Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 286 These parents are a headache!

However, because of the couple, things became complicated again.

After thinking it over, Lin Yi couldn't help but bow his head and laugh.

After a while, he raised his head, with helplessness and anger mixed on his face, he rushed to the hospital immediately.

He already knew all the truth.

…………

Hospital, outside the boy's ward.

They finished the boy with proton pump inhibitors, but his condition didn't improve, so he had to stop taking the medicine.

In desperation, they had no choice but to rely on the direction of scleroderma.

After giving the boy anti-inflammatory drugs.

Sure enough, the condition improved.

Well, this means that there is a good chance that the boy really has scleroderma.

When the boy's parents heard the bad news, they collapsed to the ground in tears.

Then, they raised their heads in a swish, staring at the doctors with angry eyes.

"It must be all of you, you have made a wrong diagnosis! How could it be scleroderma!"

"Quack doctor! If you had done what we said earlier, how could my son have become like this."

"I've checked it all on the Internet, and it's definitely because your hospital's diagnosis is wrong!"

The couple sat outside the corridor and made a scene, attracting many passers-by to watch.

The faces of the doctors were a little ugly and a little embarrassed.

They did not find out the cause before and delayed the treatment.

However, it shouldn't.

At first the boy's symptoms didn't match scleroderma at all, why then... what went wrong?

A voice suddenly came from far and near.

"Do you think the doctor's diagnosis was wrong?"

Lin Yi came over.

"Wrong! Big mistake, all this is caused by your parents!"

The couple were overwhelmed by Lin Yi's aura and stopped crying.

The doctors watched Lin Yi walk over in surprise.

At this moment, Lin Yi was like a hero in their eyes.

They were almost moved to tears.

Lin Yi turned his head and asked all the doctors: "What did you do when I was away?"

"We ruled out Zodiac syndrome and suspected it might be scleroderma."

The doctors raised their hearts and replied.

Lin Yi didn't continue to explain, but went into the ward, ready to check the boy's latest condition.

The others also followed him into the room in a daze.

Lin Yi took a look at the boy's physical features, and his face was puzzled again.

How could transaminases drop so much?

Seeing the huge change in the data, Lin Yi's face suddenly changed, and he turned to look at Director Zhou at the side: "Director Zhou, do you have the latest inspection report, I suggest you take a look."

Director Zhou hurriedly opened the test report under his arm.

I was stopped by family members just now, and they haven't had time to take a closer look.

"Transaminase 185? The drop is a bit fast."

"Because of the use of anti-inflammatory drugs, this is normal."

"It's not because of anti-inflammatory drugs!"

Lin Yi took over the report, "His kidney function has increased, thereby reducing transaminases. This is not caused by anti-inflammatory drugs, so it should not be scleroderma."

"You gave him testosterone again?" Lin Yi suddenly asked a strange question.

All the doctors in charge looked at each other, none of them injected testosterone into the boy.

In the next moment, everyone reacted.

No wonder the data is so weird, this is the symptom of testosterone injection.

Damn, who the hell!

They gave the patient medicine without saying anything, which led to their misjudgment and almost killed the patient.

Director Zhou scanned the doctors with his eyes.

Who is it?They almost had a medical accident.

Fortunately, Lin Yi pointed it out!
But everyone's expressions were all blank.

Lin Yi looked at everyone with sharp eyes.

When looking at the two couples.

After the two of them met Lin Yi's eyes, they immediately looked down and turned away.

This action immediately escaped the eyes of Lin Yi, who was a detective in his previous life. This action meant shame.

What could shame these two egos?

I'm afraid there is nothing else besides making a mistake about their precious son!

Lin Yi immediately had an answer in his heart.

With a sneer: "You will know when you call out the monitoring. Even if it is your own son, it doesn't mean that you can do whatever you want with him and don't listen to the doctor's advice!"

Upon hearing this, the woman straightened her neck and retorted: "It's not that your healing actions are too slow. We want to help you speed up the progress!"

As soon as everyone heard it, they understood who injected the testosterone.

Lin Yi sat on the sofa beside the hospital bed, crossed his legs, crossed his hands, and looked like a big guy.

He said indifferently: "Do you still think you are right? In fact, it is because of you that your son became like this."

"It's all your parents' fault!"

This sentence is resounding!

"What?! What are you talking about!"

The couple yelled in disbelief.

Lin Yi was still not in a hurry, not affected by the gazes of the two who seemed to rush over to eat him alive.

Others are looking forward to, the last moment, has finally come!

"You give him bottles of energy drinks before training, during training, after training."

After hearing Lin Yi's words, the boy nodded involuntarily and agreed with him.

"Actually, when your son first arrived, he was simply dehydrated. It's not a serious problem at all!"

Now even the doctors were surprised, and the barrage was unbelievable.

Just dehydrated at first?
It turned out to be such a simple reason? !
but……

The woman snorted disdainfully, with contempt in her eyes: "When I first came to the hospital, the emergency department was treated for dehydration! But he still hurts!"

She understood that this person must want to shirk responsibility!To make up such a ridiculous reason!
And the other doctors were also a little puzzled, not because they didn't believe Lin Yi, but because what the woman said made sense.

If it is dehydration, why does the previous dehydration treatment not work.

How could it become so serious later?

And what does this have to do with energy drinks?
Everyone was full of doubts at this time.

Hearing this, Lin Yi laughed.

"That's why the energy drinks, the excessive consumption of energy drinks, cause them to fatigue the kidneys, so it takes him longer to recover from dehydration."

When Lin Yi said the first few words, those experienced doctors quickly reacted.

Attending doctor: Damn it!It turned out to be so!
It's not that they don't understand this truth, but they don't know that their children drink so many energy drinks.

The couple didn't think there was anything special about drinking energy drinks, so when they asked, they didn't mention it at all!
And because this child is too special, they keep thinking about special places.

In the end, the reason is so simple...

The couple seemed to be a little aware of their own problems, and their faces were not very good-looking, but they still refused to admit their mistakes.

"Then why is he not well now!"

Lin Yi smiled: "Because you are stupid and ignorant."

"you!"

"While we continue to rehydrate him, you must have us do an MRI, causing him to recover from dehydration, and then ask us to find a non-existent uterus in his pelvis."

"Fatigued kidneys can't handle the excess salt water, and a pericardial effusion develops."

"Because your persistence delayed the treatment, and finally caused the doctors to make wrong judgments and prescribe wrong medicines."

The more the couple heard it, the worse their expressions became. They realized it. It seemed that it was really their fault.

Director Zhou, who made the decision to take the medicine, seemed a little ashamed when he heard it.

It was true that they had misdiagnosed the condition, and they prescribed the medicine.

The boy's condition is indeed partly to blame for them.

Lin Yi continued unhurriedly:
"If his kidneys were healthy, there would be no problem with these medicines, but..."

Everyone understood.

Safe drugs become unsafe because of kidney damage.

"From the moment he took the medicine, the excess medicine went round and round, and was finally absorbed by his heart, liver and pancreas. Wherever it went, it was a mess."

"So your son was fine when he first arrived, because you were overconfident in your own judgment and superstitious about whiteness, which caused serious consequences."

The couple were completely stunned when they heard this.

They finally realized that their own mistakes almost killed their son.

At this moment, regret was written on their faces.

The husband and wife burst into tears and kept asking Lin Yi what to do.

Lin Yi shrugged and spread his hands: "It's very simple, he is still young, and he will be fine after a few weeks of dialysis."

………………

After the treatment, Lin Yi returned to the consulting room and breathed a sigh of relief.

Meeting the family members of this kind of patients can really make people worry to death!

After a while, the door of the consulting room was pushed open, and a young woman came in, holding her stomach with one hand, and holding a five-year-old girl with the other.

In this section of the walk in.

The woman looked more and more unwell, clutching her stomach and slowly walked forward to Lin Yi.

Cold sweat broke out frequently on her forehead, and she was still comforting the little girl beside her:

"Baby, Mommy is fine."

After Lin Yi finished drinking the water, he raised his head and saw this scene.

Suddenly his eyes narrowed.

Then he rubbed, quickly stood up from his seat, and rushed to the woman.

At this time, the pain in the woman's abdomen became more and more severe, and she finally couldn't hold on anymore and was about to fall to the ground.

Just when the woman's body was about to hit the ground, Lin Yi who just arrived caught her.

Wu Jiang on the side couldn't help asking:

"What's going on, what happened to the patient?"

Lin Yi looked serious, and quickly checked the woman's condition.

I stroked my forehead, it was so hot!

The temperature is at least 40°C!
Lin Yi put his fingers on the woman's pulse again, and felt a violent beating.

The heartbeat is abnormally fast!
The situation is critical!
Lin Yi suddenly changed, his brows were tightly frowned, and he analyzed quickly in his mouth:

"The patient has severe abdominal discomfort, high fever, and tachycardia."

The woman lay in Lin Yi's arms, breathing heavily.

And the five-year-old girl standing next to the woman was holding a bear and looked at them with fear in her eyes.

"Mom, what's wrong with you?"

The woman panted, endured the pain and groaned, and comforted the little girl with a voice as gentle as possible:
"Mom is fine, be good."

Lin Yi immediately picked up the woman and hurriedly put her on the hospital bed beside her.

Pick up the stethoscope around your neck and start checking.

At this time, Wu Jiang also reacted very quickly.

He quickly put down the debridement tool in his hand, and quickly took out the blood pressure monitor from the drawer.

With the other hand, he picked up the little girl standing alone at the door and rushed to the hospital bed.

Then he immediately put down the little girl, and after inflating the air to measure the blood pressure, he quickly checked the abdomen with both hands.

The girl pulled Wu Jiang's trouser legs, and looked at her mother on the bed ignorantly and anxiously.

Soon, Wu Jiang got the result after the inspection.

"Hypotension, abdominal tenderness with swelling."

On the other hand, after hearing the result, Lin Yi quickly checked the woman's fingers, pressed lightly and then released them.

"The body is dehydrated and capillary refill is sluggish."

Capillary refill time refers to the time it takes for the nail bed to turn pale and return to its original color after light pressure.

The normal time should be less than 3 seconds. Prolonged filling time is generally a signal of obstructive peripheral arterial disease or reduced cardiac output.

Of course, the specific situation needs to be diagnosed together with other symptoms.

After Lin Yi finished his judgment, he continued while observing the woman:

"Rapid breathing rate, cold and cyanotic skin."

At this moment, the woman's breathing began to accelerate rapidly, as if she couldn't breathe.

Lin Yi's face suddenly changed.

"No, she's going into shock!"

Seeing this, Wu Jiang anxiously said to Lin Yi:
"We need aggressive fluid resuscitation immediately!"

Clinically, once septic shock is diagnosed, active fluid resuscitation should be performed in time, which can reduce the mortality of patients.

The two cooperated tacitly, their judgment became faster and faster, and their speaking speed became faster and faster.

Lin Yi made a quick diagnosis at the end:
"Start the promotion of Pukengshengsu, insert a nasogastric tube to decompress the abdominal cavity, detect lactic acid, and start a full set of sepsis treatment!"

At present, it should be some kind of bacteria that causes the woman's abdominal pain.

At present, no specific bacteria has been detected, and only empiric antibacterial treatment can be carried out.

The two did not communicate with each other, but they both agreed to apply antibacterial treatment in a tacit understanding.

At this time, doctors and nurses from the emergency department also came to the scene during the emergency call.

The nurse rushed over with emergency medicine in her arms.

Several people methodically performed first aid to the patient.

……

fortunately.

After some emergency rescue, the woman was temporarily out of danger.

The nurses and emergency personnel present all breathed a sigh of relief.

This was the first time he encountered such a critical situation in Lin Yi's clinic.

When the woman's condition stabilizes.

She was therefore placed in a separate ward.

Lin Yi looked at the unconscious woman, pondered for a while, and then quickly ordered to the doctor next to him:

"Give her an ultrasound first, there is still something in this case."

Soon, after the examination, the woman was pushed into the ward again.

The five-year-old boy also ran around following them all the way.

Now she was resting her hands on the hospital bed, looking at her sleeping mother ignorantly.

The woman on the hospital bed frowned and asked Lin Yi and the others worriedly:

"What's wrong with me?"

When it came to the illness, the expressions of the two suddenly became serious.

Wu Jiang frowned slightly: "The ultrasound showed that your colon is enlarged. We put a rectal tube and a nasogastric tube to try to release the pressure inside."

(End of this chapter)