Chapter 910: Find the Reason

"Nothing should have happened." Sun Yu's husband shook his head, "My lover is the kind of person who can't hide things directly, if there is something she will definitely tell me." ”

Guo Xiang pursed his lips, of course he couldn't deny his statement, but if it was really a bad thing, it was possible for a woman to choose to hide it.

"Don't do any more checks." Guo Xiang said that since the patient's family wants to investigate, they should check it well, if the physiological cause is ruled out, then she really has no choice but to go to a psychiatric hospital.

At this time, the patient suddenly became manic, and her husband couldn't suppress her alone, so Guo Xiang also hurriedly stepped forward to help.

Xu Wei and Xing Ming next door also ran over when they heard the movement, the patient was extremely strong and a little fat, and several people couldn't hold her back, and then they had no choice but to give her a tranquilizer before they quieted down.

Guo Xiang first did some routine examinations for the patient, measured blood pressure, and listened with a stethoscope.

But this time, there is a crackle, and the patient has pneumonia?

However, the patient's husband did not say that he had been treated for pneumonia in the hospital before.

"Does your lover have a cough these days? Is there phlegm? Guo Xiang asked.

"Nope." The patient's husband shook his head.

"No?" Guo Xiang frowned, the wet robe is so obvious, there is pneumonia, how can he not cough?

Look at the blood pressure again, my mother, 120, 210, high and low pressure are so high? If it goes on like this, it must burst the blood vessels.

It was possible to increase blood pressure when I was manic just now, but now that I have calmed down and everyone has fallen asleep, why is my blood pressure still so high?

"Does your lover usually have high blood pressure?" Guo Xiang asked again.

"It's not tall, she's a little fat, but her body has always been okay before." The patient's husband said.

"This blood pressure and lungs have problems, let's do a CT scan, the head and chest together." Xu Wei said on the side.

"Do you want to do it?" The patient's husband asked Guo Xiang.

Guo Xiang nodded, "It's better to do it and check the reason." Besides, with such high blood pressure, there is a risk of stroke......"

"Then do it." The patient's husband nodded, he just brought someone to see the doctor, and it was inevitable to do an examination.

Guo Xiang followed him to the CT room, and when he saw it on the spot, there was no problem with the brain, no tumor, and no bleeding. However, there is indeed inflammation in the lungs, which is pneumonia.

"Then let's treat pneumonia first." Guo Xiang said that he didn't know what the cause of his insanity was, but he still had to be treated first.

Then he was given a hospitalization order and antibiotics were prescribed to the patient to treat the pneumonia first.

I did a routine blood draw, and the results of the test came out, and the blood potassium was very low, which was half of the normal value.

"Hasn't your lover eaten in the past few days?" Guo Xiang asked.

The patient's husband nodded, "Yes, my appetite has been bad these days, and I have eaten very little. ”

Guo Xiang nodded, and prescribed some potassium chloride to the patient, and made up the potassium first, otherwise the potassium ion is too low to easily cause arrhythmia, and may even cause cardiac arrest.

In this way, the ECG machine must be connected to the patient, and the patient's ECG will be looked at to see if there is any abnormality.

The nurse came over and helped to undress the patient and change into a hospital gown, and then connected the electrodes of the ECG.

Guo Xiang glanced at the patient and was suddenly stunned.

"Dean Guo, what's wrong?" The nurse asked, thinking she had done something wrong.

Guo Xiang pointed to the patient's leg and asked her husband, "Has your lover's leg hair always been so heavy?" ”

The man's hair was black and long, and it was the same as that of men.

The patient's husband looked at it and frowned, "Not before, although she was a little fat, her skin was very good and white, she didn't seem to have so much hair before, right?" I didn't even notice what was going on during this time. ”

"Huh?" Xu Wei on the side also lifted the patient's trouser leg and looked at it, "It's not normal." ”

Guo Xiang stared at the patient's face again, "Look, what does her face look like?" ”

"Face?" Xu Wei was stunned for a moment, and looked at the patient, because the patient was a little fat and had a round face, there was nothing wrong with it.

But what does Guo Xiang say like?

Xu Wei took a closer look and was surprised, "Like a full moon face?" ”

Guo Xiang nodded, full moon face is a medical term, which refers to the patient's face becoming round after suffering from a certain disease, and it is very round, like a full moon, so it is called a full moon face.

Generally, the full moon face is produced due to long-term use of glucocorticoid drugs.

Glucocorticoids are very important hormones in the human body, which are essential for normal biological functions, but once they are excessive, they will become very fat.

Like some people who use hormones to treat nephritis and asthma, people can easily gain weight and become round like blowing up a balloon.

In addition to being fat, hair can also grow particularly thick.

Looking at the patient again, in addition to the leg hair, the small lip hair around the lips is also darker than that of ordinary women.

"Did your lover have kidney disease before? Ever used hormones? Guo Xiang asked.

"No, she's always been in good health." The patient's husband shook his head.

Is the body secreting glucocorticoids in excess?

Guo Xiang and Xu Wei glanced at each other, "Cushing syndrome? ”

"What is Cushing's syndrome?" The patient's husband asked.

"Cushing's syndrome is a clinical syndrome caused by excessive glucocorticoid secretion by the adrenal glands." Guo Xiang said, "We have a gland on the kidney, called the adrenal gland. Usually when we watch TV patients dying, doctors say adrenaline, that's the adrenaline......"

"The adrenal glands are an endocrine organ that secretes many hormones, one of which is called glucocorticoids, and for some reasons, excessive secretion of glucocorticoids can cause a series of symptoms."

"For example, moon face, high blood pressure, low blood potassium, obesity, etc. And these hormones act on the brain, it will cause mental symptoms, some people are depressed, some people are manic, so your lover has not suffered any blows, and nothing has happened but the mental problem is because of this hormone. Guo Xiang said.

"Really? Can that be cured? "A big stone in the patient's husband's heart was put down at once, and if he found the cause, could he be cured?

He said, well, how can a lover suddenly become a psychopath.

Guo Xiang shook his head, "But we haven't found the cause of Cushing's syndrome yet." As I just said, it is the adrenal glands that secrete too much glucocorticoids, but the normal human body does not secrete more for no reason, there must be a reason. ”

"Could it be that there is a tumor in the adrenal gland that causes the adrenal glands to secrete glucocorticoids frantically?" Xu Wei said.

"This possibility cannot be ruled out, and it may also be the cause of the pituitary gland." Guo Xiang said.

The pituitary gland can also secrete many hormones, one of which is called adrenocorticotropic hormone, which acts on the kidneys and can promote the secretion of glucocorticoids by the adrenal glands.

The human body is really very complex, one link after another, and the two organs that you thought had nothing to do with each other are actually connected.

"If the patient has a pituitary tumor, it will also stimulate the adrenal glands to secrete more glucocorticoids." Guo Xiang said.

The patient's husband was stunned when he heard this, he didn't understand, he didn't care what the principle was, as long as he found the cause and could cure it.