"Doctor Liu, do you think it could be heavy metal poisoning?" asked Wang Huan.

Liu Banxia shook his head, "It shouldn't be, most of the heavy metal poisoning will have a nervous reaction." And now the patient's abdominal pain, muscle aches, edema, and high fever are all a little inconsistent. ”

"Just now, we have a stool test, urine test, blood test, liver function, CT, these are all checked, if it is heavy metal poisoning, whether it is acute or chronic, it will be reacted. ”

"However, the symptoms are also ever-changing, and each person will have different manifestations according to their different physique. Brother Wang, why don't we try some antibiotics first? and then do a heavy metal screening?"

Wang Huan nodded, "Okay, let's see how the reaction is." I'm also a little unsure about this patient, you keep an eye on it, I'll think about it after I finish the consultation. ”

"Doctor, do I have any terminal illness?" the patient asked again after starting the infusion.

"Don't worry, there must be something else we haven't noticed. I'm not going to do anything today, I'm just staring at you. Liu Banxia pulled a chair over and sat directly on the edge of the bed.

The patient looked at him and did not speak.

Who is the disease, who is worried, after so many examinations, I still don't know what the disease is. Can he run out of ideas?

Liu Banxia is now wondering in his heart about the patient's current symptoms and those diseases.

The patient first reported having diarrhoea, with persistent symptoms of abdominal pain and fever. Over time, abdominal pain, chest pain, high fever, puffiness of the eyelids and face manifest themselves.

Abdominal pain may be due to some inflammation of the intestines, and the white blood cells in the blood test are elevated, so you can use antibiotics to see the reaction.

What about chest pain and muscle aches? It may have something to do with the heart, and this can be done with an electrocardiogram and an ultrasound for a while.

There are many causes of puffiness in the eyelids and face, but most of them are caused by organ failure, such as the liver, kidneys, heart and other organs.

However, the ultrasound examination just now did not find ascites, the kidney and liver were intact, and the corresponding examination did not find any unusual findings.

Is it really the heart? This is the only overlap, and the only organ that hasn't been examined in detail.

"Teacher Liu, do you want to do some other tests?" Xu Yinuo asked in a low voice.

Liu Banxia nodded, "Let's do a twelve-lead electrocardiogram first, in case his abdominal pain and the symptoms shown in the back are not caused by the same disease." ”

"Doctor, do you have roots or not? I'm not afraid to do a check-up, but I have to find something wrong. If you really don't understand, just say, I'll go to another hospital. ”

After the infusion, the patient, whose physical signs were slightly better, overheard the conversation between Liu Banxia and Xu Yinuo and expressed his dissatisfaction.

"Don't get excited, even if you go to another hospital, they will check one by one like we do. Liu Banxia said.

"Abdominal pain and diarrhea, this may be a problem with gastrointestinal function, but when I auscultated just now, your bowel sounds are also normal, and you haven't gone to the toilet to have diarrhea until now. ”

"There are many more tests we can do, but I have to think about the general direction of your condition first, and I can't let you waste money and time on meaningless tests. ”

"When you first came to the doctor, my judgment was that you might have abdominal pain and diarrhea caused by eating the wrong thing, and now that the symptoms have changed, I have ruled it out for the time being. ”

"During the CT scan, we did the chest and abdomen, because you have chest pain and muscle aches. But you can also see the results of our examination, and they are all normal. ”

"It's not that I'm shirking my responsibilities, there's nothing to blame. When you come to the doctor, our job is to help you find out what is wrong. ”

"If you do it blindly, I can still let you do a gastrointestinal endoscopy, but there is no need for that. We are worried that we will encounter patients who are resistant to testing, but we cannot arrange equipment examinations indiscriminately for patients who cooperate. ”

"But you're going to have to find out something for me, and now I'm aching and sore, like when I had a bad cold. Could it be a gastrointestinal cold?" the patient asked.

"I've thought about it, but you still don't show signs of nausea, vomiting, bloating, or chest pain and edema. Liu Banxia said.

"Believe me, let's do an electrocardiogram first, and then we'll rule out the heart. If there is still no clear indication after the infusion, I will ask the director of the internal medicine department of our hospital to come and show you, can you see it?"

The patient nodded, what else could it be?

He also knows that he checks it everywhere he goes. The Second Affiliated Hospital is not a small hospital, and there is no situation where medical skills are not in place or the test data cannot be understood.

"Yike...... , Mr. Liu, you see, there is a rash on the patient's chest, which seems to have just appeared. Just picked up the patient's clothes, Xu Yinuo hurriedly said.

Liu Banxia came over and looked at it carefully.

He was pretty sure that when he examined and auscultated his patients, there were absolutely no of these rashes, which were just showing symptoms.

These rashes can startle Liu Banxia, and the first reaction is that the patient has an allergic reaction to drugs. Then he carefully checked the location of the infusion and found that there was nothing abnormal.

"Do an ECG first, the rash may be a further manifestation of the condition. Now that the symptoms have changed, do another blood routine and tell them to expedite it. Liu Banxia said.

The electrocardiogram was made, and Liu Banxia judged it according to his own knowledge, and there was no problem. But he was still not at ease, so he showed it to Wang Huan again.

"Are the rashes you just said serious?" Wang Huan asked after reading it.

Liu Banxia shook his head, "It's not very serious, and we have also examined the patient, and there are only manifestations in the chest." It's not a drug allergy, if it's a drug allergy, there will definitely be a lot of it in an instant, and the patient will not have any other discomfort reactions. ”

"It's really a little sad, the ECG is normal, even if I have an echocardiogram, I think it's the same. Wang Huan said.

"Have you considered asking the directors to come for a consultation? Anyway, among all the patients I have treated, there has been no such development of symptoms, and the patients may not be suffering from common diseases. ”

"Hey...... , I wasn't afraid of losing face so I didn't call someone for a consultation. But now the patients have lost some confidence in us, and if it doesn't work anymore, I'm afraid of delaying the patients. Liu Banxia said.

"Just now I thought that these symptoms were caused by two different diseases than the symptoms when I was first admitted to the hospital, but the electrocardiogram is also normal, and I have to combine these symptoms. ”

"I still think that the patient may have eaten something that is causing the current set of symptoms, and I go back and ask the patient again to see what he is eating. ”

Wang Huan nodded, he really couldn't make any accurate judgment on the symptoms that this patient was currently exhibiting.

"Please talk to me again and see what you've eaten these days. Well...... There is also the condition that among the people who eat together, there are also adverse reactions. After coming back, Liu Banxia asked.

"I rented a house by myself, and I bought some for breakfast, which were pancakes, fruits, burritos, etc. I always order takeout at noon, so I don't necessarily buy anything. The patient thought for a moment and said.

"In the evening, I basically stir-fry two dishes by myself and drink a little. Last night, I ate pork head, fried garlic moss, boiled heart-protecting meat, drank two bottles of beer, and didn't eat. ”

"That's how you eat every dinner?" asked Liu Banxia.

The patient nodded, "It's almost, it's hot now, and my appetite isn't very good, so I can feel more comfortable with two bottles of cold beer." I'm just going to eat this bite, and my girlfriend isn't in Binhai City, and I don't have much money to spend. ”

"In this case, your girlfriend can really rest assured, and you are really good at eating. Liu Banxia said casually, still thinking about it in his head.

That's really it, she thinks that she spends a lot of money on food, and she eats it in her stomach. I also know that I am delicious, and I have no money to mess up the mess when I go to eat. "The patient's spirits are a little better.

"When it comes to eating, there are a lot of doorways here. Although the restaurant is good, it is actually not as clean as at home, and the food is real. ”

"Let's just say that the heart-protecting meat, is a serious pig killing dish, I was reluctant to eat it at the time, I went home and froze it first, I couldn't be greedy, it was cooked and dipped in garlic paste to eat, and the taste was not bad. Serious pigs who are not fed feed will eat everything fragrantly. ”

"Do we still have a place to sell free-range pigs in Binhai City?" asked Liu Banxia in surprise.

"No, I have to go to the surrounding villages. Now there are fewer pigs, and it is not uncommon in rural areas. Although the cost of buying it back is higher, the meat is delicious. The patient shook his head.

"Last time we bought two pork legs and a whole pair of water, and the meat was roasted and eaten. You don't need to grease it, you don't need to sprinkle too many condiments, or dip it in garlic sauce to eat. ”

After the patient finished speaking, he still had some aftertaste.

Liu Banxia's brows were furrowed tightly, "When did you eat?"

"It's been about ten days, right? At that time, I wanted to buy more, but people didn't sell much. The patient said.

"Teacher Liu, have you made a new discovery?" asked Xu Yinuo, who had been paying attention to Liu Banxia.

"Let's take a look at the blood routine for a while, and then add a peripheral blood test, focusing on eosinophils. Liu Banxia nodded.

"Doctor, can you really determine what is wrong with me?" the patient asked.

"It could be a parasite, trichinella to be exact. I thought about it a lot, but I ignored it. Because this kind of trichinosis is really rare, let's wait for the test results first. Liu Banxia said.

"If it's the same as I guessed, you're also sick from the mouth, so you'll have to pay attention to it in the future. It's delicious, but we have to eat it right. ”

Now he is much more relaxed, because the symptoms that the patient is now exhibiting are too consistent with trichinosis.