Less than 20 minutes later, all the physiological and biochemical results of the patient came out!
Elevated blood ketone body!
Combined with the patient''s performance, it can now be diagnosed as:
Main diagnosis: hyperkalemia
Secondary diagnosis: diabetic ketoacidosis.
Chen Cang began to contact the endocrinology department.
Hyperkalemia is also induced by diabetic ketoacidosis.
Chen Cang turned around and saw Xu Dongdong recording something in his book with a pen. He said, "Dongdong, let the family come in."
When Xu Dongdong heard Chen Cang calling himself, he quickly put away his book and nodded: "OK!"
At this time, the woman prayed at the door for a long time!
But over time!
Although she doesn''t know medicine, she knows that the longer the time, the bigger the problem!
The more so, the more uneasy she was!
Xu Dongdong pushed the door and saw the woman standing there nervously, staring at the door with expectation and hope in her eyes.
Seeing Xu Dongdong coming out, the woman hurriedly ran over!
"Doctor! Doctor! How''s my mother?"
Xu Dongdong smiled: "don''t be nervous. Doctor Chen let you in."
Xu Dongdong didn''t say whether the patient was stable or not. He just said that Dr. Chen let you in.
The woman heard the sound and hurried in.
"Dr. Chen, my mother... How is she?"
Chen Cang said, "the old man is basically stable now, but I suggest that he should be hospitalized in the Department of Endocrinology. Now she has diabetic ketoacidosis. This acidosis has caused the increase of blood potassium in the body. It seems that this situation should not be two days a day!"
"So, I suggest you go to the Department of endocrinology to correct the diabetes of the elderly. Hyperkalemia will be enough for the treatment of the disease. You should not worry too much."
After listening, the woman was finally relieved.
However, Chen Cang turned and said to the old man, "old man, you have to pay more attention to your blood sugar in the future! You can''t eat indiscriminately. You know, it was almost dangerous just now! Listen to your girl more in the future, she can still hurt you!"
At this time, the old man also eased over and took a long breath: "hey... Thank you, doctor!"
Being called "you" by the old man, Chen Cang is still a little uncomfortable.
As thin as a threadpaper, the daughter saw her mother easing up and hurried over, squatting at the bedside, holding hands with her hands and bones. Some of them were cold, which was caused by the microcirculation of diabetes.
But the woman didn''t dislike it at all. She squatted there, stroked her mother''s hand on her face, and her tears trickled down.
"Mom, you scared the hell out of me!"
The old man blushed and didn''t know what to say. He could only rub his daughter''s face with his hand.
She touched her like that when she was a child, but now... She''s so big.
I''m old!
The daughter was really frightened: "Mom, do I usually say that you talk too much, you are unhappy, and I won''t say it in the future? But... You have to take medicine on time, don''t save me. What can you save? You''re fine, I''m just happy..."
The old man was also moved by hazy eyes.
At this time, Chen Cang picked up the phone and began to contact the endocrinology department.
Before long, Yan Dongxue, the endocrine doctor on duty, came down in a hurry. After seeing Chen Cang, he smiled and said hello: "Xiao Chen!"
Chen Cang smiled. Yan Dongxue is the son-in-law of the emergency department and Zhang Shu''s husband. At present, he is also the deputy director of Endocrinology. He is 40 years old and in his prime!
"Teacher Yan, the patient is inside." Chen Cang came in with Yan Dongxue.
Yan Dongxue looked at the test sheet and ECG and was surprised: "this... Is going to kill people!"
Chen Cang nodded, "yes."
Yan Dong Xue looked at the woman: "the old man''s diabetes needs a period of monitoring, and the injection of insulin."
The woman was very cooperative: "OK! Doctor, I''ll listen to you."
Yan Dongxue went up after seeing the patient.
The old man also sat up at this time, and his daughter helped him to go to the endocrinology department to go through the hospitalization procedures.
Seeing that the woman was so tired, Chen Cang suddenly said, "push a wheelchair?"
The woman smiled: "no, I''m used to it."
After saying that, they walked away with their hands.
Occasionally, I can hear women''s "sharp and mean" nagging and the old man''s "submissive".
Hearing it from a distance, Chen Cang shook his head. Maybe this is love!
It seems that they have quarreled all their life. When they were young, their mother talked about the girl. When they were old, the girl talked about the old man. They always have an endless heart and endless words
Man is a reincarnation.
It is a cycle of love and responsibility.
It''s just... This seemingly ordinary picture, I don''t know why it has become a little moving and makes your eyes a little hazy.
Kobayashi still likes to cry as before.
As soon as the nose is sour, tears flow out.
Even Chang Lina, who is usually good at talking, took a deep breath and said to herself: "like me and my mother, she nagged me when I was a child, and I''m very tired. Now she''s old, and I nag her, and she must be very tired..."
Maybe it''s only a girl, isn''t it?
Although Chen Cang doesn''t understand girls, he can feel this feeling regardless of gender.
……
……
Many students witnessed a seemingly simple but hidden rescue!
If it''s really just ordinary diarrhea and treated according to this situation, the old man may die.
Chen Cang was able to find the cause from these complex factors and start treatment directly, which made this group of GUI Peisheng feel excited and worship!
If you have the courage, ask directly:
"Mr. Chen! How do you know that the patient is hyperkalemia? At first, I thought it was hypokalemia caused by diarrhea. If you rehydrate... The patient will be gone!"
Chen Cang looked at the group of students. His eyes were full of thirst for knowledge. He couldn''t help but say, "the principle of emergency is to save lives first and then diseases."
"If the elderly just have common diarrhea, it may cause electrolyte disorder. You think it''s right. You should consider low potassium."
"But!"
"When we diagnose the disease, we should not only judge according to the patient''s current symptoms, but also consider it comprehensively in combination with previous medical history!"
"The patient''s onset is due to eating cold powder diarrhea, diabetes history for many years, at this time, you have to consider whether diabetes can cause diarrhea, and then combined with signs, performance, symptoms to judge!"
"The patient has an abnormal reaction of the digestive system. As you have seen just now, it is accompanied by abnormal heart rhythm, and then immediately there is a disorder of the respiratory system, accompanied by fatigue and weakness of the whole body! The heart rate drops. At this time, you must think of a life-threatening disease: hyperkalemia!"
At this time, Xu Dongdong couldn''t help asking, "well... Mr. Chen, how do you know that blood potassium is more than eight o''clock?"