FVN Chapter 291
Chapter 291
Lin Feng began to analyze the causes of cirrhosis.
Viral hepatitis: including hepatitis B and C.
Alcoholic hepatitis
Cholestatic hepatitis. (There are many bile ducts in the liver, and bile ducts contain bile, which can lead to cirrhosis if cholestasis.) ）
Autoimmune liver disease (immune hepatitis caused by abnormal immunity in the human body) (this immune hepatitis, immune disorders will occur in the human body, will definitely produce a lot of abnormal antibodies, blood test antibodies, should be detectable. ）
These are basically the above situations.
"Did you drink before?"
"I never drink, I'm allergic to alcohol..."
"Well..."
Lin Feng nodded,
Alcoholic hepatitis, leading to cirrhosis, this article, directly excluded!
Then Lin Feng opened the bill.
·「 Hepatitis C and Hepatitis B Test"...
·「 Complete set of biochemical examinations"...
·『 Immunoantibody test'...
Corresponds to the three possibilities above.
The patient carries the checklist and rushes to the check-up.
Until the end of work, five o'clock,
The patient's examination results finally came out.
Lin Feng prayed: "I hope to find the reason today." "
The couple also prayed: "I hope it will not be delayed until tomorrow..."
Lin Feng, read the report sheet:
Hepatitis C and hepatitis B test results: no traces of hepatitis B, hepatitis C and so on.
Exclude, cirrhosis due to viral hepatitis!
Biochemical test results: total bilirubin, direct bilirubin, bile acid and other data are normal, not in line with cholestasis.
Exclude, cirrhosis due to cholestasis!
Immune antibody test results: many antibodies are negative.
Excludes, cirrhosis due to immunodisorders.
Lin Feng: "..........................."
See this report.
I don't know what to say!
It was the first patient he had ever encountered who was so tricky!
I checked seven or eight items, but I found nothing!
At this time,
Lin Feng's clever move,
Is it "Budd-Chia syndrome"!
The so-called Budd-Chia syndrome refers to the blockage of the liver veins or superior vena cava, resulting in the blood of the liver being difficult to return to the heart, long-term stasis in the liver leading to cirrhosis.
"No, it's not Budd-Chia syndrome!"
Lin Feng shook his head and ruled it out directly.
Budd-Chiari syndrome is characterized by obvious ascites, liver enlargement, and so on.
The patient in front of him does not have these.
Lin Feng frowned...
Keep thinking about other possibilities.
His eyes involuntarily looked at the female patient in front of him.
The patient and his wife, at this time, have gone from full of expectations to gradual disappointment.
maybe
Lin Feng couldn't figure it out either.
My own illness seems to be really complicated.
"Wait!!"
suddenly
Lin Feng's eyes froze.
Noticed a special place!!
Hand shaking!!
Lin Feng found that the female patient's hands would shake from time to time, regularly.
"You, you just had shaky hands?"
Lin Feng looked at the female patient's hand.
"Huh?"
The female patient was startled, and then looked at her hands.
The hand trembling suddenly stopped.
Lin Feng smiled: "It's okay, let's go through the hospital, it's time to get off work now, tomorrow I'll work the day shift, continue to check..."
I looked at my watch,
5：00......
It's time to leave work.
When the patient and his wife heard this, they were immediately full of loss and said with a reluctant smile.
"Okay, thank you Dr. Lin..."
What they didn't know was that Lin Feng's words just now were just diverting the attention of the female patient.
At this point,
The female patient's hand began to shake unconsciously again.
Lin Feng's eyes narrowed slightly.
Hand tremors, in medicine, are called "tremors."
It refers to a part or all of the body, which is mainly manifested by involuntary rhythmic tremors.
Clinical causes include: Parkinson's syndrome, "Wilson's disease", "hepatic encephalopathy", cerebellar and brainstem lesions, cerebral arteriosclerosis, cerebral ischemia, drug poisoning, dementia, etc.
Thinking of this,
Lin Feng smiled.
This one, stumped the difficult puzzle of harmonious, Red House expert doctors,
Maybe untied by yourself!
"Wilson's disease"!
or
"Hepatic encephalopathy"!
These two, both related to the liver, may cause cirrhosis!
Moreover, it has the characteristic of hand tremor!
Doesn't that exactly correspond?
"Doctor Lin, bye..."
The couple, disappointed, took Lin Feng's admission slip and prepared to turn around and leave.
"Wait a minute..."
Lin Feng stopped them.
"Sit down, I may have found the reason."
"Found it?"
The husband and wife, confused and surprised.
Lin Feng nodded: "Yes... I just saw your wife, and her hands shake unconsciously, which may be related to "Wilson's disease" or "hepatic encephalopathy". "
Husband and wife: ".............................."
dazed
I don't understand.
Two more unfamiliar illnesses appeared!
However, it doesn't matter!
As long as Dr. Lin can find the cause, it is a great joy!
The couple were overjoyed.
Lin Feng smiled and said, "You don't have to understand these two diseases too much, you just listen to me patiently... If your wife's hands are shaking, you need to consider "Wilson's disease" or "hepatic encephalopathy". However, I want to rule out "hepatic encephalopathy" first. "
Lin Feng raised one of the checklists in Yang's hand.
"The so-called hepatic encephalopathy refers to severe loss of liver function, resulting in brain dysfunction due to various reasons... It will have an indicator: blood ammonia, which will be greatly improved, but the value of blood ammonia checked earlier is normal. "
"So, rule out hepatic encephalopathy!"
"Then there is only one possibility: Wilson's disease."
Wilson's disease has a very unique symptom: the "K-F ring"!"
"The so-called "K-F ring" is a green-brown ring at the junction of the cornea and the sclera, which can be easily detected by slit lamp microscopic examination!!"
in a word
"K-F ring of the eye" + hand tremor = confirmed "Wilson's disease"!
As for
Why is there an "eye K-F ring"?
Because Wilson's disease is a genetic disease, a certain gene is missing, resulting in copper metabolism disorders in the patient's body.
Copper deposits in the liver can lead to cirrhosis.
Copper deposits in the 'leggie nucleus of the brain' can cause brain dysfunction (hence the name).
And when copper is deposited near the cornea, the "K-F ring" appears!
"So, as long as the "K-F ring" is determined, the 'Wilson's disease' can be determined!"
"You can determine the cause of cirrhosis!"
"And you (pointing to the female patient) amenorrhea cause, you found it!"
Lin Feng said to the couple.
In his heart, he has felt more and more that it may be this "Wilson disease".
"Then what "light" check shall we do right away..."
The husband stood up and shouted impatiently.
Expect!
Agitated!
Finally found the cause!
As long as this cause is confirmed, it can completely reverse cirrhosis and treat amenorrhea!
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PS: One more chapter, I'm going on!
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