I can see the status bar

Chapter 529 Anaphylaxis

Rash, this is a symptom that is easily overlooked by ordinary people.Not everyone is able or able to scrutinize every part of their skin on the body.Moreover, there are too many forms that rashes can show. The general clinical description terms include plaques, wheals, pustules, blisters, nodules, ulcers, cysts, erosions, and many other types.Presentation varies among patients themselves.With the same descriptive noun, some patients may feel extremely itchy forehead, some will feel unbearable pain, some will feel slight discomfort, and some will feel nothing at all.

According to the different manifestations of the rash and the patient's feelings, the rash may become one of the suggestive manifestations of various diseases.And a large part of the diseases are infections.

This is also the reason why Zhong Yu asked Xiao Guo to call Sun Lien over right away - Qian Aiwu is taking a lot of antibiotics every day, if these rashes are infectious, then there will be big troubles.

Under the action of two powerful broad-spectrum antibiotics whose use is limited, if any bacteria can infect Qian Aiwu, it must be some kind of bacteria that has developed multi-drug resistance.However, Qian Aiwu's physical condition was not very good, and her recovery from necrotizing fasciitis was relatively slow.If there is another multi-drug resistant bacteria now... Sun Lien has no doubt that she may die from it.

"Doctor Sun." Half a minute later, Sun Li'en appeared in Qian Aiwu's ward.Head nurse Zhong Yu nodded to him, pointed to Qian Aiwu's lower back lying on the bed, and said, "Come and see."

Sun Li'en greeted Qian Aiwu, "Aunt Qian, I heard from the nurse that you have a rash on your waist? Is there something wrong?"

Qian Aiwu was a little slow to react, she slowly turned her head and looked at Sun Lien's face.After a few seconds, he shook his head, "It's okay."

What is the description?Sun Li'en froze for a moment, then glanced at the status bar above Qian Aiwu's head - the handwriting of the previous few statuses was already very faint, and it seemed that they would disappear in a few days.However, there is an extra line at the end of the status bar, "Headache (00.34.24)"

"Does it hurt?" Sun Li'en lifted the quilt carefully, and looked at the skin on Qian Aiwu's back waist - there were many red spots scattered on this area, and there was a raised white lump in the center of the red skin .This is a typical wheal, which is usually seen in hives.

"A bit of a headache." Qian Aiwu whispered, "Also... very itchy."

Sun Li'en looked carefully at the area of ​​the wheal, but found no scratched skin lesions, "How itchy? Can you hold it back?"

Qian Aiwu shook his head, speaking with difficulty, "I can't bear it anymore."

"Give her two tablets of loratadine, and open a bottle of calamine lotion." Sun Li'en thought for a while, and said to Zhong Yu, "Give her the itching first."

"You are doing very well." Sun Li'en turned his head to encourage Qian Aiwu, "This will definitely be itchy, as long as you can resist scratching it. If you endure it a little longer, the itching will disappear soon."

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"Wheal?" Sun Lien called Jiang Lun, a dermatologist whom he had met before, in the office. He listened to Sun Lien's description on the other end of the phone, panting, and asked, "Have you done the acetylcholine test?"

"Not yet." Sun Li'en frowned and asked, "Doctor Jiang, is it not convenient for you now?"

"I'm being run over by a dog..." Dr. Jiang Lun's voice sounded very painful, "Ge Laozi, I'm running faster than a dog!"

In Sun Li'en's mind unconsciously, the husky that can run very well, and the appearance of Dr. Jiang who was dragged by the husky to run behind.He suddenly laughed, "Uh, then Dr. Jiang, you can do your work first. I'll contact you after you finish walking the dog."

After hanging up the phone, it took Sun Li'en a long time to digest the image in his mind - Dr. Jiang is not tall, thin, and not very strong.Being dragged by a big dog and running all over the street, the impact of the picture is really strong.

However, this incomplete consultation request still has some value.The question Dr. Jiang mentioned on the phone is very critical - the acetylcholine test.

Qian Aiwu's wheal should have nothing to do with the initial retroabdominal necrotizing fasciitis.For this judgment, Sun Li'en has a lot of confidence.But because wheals are generally closely associated with allergies, it's less likely that an infection will cause them.Sun Li'en suddenly lost all confidence.

The bedding and equipment of hospital beds may not be very comfortable, but generally more "safe" items are used.

Yes, the emphasis is on "safety".The bedding in the hospital basically follows the basic requirements of "pure cotton fabric" and "cloud silk shaped cotton".The Fourth Hospital has gone one step further on this standard, uniformly requiring that all bedding in the inpatient department must be Class A products that infants and young children can directly touch, rather than Class B products that directly contact the skin.

Type A products are more expensive than Type B products, and in order to lower the purchase cost, the comfort requirements of the four courtyard bedding products are naturally much weaker.However, this quality requirement basically guarantees that patients will not have allergic reactions to bedding.Qian Aiwu should not be allergic to pure cotton fabrics.If it was really because of this reason, she should have had an allergic reaction long ago.

"The acetylcholine test means... this kind of allergy may be related to acetylcholine?" Sun Lien didn't grasp the content of dermatology very well, but he still had the basic concept.Putting acetylcholine and wheal together, the answer is only acetylcholine urticaria.

It is not difficult to diagnose this. After the 1:5000 acetylcholine injection skin test, if the patient has severe erythema, it is considered a positive reaction.But what made Sun Li'en feel a little difficult was the meaning of this disease.

Stress or depression can trigger acetylcholine urticaria, as can exposure to allergens.But according to Sun Lien's judgment, the possibility of allergies causing urticaria is very small.

Qian Aiwu's meals during this period were all provided by the hospital canteen.The dishes are exactly the same every day, and food allergies can be ruled out.The medication has also been maintained for more than a week, except for the subsequent addition of vancomycin, there has been no change.

Vancomycin……?Sun Li'en frowned, and he dug out the instructions for vancomycin from the materials beside him.Then the frown deepened.

"Hello, Sun Lien?" Sun Lien made a phone call, Director Han Wenping answered the phone happily, "It's not time yet? I haven't got off work yet."

"Director Han, I have a question to ask you." Sun Lien said seriously, "Is it possible that the allergic reaction caused by vancomycin will appear chronically?"

(End of this chapter)