Chen Cang hurried into the emergency doctor''s office.
Wang Yong seemed to have just come in. When he saw the patient''s lower limbs, he was also slightly stunned. What happened?
The purple, blue and black legs are like blood clots.
When there is thrombosis in the lower limb, it will seriously affect the blood circulation, lead to the obstruction of blood reflux, cause the lower limb to be blue and purple, and even swelling.
However, the patient''s lower limbs were not different except for a little more leg hair.
Or nitrite poisoning?
In case of nitrite poisoning, the oxygen carrying capacity of hemoglobin will be lost, resulting in tissue hypoxia, resulting in cyanosis of the human body.
However, this nitrite poisoning is certainly not local, but a systemic symptom.
At this time, the patient only has cyanosis of both lower limbs, which should not be!
This is Chen Cang''s first judgment after seeing the patient''s performance!
In fact, as a doctor, long-term clinical experience cultivates a pair of golden eyes.
However, the diagnosis of the disease can never be made at a glance.
We need to consider comprehensively and ask the medical history in detail, plus the inducement of onset, the process of occurrence and development of the disease, etc. if necessary, we also need to do various examinations to know.
The man was young, in his thirties, but at this time, he was obviously worried and worried.
"Doctor, after playing football today, I went to take a bath and suddenly found that my legs became this color. Please help me!"
The man looked frightened and stunned at his legs.
Chen Cang couldn''t help asking, "does it hurt?"
The man nodded: "well, it didn''t hurt at first, but now... It hurts a little. Am I hurt?"
"I didn''t feel it when I just played the ball, but later when we took a bath together, they said, I really found it. At that time, I felt pain. I guess I didn''t notice it at that time. In fact, I was injured, but it didn''t happen."
"After a break, the nerve reacted. I guess it was nervous at that time and didn''t react..."
The man''s explanation stunned everyone!
The man also frowned: "and a little itchy! I don''t know what''s wrong!"
Wang Yong saw Chen Cang and Qin Yue come in and nodded.
However, Wang Yong looked at the patient''s leg and pressed it. There was nothing abnormal.
"Does it hurt now?" he continued
The man touched it and thought for a moment: "I''m not sure? It seems a little painful, but it doesn''t seem to hurt! I''m not sure now."
The words are ambiguous.
"But it must be a little itchy!"
After that, the man looked worried and said nervously, "doctor, I don''t think it''s that embolus blocking? On the way, our friend Baidu said that it''s like this after the embolus blocking. If you can''t dredge it quickly, your thighs will be necrotic!"
When the man spoke, he was very afraid.
After all, he also saw the photos on the Internet. It''s really a little similar. What''s that called? Deep vein thrombosis, lower limb thrombosis or something, maybe... It''s going to amputate both legs!
Speaking of this, the man was uneasy: "I heard that it may be because after strenuous exercise, the embolus in the body was unstable. When it reached the blood vessels of the lower limbs, it suddenly blocked, which led to this situation."
The man spoke very professionally. On the contrary, Wang Yong looked like a layman and was almost persuaded by the man.
But
Qin Yue looked at the man''s lower limbs and found that it didn''t seem to be a disease, because... The black, blue and purple areas of these lower limbs seem too regular?
Because the boundary of both lower limbs is very obvious and the boundary is clear
It''s like... It''s like wearing leggings or high socks of that football.
Qin Yue asked thoughtfully, "are you wearing socks this afternoon?"
"Those tight sports stockings with closed legs."
The man was slightly stunned and immediately said, "how do you know?"
He plays football in the afternoon, wearing football stockings and leg guards.
So I didn''t find it when I ran around playing football. I found it when I took a bath.
Thinking of this, Qin Yue got up and went to the sink and brought the soap.
Hand it to the man: "wash it and see if it can be washed off."
The man was stunned and suddenly looked silly: "you mean... Fading?"
Qin Yue smiled: "try and see if you can wash it off."
As soon as the man heard it, he always thought it was possible. He got up and went to the sink, rubbed it with soap, and then washed it well with water.
Don''t say yet!
The color is really lighter.
This made the man happy and excited.
"Oh, my Cao? Is it really faded?"
Said here, the man himself was amused by himself, rubbed the other leg with soap, found that it could fade, and immediately laughed.
"Excuse me, excuse me, doctor, please. I may be discolored."
After that, he took out two sports socks from his bag: "I played football in this afternoon. I just bought it!"
"I said it was a hard weekend to play a ball with my new equipment. I didn''t expect this guy to fade! Isn''t it a pit?"
The man was a little embarrassed.
"It scared me. Baidu thought it was going to be amputated. It was too pit!"
Chen Cang, Qin Yue and Wang Yong couldn''t help laughing.
The man smiled: "when I found this in the shower, I was bluffed by that group of people. I knew I would rub it more, and maybe I would wash it clean!"
Qin Yue smiled: "it''s all right. Hurry back."
The man was a little embarrassed. He got up and left.
There are many such farces in the emergency department.
Fading is also common.
So after seeing it, Qin Yue immediately reacted.
Of course, Wang Yong also considered it. After all, the man didn''t respond. He couldn''t think of anything else,
……
……
This kind of thing is really common in clinic, not a few.
One of the most exaggerated things Chen Cang has ever seen was when he was in the internship. At that time, he was still in the Department of Dermatology and Venereology, and his teacher was a female teacher.
At that time, a man came to the dermatology clinic nervously. When he came, he made a fuss and looked complex. Chen Cang remembered it very clearly.
Later, when asked what was the matter, the man was embarrassed and said: I''m afraid he had sexually transmitted diseases. He said there were red things below!
As soon as the female doctor heard this, she immediately asked the man to take off his pants and take a closer look.
Don''t say yet!
It''s true.
There was a red mark under the man. It was surrounded by a circle. The key could not be washed. At that time, the man was frightened and thought he had a sexually transmitted disease.
After all, there is a red mark below. Everyone is afraid!
Moreover, the most important thing is that he has a history of dirty life recently, and it is unhealthy.
The man was so frightened that he was nervous.
At that time, the female doctor in the clinic looked at the red mark and felt strange in shape. She was also suspicious.
It doesn''t look like a pathological reaction.
And... The color is a little weird.
When I thought about it, it was a bit like lipstick.
After thinking about it, he suddenly said, "it''s a bit like waterproof lipstick."
It happened that there was makeup remover in the female doctor''s bag. It was really lost.
This embarrassed the man, his face red, put on his pants and ran away.
Of course, there are wonderful.
For example, the color of underwear has faded and the thread of underwear has fallen off
Socks fade!
There are not a few cases of color fading.
Emergency is really a hodgepodge. There are all kinds of patients.
However, sometimes we are not afraid of such suspicious patients, just those self righteous patients.
I always think it''s okay. I found out when something happened. It''s too late.
Therefore, we should be more cautious about the body.
PS: Well, you are so awesome. What you wrote... No sense of expectation. You guessed it... No love... Humble, please comfort