Chapter 216 In the days of Wuhan
At this time, Sun Jun muttered: "Old Hu, do you think there will be any problem with Li Heiyun's heart?"
"The heart doesn't look very similar, but there are indeed many abnormalities in myocardial enzyme spectrum." Hu Huan looked at the distortion on the electrocardiogram, and he also suspected heart-related problems.
"Xiaowu, what do you think? Aren't you considering viral myocarditis?" Hu Huan remembered that the first time was Zhou Yewu's heart problem.
Zhou Yewu quickly looked through the tablet. Since it was discussing the condition, it was natural to discuss it reasonably and not to talk nonsense!
Is there any heart problem?
While looking at the clues on the report sheet, he said in a deep voice: "I saw that the patient has a relatively high myocardial enzyme and troponin these days, and the aminotransferase is also high. If there is no error in the laboratory, then there will be problems with the heart and liver."
Hu Huan and Sun Jun nodded. Zhou Yewu's thoughts were very clear, and basically the two of them were thinking.
When Zhou Yewu saw Li Heiyun, he kept looking for the reason for his fever, why is this?
Will this happen with ordinary pneumonia?
He has nearly one year of work experience in internship training, but he can meet dozens of pneumonia patients in a year, and how many pneumonia patients will have cardiac and liver dysfunction.
Zhou Yewu thought a lot, and the more he thought, the more he knew that he still had too many shortcomings.
"Cardous ultrasound and electrocardiogram are normal. Then Li Heiyun usually works in the fields, and it is OK to carry a hoe weighing dozens of kilograms. Heart function should not be a problem, and fever caused by myocardial infarction and cardiomyopathy are basically ruled out." Zhou Yewu almost broke his own inference.
And heart disease can cause fever, but can it cause high fever? This is not common!
After thinking for a long time, Zhou Yewu looked at Chen Riyuan like a request for help, and the man smiled slightly: "Just believe in yourself. Even if I can't actually diagnose the patient's disease now, I can only say that I have an idea."
Zhou Yewu was criticized by Chen Riyuan for this little bit and picked up the abandoned myocarditis diagnosis again.
He turned to Hu Huan and said, "Brother Huan, is it possible that myocarditis? Li Heiyun has chest tightness, shortness of breath, fever and soreness in the limbs. I think myocardial inflammation can be explained by myocardial inflammation? If it is myocarditis, most of it is caused by viruses. Do we have good antiviral drugs? Can we try it?"
Now, we are all guessing. If the diagnosis is really not possible, the antiviral treatment mentioned by Zhou Yewu is indeed a good solution.
Chen Riyuan smiled and said, "No matter what disease this guy is, we need to communicate well. Communicating before the accident is more useful than saying 10,000 words after the accident. If this patient is severe myocarditis and disappears all of a sudden, how can I explain to others?"
He was a little serious when he spoke, but Sun Jun said indifferently: "With us here, the King of Hell can't take him away!"
"But Lao Chen, what you said is right. The possibility of viral myocarditis Xiaowu said cannot be ruled out. Before the patient was diagnosed in a day, there are many possibilities... Even if it is viral myocarditis, we do not have good antiviral drugs."
It took Sun Jun a day to find out the medicine in the department that he had already figured out, especially the types of antiviral drugs, which he had almost taken thoroughly.
If it is really viral myocarditis, I guess I have to pay for my own medicine outside, or borrow medical insurance from my brother's hospital.
This is the current situation of Linping Hospital. The drug firepower is still lacking, and many medical insurance drugs have not been purchased yet.
This makes it difficult for a good cook to cook without rice.
Zhou Yewu probably also heard the scarcity of the department's drugs from Sun Jun's words...
"Leader, you can't be more awesome, get some good medicine in." He cursed in his heart, but he didn't dare to say it clearly.
This kind of thing is OK to say in your heart, but if you take it out and discuss it, it will appear to be a small situation.
Because leaders may consider more aspects, taking medicine involves many aspects!
Originally, the most common cause of Li Heiyun's 40-degree high fever was lung infection!
However, lung infection is much more complicated, and it is still difficult to determine the infection site and bacteria.
In addition, non-pulmonary infections, such as connective tissue disease, are dozens or hundreds of diseases such as rheumatism and immunity!
At present, the inspection results are normal, so basically no consideration is taken.
Tumors can also cause fever, but the fever of tumors rarely has high fever of 40°C, so it can basically be eliminated.
However, tumor-related markers need to be thoroughly tested.
Zhou Yewu thought about the diseases that may cause fever over and over again: "It's really hard to think about, why did the fever patient vomit me?"
Some bold thoughts appeared in Sun Jun's mind: "In addition, infectious diseases should be considered? A patient with high fever must definitely rule out common infectious diseases."
At this time, Chen Riyuan also spoke: "Strictly speaking, infectious diseases can also be considered an infectious disease, but they are just special pathogen infections, such as dengue fever, scrub typhus, leptos disease, etc. Also, aren't you afraid of AIDS? This also needs to be ruled out, right? It doesn't have to be tested for relevant examinations to rule out, and asking more medical history can be done."
Hu Huan nodded silently.
He really forgot to ask about this AIDS incident.
Anyway, this is also a single room, so he also asked Li Heiyun directly with embarrassment: "Do you have AIDS? Do you have unclean sexual intercourse history?"
Chen Riyuan and Sun Jun were a little stunned, but they really didn't expect Hu Huan to be so direct.
Then Li Heiyun was also very likely not expecting that Hu Huan, as the director, would speak so bluntly. He felt frightened and hesitated for half a minute before saying, "Don't let your mother gossip, I don't, I'm wholehearted about my wife."
“…”
"If there is no, there is nothing. I'm a routine inquiry."
Hu Huan laughed loudly.
Zhou Yewu also laughed.
It’s good if it’s not AIDS, but if it’s AIDS, it’s troublesome.
AIDS is an infectious disease with great harm, caused by HIV virus, which is a single-stranded RNA virus, a virus with very strong variability.
It takes CD4T lymphocytes, the most important in the human immune system, as its main target of attack, destroying the cell in large quantities, causing the body to lose its immune function, and easily get infected or something, with almost no resistance.
The original body's resistance is like a shield protecting people. If you get infected with AIDS, you will lose your shield! Sooner or later you will be beaten!
"Uncle, don't lie. Our Director Hu asked for your health." Zhou Yewu also half-jokingly responded.
Chapter completed!