There is a young reader, a fan of Miss Coke, who has just entered junior high school and has been asking some questions a lot lately.

It's the first time to have such a young book friend, or the first time to chat with a book friend of this age, and it feels weird. Look at the screen name to know that there is a generation gap~~~ Hey.

When I got up early in the morning, I saw a message from Coke and asked some reasonable questions about the medical record of penicillin allergy. If you think about it, there are some places where I am still relatively obscure, so I will explain them here.

Boss Tao's son, emphysema, is caused by pharyngitis and oral penicillin allergy. This is the final conclusion, there may be some book friends who have the same questions as Coke, but they are allergic to penicillin, how can other hospitals not see it.

The book has explained in detail that none of the major characteristics of penicillin allergy is pneumomediastinum. In my 20 years of clinical work, I have never seen a pneumomediastinum caused by allergies.

So after seeing this case profile, I started to think about the whole story.

The first thing that comes to mind when a normal doctor sees mediastinum is trauma, and penicillin allergy is redundant information and is ruled out as soon as possible.

In the end, Mr. Wu gave an explanation for the pneumomediastinum and subcutaneous emphysema caused by allergies, which is basically logical.

This is a rare complication, especially rare.

It's not that the clinician's level is insufficient, but the first thing to consider after seeing the patient is the common disease and common situation. In the end, I was forced to have no choice but to screen a little bit, and the penicillin allergy would come to light.

After all, Mr. Wu has the aura of the protagonist, the compiler of the diagnosis book, and he knows it at a glance. However, normal doctors will not do this, if you give some time, try step by step, and screen by elimination, you will finally get the correct conclusion.

But in the story, Boss Tao was impatient and took the child directly to see a doctor.

Having said that, because of the need for storytelling, a lot of rare cases were chosen. Last night my daughter-in-law told me that reading your book makes it really hard to live......

Please rest assured that as long as you do not use boiling water to take penicillin orally, there will be few accidents. These rare cases, not to mention ordinary people, doctors may not be able to see a case in their lifetime, anyway, I have never seen it.

After reading it, it is enough to remember not to take penicillin orally with hot water, not to eat fungus overnight, and not to wear headphones all year round, so as not to have a mold infection in the external ear canal. As for cephalosporin, everyone knows about drinking and leaving, so don't say much.

That's all for it.

In the end, I still ask for a heart and a monthly pass.

Also, if possible, please click on the automatic subscription. Subscription is indeed a powerful motivation, and I hope to get the support of all of you.

Take a bow~~~~~~