Font
Large
Medium
Small
Night
Prev Index    Favorite Next

1920 We are doctors, we want to talk about science

"What happened later?" asked Director Pan.

"In the few days after taking the medicine, my throat was getting worse and worse. Not to mention eating, I couldn't even drink water."

"Do you have a fever?" Zheng Ren asked.

"If you don't have a fever, it's strange that it's here. At first I heard the symptoms, and it felt like pharyngitis or tonsillitis. But when I asked his classmates in detail, they all said they didn't have a fever. That's why I...ah."

Taoist Wang sighed.

"You keep going."

"Now his throat is severe and has a very frequent attack, about 5-10 minutes, each time lasting about 5 minutes. The symptoms are obviously aggravated when eating and drinking water."

So frequent? And not continuous, but intermittent.

Zheng Ren listened carefully to Taoist Wang’s medical history and began to think about the diseases related to the pharynx.

"It is sometimes even loud and stimulating, and unintentional activities will induce severe sore throats for a while. Sleeping at night also occurs without any reduction in frequency. The child has not eaten or drunk water for 5-6 days now, so his body is almost unable to bear it."

Taoist Wang said, his eyes a little red.

But he forced himself to hold back, bowed and said, "Old Director Pan, Boss Zheng, I know so much, so I'll trouble Boss Zheng."

"Where is your son hospitalized now?" Zheng Ren asked.

Taoist Wang said the name of a hospital in a third-level city around the imperial capital.

"The hospital is not big, it is closer to the school, so it is convenient for the students to take care of. The child didn't think it would be so heavy at the beginning, and he thought it would be better to wait for a few days. But the more he waited, he became heavier, and he had no choice but to call me."

Zheng Ren asked a few more questions. The young man is only 20 years old this year. He is in good health in the past and has never had surgery or trauma. He has no positive symptoms in his family history, and everything is normal.

It's just a pharyngitis, is it so severe?

"Have you done a laryngoscopy? Are there any foreign objects or tumors in the upper part of the esophagus?" Zheng Ren asked.

"It is said that I had laryngoscope when I was admitted to the hospital, and I didn't see any problems."

“Are there any orders?”

"Yes." Taoist Wang then took out his cell phone, walked to Zheng Ren and found the picture, and handed it to Zheng Ren.

Su Yun stood up, came to Zheng Ren, and looked around.

There are two laryngoscope images on the film. Although the location selection is not very standard, it is sufficient for diagnosis.

There is no foreign body in the pharynx and vocal cords, and there is not even inflammatory edema.

Zheng Ren continued to look through it. Except for serum ions, all the test test sheets were normal, and there was no problem at all.

The serum ion is abnormal because the patient has not eaten for a long time.

If water and rice are not sucked for five or six days, there will usually be some electrolyte disorders.

"Do you have a recent photo of the child? It's best to post a picture of it now. I'll see if there are any abnormalities on my body surface." Zheng Ren said.

Taoist Wang immediately contacted his son. A few minutes later, four or five photos came over.

The photos sent are in full locations, basically nothing is missing.

The surface of the skin of Taoist Wang's son was not bruised or swollen, and no obvious lumps were seen. Zheng Ren's suspicion was dispelled by several photos.

As soon as this came, Zheng Ren complained about the big pig's hooves in his heart, why can't he see the system panel?

If you have a system panel when viewing pictures, it will be much more convenient to consult yourself remotely.

Zheng Ren began to think about the condition related to the pharynx.

"Xiao Wang, what are you going to do if you go to your Taoist temple to burn incense?" asked Director Pan.

"Traditional Chinese medicine calls plum nuclear qi, which believes that this disease is caused by emotional injury, which leads to liver qi stagnation, liver qi stagnation or qi stagnation and blood stasis. The treatment method of traditional Chinese medicine is roughly to relieve liver qi, remove phlegm and disperse nuclei." Taoist Wang said with a sad face.

"So, your son broke up with his girlfriend?" Su Yun said with a smile.

"Ahem..." Taoist Wang was speechless.

"It doesn't feel like it." Zheng Ren said, "The pharyngeal innervation is extremely rich. The sensory and motor nerves mainly come from the pharyngeal plexus in the posterior pharyngeal wall, and contain branches of the vagus nerve, glossopharyngeal nerve, paralateral nerve and parasympathetic nerve."

"Do you suspect it's a neurological problem?" Su Yun asked.

"According to Brother Wang's words, it hurts when you open your mouth and speak, which must be irritating to the nerves." Zheng Ren pondered, holding Xie Yiren's hand with one hand, while the other hand picked up chopsticks and subconsciously hitting the bone plate.

"In addition, there is the second branch of the trigeminal nerve, and the glossopharyngeal nerve, etc., which are directly distributed in the pharyngeal. Therefore, the pharyngeal feels extremely sensitive, and a little problem will be obvious."

"It's the same as if I didn't say it." Su Yun disdained.

"Diseases of many organs in the body can also cause abnormal sensations in the pharynx through the reflex and conduction of nerves."

“What about it?”

"Not anything else, just talking about thoracic esophageal diseases, esophageal spasm, diverticulum, achalasia, early malignant tumors, traumatic esophagitis, reflux esophagitis, cardia spasm, diaphragmatic thorns, these will cause pharyngeal discomfort."

"It's so rare!" Su Yun said.

"Indeed, these are rare and unlikely." Zheng Ren said, "There is a way to simply eliminate many situations."

Taoist Wang's eyes lit up.

"Brother Wang, tell the doctor over there, 1 lidocaine sprayed into the throat to see if it can relieve severe sore throat." Zheng Ren said while pondering.

Taoist Wang was a little embarrassed, but he didn't dare to disturb Zheng Ren's thinking, so he picked up his cell phone and walked out.

"Zheng Ren, are you sick?" Director Pan asked in a low voice when he saw Taoist Wang walk out.

"Director, we are doctors, we need to talk about science." Zheng Ren's thoughts were broken, but he was not angry or irritated as if he was interrupted by Su Yun. Instead, he smiled and explained to Director Pan.

"Well, you're right." Director Pan said, "You think about you, don't worry."

"Eat first, eat first." Zheng Ren called out when he saw that no one moved his chopsticks and the dishes were about to be cold.

"Mr. Zheng, it's quite interesting in the imperial capital!" Chu Yanzhi said with a smile, "Life is really fulfilling."

"It's not interesting. I'm as tired as a dog every day." Zheng Ren said casually.

"Don't listen to him. He doesn't even wear lead clothes now. He sits in the operating room every day to watch Fuguier and Lao Liu undergo surgery." Su Yun exposed Zheng Ren's fake trick, "As he is free, he will run to the emergency department if he has nothing to do."

"It's great. There are still many people in big cities, so you can see more things. It's said that you're fleeing Beijing, Shanghai and Guangzhou, it's nonsense." Chu Yanzhi picked up the chopsticks and looked at Director Pan with his eyes flashing, "Director, you can use the chopsticks first."

Director Pan smiled and picked up the chopsticks.

Zheng Ren quickly turned the fat-headed fish head over, and when Director Pan picked up a bite of the meat on the fish head, everyone started to eat it.

...

...
Chapter completed!
Prev Index    Favorite Next