medical road high rise

Chapter 507 Teaching Disturbance ([-])

Chapter 510 Teaching Disturbance ([-])

Qin Feng went to the side and poured a glass of water to drink, when he heard the nurses chatting.

"This person seems to be a tramp. I feel a bit like he is pretending to be sick. He wants to eat and drink in the hospital. Otherwise, with Dr. Qin's skills, he should have seen what's wrong a long time ago."

"Huh? People still come to the hospital to eat and drink?" The new nurse expressed some confusion.

"Let me tell you, there are many such people. Don't look at the relief station now, but those homeless people don't accept the jobs provided by the relief station at all. It will be their long-term meal ticket."

The nurses were chatting, Qin Feng was listening, and Qin Feng did not veto their judgment.

What Qin Feng needs to do now is to correct the metabolic imbalance in the patient's body.

"Do you have any relevant information about this person?" Qin Feng asked.

"No, this person has nothing to prove his identity, and he can't contact his family. He is a lonely person." The nurse said.

Looking at the patient lying on the side, Qin Feng felt another headache. This kind of patient who can't contact his family is another bad debt, and he can only digest this person's expenses through the emergency department.

"What happened to your hand?" Qin Feng suddenly found that the little nurse's hand was bleeding.

"When I was carrying that homeless man, I was injured by him." The nurse said dissatisfied.

"Remember to do a checkup." Qin Feng frowned.

The nurse nodded, because she didn't know if the patient would have any infectious diseases, so it was best to be on the safe side.

Qin Feng put down the cup and replenished electrolytes for the patient. After correcting the metabolic imbalance, the patient's condition did not improve, but deteriorated further.

This made Qin Feng a little confused. He was not sure whether the patient's convulsions worsened after electrolyte supplementation, or whether it was the normal development of the patient's condition.

But one thing is certain, that is, electrolyte imbalance and metabolic imbalance are definitely not the main symptoms, even if they are controlled, it will not help, and the cause must be found.

Wait, the patient has hallucinogenic conditions, could he be an addict?
Qin Feng re-examined the whole body of the patient, and felt a steel nail in the patient's rib. This homeless man had undergone surgery before.

You must know that the surgical instruments performed in regular hospitals are numbered, and the serial number of the surgical operation can be found through the surgical instruments, so as to track all the information of that operation, including the basic information of the patients most needed by Qin Feng and others. There is also past medical history.

"Xiao Na, go to the intranet to check the surgical serial number corresponding to this steel nail." Qin Feng ordered.

Xiao Na nodded, and ten minutes later, Xiao Na found all the patient's information.

"Chu Shiqiang, male, 42 years old, had type [-] diabetes before and a history of tuberculosis."

Hearing tuberculosis, everyone subconsciously turned away from Chu Shiqiang. Once, tuberculosis is a chronic infectious disease that can invade multiple organs. It is a relatively common infectious disease.

Qin Feng suddenly looked at the nurse who had bandaged the wound. You must know that although tuberculosis is transmitted through the air, when the patient coughs, sneezes, etc., the pathogen can be transmitted to other people through the air and cause infection.

But there is also a chance of infection through injured skin or mucous membranes. Although it is rare, it should not be taken lightly.

"Ms. Qin, could this patient be tuberculosis?" Xiao Na asked doubtfully.

"No, the main clinical manifestations of tuberculosis are low fever, night sweats, fatigue, accompanied by respiratory symptoms, such as coughing and hemoptysis, but these patients are currently unavailable, but if tuberculosis develops to an advanced stage, it will spread from the lungs to the whole body , into the various tissues and organs through the blood, and intrude into the brain, there is also a chance that it will appear as hallucinations." Qin Feng shook his head and rejected Xiao Na's point of view.

"First, give the patient a general examination, especially the nervous system." Qin Feng said.

Type [-] diabetes and tuberculosis are actually not the main factors Qin Feng considers. Hallucinations are the most important indications that Qin Feng thinks.

The hallucinations are most likely caused by the nervous system. Qin Feng asked Xiao Na to ask the police station to check the patient's recent haunts. According to the patient's identity, the police station located near the logging factory where the patient often appeared.

Logging mills...

You must know that those cut down trees will have some zoonotic diseases on them, and some small animals will also board on the trees.

Qin Feng suspected that the patient might have been infected by animals, the most typical one being tick-borne forest encephalitis.

This disease is generally after the virus invades the human body, replicates in the mononuclear macrophage system such as the local lymph node, and then enters the blood, causing viremia.

Due to the formation of specific antibodies, most patients present with recessive infection, and there are also mild atypical cases. A small number of patients are caused by the virus entering the central nervous system, causing severe symptoms of central system poisoning.

"Check the patient's temperature, is there a fever?" Qin Feng asked.

Tick-borne forest encephalitis, several inspection indicators, including fever, limb flaccidity and so on.

"The patient's body temperature is normal now." Xiao Na said.

"What about the blood image?"

"The blood picture is also within the normal range."

Not tick-borne forest encephalitis?

Qin Feng fell into deep thought again. The patient did not have a fever. In fact, this is an important indicator. You must know that many diseases can cause the body to have a fever, such as rabies.

However, the patient's symptoms were very different from those of rabies, and the most typical hydrophobia and photophobia did not appear.

Qin Feng thought of a problem, that is, the living conditions of the patients are quite special. If they were really scratched by cats and dogs, unless the patients themselves said it out, they would not be able to find out just by checking the hospital information by themselves.

Because of the financial conditions of a tramp like the patient, it is not easy to go to the hospital for a steel needle. It is impossible to go to the hospital because of being scratched by an animal, and he has no such awareness.

"Does that lumberyard have dogs or something?"

"No."

As for the stray cats and dogs in the city, in fact, with the implementation of the city's policy, they have basically been eliminated. Domestic cats and dogs have been vaccinated, and the chance of being bitten by the rabies virus is not high.

Qin Feng could only wait for the patient's test results to come out. After waiting for about half an hour, Xiaona got the patient's test results back.

"Partial nerve paralysis?"

Qin Feng saw the results of this item at first glance, the area where the patient had convulsions was so severe that local nerve paralysis occurred.

"How is the patient's blood pressure now?" Qin Feng asked.

"It's always been very high and can't come down at all."

"What about heart rate and respiration?"

(End of this chapter)