138 Strange wounds
(thanks to the feeling commuter pass encouragement of the friend stone)
Liu Banxia attached great importance to the results of this stool test and personally called the laboratory to explain the situation. Because no one wants to see a possible medical dispute, this patient clearly has a condition.
It's just that Liu Banxia is still a little puzzled, why the patient didn't trigger the task this time. Either his level is high now, and this patient is a mob. Either the patient's willingness to refuse is too strong and he is not a serious patient.
Anyway, the system has always been ruthless, and it's not something he can understand.
After waiting for a while, the test results came out, and the laboratory called Liu Banxia directly, with 4 plus signs of occult blood. The results of this examination made Liu Banxia and Wang Huan look at each other, and they left the patient at a loss.
"Doctor, what the hell is the result? Don't scare me just to get me checked. "The waiting patients were also a little scared.
"I don't need to scare you. Guess what would have happened to you if we let you go. Liu Banxia asked with a smile.
"My stomach hurts, I can't stop the diarrhea, but I don't have anything in my stomach now. The patient said.
"The result of the fecal test is 4 plus signs of occult blood, which is already very dangerous. Occult blood means that you have blood in your stool. We currently speculate that you have bleeding in your digestive tract, which may be caused by ulcers or some other condition. Wang Huan said.
"If you are let go, this bleeding point may continue to expand. At that point, it can cause vomiting or internal bleeding, which can be life-threatening if you don't get timely treatment on the train. ”
"I don't need to scare you, but if it were a perforation at that time, how dangerous would it be? Isn't that dangerous enough for something that should have been in your digestive tract to get into your abdomen?"
"No matter what you think about it this time, you have to go for a check-up, I have already opened a list, let's do a gastroscopy first, after all, you have chest pain, it may be upper gastrointestinal bleeding. Once you've dealt with the bleeding spots, you'll be fine. ”
Without the results of this test, the patient may not take it seriously. Now that he has figured out whether the occult blood has bleeding or 4 plus signs, he is not calm.
"Hey, it's finally been resolved. When the patient left, Wang Huan breathed a sigh of relief.
"Isn't it, otherwise I would have confessed to such a glorious day today. Liu Banxia said seriously.
"Haha, add chicken legs. Wang Huan said with a smile.
Liang Xiaolin was so worried, why did she have a brain pump at that time? Then she felt that Liu Banxia was still to blame for this matter, why did she talk about adding chicken legs.
Walking out of the internal medicine consultation room and seeing a patient on the triage table, Liu Banxi took a closer look.
Could it be that today is a special feature for old customers? Why do you look at this person with a somewhat familiar feeling?
"Yes, I'll ask him to change my dressing, it doesn't hurt. At this time, the patient also saw Liu Banxia and said happily.
"Do you know me?" asked Liu Banxia after leading the patient to the second treatment room.
"I know, last time you changed the medicine for me, and asked me to take the rabies vaccine, but I was not tortured to death. The patient said.
"Oops, remembered. What's wrong with you this time? I don't think this wound on my arm will be bitten by a dog again, right? Even if we get the rabies vaccine, we can't keep being bitten bravely. Liu Banxia said.
"Doctor, I'm a patient, don't you comfort me, but make fun of me. "The patient has a little grudge.
"Haha, I think you have a very good personality, otherwise how dare I say that? Liu Banxia said with a smile.
"Have you treated the wound at home? I see some blood on the side. I'll squeeze some more for you, it's a little deep this time, but I don't need to stitch it up. ”
"I remember what you said last time, and after biting me, I squeezed the blood out. The patient said.
"But it's really sinful that rabies vaccine is out, and I still have a fever. And last time the wound healed very slowly, I was careful not to touch the water. ”
"Isn't it alright? Liu Banxia frowned.
The patient raised his hand, and sure enough, the wound had not fully healed. That's not right, how many days have passed, how can it not heal?
Ding! strange wounds
Open-ended task: The host finds that the patient's wound is abnormal, suspects a potential contributing factor, and requires further diagnosis. Task rewards will be awarded based on the diagnosis results
"Do you have any other symptoms of this wound? Do you have any burning sensation? Is it after the rabies vaccine?" asked Liu Banxia.
"There is no burning sensation, just some itching. I guess it was after the rabies vaccination, anyway, I left that day. There is still the last shot, what a sin, after the second shot, my arm did not lift for a day. The patient complained.
"And I don't know if it's because of the rabies vaccine, my tiger thinks I don't trust it. I've been in a bit of a mood lately, and it's not good to walk even when I take it out for a walk. When you're at home, you're in a hurry as long as you play with it. ”
Liu Banxia frowned, although the rabies vaccine is a protein vaccine, some people will have some adverse reactions after injection. But I've never heard of any damage to wound healing, and I haven't heard of itching.
It's normal for the wound to feel itchy during the recovery process, but the itch is an itch that heals after the scab has formed. Now the patient's last wound has not healed completely at all, which is very abnormal.
"Doctor, do you have to get my wound done? I don't have to re-vaccinate this time, do you?" the patient asked, coughing lightly.
"Got a cold?" asked Liu Banxia.
The patient shook his head, "You mean I have a cough? I'm sick, I don't have a cold. Take Huzi out for a run, sweat a little and you'll be fine. ”
"You open your mouth, I look. Liu Banxia said.
The patient looked at him, but still opened his mouth.
Liu Banxia took out the tongue depressor, pressed the patient's tongue, and turned on the small flashlight to shine it in his throat, there was nothing wrong with the pharyngeal wall, and the tonsils were faintly congested.
Pick up the stethoscope and auscultate it. Heart sounds are normal, but there is a faint crackle in the lungs. I took my temperature and blood pressure, my body temperature was a little high, and my blood pressure was normal.
Still a little uneasy, Liu Banxia stretched out his hand again to check the lymph nodes on the patient's neck and under the jaw.
"Don't be careless, the lymph nodes in your neck are swollen, and your cough and fever may be an upper respiratory tract infection. Liu Banxia said.
"If it was usual, it might not be nothing, but now it's not the rabies vaccination. I recommend that you do a blood routine so that we can intervene early if it is an upper respiratory tract infection or pneumonia. ”
The patient was a little hesitant, but did he recommend that he go for a check-up by himself? Last time I was vaccinated against rabies, this time I took a blood test. Is it really necessary?