This Doctor is Great

Chapter 198 Consultation in the Department of Neurology

opiate powder,

What is it?

Although it has a different name from yapian, it is indeed a substance in yapian.

Its active ingredients are morphine alkaloids, which can relieve cough by inhibiting the cough center, and can quickly enter the central nervous system of the brain to stimulate the human body to produce dopamine, resulting in euphoria.

Addictive!

And "Compound Licorice Tablets" contains opioid powder, which is also addictive.

At first glance, this "compound licorice tablet", which is compound and licorice, thought it was a proprietary Chinese medicine, but it was not.

Its approval number is: Chinese medicine approved word H**** (H stands for chemical drug, Z stands for Chinese patent medicine, S stands for biological product, B stands for health medicine.).

From this H point of view, compound licorice tablets are chemicals.

In the past, it could be bought casually, cheap and easy to use, and had a great cough suppressant effect. It was a commonly used cough suppressant.

But later, because of its addictive nature and many side effects, the country became stricter, and when it was converted to a prescription drug, a doctor could only buy it with a prescription.

The male patient in front of him said that after taking it for half a year, there is a 99% probability of becoming addicted.

Among them, cold sweat, snot, some tears, and lack of energy... Much like the characteristics of addiction!

In addition, compound licorice tablets have numerous side effects, which will involve the whole body.

first,

hypertension.

Senior Brother Chen Bing said that he has 'refractory' hypertension, the cause of which cannot be found, and he is prone to headaches.

The main ingredient of "Compound Licorice Tablets" is Licorice.

The main component of licorice is glycyrrhetinic acid, an inhibitor of 11β-hydroxysteroid dehydrogenase...it causes high blood pressure! !

All, is it possible that the root cause of the unexplained high blood pressure in this young and strong male patient lies in the compound licorice tablets?

There are also side effects of compound licorice tablets, such as abdominal pain, diarrhea, nausea and vomiting, or constipation in gastroenterology...

This one, hit.

The side effects include dizziness and headache.

This one, too.

As for the dry mouth and thirst mentioned by the patient... It can be explained by the licorice ointment in the compound licorice tablet. The licorice ointment has a diuretic effect. If you eat too much, you will naturally urinate more, and you will naturally become dry and thirsty.

By the way, there is also the unexplained hypokalemia that has appeared before. Too much urine must be low in potassium, and if you have a bad appetite, you can't take it, and you have hypokalemia.

Such a derivation,

Discover the compound licorice tablets, which can perfectly fulfill monism.

Zhou Mo explained this to the male patient.

"I'm... addicted?!!"

The male patient was stunned.

I feel so wronged, that I have somehow become the legendary 'junzi'.

Behind him, Li Dongmei and Huang Zhichao suddenly realized.

It turns out that compound licorice tablets have this problem!

Knowledge 11!

And it was so impressive that it is estimated that I will never forget it in my life.

Zhou Mo: "By the way, how long have you been coughing?"

The male patient said: "It's been a long time. I don't know how long. Half a year? A year? Repeated attacks... Later I started taking this compound licorice tablet to relieve cough."

Zhou Mo: "Then you may have to take a look at the trachea and lungs. You can try B-ultrasound, CT, and MR to see if there is any problem with your lungs."

The male patient was not anxious about his lungs, but asked, "Doctor, what should I do if I am addicted?"

Zhou Mo: "It's simple, you try to stop the drug first, and then your body will have a withdrawal reaction, that is, the runny nose, tears, cold sweat, and possibly irritability and hallucinations... As long as you get over it, then It worked."

Male patient: "What if you can't handle it?"

Zhou Mo: "Hehe...Welcome to the drug rehab center."

Male patient: "…………"

Brother Chen Bing, Teacher Zhang Luojia, Li Dongmei, Huang Zhichao, and the family members of the patient in the next bed couldn't help laughing.

...

leave the ward,

Senior Brother Chen Bing patted Zhou Mo's shoulder, his face full of joy.

"Not bad, it seems to be doing well in gastroenterology."

"It's Teacher Luojia who takes care of me so that I can study with peace of mind."

A compliment and humility.

"let's have dinner tonight."

"Okay, it's been a long time since I ate with my senior brother."

"Call Huang Yiming."

"it is good!"

"Hehehe~~~"

"Hee hee hee~~~"

Senior Brother Chen Bing and Zhou Mo, they both laughed.

Teacher Zhang Luojia, Li Dongmei, Huang Zhichao: "??????"

The three of them didn't know that Senior Brother Chen Bing and Zhou Mo wanted to divide the land between local tyrants.

bid farewell.

Zhang Luojia and Zhou Mo left the Cardiology Department,

Li Dongmei and Huang Zhichao feel that this trip has gained a lot.

"Go, go to the next place." Teacher Zhang Luojia shouted.

"what?"

"Is there another place?"

"Where?"

Zhou Mo and the three looked sideways.

Teacher Zhang Luojia: "Go to the Department of Internal Medicine."

Zhou and Mo: "The business is really extensive..."

...

Divine Internal Medicine.

When Zhou Mo and others came,

"Wow, it's Dr. Zhou Mo!"

"Look, look, look!"

"Come on, he moved, he moved!"

Zhou Mo: 囧~~~~~~

Soon, Dr. Zhang Mingyu from the Department of Neurology came to greet him.

"Senior Sister Luojia!"

Dr. Zhang Mingyu respects Zhang Luojia very much. Obviously, Teacher Zhang Luojia is really strong. Brother Chen Bing and Dr. Zhang Mingyu respect her so much.

Then, Zhang Mingyu glanced at Zhou Mo behind Zhang Luojia and nodded in greeting.

Senior Sister Zhang Luojia: "What's the condition of the patient?"

Brother Zhang Mingyu took Zhang Luojia, Zhou Mo and others to the hospital bed, while introducing the patient's condition:

"Patient, Zhou Xiaodong, male, 45 years old..."

"One day ago, there was no obvious incentive for limb weakness. I found that my feet were numb, I couldn't walk, and my hands were numb..."

hear here,

Naturally it has nothing to do with gastroenterology.

All neurological symptoms.

At this moment,

Everyone walked to one of the wards, went in, and then came to one of the beds.

A man in his forties, a little haggard, with darker skin. "On admission, initially, we ruled out hypoglycemia, which was normal."

"Then gave him a detailed physical examination of the internal medicine department. His mind was clear, his pupils were both large and round, he was sensitive to light, his forehead lines and nasolabial folds were symmetrical..."

"Low muscle tone of both limbs~www.novelmt.com~ Weak muscle strength of both upper limbs grade 5, and muscle strength of both lower limbs grade 3."

"I also did a CT scan of the brain, and there is no problem..."

"Finally, I found a problem..."

"Hypokalemia! Serum potassium is only 2.8mmol/L."

Having said that, Senior Brother Zhang Mingyu paused.

"We thought it was hypokalemia at the time, which led to the consideration of "periodic paralysis of hypokalemia"..."

"Then I did potassium supplementation. At first, potassium chloride supplementation was used, and then it didn't work. Then I changed to other potassium supplementation plans..."

"It still doesn't work..."

"So, the cause of the patient has not been found yet, because it involves low potassium, so ask your gastroenterologist to find out what the problem is... Why does potassium supplementation have no effect."

Zhang Luojia nodded.

Zhou Mo, on the other hand, was thinking about "periodic paralysis of hypokalemia".

This is a disease characterized by 'recurrent flaccid paralysis of skeletal muscle' and 'decreased serum potassium during attacks'.

Epidemiologically,

Most foreign countries are mainly based on heredity.

In China, the divergent type is the main form.

Zhang Mingyu added another sentence at this time: "By the way, after potassium supplementation, the patient's condition has not improved, but has worsened!"

Did it get worse?

Zhang Luojia and Zhou Mo were all shocked.

?? Sorry for being late today. I took my baby to the playground in the morning and was told that there was a positive in the children's park 100 meters away. Confused. Then tonight, the community began to line up to do nucleic acid, sweating wildly.

?

????

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