103 Come one and check one by one
(Thanks to my friend 08a for his encouragement)
"Doctor, can I do B ultrasound?" Qiu Mingyuan asked weakly.
Liu Banxia smiled and nodded, come and take a look.
After just two sweeps, Liu Banxia frowned, "There are some in the left and right kidneys, but they are all small particles." The upper part of the left ureter, this mass can be seen, the length is about 1.1 cm, the width is about 0.5 cm, this is the largest stone, and the ureter has been blocked. ”
"It is difficult to pass such a large stone naturally, so let's do extracorporeal lithotripsy. I'll write you a bill in a moment, and I'll call his parents again. Well...... , you can also help pay the bill. Blood is drawn first, the lower kidneys are examined, and then urine is tested. ”
Ding!Daily Mission Complete (1/20)
Gain 100 XP and 100 Diagnostics Skill Mastery
"Doctor, then I can still be saved, right?" Qiu Mingyuan asked nervously, as if he had forgotten the pain.
"Yes, I'll give you a bill in a while, and then I'll be done with extra-human gravel. Those in the kidneys usually drink more water, you are quite athletic, and you should be able to jump out when the time comes. Liu Banxia said with a smile.
His words amused Qiu Mingyuan's friends again.
"Remember my words, seeing that your family conditions are good, you must be good at eating and drinking on weekdays. In the future, you should also pay attention to your diet and pay attention to a balanced match. Just quit drinking, if you really can't find a girlfriend. Liu Banxia continued.
"Doctor......" Qiu Mingyuan suddenly became very resentful.
"Alright, let's pay the fee and go. At the end of the passage, turn left and you will see the sign in the center of the gravel. After drawing the blood, I finished collecting the urine and went over. Liu Banxia said.
"By the way, don't spill all the pee. With your strong willpower to control, the urine test will take a little bit, and you will have to keep at least half of it. ”
"Doctor Liu, why is that?" asked one of Qiu Mingyuan's friends.
It's the first time they've heard of such a thing, and it takes a lot of willpower to pee and pee half of it and then hold it back.
"When I got to the lithotripsy center, I had to do an ultrasound for him to see where the stones were. Too much water affects the effect, and too little water also affects the effect. Don't worry, there is a bathroom in the gravel center, so you can control the amount yourself. Liu Banxia said.
For these children, how do they know these things? Anyway, when I came here today, I felt that I had a long knowledge.
As for what kind of willpower Qiu Mingyuan has to use to do this, it is not for them to consider.
"How can you guess so accurately?" After the gang left, Liang Xiaolin asked curiously.
"It's very simple, there are so many causes of kidney stones. He still eats at home, and no matter how big his parents are, they can't pull their children to drink every day. Liu Banxia said with a smile.
"Plus there's already a small tophi on his instep, you can tell if you've said so much, right? ”
Liang Xiaolin wrinkled her nose, "I'm asking you this? I also looked at his instep, it's not swollen, you can feel the tophi?"
Liu Banxia nodded reservedly, "Do you think that I hug the skeleton every day as much as I hug a beautiful woman? I am now familiar with every bone of the human body." I can feel the slightest change. ”
Liang Xiaolin glared at him, always feeling that what he said was not serious.
But I really admire it in my heart, if I really touch it, instead of blindfolding, it will be really amazing. But you can't boast about it, or you have to go to heaven.
There is nothing to do for the time being, and Liu Banxia is thinking about graduate school again. It's related to your job for the rest of your life, and you have to think about it.
The most suitable person for consultation should be Shi Lei, but Shi Lei will not give any advice on this matter, let alone say a word.
After waiting for a while, Qiu Mingyuan's test results came out. Looking at the blood uric acid value above, Liu Banxia was taken aback. It reached 818, which is more than twice the normal value.
It can only be said that Qiu Mingyuan has only lived so much that he has only one small tophi until now, and he is already very lucky, with such a high value, he should have grown many normally.
In fact, it is said to be a tophi, and it is not a serious stone. It is a nodule that is a crystallization formed by the subcutaneous aggregation of monosodium glutamate urate.
Now Qiu Mingyuan is still very young and can be controlled with corresponding therapy. If it is really big, it can only be relieved by surgery. It can only be relieved, and it will continue to grow if the individual does not pay attention.
"Hello Dr. Liu, this is Qiu Mingyuan's father. At this time, a student just brought it over, and a middle-aged man walked over.
This looks good, it's a serious brand. It's not Adinake or anything, the bags I carry are all donkey brand.
"The child had a kidney stone stuck in the ureter, and it was too big, so the extracorporeal lithotripsy was arranged. Liu Banxia said.
"But this is not important, the most important thing is that the child's uric acid value is too high now. In the near future, don't drink carbonated drinks, as well as animal offal, seafood, beer, and other foods that can contain high purines. ”
"We can't deal with gout in the emergency department, I'll contact the rheumatology department in a while, and you can go back there when the child's lithotripsy is finished." ”
"Doctor, I also heard from them just now, it's because of the drink. Can you really drink like this?" asked Qiu Huaili.
Liu Banxia nodded, "There is no doubt about this, but don't worry too much." At present, the symptoms are relatively mild, and the rheumatology doctor will give advice on maintenance methods and treatment. ”
"As for the little stones left in his kidneys, just drink plenty of water and bounce around every day. Jumping up the stairs, Mr. Qiu, are you a little uncomfortable?"
Qiu Huaili shook his head and rubbed his eyes, "Maybe I didn't sleep well, and my eyes were ghosting just now." ”
"Don't worry, sit down. Liu Banxia hurriedly stood up and helped Qiu Huaili to sit down.
"Doctor, I'm fine, I was too late to play cards last night. Qiu Huaili said with a smile.
"Your right eyeball has been tilted just now, and although it has recovered now, it is likely that the blood vessels in your brain have just been blocked and compressed the optic nerve. You better have an MRI on your head, because you're too worried about your child. Liu Banxia said.
Liu Banxia's words startled Qiu Huaili, and the blood vessels in the brain were blocked? Isn't that a cerebral infarction?
"Don't delay, you don't have much money to shoot it with your net worth. Do you usually have symptoms of high blood pressure, but take it safe and I'll ask the nurse to accompany you. Liu Banxia said.
"Okay, I'm in the hospital anyway, so I'll take a picture. Do you need to use a whole body? I usually have a lot of socializing, and I'm really a little tired lately. Qiu Huaili nodded.
Ding!Daily Mission Complete (2/20)
Gain 20 XP and 80 Diagnostics Skill Mastery
The kid who came with him was a little dumbfounded, why did he check one by one?