medical road high rise

Chapter 207 Symptoms Induced by Strawberry Print
Chapter 2 Symptoms induced by strawberry printing
Qin Feng was stunned and looked at Lin Xue blankly, speechless for a while.

"Doctor, can I still treat this?" Li Ying asked in a low voice.

"Let me ask you a few questions first." Qin Feng sorted out his emotions, and his expression became serious, "Are these red scars on your body kissed by your boyfriend?"

Li Ying froze for a moment, then nodded.

Sure enough, it was exactly the same as what Lin Xue said. Looking at the scars all over the patient's body, Qin Feng just wanted to say something.

Young people are really good at playing.

Qin Feng wrote down the cause of the disease again on the medical record in front of him, and then said: "Are you still feeling dizzy?"

"Well, I'm a little dizzy. During the examination just now, I almost passed out." Li Ying said.

"I see. Now I need to identify your consciousness. Please answer me a few questions." Qin Feng said.

Li Ying nodded.

The identification of consciousness, the most famous is the Glasgow Coma Scale.

This is a method specially used to judge the patient's consciousness. Human consciousness is not limited to coma, but also includes various reactions and motor abilities, which are all manifestations of consciousness.

The judgment of the Glasgow Coma Scale also includes three aspects: eye opening response, language response and body movement. The sum of the scores of these three aspects is the coma index. The higher the coma index, the more conscious the patient is. .

Now that Li Ying is in a situation, Qin Feng just needs to make sure that there is no problem with her consciousness before proceeding to the next step of examination.

"Close your eyes, and if you feel me approaching you, open them." Qin Feng said slowly.

Li Ying closed his eyes, Qin Feng stood up, and as soon as his body got closer, Li Ying opened his eyes.

Qin Feng gave a four-point evaluation on the eye-opening reaction.

With a total score of [-] points and [-] points, it belongs to natural eye opening, [-] points means that the patient has no feeling when approaching the patient, and the patient needs external stimulation to open the eyes, [-] points and [-] point, that is, the patient belongs to the third-level coma.

"what's your name?"

"where do you live?"

"Is it male or female?"

Qin Feng asked the question quickly, basically not giving Li Ying too much time to react.

Except for the first question, which Li Ying hesitated for a while, Li Ying responded quickly to other questions.

Qin Feng nodded again, speaking in an orderly manner, with correct orientation, and being able to express himself clearly, but it was considered a full score.

Another physical ability test was conducted, and Li Ying also scored full marks.

"Doctor, is there nothing wrong with my perfect score?" Li Ying said with some joy.

After all, anyone who gets full marks in the test will feel happy from the bottom of their hearts.

Qin Feng said indifferently: "This test only has full marks and failed marks. A score lower than [-] means that you have impaired consciousness and brain damage."

Hearing what Qin Feng said, Li Ying's joy was instantly diluted a lot, and she didn't feel as happy as before.

"By the way, during the test just now, I found that the upper motor neurons of your left upper limb were moderately damaged. I suggest you go for an ultrasound of the carotid artery to see if there is any problem with the blood vessels of your carotid artery."

Qin Feng now suspects that the patient's dizziness and upper limb weakness should be due to thrombus in the carotid artery, just like the place where the thrombus occurs in the elderly, they will also suffer from weakness, decreased skin temperature, and motor nerve damage.

However, these are just guesses now, and the specific cause of the disease still has to wait for the test results to come out.

Li Ying hurriedly picked up the medical record and checklist and ran to pay the fee, and then finished the checkup.

Today's young people are more and more interested in their own health, mainly due to the development of the Internet, and she also knows what blood clots represent.

Why do so many young people die suddenly after staying up late? The main reason for sudden death is cerebral thrombosis, which shows the power of blood clots.

After Li Ying left, Qin Feng sighed and said, "Is growing strawberries so harmful now?"

"Doctor Qin, you don't know the dangers of growing strawberries, do you?" Lin Xue's eyes widened.

You must know that in Lin Xue's eyes, the present Qin Feng is an omnipotent and omniscient existence. There is no operation that Qin Feng can't do, no surgical equipment that Qin Feng can't use, and no disease that Qin Feng can't see well.

But now, the fact that planting strawberries can induce diseases has spread on the Internet, how could Lin Xue not be surprised.

"Is it famous?" Qin Feng turned on the computer and searched.

At first, Qin Feng thought it was just an unknown ailment, but after searching, he still found that he was too young.

The entire page of cases is about planting strawberries and dying of ineffective treatment. The doctors who treated them also followed Dr. Qin Feng. At first, they thought the red marks were some skin diseases, which delayed the best time for treatment.

According to the current medical name, strawberry printing is called mechanical purpura.

Mechanical purpura unobstructed occurs when one party sucks on the skin of the other party’s body. When sucking, due to the vacuum state in the mouth, a negative pressure is formed, which causes capillary rupture, blood overflows from the blood vessel, flows into the interstitial space, and stasis occurs The phenomenon.

Once it is generated in the wrong place, just in the arteries, it may cause blunt damage to many important blood vessels in different parts.

Generally speaking, doctors do not recommend that couples plant strawberries on their necks, as the neck is a place where important blood vessels are densely packed.

In the absence of arterial dissection, strawberry planting may cause intimal damage to the internal carotid artery, resulting in arterial thrombosis.

If it is delayed for a longer time, if it is more serious, the thrombus will even migrate to the brain along with the blood vessels, forming a stroke.

In the Glasgow coma examination just now, Qin Feng was judging whether Li Ying's cerebral blood vessels were affected by thrombus.

Judging from the current situation, there should be no blood clots in Li Ying's brain, and the neck problem is serious.

Half an hour later, Li Ying came back with the test results.

Regarding this disease, Li Ying was not ambiguous, and she did all the examinations recommended by Qin Feng.

Such as neck Doppler ultrasound, neck CT angiography and so on.

Qin Feng touched his nose suddenly. He seemed to be from the Department of Vascular Medicine. He seemed to be able to do these tests himself.

Looking back and thinking about it carefully, Qin Feng felt that he should be attracted by growing strawberries, forgetting that he still has this craft.

Qin Feng's radiography must be more detailed and detailed than other doctors in the Second Hospital.

After receiving the film, Qin Feng flipped through it.

Ultrasound films showed that the carotid artery on the right side of the patient had thrombus echoes, which meant that there may be carotid artery lumen stenosis, and the thrombus blocked 50.00% to [-]% of the blood vessel space to form stenosis.

The results shown by CT angiography are even more obvious. There have been multiple thrombi in the restricted internal carotid artery above, and there are already partial embolisms in the lumen.

This would probably be more intuitive if we use a three-dimensional reconstruction model.

(End of this chapter)