Chapter 222 Knee pain, gout

Zhang Mei and Zhou Mo glanced at the list casually.

Although not a professional oncology, but through CT, I think the patient may indeed be lymphoma, but further examination is needed.

“Doctor, how are you?”

Zhang Mei: “I think it may be lymphoma… You should do a pathological examination. Only by doing a pathological examination can you better judge whether it is lymphoma or not, and then you can prescribe targeted medicine…”

Zhou Mo nodded.

He has the same opinion.

“How to do a pathological examination?”

“It’s just a small operation to remove the swollen lymph node under the left armpit, and then send it to the pathology department for examination.”

Zhang Mei looked up at the patient and said.

“Ah? Doctor, is there any danger in this operation?” Zhang Mei said calmly and said seriously.

Zhou Mo: “As long as it is an operation, there is danger. No doctor dares to say that the operation is 100% successful. However, your operation is a small operation of the micro-incision type, and the safety probability is very high, and it is almost impossible for problems to occur. ”

Zhang Mei: “However, we are in the emergency department. To do this, you have to go to the oncology department and listen to the advice of the oncology doctor.”

At this moment,

A patient came in from outside, supported by his wife.

His forehead was full of shouts, and he looked very painful.

Chat time is over.

Receive new patients.

…

When the patient comes in,

Teacher Zhang Mei and Zhou Mo couldn’t help but get up a lot.

The patient was in his 40s and 50s, with a pair of gold-rimmed glasses, and looked polite.

And her hands were white and soft, and they didn’t look like they were doing heavy work.

However, Zhou Mo found that when the patient was walking towards him, his body was shaking a little, and it seemed that there was some problem with his legs.

And while breathing and pumping cold air, it feels very painful.

The patient came to Zhou Mo and put his **** on a chair, as if relieved.

“What’s your situation…”

“My hands and feet hurt, it hurts!” the male patient gritted his teeth and said in a cold sweat.

“Tell me about it…” Zhang Mei said.

As long as it is not abdominal pain, chest pain, or headache, pain in hands and feet can be diagnosed slowly.

“Okay, doctor.”

“I’m an engineer in a construction company. I’m fifty-five years old.”

“My main problem right now is joint pain.”

“Where exactly is the pain, when did it start, and have you seen a doctor before?”

Zhou Mo nodded slightly and asked.

Hearing Zhou Mo’s words, the patient’s face showed a look of nostalgia.

After a while, he spoke uncertainly.

“About half a year ago.”

“When I was playing billiards at the time, I had inexplicable pain in the joints of my hands.”

“At the time, I thought I was tired from playing and was going to rest for two days.”

“However, the more the hand rests, the more painful it is, and not only the hand joints, but also many joints in the whole body have suffered severe pain.”

Speaking of which, a pained expression appeared on the patient’s face.

“The severe pain in his joints back then is still fresh in his memory to this day.”

“At the time, I thought I couldn’t do it, so I went to the doctor and did some tests.”

“After the examination, the doctor said that it was caused by high uric acid. The uric acid measured at that time was five hundred and two.”

“Although it’s not particularly high, it’s a lot higher than the normal standard.”

“The doctor said I had joint pain from gout.”

Hearing the patient’s words, Zhang Mei and Zhou Mo nodded vaguely.

Gout is a disease caused by excessive accumulation of urea in the body.

This disease causes labor pains in and around the joints of the body.

In severe cases, joint disease and renal function damage may occur.

Severe gout patients will have tophi.

(Tophi map)

According to the patient’s symptoms, there is no problem with the doctor’s inference, it is very likely that the joint pain is caused by gout.

“The doctor at the time told me not to drink alcohol or eat seafood, saying that these things would increase the purine content in my body.”

Zhou Mo nodded.

Drinking alcohol and seafood can cause gout.

However, in addition to drinking and seafood, there is another—

Cantonese favorite,

– Make soup!

-Old fire soup!

Cantonese soups are called “liang soup” after they have been boiled for a long time.

What egg soup, seaweed soup, tomato soup, Cantonese people don’t call it soup at all.

The longer the soup is boiled, the higher the purine.

Purines are metabolized into uric acid, and when there is too much uric acid, it will be deposited in various joints of the body, causing severe inflammation and pain.

“The doctor told me it was gout.”

“Then no alcohol, no seafood, and several uric acid-lowering drugs.”

He is an engineer, and entertainment is inevitable.

Basically, eat out at least five days a week, seven days a week.

Usually when eating out, it is indispensable to drink and eat seafood.

Yet he thought of the excruciating pain in his body.

Really quit drinking.

As for seafood, he didn’t eat seafood much before, and he doesn’t eat it now.

Having said this, the patient sighed heavily.

“I quit drinking alcohol for several months, and then took medicine on time, but the joint problem still did not heal.”

“When I went to the hospital later, the doctor even suspected that I didn’t really quit drinking, and I must have been drinking.”

“When I heard this sentence, I was in a hurry.”

Speaking of which, the patient spoke with a slight anger.

No matter what he said at the time, the doctor didn’t believe it.

Later, he swore a poisonous curse to God, and the doctor believed that he was not drinking.

“At that time, the doctor thought that I was drinking alcohol secretly, so I tried to convince him, and finally thought that the drug I was taking was not effective enough, so he changed me to another drug to lower uric acid, and asked me to take two more drugs. See you in a month.”

“But I took it for more than two months, and it still didn’t work.”

“My joints are still in unbearable pain.”

Speaking of which, the patient was a little helpless.

He must have encountered a quack doctor, and so many medicines have no effect.

And it is also suspected that he was secretly drinking alcohol.

Originally, he was going to go to a professional old doctor to see a doctor.

result,

Severe pain tonight.

Can’t stand it!

Hurry up and let your wife support you and come to the emergency room!

Zhang Mei glanced at Zhou Mo: “Tell me about it.”

Exam time is up!

Zhou Mo still knows a lot about gout, because there are people around who have gout.

Zhou Mo said eloquently: “Ventilation disease is not difficult to treat, but you have been taking medicine for several months and it still does not improve. It is very likely a misdiagnosis.”

“High uric acid may indeed lead to gout, but it does not mean that high uric acid must be gout, or there may be other diseases.”

heard.

The patient nodded heavily.

“Yes, yes, I have been taking the medicine for a long time, and it has not improved at all, but the joint pain has become worse.”

Zhou Mo asked, “Do you feel a little stiff in the joints of your hands and feet when you wake up in the morning, and there will be a rattling sound when you move at will.”

I heard Zhou Mo’s question.

The patient recalled carefully, UU reading www. uukanshu.com nodded slightly.

“Doctor, you’re right. I thought about it for a while, and it seems to be the case.”

“Every morning I wake up feeling stiff in my joints, and it will only get better when I start moving.”

After a pause, the patient continued to add.

“In general, the joints are still very painful even after the activities are started, and I can’t do physical work at all.”

“I usually move a desk, a chair or something, and those with back pain can’t stand it, and even writing is difficult.”

The voice fell, and the patient sighed heavily, with a painful expression on his face.

For him, this disease is a huge torture, which has completely affected his normal life.

He usually likes to play billiards after get off work, but now, every time he plays, his wrist is in severe pain.

Haven’t played for months.

.