Chapter 35 The fate of tuberculosis
The Rheumatism and Immunology Department is on the 9th floor. Zhou Yewu anxiously got on the elevator and was about to go to see the second patient to be consulted.
If this rheumatology patient is simple, he can still go to eat breakfast if he can do it within half a minute!
If it is difficult, after 11:30, the canteen will be overcrowded and you will have to queue up to eat leftovers again!
Zhou Yewu looked at the consultation form in his hand and complained that he was "1 hour of morning stiffness between his hands".
Hopefully, it is common to have tuberculosis screening due to low fever. Don’t be like the first emergency consultation of chronic obstructive pulmonary disease. The result is that it is not chronic obstructive pulmonary disease at all!
As soon as the elevator opened, Zhou Yewu quickly walked towards the doctor's office in the Department of Rheumatology and Immunology.
The first step in consultation is to understand the condition first.
"Hello, I came to the respiratory department for consultation." Zhou Yewu said politely to the doctor's office.
At this time, a very young female doctor turned over and saw that the brand was a rheumatism and immunologist with the Ruo San!
"Oh? Isn't you calling Xu Lu?" The female doctor looked a little confused.
The evil Xu Lu!
It's time to explain again.
Zhou Yewu could only say with a shameless face: "The department is quite busy today. Xu Lu has received too many consultations and is too busy to do so, so I'll ask me to see it."
The female doctor has fair skin and looks quite gentle under the mask.
She didn't ask much, and didn't even doubt Zhou Yewu's identity. If she knew that he was just an assistant general practitioner in the outer hospital in Luoyi, she would probably vomit blood!
"My name is Bai Hong. Hello, the patient is in bed 17. You can go and see it yourself. I have to deal with new patients." The female doctor said, pointing to the dense medical records on the computer screen.
Zhou Yewu smiled faintly and said, "You are busy, I'll just take a look at it myself."
After saying that, Zhou Yewu set out to the ward.
17 beds?
This is not a good number. Thinking about it, Li Sifeng is also bed 17, but the respiratory department is almost overwhelmed!
"Good luck comes, ah good luck comes..." Zhou Yewu prayed silently.
While walking towards the hospital bed, he quickly recalled the patient's condition in his mind!
Having a good brain is good, but having a good memory can't forget it...
The patient, female, 67 years old, was held due to "morning stiffness of her hands for 1 hour", had low fever and night sweats for one week, and her maximum body temperature was 38.5 degrees Celsius, accompanied by fatigue.
"Pluriarbitritis nodular?" Zhou Yewu remembered that the Rheumatism and Immunology Department gave the patient this diagnosis.
I thought that rheumatology departments like to collect rheumatoid arthritis? I actually collected nodular arteritis.
Recently, the epidemic has occurred. Staff from major departments have either gone to the infectious department to provide support, or went to the countryside to support, or helped to take the temperature at the door. It seems that they can't rotate, and all patients are starting to receive regardless of specialty!
When Zhou Yewu arrived at bed 17, the old lady was sitting there eating fruit, with his family sitting next to her.
The family members saw Zhou Yewu wearing a white coat and raised their attention.
When Zhou Yewu walked to bed 17, they stood up suddenly, "Hello, doctor, what's the matter."
The two of them have been with the old lady in the hospital for almost two days. They have not seen Zhou Yewu yet, so they looked around.
These two families also look very young, but they are over 25 years old, not much older than Zhou Yewu.
"I'm here for consultation," Zhou Yewu explained.
"Consultation?" asked one of the female family members.
Zhou Yewu nodded. Don’t you know if you come to the consultation? This is called an urgent consultation? Didn’t you notify the patient?
Oh my god... Is Bai Hong treating urgent consultations as ordinary consultations?
Zhou Yewu tried his best to explain to the two of them again. The old man suspected tuberculosis because of low fever and night sweats, so he came to screen for it.
When both of them shook their heads when they heard about tuberculosis, they both took a step back honestly!
This grandchildren are also... quite cute.
Zhou Yewu routinely checked his lower body.
During the physical examination, the grandson suddenly asked: "Doctor, what is my grandma's situation now? She said it was arteritis, but I checked the online information and said it was rheumatoid arthritis!"
Zhou Yewu stopped and shook his head.
Another netizen who would rather believe in Baidu than doctors!
Originally, this should be something that the rheumatology department should explain to them. Zhou Yewu came to the respiratory department for consultation and did not have to interfere and waste time explaining these things, but he still put his mind on explaining them.
After all, it is not easy to see a doctor. As a doctor, you should help me if you can!
Zhou Yewu cleared his throat and said, "The patient is mainly considering nodular arteritis at present. She has a history of nodular arteritis in the past. As for the rheumatoid arthritis you mentioned, the symptoms should be ruled out, because your grandmother's morning stiffness is still relatively obvious this time."
The grandson interrupted Zhou Yewu, glanced at his phone, and continued to interrupt, "What about osteoarthritis and rheumatism?"
How can you check it? How can you tell it so much? How can you tell it from Baidu?
Ask and ask... I know that I respect people without knowing anything, and I interrupted halfway through it!
To be honest, Zhou Yewu was almost at dinner time, and he was so hungry that he felt a little angry, and his face suddenly became slightly angry.
But when I thought that I was here for Xu Lu to consult and not cause any major trouble, I endured it again.
"Osteoarthritis is good for people over 50 years old, and it often involves weight-bearing joints such as the knee and hip joints. The rheumatoid factors in this disease are mostly negative, so there will be no obvious morning stiffness like your grandmother!"
"As for osteopathy, it is not consistent. This disease is characterized by aggravation after activity and relieving after rest."
"The last thing you mentioned is that myalgia is more common in people over 50 years old, and more men than women. Most of them are accompanied by systemic symptoms, such as fever, muscle pain in the neck, shoulder scapula or pelvic belt, which is the most prominent symmetry of this disease. It is mostly symmetrical, which can reduce or disappear after activity, which will affect sleep. However, when I checked my mother's muscle strength, it was normal, and there was no tenderness or redness, so it can eliminate myalgia."
Zhou Yewu talked about the differential diagnosis of three diseases in one breath, and he must admire his solid basic skills!
Then he just wanted to take a breath.
The patient's grandson glanced at the phone again and asked again: "Where is scleroderma?"
Zhou Yewu really couldn't bear it this time and said angrily: "While you are looking at your phone and asking me, what do you mean? Don't you believe in the level of our hospital? Do you rather believe in these artificial intelligence and dead things than what we have read in a few years? Then you can just treat your own doctor on Baidu. Isn't it easier to catch some medicine in the pharmacy?"
The grandson didn't seem to have expected Zhou Yewu to be angry suddenly, and he suddenly became a little cowardly and did not dare to speak.
What a headache!
I originally thought this order would be easier!
As a result, the patient didn't say anything, and the family members were asking about the rheumatism and immunology department!
Chapter completed!