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Chapter 459: Hyperthyroidism (3)

"Ji Xiuchun...Isn't this the female patient with hyperthyroidism? Why did something happen to her? The medicine she just used in the morning."

Zhou Yewu thought, and unconsciously sank his fingertips into the flesh.

...

Go and have a look, what are you waiting for?

Zhou Yewu walked to the door and looked at Zhao Kuan at the door with a hint of fear, but he walked directly from him and walked slowly along the corridor to the ward where Ji Xiuchun was.

After arriving at the ward, he had just arrived at the door and heard Ji Xiuchun's anxious voice in the ward.

"What should I do? It's so itchy on my body. How come these things grow?"

Ji Xiuchun, who didn't notice the door, said to herself, and wondered if the young doctor in the morning had misjudged the disease, that is, Zhou Yewu, his voice was full of doubts and complaints.

...

"Ahem." Zhou Yewu pushed his glasses awkwardly, and then deliberately made a sound of clearing his throat.

Ji Xiuchun is also a cultural person. When he saw Zhou Yewu coming, the doctor was in front of him, so he naturally did not dare to talk.

It’s okay to talk behind the scenes, but it’s too much to talk in front of others.

Ji Xiuchun didn't dare to speak, but her husband greeted Zhou Yewu who came in and said, "It started after taking the medicine in the morning, and there were many red spots on his body."

Red dots? Is it a rash?

It’s still the problem with my treatment plan, it’s impossible. I clearly discussed it with Xu Ruobing. If there is any problem, Xu Ruobing should have proposed it at that time...

After comforting Ji Xiuchun without having to go over and worry, Zhou Yewu said half-believingly: "Where do you have a rash? It's convenient to take a look?"

Ji Xiuchun nodded.

Zhou Yewu pulled up the bed curtain beside the hospital bed and surrounded the bed tightly.

Protecting patient privacy is very important, especially for female patients.

"Don't go out." Zhou Yewu saw Ji Xiuchun's husband going out and shouted: "I originally needed a nurse to be by my side so that I could check the female patient's body. You are her husband, so you can do it."

Ji Xiuchun's husband looked at the bed curtains surrounding him, and no gaps were exposed, so he was very relieved.

...

Ji Xiuchun exposed the itchy areas of his skin to Zhou Yewu. Sure enough, there were really many small bright red spots, as well as some maculopapular rashes the size of rice grains. The number was not large, and they had just started to get sick.

"How is the body temperature? Have you tested it? Do you want to have a fever?" Zhou Yewu asked her husband to help her put on her clothes, and then asked with concern.

This rash is mainly concentrated on the limbs and upper body torso, and looks a bit like a medicine rash.

Zhou Yewu was quite surprised when the rash started.

Medicinal rash is very common, especially for the treatment of diffuse toxic goiter of the thyroid gland, because thyroid imidazole in antithyroid drugs is used. One of the common reactions of thyroid imidazole during the patient's medication is that a small number of people may have rashes.

But this is a bit quick!

Zhou Yewu thought that most of the drug rashes that he had seen before were sensitized 7 to 10 days after the start of treatment. Unless he had received drug treatment with the same drug or similar structure before, it could appear quickly within a few hours or 1 to 2 days.

It is really rare to see Ji Xiuchun who has not received treatment before and has rashes so quickly.

"Doctor, what should I do with this rash? It's so itchy." Ji Xiuchun forced herself to control her hands and didn't scratch her body. It was really itchy.

Zhou Yewu explained: "Your is indeed caused by drug allergies. I explained to you before taking the medicine. This may happen. Now it is happening, and it is not what everyone wants to see."

There are risks when taking medication. Ji Xiuchun no longer cared about this. He just wanted to know how to solve this problem: "Doctor Zhou, can you help me prescribe some medicine or something, or stop the medicine? I'm really itchy."

"For more ventilation, there is a solution for treatment." Zhou Yewu pulled open the bed curtain and let the air flowing in the room wait until Ji Xiuchun came.

Ji Xiuchun's husband also ran to open the window beside the bed.

"Your location is actually pretty good. It's next to the window and the air is good, which is very good for your treatment... Now, you can either stop the medicine, and you may heal yourself a few days after you stop the medicine. Then another method is to use some medicine to get your rash will be better." Zhou Yewu said slowly, his tone seemed very calm, and it was easy to deal with the rash.

The nurse came in in the room and had an infusion, and it was the bed next door.

Zhou Yewu looked up and took a look.

The nurse greeted, "Doctor Zhou, it's the one I just called you to notify you."

This familiar voice...

It was really the call from the nurse's station. Zhou Yewu looked at the gentle middle-aged nurse in front of him and hurriedly thanked him.

"How is the patient in bed 17? Do you need to deal with it?" The nurse also cared about Ji Xiuchun.

Zhou Yewu looked at Ji Xiuchun and smiled slightly: "It's okay, how about it? Are you considering taking medicine?"

After thinking for a while, Ji Xiuchun said, "Can I stop the medicine now? I think this newly-prescribed thyroid medication may be of no use to me, so I will take a break and will get better by myself in a few days. I used to have palpitations occasionally, so I will be able to rest."

I'm afraid the patient can't believe this. Zhou Yewu spoke directly and tried his best to dissuade him: "Don't move the idea of ​​stopping the medication. Antithyroid drugs must be treated. You have diffuse toxic goiter now, and it's almost confirmed. If you follow our antithyroid treatment course now, you will definitely regret it when you are a little later."

Ji Xiuchun was frightened when he heard Zhou Yewu say this and his hands trembled.

She clenched her fists and her body began to itch again.

In order to save the patient in front of him, Zhou Yewu continued to explain: "Thyroid toxic blood will bring many unexpected dangers, such as the heart. Many patients with hyperthyroidism will have "hyperthyroid heart", that is, thyroid toxic heart disease. If you have this heart disease, your heart will easily fail."

Hearing heart disease...

Ji Xiuchun just felt that she was a little soft when she retreated.

Zhou Yewu: "Thyrotoxin has a negative effect on the heart, increasing the sensitivity of the heart b receptor to catecholamines, and directly acts on the contractile protein and increases the beating of the heart, which will lead to an increase in the blood volume of the heart and a fast heart rate... Think about it, if your heart beats 200 times in one minute, can you bear it?"

Ji Xiuchun was often panicked and sweated coldly at night. She felt that she had a bad heart since she was a child.

Now that Zhou Yewu analyzed this, she became even more scared.
Chapter completed!
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