medical road high rise

Chapter 332 Diagnosed with the Granny’s Cause
Chapter 334 Diagnosed with the Granny's Cause
The problem with my palm is related to my last injury, but I was concerned about it before, so I didn't think about it.

"I suggest you go for an electromyography test first, I suspect an open rupture of the ulnar nerve." Qin Feng said.

"Ah, doctor, is the disease serious?" The middle-aged uncle was startled when he heard the fracture.

"You have to be mentally prepared for the operation in advance. If the open rupture of the ulnar nerve is not treated with surgery, it will directly affect the function of your arm. Once the arm is completely atrophied, it will be too late for surgery." Qin Feng said.

When the middle-aged man heard this, he quickly asked Qin Feng to open an inspection list, and hurried to do the inspection himself.

As for whether he needs surgery, the middle-aged man is not too worried. His family still has savings over the years. He has been working without idleness.

After about an hour, the middle-aged man came back again.

The results of the EMG test were also sent to Qin Feng's computer.

Examination results showed that the patient's right median nerve motor conduction disappeared, and the CMAP amplitude of ulnar nerve motor conduction decreased.

It can be completely diagnosed as an open rupture of the ulnar nerve, which means that the patient needs surgery.

"I'll contact the hand surgeon for you to perform the operation." Qin Feng said.

The patient nodded.

Qin Feng called the hand surgeon, and the hand surgeon was stunned when they got the news, but no one wanted to go.

The reason is also very simple. Qin Feng's qualifications are here. He is a leader in the younger generation of hand surgery. If he performs surgery in front of him, isn't that a big knife in front of Guan Gong?
The hand surgery side made an excuse that doctors who can do ulnar nerve repair have problems, and let Qin Feng solve it by himself.

Qin Feng didn't take it seriously. For him, the operation was not that difficult.

"There is no doctor in the hand surgery department, let me operate for you." Qin Feng said.

"You? Are you okay?" The middle-aged man asked suspiciously.

"Don't worry, if you are really worried, you can search for my name, Qin Feng." Qin Feng smiled.

The middle-aged man searched in front of Qin Feng, and then looked at Qin Feng in surprise, his expression changed from distrust to trust.

Others can pick up broken hands, but I just broke my nerves, wouldn't it be easier for others.

Qin Feng admitted the patient to the hospital, and the operation was arranged for tomorrow. Qin Feng just got off work and packed things with Zhang Yao.

Early the next morning, Qin Feng went to check the room.

It was found that the urine of an elderly patient who was admitted to the hospital yesterday was still purple this morning, and the color was getting darker.

Qin Feng stopped in this ward, and listened to the bed doctor say: "Last night when the nurse informed me to change the indwelling catheter, I found that the pollutants inside were also turned purple by the urine."

Pollutants turned purple by urine?Color reaction between Klebsiella pneumoniae and urine components?

Normal people do not have Klebsiella pneumoniae in their urine, but the patient in front of him does.

Qin Feng felt a trace of information flashed in his mind, as if he had seen it somewhere.

During this period of time, Qin Feng had nothing to do but read literature and intractable diseases all over the world, and he had a memory of these similar intractable diseases.

"Is there any morning urine left today?" Qin Feng asked.

"Also, save it for testing." The bed doctor said.

"Okay, just send it for a test, check the pH value of the urine and the number of white blood cells."

"ph and white blood cells?" The bed doctor was stunned for a moment, why check these two things?

"Yes, talk to the Laboratory Department and let them focus on checking these two items, and also need to do a bacterial culture." Qin Feng said.

Qin Feng suspected that new bacteria might have been born. The bed doctor hurriedly called the nurse, explained Qin Feng's words again, and the nurse left.

After a while, the pH value of the urine came out as alkaline, with a pH value of 10.3.

You should know that the urine of normal people is generally acidic, mostly between 4.5 and 8.0. This is because the kidneys participate in the regulation of acid-base balance in the body and keep the pH of urine within the normal range.

The patient's own kidneys have failed, so the pH of the urine may exceed the normal value, but reaching 10.3 is still a bit outrageous.

If the pH is higher, it can be used as caustic soda.

The hospital is not afraid that your uric acid will be high, but that your alkalinity will be high.

The emergency department in Shanghai has fewer people encountering chemical plants, and it is replaced by hospitals in some heavy industrial cities. Most of the emergency department patients there are critically ill due to high alkalinity.

"Take the urine again and send it to be tested again." Qin Feng didn't dare to make a conclusion for a while, because the urine may increase the pH value if it is left for too long.

But fresh urine, this will not happen, Qin Feng ignored this before.

The bed doctor went to collect the urine in person this time, and the test result again was 9.1, indicating a large number of white blood cells.

At the same time, abnormal colonies such as Pseudomonas aeruginosa, Proteus mutans, and Klebsiella pneumoniae were found in bacterial culture and urine samples.

Qin Feng went back to check the information and diagnosed the patient with purple urine bag syndrome.

This is a relatively rare disease. There are currently no more than one hundred known cases in China, even in the world.

Our country has a population of more than one billion, and there are only less than [-] cases. You can imagine how rare it is.

Qin Feng's idea is correct, but Klebsiella pneumoniae is a bit strange. Although it does not cause urine to turn purple, it does chemically react with tryptophan in the human body.

Tryptophan will be decomposed into indoxyl sulfate in the liver, and indoxyl sulfate will react with Klebsiella pneumoniae and be decomposed into blue and red decomposition products.

When the two are mixed, it becomes purple urine.

There is no problem with the patient's diet, mainly because the food itself is rich in high protein. You must know that high protein foods are rich in tryptophan.

In addition, the patient had an infection in the urinary system, and there were a large number of abnormal bacteria in the urinary tract, which caused the tryptophan to be decomposed, and then reacted with Klebsiella pneumoniae, staining the urine a color.

It is not easy to meet these conditions for purple urine bag syndrome to occur, so there are very few cases.

It just so happened that this patient got all the seven dragon balls together.

"Let's give the patient pubs treatment first." Qin Feng explained.

Pubs treatment refers to changing the catheter and urine bag, selecting sensitive antibiotics according to the results of bacterial culture identification and drug susceptibility test, and attacking the bacteria in the urine one by one to control the urinary system infection and correct the pH value of the urine at the same time.

At the same time, the purple urine bag syndrome has a certain relationship with the alkaline urine. It is necessary to acidify the urine, and the patient was prescribed medicine. Most of the food to eat in the future is vegetables rich in vitamin C. At the same time, take vc or drink vc effervescent tablets of water.

(End of this chapter)