This Doctor is Great - Chapter 202

The patient in front of him has a 20-year history of alcoholism, and now he has not drank for more than 2 days, the diagnosis of “alcohol withdrawal syndrome” is very certain.

Its severity, there are three grades:

Grade 1: obvious tremor and sweating, no hallucinations and disturbance of consciousness;

Grade 2: In the acute stage, there are obvious tremors, profuse sweating and hallucinations;

Level 3: In addition to the items in Level 2, there should be disturbances of consciousness, which may be intermittent, and disturbances in orientation and memory.

Obviously, the patient is currently in stage 2.

this disease,

A neurological disorder, (alcohol withdrawal leads to sympathetic activation).

“Teacher, I’m going to call the Department of Internal Medicine and come for a consultation… But it’s night, I’m afraid… a little slow…” Zhou Mo looked at the manic patient in front of him.

“Don’t worry, we don’t have to worry about this, the family members are more anxious than us.”

Zhang Luojia showed a wise look.

Zhou Mo understood in seconds.

I called the consultation myself, maybe the neurology department will come the next day. And it may be a common attending doctor or a resident doctor.

But what about the relationship…

really,

10 minutes later,

A director of the Department of Internal Medicine, arrived at the battlefield.

The speed is fast.

Soon, the director of the Department of Neurology gave a doctor’s order to calm down first.

Originally, I was considering intramuscular injection of diazepam, but it was unsuccessful, and finally I used it.

The patient had a history of drinking alcohol and considered alcohol withdrawal syndrome for sedation. The patient suspected that the doctor was trying to harm him. Finally, Liyuexi (midazolam) sedated the patient, and the patient finally fell asleep peacefully.

Then transferred to the Department of Neurology.

The chief physician of the Department of Internal Medicine, who accompanied him throughout the whole process, was treated well.

Zhou Mo thought to himself, “Is this a relationship account?”

“Ding… You have completed a case of ‘Tear Cardiac’ and ‘Alcohol Withdrawal Syndrome’, you realize…”

Lots of experience instilling…

…

the next day,

The story of the patient’s alcohol withdrawal syndrome last night spread throughout the department of gastroenterology, making this patient even more legendary.

Many new doctors estimate that they will remember this patient and disease for the rest of their lives.

“Doctor Zhou… There is an emergency patient coming, 78 beds.”

“OK.”

A new patient, to be transferred.

Zhou Mo took the diagnosis and treatment card number and retrieved the patient’s medical records.

Chen Yuan, male, 43 years old…

Diagnosed Disease:…

“Huh…another confirmed patient…acute gastric dilation? Interesting!”

…

After 20 minutes,

The patient Zhang Yuan was pushed to the Gastroenterology Department by the emergency nurse.

Paled face,

Sweaty face,

intravenous infusion,

His wife was beside him, pushing him in.

This patient is a confirmed patient and has also been treated accordingly. He only needs to be hospitalized for a few days in the Gastroenterology Department, and Zhou Mo does not need to do anything.

“Hello, I’m Dr. Zhou…”

“Dr. Zhou, hello…”

“I need to learn more about the condition in more detail, you can tell me.”

“Okay okay.”

The patient, Chen Yuanzheng, was about to speak, but as a result, his wife had already covered her face. While scolding him, she told Zhou Mo what happened at that time.

It turned out that last night, Chen Yuan and some friends he hadn’t seen for a long time went to have a late night snack.

skewer,

Gu Wei

beer,

He ate a lot, especially beer, and he drank 2 dozen by himself!

And the skewer is also thousands of dollars, and a few men are going crazy.

It may be the problem of alcohol paralysis. Chen Yuan has never felt full. He has been eating and drinking, and he has eaten the most.

Many people have watched the “Big Stomach King” eating and broadcasting. A meal of 10 packs of instant noodles and 5 chicken legs is not a problem…

Is it really okay to eat like this?

As for Chen Yuan, something went wrong!

After eating, he felt uncomfortable in his stomach, and it didn’t take long for it to get worse. Chen Yuan felt that his stomach was going to explode in pain, so his friend quickly took him to the night emergency room of the Second Provincial Hospital.

“Doctor, save me, I feel like my stomach is about to explode, it’s so uncomfortable, it hurts and swells!”

At that time, Chen Yuan was lying on the field, sweating profusely, and said to the doctor in great pain.

With a few simple words, the emergency doctor identified the real culprit.

Caused by overeating – “Acute Stomach Dilation”!

What is acute gastric distension?

It is a relatively rare acute abdomen, which is caused by a large amount of gas, liquid and food intake in a short period of time, resulting in the inability of the stomach and duodenum to be discharged, resulting in extreme gastric distension.

(picture)

Its symptoms: stomach pain, nausea, and repeated vomiting at the beginning, followed by water and electrolyte imbalance, and even shock and death.

Clinically, it is common in overeating or after surgery.

The emergency department performed abdominal CT and blood biochemical tests to rule out acute pancreatitis.

Finally, the CT results showed:

– Obvious gastric dilatation, weak stomach wall, gastric dilatation and sagging to the pelvic cavity!

What?

The stomach actually sags to the pelvic cavity!

The emergency doctor himself was stunned!

Awesome Glass!

To be able to eat to this extent, this Chen Yuan is also amazing!

The emergency doctor quickly arranged a gastric tube drainage for the patient to drain a large amount of food and liquid from the stomach.

Among them, 2,300 ml of liquid was drained, and the bucket was ‘full’.

Finally, the patient Chen Yuan breathed a sigh of relief.

Then his wife killed him and scolded him to death.

But relatively fortunately, this patient, Chen Yuan, was successfully drained by gastric tube, and there was no gastric hypertension perforation or the like, otherwise he would have to undergo surgical treatment.

As for why he had to come to the Gastroenterology Department to be hospitalized after gastric decompression?

Because acute gastric dilatation is not so easy to cure.

First, there are some blood vessels in the stomach wall, including veins and arteries. Ingesting a large amount of food and beverages at one time can compress the veins in the stomach wall, making it difficult for blood to return, causing damage to the stomach or causing acute gastric distension, anemia, and electrolyte imbalance. and other diseases.

At the same time, because food will promote the secretion of pancreatic enzymes from the pancreas during the digestion process, excessive intake of food at one time will lead to a large amount of pancreatic enzymes secreted, which may easily lead to pancreatitis, intestinal obstruction and gastric perforation.

In short, there are many complications.

Patient Chen Yuan’s acute gastric dilatation is a bit exaggerated. For the sake of insurance, to avoid serious complications, it is best to be hospitalized.

“Okay, we all know about the condition. I have been hospitalized here for the past three days, and I will be discharged after it is stable.”

“Okay, doctor.” Chen Yuan said weakly.

“Don’t you dare next time? Your other friends are all right, why is it only you?” his wife cursed.

“Don’t dare, don’t dare.” Chen Yuan repeatedly apologized.

…

“Doctor Zhou… A patient came in, 78 beds…”

“OK…”

After Zhou Mo finished his work, another new patient came.

Get your mind sorted and start picking up patients.

this patient,

It has also been diagnosed.

– “Gastroparesis Syndrome”!

Two months ago, I had a “subtotal gastrectomy”, and then I developed gastroparesis syndrome.

After being discharged from the surgery, he felt unwell and was transferred to the internal medicine hospital.

.