medical road high rise

Chapter 480 Roundworms
Chapter 482 Roundworms
Wang Yu, the deputy director of the Department of Neurology, began to tell the patient's condition, while Qin Feng and others listened carefully.

After a few minutes, Wang Yu stopped talking.

"Has the patient checked blood potassium again after potassium supplementation?" Qin Feng asked.

"No."

"Have you checked anything else? Magnesium or something."

"No, I only checked blood sodium and blood potassium at first." Wang Yu shook his head.

The gastroenterologist said: "Although you have already supplemented sodium, the reabsorption of potassium by the renal tubules requires sodium and potassium pumps, and at the same time needs the assistance of magnesium ions, so hypomagnesemia combined with hypokalemia should be supplemented with magnesium first, otherwise simple Potassium supplementation is ineffective."

"I also agree with this statement. It is recommended to check the blood potassium and blood magnesium first." Qin Feng said.

The doctors in Ruijin Hospital are all talented and learned, and Qin Feng is not the only one who is powerful, so Qin Feng is also reserved in some aspects.

Qin Feng turned his head and asked the family members: "Has the patient had a cold and fever recently? Or where is the inflammation, and has been vaccinated within a week or something."

Qin Feng suspected that the patient might have Guillain-Barré Syndrome, which is an autoimmune disease. Generally, there is a history of infection or vaccination before the onset of the disease.

If after vaccination, people feel the symptoms of general weakness, they should be more vigilant, and if they have a fever, it is Guillain-Barre syndrome.

"No, my husband hasn't been vaccinated recently, nor has he taken medicine for a cold." The patient's family said.

Qin Feng nodded. Although the family members said so, Qin Feng still wanted to find out if it was Guillain-Barré Syndrome.

Wang Yu went to make arrangements, and Qin Feng went back to the emergency department first.

By the time the neurology department called, it was already around three o'clock in the afternoon.

The patient was found to have low blood magnesium. After magnesium supplementation, the patient's condition has been relieved a lot, the weakness of limbs has also been reduced a lot, consciousness has also begun to recover, and he can speak.

Qin Feng also breathed a sigh of relief, but fortunately, he was not misdiagnosed.

"Brother Qin, help me, I have admitted a difficult patient, and this is the second time I have come to the emergency department." The attending doctor of the emergency department knocked on the door with quite a headache and said.

"what's the situation?"

For the people in his department, Qin Feng is still very patient, not so impatient.

"It's like this. The patient is a third-year junior high school student. He was admitted to the hospital yesterday because of paroxysmal abdominal pain." The attending doctor said, "I gave him anti-infection and gastric protection treatment, but the effect was not obvious."

“When did the patient first come to the emergency department?”

'A month ago, she also suffered from paroxysmal abdominal pain, but after receiving intravenous antibiotics with a hanging needle, the patient's symptoms improved. '

"Go to the ward first." Qin Feng got up, and the attending doctor took Qin Feng over.

When he came to the ward, the patient was lying on the hospital bed quietly playing mobile games. Qin Feng estimated that he was either a peace elite or King of Glory.

"Xiaoping, the doctor is here to examine you." The patient's mother said softly.

"Wait until I finish this game." The patient said impatiently.

The patient's mother had no choice but to look at Qin Feng.

"Then wait for him to finish, it will only take a few minutes." Qin Feng said.

The attending doctor knew that Qin Feng was very busy, and was about to speak, but was stopped by Qin Feng.

Junior high school students are at an age that loves to play, and Qin Feng can understand it when he comes from their age.

If you directly stop him from playing the game, then the inspection will definitely not be so cooperative. It is better to wait a few minutes for him to play the game before doing the inspection.

The patient's mother could only cast apologetic looks, and she also recognized Qin Feng, the recently famous doctor, he was able to come to see his son, it really took time out of his busy schedule.

Qin Feng kept watching the patient while he was playing games. Patients who can play games are generally in a good mental state.

"Yeah, I won." The patient put down the phone.

Qin Feng put on sterile gloves and began to perform a physical examination on the patient.

The patient had suspicious tenderness in the upper right abdomen and around the umbilical cord, but everything else was fine. Qin Feng glanced at the patient's examination results and found that the patient's white blood cells and neutrophils were elevated, and the urine routine was normal. Nothing unusual either.

"What was your diagnosis yesterday?" Qin Feng asked.

"I'm thinking about gastroenteritis or pancreatitis, so I used conventional stomach protection to relieve spasm and anti-infection treatment, but the effect is not ideal." The attending doctor said.

Qin Feng began to gather all the patient's characteristics into everything. He had abdominal pain a month ago. This time it got worse. The remission period was the same as that of ordinary people. No obvious abnormality.

But with just one abdominal pain, there are many directions that can be judged.

Qin Feng still suspects that the patient is diabetic, but most of the type-[-] diabetic abdominal pain cannot be terminated by itself, and must be treated.

Case by case echoed in my mind, and then ruled out.

"Has the patient had a similar situation before? From birth to now." Qin Feng asked the patient's mother.

"No, my son has always been in good health. It happened once last month and now, but it never happened again," said the patient's mother.

Qin Feng looked at the patient and slowly frowned.

"Little brother, when you are in pain, what pain method do you use?" Qin Feng asked.

The patient said while playing with the mobile phone: "It's the kind of pain that feels like something is about to come out."

"Feel like something is about to come out? It hurts?" Qin Feng and the attending doctor looked at each other, and both of them had a guess in their hearts.

That is parasitic disease, the most typical and common one is ascariasis.

It is the kind of roundworm that can drill out by itself and pull more than ten centimeters. I believe it should be the nightmare of many people born in the 70s and 80s, and even some people born in the 90s have seen it.

"Prescribe Abendadin to the patient. If it works, then it's ascariasis. If it doesn't work, then continue to investigate other things." Qin Feng said.

"Roundworms? Is it the kind we saw when we were young? Doesn't it mean that it is impossible to get roundworms now?" the patient's mother said.

"The hygienic conditions are better now, but if you don't pay attention to the parasites, it is still possible to get them, but the probability is very small." Qin Feng explained.

The patient's mother nodded. If it was just roundworms, she would not be so worried.

After all, they all got roundworms when they were young, and they have never seen anything happen to any of them.

As for the albendadine drug prescribed by Qin Feng, it is an anthelmintic drug based on a mifil derivative, and it is also one of the most basic and broadest anthelmintic drugs.

If it is really a roundworm, then everything is painful. Many doctors have begun to forget about roundworms, and it is difficult to find roundworms by B-ultrasound. Its color is the same as that of the intestinal tract. It is very technical to judge. If you don't pay attention, you will ignore it.

(End of this chapter)