medical road high rise

Chapter 450 Strongyloidiasis
Chapter 452 Strongyloidiasis
"I want to ask, the child has obvious allergies, as well as symptoms of sinusitis and pneumonia, why do you mind related examinations?" Qin Feng asked.

"The examination hurts the body." The patient's mother said impatiently, "Last year, my child only had a cold, and the doctor insisted on doing some examinations, and then prescribed medicine, which caused our child to develop rashes all over his body last year. It hasn't subsided yet."

Qin Feng understood that it was because the parents didn't trust the pediatrician very much.

"Then can I talk to your children?" Qin Feng continued to ask.

"What can you talk to the child about?" Before the patient's mother could finish speaking, she was interrupted by the patient's father.

"Let's talk."

Qin Feng sat next to the patient, "Little friend, are you Xu Shanshan?"

"Yeah." The patient nodded, then coughed.

"Can you tell Uncle if your throat is itchy when you cough?" Qin Feng asked while checking the rash on the patient's arm.

The patient shook his head, then pointed to his chest, "It's uncomfortable here."

Qin Feng stretched out his hand and pressed it lightly. The patient may have been itched, and his body was shrinking back and forth, and then he coughed violently.

"You two, you have also seen the physical examination of your child. It is impossible to diagnose with a stethoscope alone." Qin Feng said, "I suspect that there is a foreign object in your child's lungs or trachea. The foreign object is not large, but it is attached On the tracheal wall, it can only be checked with instruments."

"But doctor, is there no other way?" The patient's mother also hugged the patient distressedly.

"If you don't want your children to continue to suffer, instrumental examination is the best. The sooner the result is, the sooner you can feel at ease." Qin Feng said.

"Okay, but don't let the child suffer." The patient's mother said.

Qin Feng nodded, and finally understood the difficulties of pediatricians.

Faced with family members who resist the examination, as well as small patients who resist the examination, it is a difficult problem to solve.

Children are not like adults. It is difficult for them to implement something if they are not willing.

Fortunately, this little patient is quite cooperative, and Qin Feng and the two don't have to worry about it.

When they walked out of the endoscopic examination room, both Qin Feng and the pediatrician looked serious.

The patient was not suffering from sinusitis or pneumonia. Instead, there were many tiny blood clots and inflammatory spots in the lungs and trachea, which were the culprits that caused the patient's fever and cough.

The pediatrician seemed a little flustered. It turned out that he was wrong from the very beginning. He wanted to discuss with the patient's parents about pneumonia treatment first, but luckily he didn't have time to speak.

Now the condition of the patient's lungs and trachea is too abnormal. If the drug is used indiscriminately, the patient's life may be in danger under the action of the drug.

"Doctor Xu, I think the blood test and urine test need to be rescheduled. I suspect the patient has a GPA." Qin Feng said.

GPA is an autoimmune disease, also known as granulomatous vasculitis. This disease is very misleading. Inexperienced doctors will treat it as pneumonia or sinusitis. There are commonalities among the three. .

Qin Feng went directly back and explained the situation to his family members, because of GPA disease, it is very troublesome to recover in the later stage, and there are too many things to check.

When the patient's parents heard that something had been checked out, they panicked.

Two hours later, the patient's examinations were all down.

The patient was diagnosed with GPA, a typical GPA triple in the upper respiratory tract, and also had symptoms of sinusitis, and there were tiny blood clots in the lungs and trachea.

This disease does not require surgery, mainly drug treatment, Qin Feng directly handed it over to the pediatrician, and then went home after get off work.

Early the next morning, after checking the room, Qin Feng received an emergency call.

A sanitation worker was taken to hospital unconscious and having difficulty breathing.

Qin Feng went to the emergency room, and the hospital manager reported the patient's condition to Qin Feng.

"The patient is 62 years old and his blood pressure is 60/150. When he was cleaning the road, he suddenly had difficulty breathing. Passers-by called 120 and sent him to the hospital. The car gave him oxygen, and the patient's condition improved slightly."

Qin Feng nodded, and then Qin Feng began to auscultate the patient's lungs and heart. The heart sound was fine, but there should be some inflammation in the lungs.

"Master, have you ever had diabetes or coronary heart disease?" Qin Feng asked.

"No. I have always been in good health." The sanitation worker shook his head.

Qin Feng still arranged an inspection for the uncle, and the uncle did not resist. After all, the sanitation workers in the magic city are hidden rich people.

The most famous piece of news is that a certain company went bankrupt, and the auntie cleaner, because she liked the company's environment, directly participated in the financing and saved the wages of the company.

This uncle is obviously not the one who is short of money. Basically, he nods whatever Qin Feng says.

Half an hour later, the X-ray image of the patient came in. Qin Feng took a look and found that there was nothing abnormal on it.

I took another look at the blood test results. Except for a little anemia, the patient's white blood cell index was a little high, and everything else was normal.

A high white blood cell index means that there is inflammation in the lungs.

"Doctor, am I suffering from some serious illness?" the sanitation worker asked worriedly.

He is not short of money, but he is also worried about getting sick.

"Let me auscultate you again, how does it feel to be panting now?" Qin Feng asked.

"It's much better than before, and I don't have the feeling of being out of breath." said the sanitation worker.

Qin Feng took out the stethoscope and auscultated the patient's lungs again. There was indeed a severe moist rale, but it was a little weaker than when he was auscultated when he was first sent to the hospital.

When Qin Feng lowered his head, he suddenly found some pimples on the patient's abdomen.

"Master, when did you have those pimples on your abdomen?" Qin Feng asked.

"Pimples? There were none yesterday." The sanitation worker was taken aback for a moment.

Qin Feng looked carefully and found that the patient's abdomen seemed to have some bulges. I don't know if it was an illusion of vision.

Suddenly, Qin Feng saw the bulge disappear and then resurface, his eyes widened.

"Take the patient to take a urine sample right away, and remember to take protective measures." Qin Feng felt a little chill on his back.

The hospital always saw Qin Feng's serious expression, so he quickly put on his mask and leaned over.

"Doctor Qin, this patient?"

"The patient may have strongyloidiasis. You should notify the laboratory for urgent treatment. If the first test fails, then take samples for the second or third time." Qin Feng said seriously.

Hearing Qin Feng's words, everyone became nervous. Strongyloidiasis is not a simple parasitic disease. It is very likely that there are larvae in the patient's saliva. If you accidentally touch it, you may be infected.

This kind of parasite is extremely contagious. After being hospitalized, I didn't dare to shush after hearing it, and took the patient directly to sample it.

(End of this chapter)