Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 63 - 57: Diagnosing the Illness, Rare Exercise-Induced Allergy
Actually, this question is very simple. As long as medical students have seriously studied their internal medicine textbooks, they can roughly figure it out.
It’s just that these two diseases are often easily confused by doctors under normal circumstances.
Because the symptoms of gastroenteritis and food poisoning are so similar!
Gastroenteritis is generally caused by a viral infection, which primarily attacks the human digestive system, causing symptoms.
Food poisoning, on the other hand, is caused by bacteria, viruses, or parasites in food, which can enter the food during production and handling.
So, although the mechanisms of these two diseases are different, their actual symptoms are quite similar.
This is precisely why these two diseases can be difficult to diagnose!
"Nurse, take him for a check..."
Wei Dajing had just started to call out.
"Ugh~"
At that moment,
The afflicted male student suddenly began to vomit while still unconscious.
A mouthful of vomit mixed with blood spewed out, landing on both Wei Dajing and Zhang Chen’s clothes in front.
Qin Feng, who was standing behind them, was not affected.
The two of them furrowed their brows slightly but did not move; Zhang Chen continued examining the patient, completely disregarding the filth and unpleasant smell on him.
’Not bad.’
Qin Feng nodded slightly at the sight.
Although his usual pretentiousness can be annoying, his professional skills are quite solid.
But immediately after, he was drawn to the vomit splattered on the ground.
"There’s blood~"
The three of them reacted with a simultaneous thud of their hearts!
If it were just vomiting and diarrhea, combined with unconsciousness, those still would not be too serious.
But now there’s vomit with blood, indicating the condition might be more severe than they imagined!
"What is your relation to the patient?"
Zhang Chen immediately looked up at the somewhat stunned male companion and asked in a serious tone.
"Huh? I... I’m his classmate."
The male student snapped back to reality at the sound and quickly replied.
"Has he shown any abnormalities since last night? Any unusual symptoms like vomiting?"
The male student paused to think after hearing Zhang Chen’s words.
A moment later, he shook his head.
"Didn’t notice anything, everything seemed normal! We even had a glass of soy milk and ate two buns together this morning."
As his voice fell,
Wei Dajing and Zhang Chen exchanged a glance, furrowing their brows.
What’s going on here?
If it were gastroenteritis or food poisoning, the condition wouldn’t develop this quickly!
"Has there been any similar case recently at school?"
Qin Feng asked.
The male student shook his head again.
"No, I haven’t heard of any."
...
For the moment,
The three of them fell silent; they had no other options left but to proceed with the examination!
Wei Dajing quickly ordered tests, including blood tests, vomit analysis, and ultrasound...
To rule out all possible conditions, a thorough examination was necessary.
At this moment,
A nurse had already brought a stretcher. The three of them, along with the male student, lifted the patient and placed him onto it.
"Take him for the examination first, and notify his parents to come quickly."
"Okay, okay, I’ll call them right away."
Hearing Wei Dajing’s words, especially at the sight of the examination form in his hand, the male student became somewhat panicked and nodded vigorously.
He took out his phone to make a call.
"Wait!"
Just as the nurse was about to push the unconscious student away, Qin Feng suddenly stopped them.
Everyone’s gaze simultaneously turned toward him; Zhang Chen’s expression turned angry, just about to scold him.
But they saw Qin Feng swiftly lift the unconscious student’s shirt, exposing his upper body.
In an instant, everyone’s expressions changed!
They saw raised red welts on the student’s upper body skin, some as large as a thumb, others as small as soybeans.
They were distributed all over his chest, looking rather alarming.
The male classmate’s face turned pale at the sight, and he instinctively took a few steps back.
"Angioedema!"
At this moment, Qin Feng, Zhang Chen, and Wei Dajing all said in unison.
Angioedema, also known as angioneurotic edema or giant urticaria.
This disease often occurs in areas where the skin tissue is relatively lax, generally as localized edema.
"This is....."
Wei Dajing frowned, still not reacting.
"It could be Food-Dependent Exercise-Induced Anaphylaxis!"
"Food-Dependent Exercise-Induced Anaphylaxis?"
Qin Feng and Zhang Chen almost spoke simultaneously.
As the words fell, they instinctively exchanged a glance, especially Zhang Chen.
He looked at him in astonishment; his reaction speed was impressive!
Because this condition is indeed very rare; some internists might never encounter one in their lifetime, only occasionally seeing it in textbooks.
It is a highly unusual disease, primarily because its trigger is baffling!
Although it belongs to food allergies, certain conditions must be met for it to occur.
Exercise!
Some people, after consuming seafood, high-fiber foods like celery or spinach, and wheat-based foods, can experience a highly dangerous allergic reaction if they engage in vigorous exercise within 4-6 hours during digestion.
Milder cases cause intolerable itching and red rashes, while severe cases lead to breathing difficulties and laryngeal edema that block the airway.
If not treated promptly, it can endanger life!
However, many internists encountering such situations would treat it as a common allergy, never considering this possibility.
Qin Feng and Zhang Chen’s judgment was based on the sportswear worn by the male student.
Because if there is no exercise, nothing happens.
Once exercising, trouble is guaranteed!
It’s just that peculiar!
"Huff~ Huff~"
The male student on the stretcher let out a series of low groans from his throat.
The two people looked over simultaneously, and at this moment, the patient’s face was flushed, and his lips showed signs of swelling.
Breathing with an open mouth, tracheal wheezing seemed somewhat difficult.
These are symptoms that only occur with allergies!
And now, all symptoms and signs point to one thing.
It fully matches the symptoms of food-dependent exercise-induced allergic reaction!
"Did you just engage in a lot of physical activity?"
Qin Feng immediately asked.
The boy standing beside nodded.
"Yeah, our school had a sports day today, we just finished running."
Indeed!
"It’s certain now; this should be food-dependent exercise-induced allergic reaction."
Zhang Chen heard and nodded, speaking firmly.
And Wei Dajing on the side finally remembered, unable to hold back his surprise.
"It really is. I didn’t expect to encounter such a strange and rare allergy."
Qin Feng stepped forward to hold the wrist of the unconscious boy, whose skin was somewhat cold, pulse very fast, heart rate reached at least above 200!
Beads of sweat appeared on his forehead, started dripping down, face turning pale.
Palpitations, chest tightness, profuse sweating, face devoid of color.
Anaphylactic shock!
"No time for inspection, get him into the emergency room first!"
Without another word, Qin Feng, along with the nurse, rushed the stretcher into the emergency room.
Anaphylactic shock is already severe, with an immune system’s rapid hypersensitivity reaction causing vascular microcirculation to expand and tissue permeability to increase.
If delayed further, the person would be completely gone!
Zhang Chen and Wei Dajing followed, sprinting all the way into the emergency room.
"I’ve handled this condition before, let me!"
Zhang Chen, seeing the situation, reached for the equipment and spoke loudly.
Qin Feng reached out to stop him.
"Wait, change your clothes first, I’ll handle it."
He pointed at Zhang Chen’s lab coat and pants, which still had remnants of vomit.
During rescue and treatment, conditions permitting, one must ensure as much aseptic operation as possible to avoid cross-contamination!
This is common sense for medical students!
Zhang Chen looked at himself and immediately understood, withdrawing his hand.
However, he didn’t leave but instead stared at Qin Feng with a face full of astonishment.
He will do it?
How could an intern possibly operate on this special allergy?
It’s shock, after all!
But Wei Dajing, standing to the side, didn’t speak. Instead, he had a look of delight on his face and actively moved to a spot with a good view to observe.
...
Zhang Chen was speechless seeing this scene, even the supervising doctor wasn’t intervening?
What if something goes wrong!
This is a matter of life!
"Administer fluids immediately!"
Qin Feng ignored his worry and anxiety, immediately instructing the nurse to insert a retention needle in the unconscious boy.
Rapid fluid replenishment according to shock principles, fast first then slow, first crystal then colloid, added potassium.
After the onset of shock, due to the drastic decrease in microcirculation perfusion of vital organs, fluid replenishment is crucial!
Disinfection, wearing gloves...
Needle insertion, establish venous access, in addition to the retention needle, Qin Feng opened another route.
One minute later, the fluid mixing was complete; saline, balanced salt solution, glucose...
These can quickly increase returned blood volume to the heart and cardiac pump output, stabilizing shock.
Then input plasma, albumin, etc., reducing crystal blood seepage outside the vessels.
With the entry of fluid into the body, data on the monitor began to decline.
Heart rate slowly dropped from 202 to 130; in just 3 minutes, shock was basically under control.
And Zhang Chen was already stunned!
Mouth slightly open, staring at Qin Feng in astonishment.
’This... how is this possible? The speed is too fast! Faster than me!’
He even had a thought in his mind, wondering if this intern had encountered this condition before?
Hmm!
It must be like this!
Otherwise, it would be impossible to recognize such a special condition at a glance!
He himself only encountered it once at Beijing Hospital, and this guy is quite lucky.
Qin Feng couldn’t be bothered with his surprise, paying attention to check the body every minute, adjusting the speed and ratio of fluid replenishment, to prevent shock rebound.
And this process also left Zhang Chen quite amazed!
Ten minutes later, the symptoms of shock had basically disappeared.
Isn’t this guy an intern?
How does he know to adjust fluid replenishment through body checks?
He’s quite skillful!
Unconsciously, his gaze towards Qin Feng changed, with a kind of confident appreciation.
Not bad!
Looks like he may have wrongly judged him earlier; this intern is a good seed!
"Good job, what’s your name?"
Thinking about this, he proactively walked over, smiling, and asked Qin Feng.
???
"Qin Feng."
Qin Feng replied plainly.
"Alright, I got it."
After saying that, he turned around and left the emergency room.
Leaving behind Qin Feng and Wei Dajing, along with two equally bewildered nurses.
Is this guy dumb?
Shouldn’t hearing the name Qin Feng elicit this reaction?
Is there really anyone at Jiangcheng City First Hospital who doesn’t know who Qin Feng is?
Idiot!
At this moment,
besides Qin Feng, everyone’s mind simultaneously popped up with these two words.
