Chapter 484
Chapter 487: The Smell of Alcohol
"Do a bronchoscopy for the patient first." Qin Feng arranged.

With Qin Feng's continuous arrangements, the patient's vital signs gradually returned to normal levels, but his breathing difficulties still had to be assisted by a ventilator.

The hospital always called quickly and borrowed equipment from the respiratory department, but when the bronchoscopy was done, it didn't go well.

The patient was too young, and the bronchus was relatively narrow. During the examination, he was subject to many restrictions, and there was a lot of mucus in his bronchi, which hindered the bronchoscope from entering and could not go deeper.

No matter how confident Qin Feng was, he didn't dare to penetrate roughly, so he could only give up and pull out the bronchoscope.

"Brother Qin, are you sure it's plastic bronchitis?" the hospital chief asked.

"The environment in the patient's bronchus is very bad. I can only confirm that the bronchus has entered the foreign body and has a serious infection. As for whether it is plastic tracheitis, I am not sure." Qin Feng said, "It is best to arrange the pathological tissue of the foreign body examine."

Now that the patient's condition is stable, Qin Feng can only wait for the results of the clinical laboratory tomorrow before he can further treat the patient.

After settling down the patient, Qin Feng didn't have time to rest, another patient was sent to the emergency room, and Qin Feng happened to be in the emergency room, so he took this patient by the way.

"What's the patient's condition?"

"When I was taking a shower, I suddenly fainted. My family members called 120 after they found out." Dr. Che said.

Fainted suddenly in the shower?
Qin Feng glanced at the patient, and found that the patient was actually a young man, who looked like a college student, and his age should not exceed 22 years old. At such a young age, Qin Feng felt that myocardial infarction and stroke could be ruled out.

"Stethoscope."

Qin Feng took it, lifted the patient's shirt, listened to the patient's chest with a stethoscope, and then heard a huge wheezing sound.

"Is the family here?" Qin Feng asked.

"Yes, I'm his mother."

"Tell me the specific situation." Qin Feng said.

"My child didn't know why, but suddenly fell down while taking a bath. After I heard the noise, I went to the bathroom to check, only to find that my child had passed out." The patient's mother said.

Qin Feng hummed without stopping his hands, and found that there were a large number of red bumps similar to urticaria in multiple parts of the patient.

This is a typical allergy symptom!

"Why do your children usually have these rashes?" Qin Feng asked.

"No, my child pays great attention to skin care, and will try to get rid of any acne on his face." The patient's mother said.

"What did you eat before taking a shower today?"

"I just ate a bowl of noodles in clear soup, just for convenience."

"Have you taken or applied any medicine?"

"No."

Qin Feng fell into a brief contemplation, and now the first thing to rule out is food and drug allergies.

bath……

water temperature!

Qin Feng suddenly came to his senses, "Does your child take a cold bath or a hot bath?"

"He used hot water at first, but then the gas at home ran out and there was no place to wash it at night, so I asked him to make do with cold water first," said the patient's mother.

Qin Feng knew what the cause was. The patient should have cold urticaria, which is an extremely rare disease.

Our human body will have a stress response when it is overheated or too cold, the most obvious one is goosebumps.

As for cold urticaria, just like goose bumps, this is an allergic symptom that occurs after the skin and mucous membranes are exposed to low temperature environments.

As for how to determine, it is simpler, that is, to use a piece of ice, place it on the patient's intact skin for about 1 minute, if local symptoms such as redness, swelling, itching appear, it means cold allergy symptoms, then it can be diagnosed as cold urticaria up.

Qin Feng still treats according to allergies first, adding oxygen, taking anti-allergic and epinephrine.

The hospital always arranged for the nurse to get the ice cubes. When the ice cubes came, Qin Feng wrapped the ice cubes in sterile cotton cloth and gently placed them on the patient's intact skin.

Soon, Qin Feng determined that the patient had cold urticaria.

This disease does not require much treatment, as long as anti-allergy and oxygen inhalation are almost the same.

Qin Feng told the patient's mother about his condition. If this patient wants to have a good living environment, it is best to avoid going out in cold weather, otherwise he may relapse at any time.

After settling in, another flatbed truck rolled in, followed by an anxious middle-aged man.

Looking at the patients coming one after another, Qin Feng couldn't help lamenting his luck. After the registration fee increased, he encountered the patients who were most afraid of encountering by the medical staff.

After washing his face first, Qin Feng quickly rushed to the emergency room.

"What's going on?" Qin Feng asked the patient's son.

"I don't know. My dad was fine, but he suddenly complained of chest pain half an hour ago. The pain was very severe. My dad even explained the funeral to me." The patient's son said.

Have you explained your funeral?

This is the patient's sense of dying, which is generally seen in patients with myocardial infarction, aortic dissection, or pulmonary embolism.

"Does your father have high blood pressure?"

"No."

Qin Feng nodded, then turned his head and walked into the emergency room. Qin Feng glanced at the measured blood pressure and blood oxygen.

The patient's current blood pressure is only 86/52mmhg, blood oxygen is 97.3%, and the blood pressure is a bit low.

"Give the patient an electrocardiogram."

Soon, the electrocardiogram machine was pushed over and an electrocardiogram was drawn to the patient. On the electrocardiogram, the patient did not have any indications of myocardial infarction.

While Qin Feng breathed a sigh of relief, he also became puzzled.

Myocardial infarction and aortic dissection have been ruled out temporarily, so what exactly causes the patient's chest pain?

"Which one of you has been drinking?" The hospital chief asked suddenly.

"I didn't drink."

"I don't dare to drink and work the night shift."

In the past, some doctors liked to drink alcohol, and they felt uncomfortable after eating two glasses. In addition, doctors were already under a lot of pressure, so drinking became the norm.

Later, too many things happened, and gradually the hospital came up with corresponding rules and regulations, so that this kind of situation lessened.

"That, it seems to be the smell of alcohol on the patient." The nurse said.

"The patient smells of alcohol?" Qin Feng took a closer look and smelled alcohol.

Just because he was in a hurry, and because he was wearing a mask, Qin Feng really couldn't smell the alcohol, and the smell in the emergency room was mixed, so it was really difficult to smell anything.

After drinking alcohol, is it possible that it is a disulfiram reaction?That is the reaction of cephalosporins.

Qin Feng walked out of the emergency room and found the patient's son directly.

"Your dad has been drinking, do you know that?"

"I know."

"You know, why don't you tell us?" Qin Feng said angrily.

"Ah, drinking has something to do with my dad's chest pain? My dad has been drinking for decades."

(End of this chapter)

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