Chapter 258 The disease that stumped Dr. Shao, Keshan disease

Wound healing has a lot to do with the doctor's skills.

The incisions are neat, the debridement is good, the suturing is excellent, and the infection is controlled, the healing will be fast.

Otherwise, even if it takes fifteen days, let alone five days, initial healing may not be possible.

If the skin graft becomes necrotic, a second surgery will definitely be required.

Because the wound of this surgery is inside the mouth, the environment is humid, and there will be food residues when eating, which are all unfavorable factors that affect wound healing.

Therefore, the quality of iodoform gauze packaging also determines the success or failure of the operation to a certain extent.

For Li Jingsheng, this operation has added a lot of surgical experience and is also a major improvement in his personal surgical ability.

For an operation, technical skills alone are not enough; details must be done well.

A big job had just been completed here, and Li Jingsheng was about to sit down and take a rest when he heard Dr. Shao greeting him.

"Dr. Li, there is a patient here with a strange condition. I'm not sure. Please take a look for yourself."

Dr. Shao now speaks to him with great respect.

"What's wrong with him?"

Li Jingsheng stood up and walked over to consult with Dr. Shao. This was also a sign of respect for the elders.

Dr. Shao is much older than him, so he must be given enough respect.

This is also a courtesy to talents.

"Nothing wrong with me, just dizziness and vomiting."

The patient answered the call himself.

This is a male patient in his forties, who looks pale and listless.

His speaking voice was also weak.

"Dr. Shao, what is your initial diagnosis?"

"The patient reported that he started to get sick last night. At first he thought he had caught a cold, but then he became more and more uncomfortable. He went to the pharmacy to buy cold medicine and took it, but it didn't get better. He started vomiting again this morning and took two more cold capsules. By noon, he was still feeling the same.

It didn’t go well, so I came to our clinic for treatment. I thought it was a viral cold at first, but after listening to his explanation and combined with his symptoms, I felt that it didn’t look like a cold.”

There is no doubt about Dr. Shao Bing’s strength.

There are relatively few diseases that Dr. Shao finds difficult to diagnose.

Some diseases have a very sudden onset, and the initial symptoms are highly similar to those of a cold, but they are not a cold.

If you follow the cold treatment, it will be ineffective.

It may even lead to irreversible tragedy.

"Have you taken his blood pressure?"

"No! I just took the temperature, low fever, 37.2 degrees."

Dr. Shao replied.

After hearing this, Li Jingsheng decided to take over the patient himself.

"Come over there! Let me take your blood pressure first."

I called the patient over, and Han Siying happened to be in the operating room to help me sort it out.

"Master, are you encountering a difficult case?"

"Dr. Shao suspects that this patient's illness is not a cold, so I'll check it out on him. You're here just in time to measure the patient's blood pressure."

She measured the patient's blood pressure. The high pressure was 89mmhg and the low pressure was 70mmhg.

Normal blood pressure for adults, systolic blood pressure is between 90 and 139.

This patient's systolic blood pressure was only 1 mmhg lower than the normal value, which logically can be considered normal.

After all, in clinical diagnosis, doctors with a little experience will not be dogmatic.

Like this, it's completely flexible.

Li Jingsheng frowned slightly.

His current doctor level has reached the level of deputy chief physician, his cardiovascular diagnosis has reached Xiaocheng, and he has high sensitivity and accurate judgment on various cardiovascular diseases.

Judging from the big brother's stout figure, he is obviously not a desk person.

What I usually do is mostly physical work.

It stands to reason that such a strong man cannot have such low blood pressure.

Their systolic blood pressure can often reach over 110.

Because in the process of doing physical work, their hearts and blood vessels have been well exercised.

"Have you ever had a physical examination?"

Li Jingsheng asked.

He wanted to compare the patient's previous physical examination data.

"No."

The patient shakes his head.

Heavy manual laborers earn hard-earned money, but their working environment is poor and their health is not guaranteed.

Many people are satisfied as long as they can get a salary.

As for buying social security, medical insurance, and arranging for a physical examination every year, they simply don't dare to expect it.

Perhaps shaking his head aggravated the patient's dizziness, so he covered his mouth and quickly got up to look for a trash can.

It can be seen that this is a very honest and honest elder brother.

I felt very uncomfortable. I was vomiting and wanted to throw it into the trash can so as not to stain the floor.

Li Jingsheng quickly took the small garbage basket beside him and placed it next to the patient.

"Just spit it out, it'll be fine."

As soon as he finished speaking, the patient covered his chest hard and began to vomit.

Frightened, other patients and family members frowned and distanced themselves.

Who knows if this is an infectious disease?

Li Jingsheng saw that the patient retched for a long time and only vomited some yellow water.

Some people describe severe vomiting and always say, "I vomited out all my bile."

The sour and bitter liquid is not necessarily bile.

It could also be acid in the stomach.

However, if the vomiting is severe, bile can indeed be vomited out.

"Here is paper, wipe your mouth!"

Li Jingsheng handed over the tissue.

"Thank you! Sorry!"

The eldest brother vomited a bit violently and his voice was a bit hoarse.

"It's okay, it's okay. You're sick. It's the same for everyone. Did you vomit this kind of yellow water the last few times you vomited?"

"It wasn't the first time. Everything after that seemed to be yellow water."

"Besides dizziness, nausea, and vomiting, are there any other discomforts?"

"It seems like my breathing is a little stuffy, but it's not bad."

"Did you suddenly get sick last night?"

"Probably! I felt a little uncomfortable before I even had dinner. I thought it was because I was shirtless while working, so I scrubbed my body with cold water and then caught a cold."

At this point in the consultation, Li Jingsheng began to think deeply.

Taking cold medicine has no effect, so it's not a big problem.

If you have a severe cold, if you take the wrong medicine, or if you buy fake cold medicine or generic medicine produced by a small factory, you may suffer from poor efficacy.

He synthesizes the patient's symptoms, medical history and other information.

Symptoms include low blood pressure, vomiting, nausea, dizziness, mild chest tightness, and vomiting yellow water.

Low blood pressure became the focus.

The patient may have symptoms of hypotension before the onset of the disease.

It is also possible that the blood pressure dropped sharply after the attack last night.

Li Jingsheng launched a diagnosis of two hypotheses.
To be continued...