medical road high rise

Chapter 485 Nephritis
Chapter 488 Nephritis
Qin Feng gave some typical examples of various diseases that may be caused by drinking, so that the patient's son was alerted.

Many people think that wine is made from grain, which is wrong. Although wine is made from grain, it has nothing to do with nutrition.

"What kind of wine did your father drink?" Qin Feng asked.

"It's the medicinal wine that I made at home."

Qin Feng was speechless for a while. Before going out to eat, he also met a person who drank medicinal wine, and today he met another one.

"How much did your dad drink?"

"I drank about a catty, and my dad vomited once halfway through."

"Has your dad ever had a history of alcohol allergies?"

"No, my dad used to drink a lot in the workplace." The patient's son said.

"Is there anyone else in the family? Ask them to help take a picture of what medicinal ingredients your medicinal wine is made of." Qin Feng said.

"Okay." The patient's son went out to make a call, and soon, the patient's daughter-in-law sent a photo of the medicinal wine.

Qin Feng saw that the medicinal materials soaked in the wine tank were somewhat similar to Sanqi, but it was not Sanqi, but soil Sanqi.

Soil notoginseng and notoginseng are two completely different things. Although it is also a commonly used Chinese herbal medicine and has similar effects to notoginseng, it is very toxic if left untreated.

The pyrrolidine base contained in the soil notoginseng can reduce the activity of RNase in liver cells, reduce the synthesis of RNA, cause DNA transverse breaks, and lead to liver cell necrosis.

In layman's terms, it can cause the liver to go in and out. The liver is one of the most important parts of the human body and is used to filter toxic substances. If it only goes in and out, it will cause increased pressure in the portal vein, resulting in symptoms such as ascites and jaundice .

Moreover, this kind of poisoning develops rapidly, and the damage to the liver is often irreversible.

Qin Feng quickly checked the patient's liver, put on sterile gloves, and touched the lowermost rib of the patient's right rib, which is where the liver is located.

After lightly pressing it, it was a little swollen. There must be something wrong with the liver.

Checking the patient's pupils, Qin Feng found that the patient's eyes had yellow alum membranes, which is a symptom of jaundice.

The appearance of jaundice means that the patient's liver has failed. Qin Feng continued to check other parts of the patient and found that there was water in the patient's legs.

"Did your dad have liver diseases before?" Qin Feng asked.

"No, my father has always been in good health."

Qin Feng nodded, if the patient has no liver disease, but has serious liver problems, Qin Feng judges that it should be poisoned by Tusanqi medicinal wine.

Qin Feng asked the head nurse to call the ICU, and the emergency department cannot treat it.

Because now the patient has liver failure, jaundice, and ascites, and then other organs in the patient's body fail one after another, and the equipment in the emergency department cannot handle it.

Why is ICU expensive?

Because he has concentrated the most sophisticated equipment and the most reliable doctors in the whole hospital, it is worth the money.

Qin Feng explained the situation to the patient's son, and the patient's son signed it immediately, fearing that his father's illness would be delayed.

"Doctor, as long as my dad survives, I don't need to save money, and I can do whatever tests I need." The patient signed.

"Don't worry, we will do our best to treat it." Qin Feng said.

After sending the patient to the ICU, Qin Feng met another patient today as if he had been cursed by the emergency department.

The patient came to the hospital for an examination after working overtime. He was a programmer. At noon, his colleagues said that his eyes were a little swollen. He didn't care, but as time went by, he gradually couldn't open his eyes.

After finishing the work at hand, I hurried to the hospital.

Qin Feng glanced at the patient, the patient's eyes had become squinted due to edema.

Putting on new sterile gloves, Qin Feng pressed around the patient's eyes and found that not only the eyes were swollen, but even half of the face was swollen, and it was still edema.

Press down, the swollen part will not rebound, but will deepen the edema in other parts.

However, Qin Feng is quite calm, the patient's edema can only be regarded as edema.

The human body is mostly water. The water is divided into intracellular fluid and extracellular fluid to maintain balance in different areas of the human body. However, when the human body is sick, it will cause a water imbalance in a certain part of the body, and edema will appear.

Qin Feng checked the patient's hands and feet again, and found that the patient only had edema on the face, and the scope of finding the cause was greatly reduced.

Nephrogenic edema, Qin Feng had a judgment in mind.

The characteristic of nephrogenic edema is that in the early stage of the disease, when the patient gets up in the morning, facial edema will appear. This kind of edema usually starts from the eyelids or face, and can quickly spread to the whole body.

Moreover, nephrogenic edema disease may lead to water and sodium retention, reduction of plasma colloid osmotic pressure, etc., and finally lead to systemic water-electrolyte and acid-base imbalance.

In mild cases, various discomforts such as edema, high blood pressure, hypoproteinemia, anemia, etc. may occur, and in severe cases, dialysis is required, which is the most terrifying uremia.

Qin Feng prescribes a renal function test for the patient. The three most routine tests are urine routine, renal function, and B-ultrasound.

After the results of these three items are available, there will be indications to continue the inspection before doing it.

This is just a judgment. The cause of eye edema may also be minor problems, such as lack of sleep, too low a pillow, drinking too much water before going to bed, or crying before going to bed, etc., which will affect the blood flow of the face and cause eye edema. subsided by nature.

It's just that this patient still has facial edema, so it's not considered a minor problem.

"Have you ever paid attention to your urination, is there a lot of bubbles?" Qin Feng asked the patient after the examination.

"Well, there are a lot of bubbles."

If there are too many bubbles in the human urine, it is because the protein content in the urine is too high, which means that there is a problem with the kidneys, such as nephritis.

"Have you stayed up late lately? Or have you eaten something special?"

"Don't mention it, our company recently took over a project, and we spend at least fifteen hours a day in the company, and sleep less than four hours." The patient complained.

This is the hard work of a code farmer, who often has to stay up late.

Qin Feng asked a few more questions, and the nurse sent over the patient's examination results.

In the patient's blood routine, the abnormal white blood cells doubled, the renal function uric acid increased significantly, the blood creatinine also increased slightly, the blood uric acid doubled, and the urine routine...

From the examination results, it is basically confirmed that it is nephritis, but the B-ultrasound results have not yet come out. Qin Feng does not know if there is any kidney damage, but now he can judge that the patient has kidney problems.

"The CT room is not open at night. I think your condition is nephritis accompanied by kidney damage, which is caused by staying up late. I will prescribe some kidney-protecting medicine. You can come back for a CT examination tomorrow during the day. If there is any problem, Then come directly to me."

(End of this chapter)