When a doctor opened a plug-in

Less than 20 minutes later, all the patient's physiological and biochemical results came out!

Increased blood ketones!

Combined with the patient’s performance, it can now be diagnosed as:

Main diagnosis: hyperkalemia

Second diagnosis: diabetic ketoacidosis.

Chen Cang began to contact the Endocrinology Department.

The patient's hyperkalemia was also caused by diabetic ketoacidosis.

Chen Cang turned around and saw Xu Dongdong holding a pen to record something in the notebook, and said: "Dongdong, let the family in."

Xu Dongdong heard Chen Cang calling himself, put away his notebook, and nodded: "Okay!"

The woman at this time prayed at the door for a long time!

But over time!

Although she doesn't understand medicine, she knows that the longer the time, the bigger the problem!

The more so, the more disturbed she is!

Xu Dongdong pushed the door and saw the woman standing there nervously, staring at the door with expectations and hope in her eyes.

Seeing Xu Dongdong coming out, the woman rushed over!

"Doctor! Doctor! How is my mother?"

Xu Dongdong smiled: "Don't be nervous, Doctor Chen will let you in."

Xu Dongdong didn't say whether the patient is stable or not, but only said that Dr. Chen would let you in.

The woman heard the sound and quickly walked in.

"Doctor Chen, my mother... how is she?"

Chen Cang said: "The old man is basically stable now, but I suggest going to the endocrinology department for hospitalization. She is now suffering from diabetic ketoacidosis. This acidosis has caused the increase in blood potassium in the body. It seems that this situation should not be the case. One day or two days!"

"So, I suggest you go to the Department of Endocrinology, so that the elderly's diabetes can be corrected, and hyperkalemia can be treated. Don't worry too much."

After listening, the woman finally breathed a sigh of relief.

However, Chen Cang turned around and said to the old man: "Old man, you can pay more attention to your blood sugar in the future! Don't eat anything, you know, it was almost dangerous just now! I will listen to your girl more in the future, she will pay Can hurt you!"

The old man also slowed down at this time, and let out a long sigh: "Hey...Doctor, thank you!"

Being called "you" by the old man, Chen Cang is still a little uncomfortable.

The daughter saw her mother calm down, came over quickly, squatted by the bed, holding her mother's scrawny hands in both hands, a little cold, because of the long-term poor microcirculation caused by diabetes.

But the woman didn't dislike it at all. She squatted there, stroking her mother's hand on her face, tears ticking down.

"Mom, you scared me to death!"

The old man blushed and didn't know what to say, so he could only rub his daughter's face with his hands.

She touched her like this when she was young, and now... has grown up like this.

I am getting old!

The daughter was really terrified: "Mom, do I usually say that you talk too much, you are upset, and I will not say anything in the future, OK? But... you have to take medicine on time, don't save me, can What save, you are good, I am so happy..."

The old man's eyes were also dimly moved.

At this time, Chen Cang picked up the phone and started contacting the Endocrinology Department.

Before long, Yan Dongxue, the endocrinologist on duty, got down in a hurry. After seeing Chen Cang, he smiled and said hello: "Xiao Chen!"

Chen Cang smiled. Yan Dongxue is the son-in-law of the emergency department, Zhang Shu's husband, and is currently the deputy director of endocrinology. He is forty years old and in his prime!

"Ms. Yan, the patient is inside." Chen Cang walked in with Yan Dongxue.

After Yan Dongxue looked at the test sheet and the electrocardiogram, he was shocked: "This... is going to kill you!"

Chen Cang nodded: "Yeah."

Yan Dongxue looked at the woman: "The elderly's diabetes needs a period of monitoring, and the injection of insulin..."

The woman is very cooperative: "Okay! Doctor I will listen to you."

Yan Dongxue went up after looking at the patient.

At this time, the old man also sat up, and his daughter supported him to go to the endocrinology department for hospitalization procedures.

Seeing the woman so tired, Chen Cang suddenly said, "Push a wheelchair?"

The woman smiled: "No, I'm used to it."

After speaking, the two walked away with their arms.

Occasionally, I can hear women's "sharp and mean" chattering, and the old man's "only nonsense".

Hearing it from a distance, Chen Cang shook his head, maybe this is love!

It seems that the two quarreled all their lives. When they were young, their mother talked about the girl. When they were old, the girl talked about the old man. She always had a heart to fuck and talk about...

People are this one cycle.

It is about the reincarnation of love and responsibility.

It's just... this seemingly ordinary picture, I don't know why it has become a little moving, making the eyes a little hazy.

Xiaolin still likes to cry like before.

Tears flowed out when the nose was sore.

Even Chang Lina, who can usually speak well, took a deep breath and said to herself: "Like me and my mother, she nagged and nagged me when I was a child, and I was too annoyed. Now she is old, I nagging. Talking about her, she must be too annoying..."

Maybe it's only a girl who is like this?

Although Chen Cang doesn't understand girls, but...this feeling can be empathized regardless of gender.

...

...

Many students have witnessed a seemingly simple but hidden mystery rescue!

If it's really just ordinary diarrhea, treat it according to this situation, maybe the elderly will die.

However, Chen Cang was able to find the cause of the disease from these complicated factors and started treatment directly, which made the group of Gui Peisheng a little excited and admired!

If you have the courage, just ask:

"Ms. Chen! How did you know that the patient had hyperkalemia? I thought it was hypokalemia caused by diarrhea at first. If it is really rehydration...the patient will be gone!"

Chen Cang looked at the group of students, his eyes filled with seeking knowledge, and couldn't help saying: "The principle of emergency treatment is: first save the life, then save the disease."

"If the elderly just have ordinary diarrhea, it may cause electrolyte imbalance. You are right in thinking and should consider hypokalemia."

"but!"

"When we diagnose a disease, we must not only judge the patient's current symptoms, but also consider the past medical history!"

"The patient got diarrhea because of eating jelly and had a history of diabetes for many years. At this time, you have to consider whether diabetes can cause diarrhea, and then judge it based on your signs, manifestations, and symptoms!"

"The patient has an abnormal reaction in the digestive system. You have seen it just now. It was also accompanied by an abnormal heart rhythm. Then immediately there was a disorder of the respiratory system, accompanied by a fatigue of the whole body! At this time, you have to think of a kind of emergency. The disease of life: hyperkalemia!"

At this time, Xu Dongdong couldn't help asking: "Then... Teacher Chen, how do you know that blood potassium is over eight o'clock?"