I Can See Health

  Chapter 316 Full mouth running the train

   "You...you...this..."

   For a while, Wang Xueyang was a little incoherent.

   This is the first time she has seen a patient like this.

   "Doctor, my mother has always been like this, you can just give her pain relief now!" The young man said immediately, "You don't need to worry about other things!"

   Wang Xueyang's brows were deeply twisted together.

  She picked up the stethoscope, auscultated the patient, and then began an abdominal examination.

   "Family, please help open the patient's clothes and expose the stomach." Wang Xueyang ordered.

   "Hey, just use a painkiller! Why are you making such trouble..." The young man muttered, but he still lifted the woman's clothes according to Wang Xueyang's instructions.

  The moment when the clothes are lifted to reveal the skin of the abdomen.

   Wang Xueyang was stunned again.

  The skin of the woman's abdomen is all dark pigmented and purple, all with scars.

   "You...what's the matter with your skin?"

   However, the woman seems to have not heard this sentence.

   She shouted again: "My stomach hurts, you give me pain relief! I want painkillers!"

   Accompanied by her scream, Wang Xueyang did not continue to ask the skin question, and began to auscultate her bowel sounds again.

   "The bowel sounds are very active, which may be normal bowel spasms." Wang Xueyang said, "I'll give you an intramuscular injection to see if it can relieve it."

   Lu Chen was about to speak.

   Her son suddenly said: "Actually, we came to Jinghua No. 2 Hospital in the morning to see a dermatologist, and she had a stomachache just after seeing it. The pain got worse an hour ago, so I came to you."

   "Come to see a dermatologist?" Wang Xueyang frowned.

   "Yes." The young man said.

   "Is it because of the skin on the stomach?" After saying that, Wang Xueyang got up and started to check again.

   She found that, in addition to the obvious deposition of pigment in the abdomen and thighs, the skin was densely packed and full of small rashes.

   Wang Xueyang continued to ask: "What does the dermatologist say?"

   "The dermatologist said it's allergy, it's not serious, so let's go back."

   "When did the stomach hurt?"

   "Out of dermatology, it hurts"

   Wang Xueyang noticed that her son spoke with obvious impatience!

   Actually, Lu Chen wanted to remind Wang Xueyang that he had seen this patient before, and also wanted to express his thoughts on the diagnosis.

   However, Wang Xueyang has been conducting consultations and physical examinations.

   Lu Chen interrupted her like this, which is a very disrespectful behavior.

   He was going to wait for Wang Xueyang to finish his consultation before expressing his thoughts.

   "Then I'll give you a hormone to see if the rash is gone and the stomach pain can be relieved!" Wang Xueyang frowned.

   She thought to herself, this kind of skin, could it be allergic purpura?

   But at this time, the woman replied directly, "I don't take hormones! I don't take hormones!"

   said twice in a row, and she was quite emotional.

   Immediately afterwards, his son suddenly said again: "Actually, my mother had a stomach ache yesterday, so she went to... the hospital to see it."

  Wang Xueyang frowned, the patient and family members in front of him kept running the train, and what they said was always inconsistent.

   "What about the results of your test at the hospital yesterday?"

   "I didn't bring it, but the results of abdominal CT, liver and kidney function, blood test, etc. are all normal. You gave her 6542, and it will be better after the call yesterday."

   You know so much about the disease and medication?

  Wang Xueyang nodded, "Okay."

   She gave the woman 6542 and they went out.

  …

   After the two of them went out, Lu Chen was planning to inform Wang Xueyang of the related condition, but at this time, three more patients came to the emergency room in a row.

   suddenly became busy, and Lu Chen didn't find time to communicate with Wang Xueyang.

   After about ten minutes.

   After seeing these three emergency patients, the woman and her son walked into the consultation room again.

  The woman covered her stomach with her hands, lay directly on the examination bed, and shouted, "My stomach hurts, please help me!"

  Wang Xueyang immediately got up and asked, "Not at all okay?"

   "It's not good at all. It hurts even more. Hurry up and open my stomach. There is something in my stomach. It's very cold. Hurry up and open my stomach."

   Her son also came in with her.

  Wang Xueyang said solemnly: "No matter what the disease is now, I must have another CT scan and blood test. I'll give painkillers only after I'm sure it's all right."

  Whether the patient has allergic purpura or other acute abdomen, the abuse of painkillers is likely to cover up the condition and cause more serious consequences!

   What's more, Wang Xueyang didn't see the results of the patient's examination yesterday, what if the family was deceitful again?

   The patient's son frowned: "Just finished, still doing it?"

   "No way, she does hurt." Wang Xueyang explained patiently, "If it is really a disease of the abdominal organs, the abuse of painkillers is even more dangerous!"

   The patient's son became even more impatient when he heard this.

   "Yesterday's doctor, the previous doctor said she really hurts, why can't you use painkillers?"

   "CT and blood have already been opened, you should bring them to do it first." Wang Xueyang's attitude was very firm.

  The woman and her family saw this, turned around and left.

  …

   Seeing the two leave, Lu Chen finally had a chance to speak.

   "Teacher, I have seen this patient before!"

  Wang Xueyang glanced at Lu Chen in surprise, "Where did you see it?"

   "In a temple in Jinghua, this woman suddenly fainted."

   "Oh." Wang Xueyang nodded, "Is there anything else unusual?"

   If you only see her, it will not help the patient's diagnosis and treatment.

  Lu Chen said in a deep voice, "Actually, at that time, I discovered these abnormal signs of the patient, the morbid paleness, and the scars on the skin."

   "Well, then what?" Wang Xueyang continued, she felt that Lu Chen had more to say.

   "I feel that the patient's appearance is especially like a foreign image, that is... a vampire!"

   As soon as Lu Chen's voice fell, Wang Xueyang was stunned for a moment.

   "Vampires?"

   seems to be true!

  Wang Xueyang frowned, recalling all the physical signs of the woman.

  Lu Chen said slowly: "After I went back to the dormitory, I checked the relevant information and found that this is a rare disease - porphyria!"

   "Porphyria?" Wang Xueyang asked in astonishment.

   "Well, it's due to a lack of enzymatic activity in the heme biosynthesis pathway."

   Then, Lu Chen briefly talked about some characteristics of porphyria.

   "Porphyria, the main symptoms are acute painful photosensitivity skin lesions and acute abdominal pain!"

   All these symptoms correspond to the signs of women!

The doubts in Wang Xueyang's eyes were slowly replaced by Qingming.

   She thought that the patient was allergic purpura.

   But judging from Lu Chen's remarks, the probability of porphyria is not small!

   However, any clinical diagnosis cannot be made only by clinical symptoms, but also by laboratory or imaging examinations.

   Moreover, the diagnosis of porphyria cannot be done in the Jinghua Second Hospital.

   Wang Xueyang said solemnly: "Whether it is allergic purpura, porphyria, or other acute abdomen, this patient is very troublesome. After the abdominal CT scan, we will try our best to transfer her to a higher-level hospital."

  The higher-level hospital of Jinghua Second Hospital, then there is only Kyoto.

   (end of this chapter)