
"Didn't it be stormy the past few days, and it was inconvenient to go out, so we waited until now to bring it here."
"However, today my daughter-in-law's illness became more serious, and her legs suddenly couldn't walk!"
After hearing what the man said, Wu Jiang focused all his attention on the woman's legs.
He asked the woman to move her legs, but the woman was crying, shook her head vigorously, and said:
"I can't use any strength. No matter how hard I try to move my legs, I can't move them even a little bit. Doc, am I paralyzed?"
Immediately afterwards, the inspection results confirmed this.
She complained of numbness in her legs and feet, and general weakness. Wu Jiang checked her, and there was no knee jerk reflex in both legs.
This situation made Lin Yi and Wu Jiang dare not take it lightly, and immediately arranged for a full set of examinations for the female patient.
During various examinations, the female patient made a strange movement that caught Lin Yi's attention.
It was because she had a fever, and she kept stroking her abdomen with both hands.
Even if it is an upper respiratory tract infection or pneumonia, it is difficult to cause symptoms of complete insensitivity in both legs. Why is this patient showing very strange symptoms...
According to common sense, aspiration pneumonia may have occurred after the patient fell into the water due to aspiration.
Then pneumonia caused symptoms such as fever, nausea, and vomiting.
Moreover, even if the legs are weak, it may only be caused by electrolyte disturbances such as low potassium and sodium due to poor appetite, and the patient will experience fatigue, and even the muscle strength of the lower limbs is only grade [-].
However, the symptoms that the patient is showing now are completely different from Lin Yi and Wu Jiang's previous cognition.
However, it is useless for them to guess, after all, the inspection results should be the main basis.
They then took an EKG for her.
But after the electrocardiogram was done, Lin Yi and the two immediately realized the seriousness of the problem.
The electrocardiogram showed that the patient not only had frequent premature ventricular contractions, but also had inverted T waves in all leads.
Wu Jiang frowned, and couldn't help saying:
"How could this be? Aspiration pneumonia won't cause such an effect?"
Lin Yi also frowned and kept looking at the results of the electrocardiogram.
After a while, the two of them seemed to think of the same reason.
The two glanced at each other, then Wu Jiang said:
"Is there any possibility of acute coronary syndrome?"
"Yes, I thought so too."
Lin Yi nodded and said affirmatively,
"Seeing the results of the patient's electrocardiogram, I feel that this may also be the case. Because infection and electrolyte imbalance are one of the important causes of heart attacks!"
"And all the symptoms shown by the patient are completely consistent with acute coronary syndrome!"
Then, while they were waiting for the results of biochemical tests such as myocardial enzymes and electrolytes.
Lin Yi started chatting with this woman and her husband again, wanting to know more about her family situation and recent diet, life, daily life, etc., so as to comprehensively judge the cause of the patient's disease.
After chatting for a while, Lin Yi learned another important piece of information from her!
That is, she has suffered from high blood pressure for a long time, and she has experienced dizziness, dizziness, nausea, and nausea many times in the past year.
However, she didn't pay much attention to these things, and she didn't go to the health center for further diagnosis and treatment in time!
It really is Dr. Lin, not just for nothing, they are completely admired!
Yang Hang opened his mouth in surprise and didn't know what to say. Fortunately, he listened to Lin Yi and didn't act rashly.
The young doctor wearing glasses stood there in a daze.
At this moment, before everyone recovered from the shock, Director Chen continued to say:
"The Imaging Department said that Director Liu is allergic to ionic contrast media, so he used non-ionic contrast media."
"But at present, it seems that the side effects of non-ionic contrast agents on Director Liu are also very large."
"You should send Director Liu back to the emergency department first. Remember to treat it as an anti-allergic treatment. Director Liu is undoubtedly allergic to the contrast agent."
Yang Hang nodded repeatedly and said:
"Okay, Dean Chen!"
At this time, Director Liu, who was lying on the ground, began to improve his blood pressure, which had dropped because the medicine was gradually taking effect.
Including other vital signs are maintained in a stable state.
Now, the doctors who were half-trusting Lin Yi just now realized it!
It turned out to be an allergy!
If it's an allergy...
If the medicine hadn't been injected in time just now, Director Liu might have gone into anaphylactic shock!
It was too thrilling!
Yang Hang and the others quickly carried Director Liu onto the stretcher, and then quickly ran to the consulting room for the next step of life support.
Seeing the backs of several people in the emergency department disappearing, the panic in the conference room finally calmed down.
At this time, Lin Yi, who was the focus of the audience, returned to his seat calmly.
"Okay, let's continue the meeting!"
After the episode just now, the emotions of everyone present have not calmed down.
So Director Chen returned to the podium and said to everyone.
After the meeting, Lin Yi returned to the consulting room.
After a while, a man broke in with a woman on his back.
Lin Yi immediately asked:
"Hello, what's the situation?"
The man said out of breath.
"Doctor, I, my wife, suddenly can't go!"
"Suddenly unable to leave?"
Lin Yi was startled.
"Yes! She couldn't go all of a sudden!"
The man said out of breath.
The two quickly looked at the female patient.
The female patient is about 40 years old, with fever, occasional nausea and vomiting, and no other trauma.
Wu Jiang in the consulting room hurriedly conducted a preliminary examination for the female patient and asked:
"Before the onset, did you have any symptoms? Or did you encounter anything?"
The man sighed and said.
"Some time ago, my daughter-in-law was playing at the beach with some of her friends, and accidentally fell into the water on the way back."
"My daughter-in-law can't swim either, so she choked on the water."
"Although everyone rushed to rescue her immediately, she began to vomit non-stop after arriving home."
"At first, my wife and I thought it was not a problem. After all, this kind of situation will happen more or less after the village chokes."
"But the symptoms have not been relieved. My wife and I were scared, so the doctor in the village we found showed it."
"After the examination, the village doctor said that it was nothing else, but that my daughter-in-law had acute gastritis and needed infusion therapy."
"After a few days of infusion, the symptoms not only did not relieve, but worsened!"
"Before I brought my daughter-in-law over to see a doctor, the weather changed."
"Didn't it be stormy the past few days, and it was inconvenient to go out, so we waited until now to bring it here."
"However, today my daughter-in-law's illness became more serious, and her legs suddenly couldn't walk!"
After hearing what the man said, Wu Jiang focused all his attention on the woman's legs.
He asked the woman to move her legs, but the woman was crying, shook her head vigorously, and said:
"I can't use any strength. No matter how hard I try to move my legs, I can't move them even a little bit. Doc, am I paralyzed?"
Immediately afterwards, the inspection results confirmed this.
She complained of numbness in her legs and feet, and general weakness. Wu Jiang checked her, and there was no knee jerk reflex in both legs.
This situation made Lin Yi and Wu Jiang dare not take it lightly, and immediately arranged for a full set of examinations for the female patient.
During various examinations, the female patient made a strange movement that caught Lin Yi's attention.
It was because she had a fever, and she kept stroking her abdomen with both hands.
Even if it is an upper respiratory tract infection or pneumonia, it is difficult to cause symptoms of complete insensitivity in both legs. Why is this patient showing very strange symptoms...
According to common sense, aspiration pneumonia may have occurred after the patient fell into the water due to aspiration.
Then pneumonia caused symptoms such as fever, nausea, and vomiting.
Moreover, even if the legs are weak, it may only be caused by electrolyte disturbances such as low potassium and sodium due to poor appetite, and the patient will experience fatigue, and even the muscle strength of the lower limbs is only grade [-].
However, the symptoms that the patient is showing now are completely different from Lin Yi and Wu Jiang's previous cognition.
However, it is useless for them to guess, after all, the inspection results should be the main basis.
They then took an EKG for her.
But after the electrocardiogram was done, Lin Yi and the two immediately realized the seriousness of the problem.
The electrocardiogram showed that the patient not only had frequent premature ventricular contractions, but also had inverted T waves in all leads.
Wu Jiang frowned, and couldn't help saying:
"How could this be? Aspiration pneumonia won't cause such an effect?"
Lin Yi also frowned and kept looking at the results of the electrocardiogram.
After a while, the two of them seemed to think of the same reason.
The two glanced at each other, then Wu Jiang said:
"Is there any possibility of acute coronary syndrome?"
"Yes, I thought so too."
Lin Yi nodded and said affirmatively,
"Seeing the results of the patient's electrocardiogram, I feel that this may also be the case. Because infection and electrolyte imbalance are one of the important causes of heart attacks!"
"And all the symptoms shown by the patient are completely consistent with acute coronary syndrome!"
Then, while they were waiting for the results of biochemical tests such as myocardial enzymes and electrolytes.
Lin Yi started chatting with this woman and her husband again, wanting to know more about her family situation and recent diet, life, daily life, etc., so as to comprehensively judge the cause of the patient's disease.
After chatting for a while, Lin Yi learned another important piece of information from her!
That is, she has suffered from high blood pressure for a long time, and she has experienced dizziness, dizziness, nausea, and nausea many times in the past year.
However, she didn't pay much attention to these things, and she didn't go to the health center for further diagnosis and treatment in time!
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