Chapter 1920： We are doctors, we must talk about science.
“Later?” asked the old director Pan.
"A few days after taking the medicine, it is said that the sore throat is getting worse and worse. If you don't talk about eating, you can't even drink it."
"A fever?" Zheng Ren asked.
"Do not burn, strange is strange here, I began to listen to the symptoms, it feels like pharyngitis or tonsil inflammation. But I asked his classmates in detail, said no fever. So, I will... 唉""
Wang Daoshi sighed.
"You continue."
"Now he has severe sore throat and frequent episodes, about 5-10 minutes, each lasting about 5 minutes. The symptoms are obviously worsened when eating and drinking."
So often? And it is not continuous, but intermittent.
Zheng Ren listened carefully to Wang Daoshi's medical history, and began to ponder the diseases related to the throat.
"Speaking that sometimes even loud stimulation, unintentional activities, will induce a sharp sore throat for a while. The same night when you fall asleep, the frequency is not weakened. The child has not eaten and drinking for 5-6 days, and is afraid of It’s too fast to stop.”
Wang Daoshi said, his eyes are a bit red.
However, he resisted and arched his hand. "Old Pan Director, Zheng Boss, I know so much, I have trouble with Zheng Bo."
"Where is your son hospitalized?" Zheng Ren asked.
Wang Daoshi said the name of a hospital in the third-grade city around the imperial capital.
“The hospital is not big, it is close to the school, and the students are very convenient to take care of. The child didn’t think it would be so heavy at first, just a few days later. The more heavier, the more he couldn’t call me.”
Zheng Ren also asked a few words. The young man is only 20 years old this year. He has been in good health and has not had surgery or trauma. There is no positive illness in family history and everything is normal.
Is it a pharyngitis, will it be so heavy?
"What did the laryngoscope do? Is there any airway, foreign body in the upper esophagus or a tumor?" Zheng Ren asked.
"It is said that the laryngoscope was made when I was admitted to the hospital. I didn't see any problems."
"Is there a list?"
"Yes." Wang Daoshi immediately took out his mobile phone and went to Zheng Ren to find the picture and handed it to Zheng Ren.
Su Yun stood up and came to Zheng Ren's side, and the probe looked around.
There are two images of the laryngoscope on the film. Although the position selection is not standard, it is enough for diagnosis.
There are no foreign bodies in the pharynx and vocal cords, and even inflammatory edema.
Zheng Ren continued to look at it. In addition to the serum ions, the test list was all normal, and there was no problem at all.
The serum ion is abnormal because the patient has not eaten for a long time.
Five or six days of water meters do not hit the teeth, generally there will be some electrolyte disorders.
"Is there a recent photo of the child? It is best to send a current one. I have to see if there is any abnormality in the body surface." Zheng Rendao.
Wang Daoshi immediately contacted his son. After a few minutes, four or five photos were passed over.
The location of the photo taken was very complete, and there was basically no omission.
Wang Daoshi’s son’s skin was not bruised, red and swollen, and he did not see any obvious mass. Zheng Ren’s doubts were all dispelled by several photos.
At this time, Zheng Ren had a big pig's hoof, how can he not see the system panel?
If you look at the picture and have a system panel, it is much more convenient to have a remote consultation.
Zheng Ren began to ponder the condition related to the throat.
"Xiao Wang, if you go to the Taoist people who burn incense, what are you going to do?" asked Director Pan.
"Chinese medicine is called Mei nuclear gas, and it is believed that this disease is caused by emotional stagnation, resulting in liver qi stagnation, liver qi stagnation or qi stagnation and blood stasis. The traditional Chinese medicine treatment method is generally Shugan qi, except sputum." The Taoist grief said.
"So, your son broke up with his girlfriend?" Su Yun laughed.
"Cough..." Wang Daoshi is also speechless.
"I don't feel like it." Zheng Rendao "The pharyngeal nerve innervation is extremely rich. The sensory and motor nerves are mainly from the pharyngeal plexus of the posterior pharyngeal wall, which contains branches of the vagus nerve, the glossopharyngeal nerve, the accessory nerve and the parasympathetic nerve."
"Do you suspect a neurological problem?" Su Yun asked.
"According to Wang Ge's statement, it is painful to open your mouth and speak. It must be irritating to the nerves." Zheng Ren meditates, holding the hand of the Shei people in one hand, and picking up the chopsticks in the other hand, subconsciously on the bone plate. Knocked.
"In addition, there is a second branch of the trigeminal nerve, the glossopharyngeal nerve, etc., which are directly distributed in the pharynx. Therefore, the pharynx is extremely sensitive, and a little problem will be obvious."
"I didn't say the same." Su Yun disdain.
"The disease of many organs in the whole body can also cause abnormal sensation in the pharynx through the reflection and conduction of nerves."
"For example?"
"Don't say anything else, light chest disease, esophageal fistula, diverticulum, achalasia, early malignant tumors, traumatic esophagitis, reflux esophagitis, sputum sputum, diaphragmatic hiatus, etc. Discomfort."
"Too rare!" Su Yundao.
"It is true that these are rare and unlikely." Zheng Rendao, "There is a way to simply rule out a lot of situations."
Wang Daoshi’s eyes lit up.
"Wang Ge, you and the doctor on the other side said, the throat swallowed 1 lidocaine, see if you can relieve severe sore throat." Zheng Ren thought, while talking.
Wang Daoshi was a little embarrassed, but he did not dare to disturb Zheng Ren’s thinking and took the cell phone and went out.
"Zheng Ren, is it sick?" See Wang Daoshi go out, Director Lao Pan whispered.
"Director, we are doctors, we must talk about science." Zheng Ren's thoughts were broken, but he was not as angry or sullen as Su Yun interrupted, but smiled and explained to Director Pan.
"Well, you are right." Director Pan said, "You wonder what you are, don't worry."
"Everyone eats first, eats first." Zheng Ren saw no one moving chopsticks, the dishes were cold, and they greeted.
"Zheng Zong, it is very interesting in the emperor!" Chu Xiaozhi said that "the life is really fulfilling Nothing to say, every day is as tired as a dog." Zheng Ren said casually.
"Don't listen to him. He doesn't even wear lead clothes. He sits in the operating room every day to see Fuguier and Laoliu doing surgery." Su Yun dismantled Zheng Ren's fake trick. "A free time, nothing to go." Emergency department runs."
"It's good, there are still many people in big cities, and you can see more things. They all say that they fled from the north to the north, and they are nonsense." Chu Yuzhi picked up the chopsticks and flicked his eyes to see the director of the old Pan. "Director, you must first move the chopsticks." Ah, yes."
Director Pan Pan smiled and picked up the chopsticks.
Zheng Ren quickly turned over the big fat head fish head, and waited for the old Pan director to take a bite of the meat on the head of the fish, and the talents began to eat.
......
......
Note that Xia Huaniang opened a new book, "Escape the author of the king." Xia Huaniang’s brain is still quite good. The last one was like this. This book is also quite good at the beginning. .
"A few days after taking the medicine, it is said that the sore throat is getting worse and worse. If you don't talk about eating, you can't even drink it."
"A fever?" Zheng Ren asked.
"Do not burn, strange is strange here, I began to listen to the symptoms, it feels like pharyngitis or tonsil inflammation. But I asked his classmates in detail, said no fever. So, I will... 唉""
Wang Daoshi sighed.
"You continue."
"Now he has severe sore throat and frequent episodes, about 5-10 minutes, each lasting about 5 minutes. The symptoms are obviously worsened when eating and drinking."
So often? And it is not continuous, but intermittent.
Zheng Ren listened carefully to Wang Daoshi's medical history, and began to ponder the diseases related to the throat.
"Speaking that sometimes even loud stimulation, unintentional activities, will induce a sharp sore throat for a while. The same night when you fall asleep, the frequency is not weakened. The child has not eaten and drinking for 5-6 days, and is afraid of It’s too fast to stop.”
Wang Daoshi said, his eyes are a bit red.
However, he resisted and arched his hand. "Old Pan Director, Zheng Boss, I know so much, I have trouble with Zheng Bo."
"Where is your son hospitalized?" Zheng Ren asked.
Wang Daoshi said the name of a hospital in the third-grade city around the imperial capital.
“The hospital is not big, it is close to the school, and the students are very convenient to take care of. The child didn’t think it would be so heavy at first, just a few days later. The more heavier, the more he couldn’t call me.”
Zheng Ren also asked a few words. The young man is only 20 years old this year. He has been in good health and has not had surgery or trauma. There is no positive illness in family history and everything is normal.
Is it a pharyngitis, will it be so heavy?
"What did the laryngoscope do? Is there any airway, foreign body in the upper esophagus or a tumor?" Zheng Ren asked.
"It is said that the laryngoscope was made when I was admitted to the hospital. I didn't see any problems."
"Is there a list?"
"Yes." Wang Daoshi immediately took out his mobile phone and went to Zheng Ren to find the picture and handed it to Zheng Ren.
Su Yun stood up and came to Zheng Ren's side, and the probe looked around.
There are two images of the laryngoscope on the film. Although the position selection is not standard, it is enough for diagnosis.
There are no foreign bodies in the pharynx and vocal cords, and even inflammatory edema.
Zheng Ren continued to look at it. In addition to the serum ions, the test list was all normal, and there was no problem at all.
The serum ion is abnormal because the patient has not eaten for a long time.
Five or six days of water meters do not hit the teeth, generally there will be some electrolyte disorders.
"Is there a recent photo of the child? It is best to send a current one. I have to see if there is any abnormality in the body surface." Zheng Rendao.
Wang Daoshi immediately contacted his son. After a few minutes, four or five photos were passed over.
The location of the photo taken was very complete, and there was basically no omission.
Wang Daoshi’s son’s skin was not bruised, red and swollen, and he did not see any obvious mass. Zheng Ren’s doubts were all dispelled by several photos.
At this time, Zheng Ren had a big pig's hoof, how can he not see the system panel?
If you look at the picture and have a system panel, it is much more convenient to have a remote consultation.
Zheng Ren began to ponder the condition related to the throat.
"Xiao Wang, if you go to the Taoist people who burn incense, what are you going to do?" asked Director Pan.
"Chinese medicine is called Mei nuclear gas, and it is believed that this disease is caused by emotional stagnation, resulting in liver qi stagnation, liver qi stagnation or qi stagnation and blood stasis. The traditional Chinese medicine treatment method is generally Shugan qi, except sputum." The Taoist grief said.
"So, your son broke up with his girlfriend?" Su Yun laughed.
"Cough..." Wang Daoshi is also speechless.
"I don't feel like it." Zheng Rendao "The pharyngeal nerve innervation is extremely rich. The sensory and motor nerves are mainly from the pharyngeal plexus of the posterior pharyngeal wall, which contains branches of the vagus nerve, the glossopharyngeal nerve, the accessory nerve and the parasympathetic nerve."
"Do you suspect a neurological problem?" Su Yun asked.
"According to Wang Ge's statement, it is painful to open your mouth and speak. It must be irritating to the nerves." Zheng Ren meditates, holding the hand of the Shei people in one hand, and picking up the chopsticks in the other hand, subconsciously on the bone plate. Knocked.
"In addition, there is a second branch of the trigeminal nerve, the glossopharyngeal nerve, etc., which are directly distributed in the pharynx. Therefore, the pharynx is extremely sensitive, and a little problem will be obvious."
"I didn't say the same." Su Yun disdain.
"The disease of many organs in the whole body can also cause abnormal sensation in the pharynx through the reflection and conduction of nerves."
"For example?"
"Don't say anything else, light chest disease, esophageal fistula, diverticulum, achalasia, early malignant tumors, traumatic esophagitis, reflux esophagitis, sputum sputum, diaphragmatic hiatus, etc. Discomfort."
"Too rare!" Su Yundao.
"It is true that these are rare and unlikely." Zheng Rendao, "There is a way to simply rule out a lot of situations."
Wang Daoshi’s eyes lit up.
"Wang Ge, you and the doctor on the other side said, the throat swallowed 1 lidocaine, see if you can relieve severe sore throat." Zheng Ren thought, while talking.
Wang Daoshi was a little embarrassed, but he did not dare to disturb Zheng Ren’s thinking and took the cell phone and went out.
"Zheng Ren, is it sick?" See Wang Daoshi go out, Director Lao Pan whispered.
"Director, we are doctors, we must talk about science." Zheng Ren's thoughts were broken, but he was not as angry or sullen as Su Yun interrupted, but smiled and explained to Director Pan.
"Well, you are right." Director Pan said, "You wonder what you are, don't worry."
"Everyone eats first, eats first." Zheng Ren saw no one moving chopsticks, the dishes were cold, and they greeted.
"Zheng Zong, it is very interesting in the emperor!" Chu Xiaozhi said that "the life is really fulfilling Nothing to say, every day is as tired as a dog." Zheng Ren said casually.
"Don't listen to him. He doesn't even wear lead clothes. He sits in the operating room every day to see Fuguier and Laoliu doing surgery." Su Yun dismantled Zheng Ren's fake trick. "A free time, nothing to go." Emergency department runs."
"It's good, there are still many people in big cities, and you can see more things. They all say that they fled from the north to the north, and they are nonsense." Chu Yuzhi picked up the chopsticks and flicked his eyes to see the director of the old Pan. "Director, you must first move the chopsticks." Ah, yes."
Director Pan Pan smiled and picked up the chopsticks.
Zheng Ren quickly turned over the big fat head fish head, and waited for the old Pan director to take a bite of the meat on the head of the fish, and the talents began to eat.
......
......
Note that Xia Huaniang opened a new book, "Escape the author of the king." Xia Huaniang’s brain is still quite good. The last one was like this. This book is also quite good at the beginning. .
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