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This Doctor is Great - Chapter 227 Hair loss, vomiting blood, fever...
evening,
Zhou Mo is getting off work. Change clothes.
As a result, a gossip was heard.
The hospital is simply the place where gossip gathers.
"Have you heard? Today the andrology clinic accepted a particularly funny patient..."
"What's wrong?"
"Accepted a male patient and went to sign up because of erectile dysfunction..."
"Isn't this very common? Andrology all look at these."
"No, the reason is very funny. I heard that I was married for more than three months, but I was pestered by my wife. I did it about 1,000 times in 100 days. Finally, I was sent to the hospital by ambulance because I was unwell."
"what?"
"I'm going~~~"
"Are you crazy?"
"Don't you have to work?"
"I heard that when he was delivered, he only weighed more than 80 kilograms and was as thin as a bone... The doctor diagnosed him as being in his 30s, but his health was like that of a 75-year-old man, and the male sexual function was completely lost. Died...I don't know if it's true or not..."
"Haha... It's more than that. I heard that the reason why this husband came to the hospital was to ask the doctor to issue a certificate, then get the diagnosis result, and then sue his wife in court for divorce..."
puff~~~
Zhou Mo: "..."
Nima!
very scary!
What a sucker for this woman!
…
the next day
Treat patients in the morning.
Rescued 2 burns, 1 trauma, 3 myocardial infarctions, 1 epilepsy, 2 fractures…
Very busy.
At 10 o'clock,
A patient was brought in by ambulance.
…
Patient, 24 years old,
My name is Chen Xiuya.
Cardamom age, youthful beauty.
As a result, I have coughed in the past few days, and then suddenly vomited blood at 9 am this morning.
The family was terrified on the spot and called an ambulance to the emergency room.
Zhang Mei and Zhou Mo stood in front of the hospital bed,
Just came over, ready to ask,
"Cough cough..."
Chen Xiuya suddenly coughed.
Zhang Mei: "..."
Zhou Mo: "..."
The mind is already thinking.
cough?
lung?
trachea?
Bronchial?
Usually there are problems in these places.
And if you cough up blood, it is the bleeding in these places.
"Doctor Doctor!"
The mother hurriedly wiped the corners of Chen Xiuya's mouth with a tissue, and she burst into tears.
"Doctor, look at my daughter, what's going on?"
"Why did she vomit blood so well?"
Mother cried.
Zhang Mei quickly reassured: "Don't worry, I'll take a look..."
At this time,
Nurses are quickly connecting an ECG monitor and opening an IV.
Zhou Mo began to ask: "Can you be sure it's coughing up blood? Or vomiting blood? There's a difference between the two."
Hematemesis comes out of the esophagus, while hemoptysis comes out of the airway and lungs. This must not be confused, otherwise the cause will be completely different.
The mother said repeatedly: "It must be coughing up blood, not blood, because the coughing has been bad these two days."
Zhang Mei and Zhou Mo nodded.
coughed up from the lungs.
what is the reason?
Is it tuberculosis?
Bronchiectasis?
other lung diseases?
Pneumonia is also possible, although it is less common to cause coughing up blood.
At this time, the ECG monitor was connected.
Looking at the vital signs, blood oxygen, blood pressure, heart rate, etc., there is no major problem.
Teacher Zhang Mei listened to the patient's lungs and felt a murmur.
Seeing that the patient had no major problems for the time being, both of them breathed a sigh of relief.
Next is a careful consultation.
The patient, Chen Xiuya, was fairly conscious, so Mr. Zhang Mei and Zhou Mo mainly put their experience on the patient.
"Have you had any problems with your body recently?"
"Yes, I still have a fever..."
"Fever? When? Has the fever subsided? How many degrees?"
Zhang Mei and Zhou Mo suddenly paid attention.
fever?
pneumonia?
"It's still burning now. I measured it on the way here. It was 38.2 degrees. The highest was 39.4 degrees last night..."
"How long has it been burning?"
"4 days ago…"
"Have diarrhea or something? Or a cold, or any other uncomfortable symptoms..."
"I don't have diarrhea, I don't have a cold, I just don't have the strength, and sometimes I feel a little pain in my hands and feet..."
"Hands and feet hurt?"
"Hands and feet hurt?!"
Zhang Mei and Zhou Mo looked at each other!
What the **** is hand and foot pain? What does it have to do with the lungs?
No, pneumonia does have symptoms of fever and pain in the limbs.
However, fever and joint pain together, many diseases will have these two symptoms.
Such as sepsis, scarlet fever, brucellosis, tuberculosis, rheumatic fever, connective tissue disease, gout, etc…
In short a lot.
"When did the pain in the hands and feet start? Along with the fever?"
"Like 4 days ago..."
Teacher Zhang Mei: "First draw blood to check to see what it is..."
Zhou Mo asked again, "Apart from fever and soreness, are there any other symptoms?"
"Does hair loss count?"
"Is it serious? It doesn't count if it's not serious."
"It's quite serious, I've been losing a lot of hair recently..."
Teacher Zhou Mo and Zhang Mei couldn't help looking at the top of her head.
really.
Hair is limited.
At this time, the patient Chen Xiuya looked distressed.
"I don't know what's going on, but recently when I washed my hair, it fell on the floor, when I brushed it, it fell again... I'm afraid that I will be bald in a few months!"
"Recently? When did it start?"
"Half a month..."
"How many?" Zhang Mei asked.
"Grab a hand..."
Zhang Mei looked at Zhou Mo: "Do you know the reason for a person's hair loss?"
Zhou Mo thought about it and replied, "There are quite a few reasons, including genetic factors, increasing age, abnormal immunity, excessive mental stress or stress, endocrine disorders, taking certain drugs, autoimmunity..."
at this time,
Both Zhou Mo and Teacher Zhang Mei subconsciously associate hair loss with bleeding and fever.
What's wrong?
These symptoms can be explained monistically.
Zhou Mo asked: "Did you eat anything special? Cause hair loss?"
At the same time, he couldn't help but look at the patient.
Ok.
not fat.
Shouldn't he take diet pills?
"Nothing special to eat..."
"By the way, Dr. UU Reading www.uukanshu.com, last week, I went to the hospital for a checkup because of hair loss... The result of the checkup was brought by my mother."
Patient's mother: "In my place..."
Take out the inspection report immediately.
Zhang Mei and Zhou Mo looked at each other.
There are quite a few checks.
Blood routine, urine routine, liver and kidney function... etc., are all normal...
"What was the doctor's diagnosis at the time?"
"Say I'm Androgen Alopecia!"
(The reality tells us that men have a lot of hair loss and baldness, but women have very little hair loss and baldness.)
Zhou Mo: "Then have you taken the medicine?"
Generally, for this kind of diagnosis, the doctor will prescribe some drugs containing hormones. After eating, it will naturally have a great impact on the body.
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