mtl008 Chapter 317
Chapter 317
Wait, wait...
From the morning, until 3 p.m., 8 patients were cut in the queue.
Finally!
3:23 min,
It was her turn.
"Doctor Lin..."
"Sit, you're not comfortable there?"
When Ms. Wang saw Lin Feng up close for the first time, her eyes couldn't help but light up.
Lin Feng is very handsome, even through the mask, you can feel Lin Feng's bright eyes, as well as the bridge of his nose and eyebrows...
Although Lin Feng's voice was cold, it did not give people any discomfort, but had a strange affinity.
Ms. Wang vowed that if she were 20 years younger, she might frantically pounce on Dr. Lin.
It's a pity.
His daughter has not yet grown up, she is only 10 years old...
Forget it, daughter she doesn't deserve it!
(Daughter: "..................")
"Doctor Lin, it's like this, I'm a little dizzy..."
Then his own symptoms, as well as the diagnosis of the small tertiary hospital, Professor Wang Changtian's diagnosis experience...
Spoke again.
Lin Feng listened carefully and nodded while nodding.
After speaking,
Lin Feng's conclusion: mainly dizziness!
Lin Feng began to interrogate.
"What is dizziness? For example, does it feel like the sky is spinning, does it feel that the house is turning? "
"It's not..."
"Is there tinnitus, is there vision loss?"
"Nope."
"Is there any memory loss?"
"Nope."
"Like motion sickness when you don't have a seizure?"
"No..."
Lin Feng nodded.
The excluded "Meniere's disease".
This is a common disease.
It is caused by a loss of lymphatic metabolism, lymphatic hypersecretion, or malabsorption of the inner ear.
The specific symptoms are those asked by Lin Feng above.
After ruling out this "Meniere's disease", Lin Feng stopped her heartbeat with a stethoscope for Ms. Wang, and then made an electrocardiogram...
Because there is a problem with the heart, it can cause cerebral ischemia, resulting in dizziness...
Auscultation + ECG conclusion: The heart is fine.
Then I took my blood pressure.
High blood pressure, low blood pressure, can also cause dizziness.
Blood pressure measurement results: normal, no high blood pressure, low blood pressure...
And then
Anemia can also lead to dizziness.
Lin Feng asked, "Do you have anemia?" Will there be a lot of menstrual flow? Are there any long-term bleeding from hemorrhoids? Dark stools? "
Ms. Wang shook her head: "There are no hemorrhoids, and the Yue menstruation is normal, not much." "
Lin Feng nodded.
Again, dizziness caused by anemia is basically excluded.
"The eyes ... Do you feel that what you see is different from usual? "
"No..."
And at this time,
Ms. Wang also felt Lin Feng's professionalism.
Ask too much, too fine.
This made her feel: "Why didn't you see Dr. Lin earlier?" Why waste time in front of the two doctors?" of regret.
(Professor Wang Changtian: "........................"I am an orthopedic department, what are you looking for me for?") ）
At this time,
Lin Feng finally picked up the MRI results and looked at them.
Obviously,
The cervical spine is not serious, rule it out...
Cerebral infarction is then considered.
Ms. Wang asked worriedly: "Dr. Lin, is my cerebral infarction serious?" Should I be hospitalized? "
Lin Feng glanced at the MRI: "Don't worry, this cerebral infarction is just a lacunar cerebral infarction." "
"Doctor, what kind of lacunar cerebral infarction is this, will it die?"
She had always wanted to ask that question.
"Won't die... The so-called lacunar cerebral infarction refers to the infarction of very tiny blood vessels, which generally does not affect brain function, and is a very small disease... However, if you do not control risk factors, such as blood pressure, blood sugar, blood lipids, etc., I am afraid that more serious cerebral infarction will occur in the future. "
"That's good..." Ms. Wang breathed a sigh of relief.
Lin Feng: "It suggests multiple lacunar cerebral infarction, which may indeed cause dizziness." This is an intracranial vascular disease. You are hospitalized first... Then we use a little to unblock blood vessels, nutritional nerves and other drugs to see how effective it is, and continue to observe..."
"Okay, okay..."
Lin Feng opened the bill.
Admission slips, and blood routines...
......
Ms. Wang quickly applied for admission to the hospital, afraid of death...
Soon after,
The blood routine came out.
There is no anemia, hemoglobin and other indicators are normal, that is, electrolytes indicate that blood sodium and chlorine are low.
However, this is low, and there are many factors that affect it, such as eating less salt, and it just so happens that Ms. Wang's appetite is not good recently.
......
1 day...
2 days...
3 days...
After 3 days of treatment, Ms. Wang's dizziness still did not improve significantly.
Ms. Wang couldn't help but wonder.
"Doctor Lin, can't either?"
She couldn't help but have the idea of changing doctors.
Moreover, it seems that her condition has worsened in the past few days, giving her a sense of fear that she may die at any time.
Morning.
Lin Feng rounds.
"Dr. Lin, when will I be okay?"
Lin Feng also frowned.
It doesn't make sense.
Lin Feng used symptomatic drugs.
Even if it doesn't get better, it won't get worse, right?
At this moment, Lin Feng finally faced it squarely.
"Let me give you a comprehensive examination..."
"Good."
This time
Lin style is serious outside.
From head to toe, give Ms. Wang a comprehensive physical examination.
Head, feet, limbs, chest, abdomen...
When Lin Feng touched the lymph in the patient's armpit,
"Huh..."
Lin Feng suddenly felt that something was wrong.
feel
There are bulges!
It feels like there is a piece of meat that, when pressed, will be under the skin, bouncing, sliding around...
Enlarged lymph nodes!
The size is about 2cm in diameter.
Lin Feng suddenly thought of the tumor.
"Does it hurt, does it itch?"
"It doesn't hurt, it doesn't itch."
Lin Feng giggled...
If this hard block ... If it hurts, it's a small thing.
It doesn't hurt... Then it could be a tumor...
"Do you have a fever?"
"No..."
"Any nausea, vomiting?"
"No..."
Lin Feng thought of 2 possibilities.
Axillary lymphadenopathy (especially R adenocarcinoma, or lung cancer, which easily metastasizes to ipsilateral axillary lymph nodes, manifesting as lymphadenopathy. ）
Lymphoma:
"Go, do an R gland B ultrasound, as well as lung CT, to see if there is a tumor..." Lin Feng had nothing to hide.
"Huh? Tumor? "
"Do a check to see if this is possible..."
Now,
Ms. Wang was even more panicked!
Tumor?!
I actually have a tumor?!
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ps: Three more ends...
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