I Can See Health

   Chapter 787 "Ghost" upper body?

   "Director Lu, could the patient have... rabies?"

   One of the graduate students suddenly said.

   "I heard that the patient had a disease, not convulsions or disturbance of consciousness, but a sudden loss of emotional control, irritability, hyperactivity, nonsense, yelling, like crazy, really like being bitten by a dog."

  Lu Chen knew this student, he was a graduate student in the group, but his major was respiratory department, and now he came to the cardiology department for rotation.

   Rabies does have similar mental symptoms.

  If it is really rabies, then the danger is great!

   But the patient did not have a series of symptoms such as opisthotonus, photophobia and so on.

   The most important thing is that the patient has no recent history of being bitten by a dog.

  Gu Xinyue directly denied the diagnosis, saying: "The family members have been accompanying the patient these days. They have never been bitten by a dog. There is no dog at home, and no one in the nearby neighbors has a dog. It is impossible to be bitten by a dog."

   It doesn't look like rabies.

  Lu Chen frowned deeply. He picked up the patient's medical record and began to read it constantly, looking for breakthrough points.

   "You said, could it be the upper body of a ghost?"

   Suddenly, a male intern in the group whispered something.

   "Junior brother, don't talk nonsense." The graduate student in the group smiled, "This kind of ghosts and gods, we are engaged in medicine, don't believe it!"

   However, the little intern whispered again: "I remember when I was a child, a neighbor in our village also had this kind of attack. Later, he was cured by the monk in Miaoli, and he said that it was an evil."

  Gu Xinyue heard the words, but smiled helplessly to Lu Chen: "Don't say it. I heard from the patient's family that they really thought about it and invited a famous immortal to come over."

  Lu Chen was also quite curious, and hurriedly said: "What did Daxian say?"

Gu Xinyue continued: "The patient's family said that after Daxian came, they said that the patient was haunted by ghosts and needed to cast spells, and it took 21 days to cast spells 3 times in a row, once a week, to be effective. We also saw the effect after that. ."

   "The day after the spell was cast, the patient started to twitch again."

   Everyone laughed when they heard the words.

  The theory of ghosts and gods is false.

  Lu Chen also smiled and continued to look down at the medical records.

   But at this moment, a nurse hurried into the office.

   "Director Lu, the patient your group just accepted has started to twitch again!"

   Hearing this, Lu Chen's heart tightened, he immediately stood up, and ran towards the ward.

   The doctors and students in Gu Xinyue and other groups also followed Lu Chen immediately.

  …

   quickly came to the bedside, and the patient's convulsions continued.

   His mouth was spitting out white foam, and his limbs were involuntarily waving and twitching.

  The nurse has pushed the ambulance and started to monitor the patient's ECG.

   "Immediately push a stable!"

  Lu Chen said in a deep voice.

  Valium, called diazepam injection, is a sedative anti-epileptic drug that quickly stops convulsions.

   But after waiting for a few minutes, the convulsions continued, and there was no sign of stopping.

   In Lu Chen's eyes, the patient's life has declined compared to before, only 52 (--).

   The change trend of health value is already three minus signs!

   Except for Lu Chen, everyone else in the group was also devastated at this time.

   The patient is right in front of him, but he has no clue!

   In addition, the patient's convulsions this time are different from the previous ones!

   This time, the patient suffered from convulsions and was accompanied by incontinence.

   "Wait a minute!" Lu Chen's mind suddenly flashed, and he hurriedly said to the nurse beside him, "Test the patient's blood sugar with a finger!"

  How could he miss such an important diagnosis!

   "Received!" The nurse nodded immediately and began to measure the patient's blood sugar.

  Gu Xinyue also glanced at Lu Chen in surprise, to measure blood sugar?

   What is this for?

   A minute later, the nurse held the blood sugar monitor, raised her head in surprise, and said, "Director Lu, the patient has low blood sugar! The blood sugar is only 1.9mmol/L"

   Everyone was shocked when they heard this!

  I didn't expect that this fingertip blood sugar found such a big problem, low blood sugar!

  The fasting blood sugar of a normal person is 3.9-6.1mmol/L, and random blood sugar (that is, whether it is fasting or not, it is measured when you arrive, and it is measured at any time) will not be lower than fasting blood sugar, but it will not be too high.

   is generally around 4-9mmol/L, and now it is 1.9mmol/L, which is definitely a problem.

  Lu Chen hurriedly said to Gu Xinyue who was beside him: "Such a low blood sugar can completely cause convulsions."

  Gu Xinyue nodded in agreement, while wondering: "I see that the patient has no diabetes before, so I haven't noticed this yet."

  No matter what, let’s make up the blood sugar first.

  Lu Chen immediately asked the nurse to push 40ml of high-concentration glucose.

  Just finished pushing the glucose, and the effect was immediate. The patient was awake and no more convulsions.

   Everyone present, including the patient's family members, never expected such an outcome.

   One injection of glucose actually controlled the patient's convulsions.

   In addition, the patient is also awake. Although he is a little tired after waking up, his spirit is good and he can answer freely.

   "Is it so amazing?" the patient's wife murmured, "My parents always thought he was a ghost!"

  Lu Chen immediately said: "This is definitely not epilepsy, nor is it convulsions caused by arrhythmia, but may be an endocrine problem, convulsions caused by hypoglycemia!"

   Even the yelling at home that the family members said before may be caused by low blood sugar!

   On the side, Gu Xinyue raised a question, "Director Lu, I have a doubt. If it is really caused by hypoglycemia, the patient should not get better before glucose or food is given!"

   In fact, every episode has been self-resolving for so long.

   It’s just that the time is long and short.

  Lu Chen nodded and smiled: "Yes, this is also one of the keys, the patient is not a simple hypoglycemia!"

  Gu Xinyue immediately responded, "Endocrine disease...insulinoma?"

  Lu Chen smiled and nodded in agreement.

   At this point, a prompt pops up on the system panel.

   "Congratulations, the completion of the system upgrade has increased!"

  Besides, the patient's family members are still a little unclear. So, when Lu Chen and Gu Xinyue said the word "tumor", they immediately became nervous, stood up and asked, "Doctor, is this cancer?"

  Gu Xinyue shook his head and explained: "There is a piece of tissue in the human pancreas called islets, which can secrete a hormone called insulin."

   "Insulin is the only hormone in the human body that can lower blood sugar. If this tissue grows a tumor, resulting in increased insulin secretion, the patient will definitely have frequent hypoglycemia."

   "Most people's hypoglycemia has symptoms such as palpitation and tremor, and a very small number of people may directly show convulsions and confusion, just like this patient."

   The family nodded in agreement, not knowing if she understood.

The    analysis makes sense, let’s look at the inspection results next.

  Gu Xinyue immediately issued a doctor's order.

   First, the blood was drawn to check the blood insulin level, and then sent for a CT scan of the abdomen. Furthermore, a series of tests such as a glucose tolerance test (OGTT) and an insulin release test were performed.

   (end of this chapter)