A new day starts from the emergency clinic.

Today, Sun Lien is a day shift. After coming to the emergency department early in the morning, Sun Lien took the key and opened the door of the ninth clinic. By the way, he burped happily.

Hu Jia personally gave Sun Lien a bowl of noodles this morning, and also served with scrambled eggs with green peppers. Noodles with soup for breakfast were perfect, which made Sun Lien eat a lot of more without any image.

Today is Saturday, and naturally, a large number of patients who were not "impeded" flocked to the emergency department of the Fourth Hospital. Before Sun Lien finished his first hiccup, the first patient was already standing behind him and was about to walk into the clinic for treatment.

"Doctor, I have a fever for three days, my throat hurts, and I can't get better after taking anti-inflammatory drugs." After walking into the clinic almost at the same time as Sun Lien, the patient hurriedly described his symptoms, "I... can I have a super bacterial infection?"

"Super bacteria?" Sun Lien paused slightly in his seat. He glanced at the throat of the male patient in front of him - there was no trace of intubation. "You haven't been to the intensive care unit of the hospital recently?"

"I just have a fever... If it weren't for being too busy at work, I wouldn't have planned to come to the emergency room. I went to the severe medical treatment... I was urging me?" The male patient joked and asked, "Why do you think I've been there?"

"MRSA—that is, what you call super bacteria, usually only exist in the intensive care unit." Sun Lien explained, "If you have never been to these places, unless you are a scientific researcher who specializes in this bacteria and violates the experimental safety regulations during the experiment, I will never think of any place that can be infected with this bacteria."

This explanation seemed to have made the patient who was worried that he had MRSA and his mood stabilized a little. But the effect of this explanation lasted only a few seconds and he became firm again, "This is not right. It's not good for me to take anti-inflammatory drugs. There must be something wrong, right?"

"What anti-inflammatory drugs are you taking?" As a doctor, Sun Lien felt a little annoyed when he heard the three words "anti-inflammatory drugs".

There is no drug in the world called "anti-inflammatory drugs". Inflammation is a relatively complex process. A single drug cannot completely relieve inflammation. What is called "anti-inflammatory drugs" by ordinary people is actually the "common name" of many drugs, including antibiotics, hormones, and non-steroidal painkillers.

The mechanisms of action of these drugs are different and the effects are also different. Antibiotics are used to fight infections, hormones are used to relieve the effects of the immune system, and non-steroidal painkillers are used to reduce fever and cool down and reduce prostaglandin synthesis to control pain. Three different drugs are taken on people, but they can basically achieve subjective "anti-inflammatory" effects. Therefore, they are collectively called "anti-inflammatory drugs" in a confused manner.

To figure out what the patient in front of him is, the first thing to do is to figure out what "anti-inflammatory drugs" he is taking. If he is using antibiotics and the antibiotics are not effective, it may mean that he has a viral or fungal infection. If it is an hormone that is ineffective, it may mean that the lesion has progressed to a very serious level - this requires hospitalization for treatment immediately. If it is just a non-steroidal painkiller... it is normal that it is useless. This requires doctors to conduct relevant examinations to clarify the source and type of infection, and thus provide appropriate treatment plans.

"I took ibuprofen." Sure enough, the patient in front of him took non-steroidal anti-inflammatory drugs. "I have been taking this medicine for three days, and it has not been used at all!"

Sun Lien nodded with a smile, without saying anything. He took a disposable tongue pressing board from the jar next to him, and then signaled the patient in front of him to open his mouth, "Come on, say 'ah...'"

Following Sun Lien's instructions, he made a vague "ah" sound. Then, a pair of... riddled tonsil glands appeared in front of Sun Lien.

"You tonsil..." Sun Lien looked at this...the appearance was bumpy and looked like a walnut-like tonsil, and then frowned and asked, "Is it usually so big?"

Human tonsil glands are a group of semicircular, small meat balls with some gullies on the surface. They look like some mucosal tissues in the mouth are stacked together. They are not very noticeable in normal times, and they have no sense of existence.

But... the patient's tonsil in front of him was not like this. It was like a slit walnut in his mouth. The tonsils were so red and swollen that they were almost stuck with his Chui Yongxuan.

"I have tonsillary hypertrophy innately." The patient in front of me seemed to have become accustomed to the doctor's "shocking". "I have been like this since I was a child."

"Um..." Sun Lien frowned and pondered for a moment, then asked, "Are there any other symptoms besides the sore throat?"

"A little...a little butt hurt." The patient in front of him seemed a little embarrassed, "It's either hemorrhoids, or...the butt hurts."

"The big muscle group is painful, right?" Sun Lien nodded. This is a common symptom among patients with fever. "Does the back hurt? It's the area of ​​the shoulder blade."

"It's also a little sour." The patient in front of him seemed a little surprised. He nodded one after another and asked, "Doctor, what disease am I doing?"

Sun Lien did not answer his question directly. He brought a stethoscope and listened to the other party's lungs and heart area. The breathing sound was basically normal, with slightly bold signs, and there were no rhymes or noises overall.

In other words, the infection is mainly concentrated in the upper respiratory tract. Sun Lien took off his stethoscope, took out an electronic thermometer and handed it over, "You take your temperature."

There are many types of pathogens that can cause upper respiratory tract infection. To determine whether it is a bacterial or viral infection, the easiest way to determine whether it is a blood routine. If it is a viral infection, the white blood cells generally will not increase. It is normal or simply low. The proportion of lymphocytes and monocytes will increase. If the viral infection is more serious, the platelet count may even decrease.

If it is a bacterial infection, the white blood cells will generally rise, and the increase is not small. Neutrophils will also rise, but the proportion of lymphocytes and monocytes will generally be normal or even slightly reduced.

It is almost the same to deal with upper respiratory tract infections caused by bacteria, and to use drugs according to experience, and use antibiotics combined with non-steroidal anti-inflammatory drugs that can make patients feel a little more comfortable. For viral infections, unless it is clear that the patient is influenza or a specific viral infection... in most cases, doctors can only provide some supportive treatment to the patient, and then look forward to the patient's immune system being able to solve these viruses.

"I just have a sore throat..." The patient was indeed dissatisfied with the examination proposed by Sun Lien. "What's your doctor doing now... You won't be able to see a doctor without examination?"
Chapter completed!