Is this true? The symptoms of clinical patients are complicated, so how can it be said that they are simple and easy to divide the causes. If so, they would not say that the patient was suddenly discharged after three weeks of staying.
Xie Wanying chose to give the patient a heart at this time. Thinking about it carefully, there are many strange things in Yangyang's mother's case that deserves careful consideration.
For example, the patient has mild jaundice, the hepatitis B index is positive but the aminotransferase is roughly normal. Cirrhosis is generally caused by liver shrinkage, while the Yangyang mother is the opposite, which is liver-splenomegaly.
The patient's chest radiograph seemed normal, only the texture on the left side of the lungs was slightly thickened, the mediastinum was normal, and the heart shadow was roughly normal.
For B ultrasound, there will be parenchymal damage to both kidneys, which is consistent with the manifestation of ascites in advanced cirrhosis. The liver shows that the portal vein is widened. Due to ascites, the B ultrasound doctor has unclear vision and cannot see clearly whether the inferior vena cava has symptoms of obstruction, but the B ultrasound doctor judges based on his own experience that there is suspected that it has.
Such results are probably necessary to rule out the following results. Bugat-Gache syndrome. Bugat-Gache syndrome is a posthepatic hypertension, and the main cause is the blockage of the hepatic vein and the inferior vena cava liver segment. Why did the patient not have any further examinations for the inferior vena cava? I need to ask Dr. Gong again.
"Take a deep breath." Xie Wanying said to the patient.
Yangyang's mother took a deep breath and let out a long breath.
After hearing the breathing sounds of the two lungs of the patient, Xie Wanying found that the breathing sounds of the left lung on the patient were thicker, which was caused by some inflammation.
Let’s listen carefully to the patient’s heart. There is a systolic murmur in the apical mitral valve area, but it is relatively weak. If graded, it is estimated that it is only level 2, which is far from the standard for organic heart disease.
In fact, patients with ascites were effective in getting ascites. Therefore, the treatment plan was later adjusted to limit salt and water limit and diuretics, that is, the latter's theory of overflow was used as the basis for treatment, and the effect was actually good. All that can be done in the hospital was so that the patient's condition was improved, so he was discharged from the hospital first.
Even so, after hearing the patient's heart, Xie Wanying held the stethoscope and continued to think about it. She felt that this case could be considered carefully. Now she will pay more attention to her medical intuition, mainly because the case of Li Yaxi on the 21st bed next door sounded the alarm for her.
Yangyang's mother raised her head, as if she wanted to talk to her.
Xie Wanying pressed her ear over.
Yangyang's mother whispered to her: "The girl next door can't sleep at night and is very scared."
Although Yangyang's mother was seriously ill, she did not forget to care about the patients in the same ward. Perhaps in the eyes of Yangyang's mother, the young and beautiful female college student was admitted to the hospital and was cherished.
The medical staff knew Li Yaxi's fear, and the nurse specially pulled a pavilion curtain between beds 20 and 21 to block the patient's vision. But it was useless, for fear that it would become deeply rooted for some patients in this environment. If the patient is not strong, like Li Yaxi, he feels that he is having nightmares every night during the day.
"What disease does she have?" Yang Yang's mother asked the doctor, probably because she wanted to help her patients.
Xie Wanying said to the patient: "No matter what disease you get, the doctor will do his best to treat him after entering the hospital."
Xie Wanying was confident about Li Yaxi's illness, because Senior Brother Tao arranged for Dr. Song to take care of him, and there would be a breakthrough.
Yangyang's mother felt a little relieved when she heard her say this.
Chapter completed!