I Can See Health

   Chapter 145 Hyperthyroid crisis!

   "Hyperthyroidism?" He Qin's eyes widened, but it was still so small.

  Lu Chen nodded and said, "Not necessarily, but it must be considered."

   The patient likes to sweat, his eyes are a little bulging, and his hands are a little trembling. There are absolutely reasons to suspect the existence of hyperthyroidism.

"The shaking of hands may be nervous, sweating may be nervous, but I especially like to sweat, and my eyes are so bright, if we don't give people a thyroid function test, then we have to lose this dress. "Wang Xiaodong sighed.

   He glanced at Lu Chen aside, and there was an indescribable admiration in his heart.

  Name the symptoms, everyone knows it is hyperthyroidism.

   But not everyone has the ability to detect these symptoms clinically.

   "Senior brother, the patient has hyperthyroidism, does it have anything to do with our illness this time?" He Qin didn't understand the patient's condition for a while.

  Wang Xiaodong eased and continued: "If the patient really has hyperthyroidism, then this arrhythmia can be explained."

  Many patients with hyperthyroidism will have arrhythmia, and many people do not know they have hyperthyroidism before they have arrhythmia.

Wang Xiaodong continued: "You must know that thyroid hormones increase in the body when hyperthyroidism is present. Thyroid hormones are very strong and will constantly stimulate various organs in the body. Stimulating the gastrointestinal tract will lead to eating more and pulling more and stimulating muscles. Bones can cause shaking of the hands, stimulating the heart can lead to arrhythmias, and it may damage the heart in the long run.”

   "So it is." He Qin suddenly realized.

   "What's worse..." Lu Chen said in a deep voice, "If the patient really has hyperthyroidism, then this diarrhea will be unusual."

  Wang Xiaodong was stunned for a moment, thinking of what Lu Chen said, and immediately said: "First, let's draw blood for a test of nail function. I'll call the endocrinologist later and ask for advice."

  …

   in the emergency ward.

   "You said I have hyperthyroidism?" Xiao Yunfei was surprised.

   She didn't believe she had hyperthyroidism at all.

   "Do you usually have a hot temper, eat a lot, and stretch a lot, but you can't gain weight?" Wang Xiaodong said, "Are you particularly fond of sweating?"

   Xiao Yunfei was speechless when asked.

   would like to answer no, but the situation seems to be a bit similar.

  I want to answer yes, but I don’t want to admit this situation.

   "We are the executives of the company, and whoever doesn't get angry, the subordinates will definitely learn a lesson if they do something wrong."

   "It's normal to eat a lot when the workload is so heavy. The work pressure is so high, no matter how much you eat, you can't gain weight. Many people are like this, so what's surprising?"

   A dead duck has a hard mouth.

  "Then wait for the results to verify." Wang Xiaodong said.

  Lu Chen frowned: "Senior brother, it will take 1-2 days for the thyroid function result..."

   "Can't wait, let's do a thyroid B-ultrasound first to see if the thyroid is swollen."

   "But there is no emergency thyroid ultrasound at night..." He Qin said abruptly from the side.

  Lu Chen nodded in agreement.

  Emergency ultrasound, only to see the heart or chest or abdomen.

  Wang Xiaodong smiled: "It's okay, there is an emergency cardiac ultrasound at night, I asked them to take a thyroid ultrasound by the way. And I have an acquaintance in the ultrasound department, I will say hello to him."

   "However, on the surface, it seems that her thyroid is not big, and it's not big to the touch." He Qin wondered.

   She also specially performed a thyroid check on Xiao Yunfei just now.

  Wang Xiaodong nodded and said, "When we can see it with the naked eye, the thyroid gland is already very large."

   "Furthermore, there is a possibility that the thyroid gland grows inside the chest rather than outside. In this case, even if it is very swollen, we won't be able to see it. We have to do an examination," Lu Chen explained.

   He Qin couldn't help sighing when he heard Lu Chen's explanation.

   This Junior Brother, it seems really not easy!

   not only completely follow Wang Xiaodong's ideas, but also can come up with new insights.

   By the way, he can also insert a gastric tube!

   Is he really a freshman in the first grade?

  …

   After Wang Xiaodong contacted the ultrasound department, Xiao Yunfei was immediately sent there for a thyroid B-ultrasound.

   The results came out immediately.

   Goiter!

   And there are many nodules in the thyroid gland, which is a problem thyroid at a glance.

   Seeing the report, Xiao Yunfei couldn't believe it.

   "The company has a physical examination every year, and my physical examination was normal last year."

   "That was last year!" Wang Xiaodong said.

   This is a stone hammer!

doctor's office.

  Wang Xiaodong sighed, "I almost fell over."

   "Senior brother, can't we just diagnose it now?" He Qin felt a little strange. Listening to Wang Xiaodong's tone, it seemed that he almost made a mistake?

   "Sister, do you remember why the patient came to the hospital?"

  He Qin was taken aback, "Diarrhea? Isn't this caused by acute gastroenteritis?"

   Lu Chen shook his head and said, "The patient's diarrhea may be acute gastroenteritis, but it is absolutely necessary to consider that it may be caused by hyperthyroidism."

   In fact, a bag of chicken feet is not very dirty.

   However, if it is really gastroenteritis caused by uncleanness, then other colleagues who eat it should also have problems.

   But according to Xiao Yunfei, everyone else seemed to be fine, she was the only one who had diarrhea for a few days.

   Then this is suspicious.

   "Junior Brother, are you talking about diarrhea caused by hyperthyroidism?" He Qin wondered.

  Lu Chen nodded, "Well, if the diarrhea is really caused by hyperthyroidism, then the patient is very likely to have a hyperthyroid crisis next!"

  Wang Xiaodong glanced at Lu Chen, it seemed that the younger brother really wanted to go with him.

   "Hyperthyroid crisis?!" He Qin opened his mouth wide.

   Seeing Wang Xiaodong's expression of approval, she knew that Lu Chen's diagnosis was mostly correct.

  He Qin has never encountered hyperthyroidism clinically, but has only learned about hyperthyroidism in books, but he also knows the danger of this disease!

  In the condition that the condition of hyperthyroidism is not under control, due to some stress triggering factors, the condition of hyperthyroidism is suddenly aggravated, and the patient's health and life are seriously endangered.

   Medically called thyroid crisis, or simply called hyperthyroid crisis.

  Hyperthyroid crisis is uncommon but has a high mortality rate.

  Hyperthyroid crisis may present with high fever, arrhythmia, nausea and vomiting, disturbance of consciousness, severe diarrhea, etc.

   This diarrhea may not be gastroenteritis!

   may be the consequence of hyperthyroidism reaching a certain degree of severity, that is, hyperthyroidism crisis!

   "I just contacted the endocrinologist." Wang Xiaodong continued to ask for a consultation, "The consultation doctor will be here soon."

  …

Endocrinology.

  Min Ling finally took a relaxing night shift today after two hectic night shifts in a row.

   Nothing has happened since he took over.

   She originally planned to handle all kinds of emergencies at any time like the previous two night shifts.

   But so far, only one or two patients have high blood sugar.

   "Doctor Min, please consult the emergency department!"

   Just when Min Ling was about to go to the duty room to rest, the nurse suddenly called out to the office.

   "Okay, I'll go right away."

  Min Ling is a little puzzled, why did the emergency department ask for an emergency endocrine consultation?

   Endocrine emergencies, usually diabetic ketoacidosis, hypoglycemia, coma, etc.

   In these situations, the emergency department will not invite a consultation, and generally will directly admit the patient to the hospital.

   With this doubt, Min Ling came to the emergency department.

   Many students were diagnosed with hyperthyroidism.

   (end of this chapter)