medical road high rise

Chapter 429 Immune System Diseases
Chapter 431 Immune System Diseases
But this patient's oral ulcers are different from the yellow and red wounds. Instead, the surface is black, which looks like small black holes.

"Doctor, by the way, the same thing happened to my inner thigh. I'm a little worried that it will affect my lower part." The patient said worriedly.

Qin Feng took the patient to pull up the curtain for examination, and saw that the inner thigh of the patient was rotten, and the surface of the skin was like blisters, and it was still ruptured.

"Is there any more?" Qin Feng felt that the situation was more than that.

"Also, when I play mahjong, sometimes my knuckles hurt very much." The patient gritted his teeth.

Eye photophobia, malignant oral ulcers, inner thigh ulcers, and joint pain can all be treated in the corresponding departments, but when combined together, they become a serious disease.

"Any more?"

"Does nausea and vomiting count?" Qin Feng asked.

"Calculate."

What worries Qin Feng most is the patient's joint pain, because this symptom can be large or small. If it is serious, it can be vasculitis, meningitis, etc., and it may even be bone cancer.

Qin Feng asked some more about the patient's living habits, such as diet, and whether there was anything abnormal.

Now even Qin Feng will not be able to judge the patient's disease for a while, so he can only let the patient go for the corresponding examination first.

Waiting for the patient to come back, Qin Feng watched the patient's film.

The first is the fundus examination. The patient's optic disc is oval, with a clear red border and a slight depression in the middle. At the same time, edema and exudation can be clearly seen on the retina, as well as some new blood vessels.

For the inner thigh, a bone scan was done, as well as a chest CT.

There was nothing wrong with the bone scan, but a chest CT revealed an aortic dissection.

The mortality rate of aortic dissection is still very high, which made Qin Feng immediately vigilant, and the patient's aortic dissection is still the most serious type I aortic dissection.

Qin Feng didn't delay either, he directly explained the situation to the patient, asked the patient to contact his family members, and then started the operation as soon as possible.

After all, keeping an aortic dissection is no different from keeping a time bomb. Although it is not sure what the patient's disease is, but now that the patient has aortic dissection, we must first solve this problem, and then slowly look for other patients. disease.

It is even possible that this aortic delamination is also caused by that unknown disease.

Qin Feng's face became serious, and the patient quickly contacted his family members.

On the second day, the patient was ready, and then all the preoperative examinations were done, which belonged to the scope of surgery.

After the family members signed, the patient was pushed directly into the operating room.

Although the aortic dissection was very serious, it was just a relatively difficult operation for Qin Feng. After three hours, the patient's operation was over.

The family members and patients were more happy, but Qin Feng's expression was still serious.

Because during the operation, Qin Feng discovered a serious problem, that is, the patient's wound was difficult to heal.

On the third day, Qin Feng went to check the ward and found that the patient's surgical wound had not changed, which was the same as what was found during the operation, which made Qin Feng's heart pound.

After a normal person is injured, there will be different degrees of tissue necrosis and blood vessel rupture in the local wound. After a few hours, an inflammatory reaction will appear, and then solidify into a block and gradually form a blood scab. However, the patient's chest wound is still blood red. There was no bleeding, which was also due to Qin Feng's superb suturing skills. If the sutures were not good, the patient might have to go to the operating room for rescue in the middle of the night last night.

"Let me ask you, when you were injured before, was it difficult to heal the wound?" Qin Feng asked seriously.

A person who cannot heal his wounds, Qin Feng can hardly imagine how he lives.

"Since I was young, the recovery time after my injury was longer than others, but the more I can heal, the longer the recovery time as I grow older. This is the first time I have encountered such a situation of no change. .” The patient said.

"This is a wound I accidentally left when I was working, and it hasn't healed yet." The patient tore off the band-aid on his arm to expose the wound.

The wound was not deep, as if it had been lightly scratched by some sharp object, but the wound did not scab over, instead yellow pus appeared.

"How long is this wound? What made it?"

"It's been almost two weeks, a small nail." The patient said, "But it wasn't tetanus. Anti-inflammatory drugs."

Qin Feng nodded, if it wasn't for tetanus, it would be even more uncomfortable.

It means that the patient's condition may be more serious. The patient should have insufficient platelets, which caused the wound to fail to heal. Qin Feng found out the patient's blood routine and found that the patient's platelets were indeed insufficient. He actually missed it.

"Let me arrange another angiography for you," Qin Feng said.

Angiographic examination is to introduce iodine contrast agent into the target blood vessel to make the target blood vessel visible, so as to make a diagnosis.

The patient also agreed, and Qin Feng directly arranged for an examination, and found that several blood vessels in the patient had thrombotic veins.

However, due to the presence of collateral circulation in the vein that produced the thrombus, the blood flow was not blocked, and no symptoms were shown.

"You don't usually have shortness of breath, do you feel short of breath?" Qin Feng asked.

The thrombosed veins of the patient are all related to the respiratory system. If it is more serious, it may cause pulmonary embolism, and there is no reason why it should not affect breathing.

"It's no wonder that when I was working recently, I always felt very tired and out of breath. I thought it was my physical strength. Is this also a disease?" the patient asked.

The patient is a middle-aged man who is a decoration worker and usually does not pay much attention to details.

"Well, it's a disease. After it's cured, it won't be affected." Qin Feng said.

The patient patted his chest, showing a false alarm expression.

Qin Feng didn't continue to speak, but his mind was running fast. At the same time, Qin Feng looked at the draft paper in his hand, on which the patient's symptoms were written.

Could it be something wrong with the immune system?

Thinking in Qin Feng's mind, recalling the documents he had read, suddenly Qin Feng remembered that when he was in the country of cherry blossoms, he seemed to have seen a similar case, which was told by Qu Ping to himself.

"Behcet's disease!"

This disease is particularly terrifying. It is a disease of the immune system and a type of vasculitis, but it can affect multiple organs of the human body, including the mouth, skin, joint muscles, eyes, heart and so on.

(End of this chapter)