I can see the status bar

Chapter 827 General Clinic

A new day starts with the emergency room.

Sun Lien was working on day shift today. After arriving at the emergency department early in the morning, Sun Lien took the key and opened the door of the ninth clinic.By the way, I burped happily.

Hu Jia personally ordered a bowl of noodles for Sun Lien this morning, and it also came with scrambled eggs with green peppers.Noodles with soup are perfect for breakfast, which made Sun Lien eat a lot more in a shameful way.

Today is Saturday, naturally, a large number of patients who are not very "dangerous" poured into the emergency department of the fourth hospital.Before Sun Lien finished hiccupping for the first time, Patient No.1 was already standing behind him, ready to go into the consulting room to see a doctor.

"Doctor, I've had a fever for three days, and my throat is sore, and I'm not getting better after taking anti-inflammatory drugs." After entering the consulting room almost at the same time as Sun Li'en, the patient couldn't wait to describe his symptoms, "I... Could it be that I have a superbug infection?"

"Super bacteria?" Sun Lien paused slightly while sitting in his seat, and 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, have you? "

"I just have a fever... If it wasn't because I was too busy at work, I didn't even plan to come to the emergency department. I went to the intensive care doctor... Is it a rush?" The male patient joked, and then asked, "Why do you What do you think I have been there?"

"MRSA—that is, the super bacteria you mentioned, is usually found in the intensive care unit." Sun Lien explained, "If you have never been to these places, unless you are a researcher who specializes in this kind of bacteria, in the experiment I violated the experimental safety regulations when I was infected, otherwise I really can’t think of any place where I can be infected with this kind of bacteria.”

This explanation seemed to stabilize the patient a little, who was concerned that he had contracted MRSA.But the effect of this explanation lasted only a few seconds, and he became firm again, "This is not right, I have taken anti-inflammatory drugs and it is still not good, there must be something wrong with it?"

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

There is no drug called "anti-inflammatory drug" in the world.Inflammation is a complex process, and a single drug cannot completely relieve inflammation.What ordinary people call "anti-inflammatory drugs" is actually a "generic term" for many drugs including antibiotics, hormones, and non-steroidal painkillers.

These drugs have different mechanisms of action and different effects.Antibiotics are used to fight infection, hormones are used to relieve the immune system, and non-steroidal pain relievers are used to reduce fever and reduce prostaglandin synthesis to control pain.Three different medicines can basically achieve the subjective "anti-inflammatory" effect when taken on people.Therefore, it is confusedly collectively referred to as "anti-inflammatory drugs".

To figure out what is wrong with the patient in front of him, we must first figure out what kind of "anti-inflammatory drug" he is taking.If he's on antibiotics and they don't help, it could mean he has a viral or fungal infection.If the hormones are ineffective, it may mean that the disease has progressed to a very serious stage - which requires immediate hospital treatment.If it's just NSAID painkillers...it's normal that it doesn't work.This requires doctors to conduct relevant examinations to clarify the source and type of infection, so as to give an appropriate treatment plan.

"I took ibuprofen." Sure enough, the patient in front of him was taking non-steroidal anti-inflammatory drugs. "I've been taking this medicine for three days, and it's useless!"

Sun Li'en nodded with a smile, but didn't say anything specific.He took a disposable tongue depressor from a nearby jar, and motioned for the patient in front of him to open his mouth, "Come on, say 'ah...'"

Following Sun Lien's instructions, he let out a somewhat vague "ah".Then, a pair of tonsils riddled with holes appeared in front of Sun Lien.

"Your tonsils..." Sun Lien looked at this...a tonsil with a bumpy appearance that looked almost like a walnut, and then asked with a frown, "Is it always this big?"

The human tonsil glands are a group of semicircular, small fleshy lumps with some grooves on the surface.It looks like some mucosal tissue in the mouth is stacked together.Usually not very noticeable, and there is no sense of presence.

But... the tonsils of the patient in front of him are not like this.It was like stuffing a Wenwan walnut split in half into his mouth.The tonsils were so red and swollen that they were almost attached to his uvula.

"I was born with hypertrophy of the tonsils." The patient in front of him seemed to be accustomed to the doctor's "shock". "It's been like this since I was a child."

"Hmm..." Sun Lien frowned and pondered for a moment, then asked, "Apart from sore throat, are there any other symptoms?"

"A little... a pain in the buttocks." The patient in front of him seemed a little embarrassed, "It's not hemorrhoids, it's just...a pain in the buttocks."

"Large muscle pain, right?" Sun Li'en nodded, this is a common symptom among patients with fever. "Does the back hurt? It's the shoulder blade area."

"It's also a little sour." The patient in front of him seemed a little surprised. He nodded and asked, "Doctor, what's wrong with me?"

Sun Lien didn't answer his question directly. He put on a stethoscope and listened to the opponent's lungs and heart area.Breath sounds were basically normal, with slight signs of thickening, and there were no rales or murmurs overall.

That is, the infection is mainly concentrated in the upper respiratory tract.Sun Lien took off his stethoscope, took out another electronic thermometer and handed it over, "Take your temperature."

There are many kinds of pathogens that can cause upper respiratory tract infection. To determine whether it is a bacterial or viral infection, the easiest way to determine it is to do a blood test.If it is a viral infection, the white blood cells generally do not rise.The performance is normal or simply low.The proportion of lymphocytes and monocytes will increase.If the viral infection is severe, there may even be a drop in the platelet count.

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

To deal with upper respiratory tract infection caused by bacteria, use medicines according to experience, and use antibiotics together with non-steroidal anti-inflammatory drugs that can make patients feel a little more comfortable.As for viral infections, unless it is clear that the patient is flu or a specific viral infection, otherwise...in most cases, doctors can only provide some supportive treatment for the patient, and then expect the patient's immune system to be able to resolve these viruses.

"I just have a sore throat..." The patient really expressed his dissatisfaction with Sun Lien's proposed examination, "What is your doctor doing now...you won't see a doctor without the examination?"

(End of this chapter)