Chapter 224 gout……

After the night shift, I took a day off.

Zhou Mo started to stay at home and scan this uptodate.

Most are related to emergency information.

During the break, Zhou Mo swiped the group and found that someone was talking about “Can you eat ice cream if you have a fever”.

Both sides hold their ground.

If you are not a medical person, you naturally do not agree to eat ice cream and cold drinks with a fever.

After all, this is the experience passed down by the ancestors. Does eating ice cream make the disease worse?

But as doctors and nurses, the conversation will naturally be more scientific.

“I don’t think I can eat ice cream, it’s bad for my stomach.”

“Yeah, the fever is inherently uncomfortable, and the resistance is poor. After eating ice cream, wouldn’t the stomach be more uncomfortable?”

“No, you are wrong, I think eating ice cream and drinking cold drinks is a very effective treatment. Because it is difficult to cool down a fever, the method of cooling the body surface is not effective. What kind of cooling sticker on the forehead is an IQ tax, but drinking cold drinks directly , cooling the body in the body is very effective.”

“Also, fever is usually accompanied by inflammatory symptoms such as sore throat. Drinking cold drinks and eating ice cream can constrict blood vessels and inhibit inflammation.”

“Also, continuous high fever causes more body fluid loss, and the main components of ice cream are water and glucose, so ice cream for patients with a cold and fever can supplement the water and sugar lost due to fever, which is conducive to the recovery of the disease.”

“No no no… We have to consider another point. The body’s metabolism and resistance will also decline when the human body is hot. Drinking cold drinks will stimulate the intestines, cause abdominal pain, and even indigestion, diarrhea and other symptoms…”

Zhou Mo glanced at the group and stopped paying attention.

…

the next day,

Zhou Mo just went to work,

As soon as the teacher Zhang Mei opened her mouth, she gave Zhou Mo a life-threatening series of questions:

“Zhou Mo, tell me, is it useful to drink cold drinks if you have a fever?”

Zhou Mo: “…”

Could it be that yesterday’s topic has already reached Teacher Zhang Mei?

It’s so boring!

Zhou Mo has his own thoughts on this issue.

“The method of drinking cold drinks and eating ice cream with a fever must have been passed down from the lighthouse country, right?”

“I think this method requires a specific analysis of specific problems…”

“First of all, in the lighthouse country and many western countries, drinking cold water is their living habit. It is completely different from drinking hot water in our country. The stomach’s tolerance to cold drinks is different.”

“In the lighthouse country, I am used to drinking cold water, and my stomach is used to cold drinks. The fever and cold drinks are also acceptable to my stomach.”

“In our country, drinking hot water is the daily routine, and the stomach will not be too adapted to cold drinks… So when you have a fever, drinking cold drinks may not achieve the therapeutic effect of the lighthouse people.”

This is Zhou Mo’s own point of view.

Everything needs to be analyzed on a case-by-case basis.

“Yes, Not Bad.”

Teacher Zhang Mei actually supports the method of cooling down with cold drinks, but this time I received an unexpected answer from Zhou Mo, and I feel that what Zhou Mo said seems to be correct.

“Okay, let’s get to work…”

“Today, I was a reporter clinic in the morning, and I dealt with patients in the afternoon…”

“OK.”

…

10 minutes later,

The first patient entered the consulting room.

This is a middle-aged man who was supported by his wife and walked into the consultation room.

Zhou Mo could clearly see that the middle-aged man was limping while walking, his face twisted, obviously in extreme pain.

ss~~~ahhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh

The wife greeted Zhang Mei and Zhou Mo respectfully: “Doctor…”

Teacher Zhang Mei: “Sit…”

Zhou Mo entered the information.

Chen Xu, 45 years old.

The wife supported her husband Chen Xu and said, “It’s like this, my husband and I, and a group of classmates, went to Baiyun Mountain yesterday, and then in the middle of the night, my knee suddenly started to hurt… It’s been very painful until now.”

Teacher Zhang Mei: “Did you eat anything yesterday?”

The wife thought for a while: “Yesterday we were in the class reunion, so we had another meal in the evening, seafood, and beer…”

Teacher Zhang Mei nodded.

Turning to look at Zhou Mo.

“Xiao Mo, tell me, what are the reasons for knee pain…”

Tested again?

If it was another student, I would be blinded. After all, this case is not a common emergency such as abdominal pain or trauma.

However, after Zhou Mo came to the emergency room, he brushed a lot of uptodates and had a lot of understanding in this regard.

“If the knee hurts, there are several possibilities.”

“The first is that the knee joint is damaged and inflamed. After a long period of exercise, for example, when you (the patient) climbed Baiyun Mountain yesterday, you are afraid that the knee joint may be damaged, or the muscles and ligaments may be damaged. damage and inflammation.”

“The second is the lumbar nerve, because in the lumbar spine, the sciatic and femoral nerves are distributed all the way to the lower limbs, and the knee is also covered in it, so if there is a problem with the lumbar nerve, there may be an illusion, which is knee pain. This The reason is the same as the metastatic lower abdominal pain of “appendicitis”. ”

“The third type is osteoporosis, which is often mentioned in TV advertisements. When the body’s absorption of calcium decreases, it will cause osteoporosis, degeneration or obvious wear and tear. With mountain climbing, the first situation will occur.”

“The fourth type, gout. I ate seafood and beer yesterday, and the weather is cold now, so there may be symptoms of gout, and the knee is the key area.”

“There is also a fifth type, which is rheumatism and rheumatoid arthritis. UU reading www.uukanshu.com is a problem with the immune system, causing joint pain.”

“That’s all I can think of.”

Zhou Mo finished.

Zhang Mei: “…”

I go!

Zhou Mo monster!

The thinking is clear and complete, at least for her, it is this level.

Zhang Mei thought for a while and said to Zhou Mo, “How about you come…”

Zhou Mo Yixi: “Okay!”

Get ready to try!

Do it yourself!

Patient Chen Xu and his wife: “…”

However, the couple seemed to recognize Zhou Mo, so they didn’t have a plan.

And I heard that young doctors are more patient and get along much better than older doctors.

Zhou Mo began to inquire carefully.

“Will the lower back hurt?”

“No…”

“Have you had a lumbar disc herniation before?”

“No…”

Zhou Mo nodded.

Nerve conduction pain caused by the lumbar spine was temporarily excluded.

“Yesterday, did you go to climb Baiyun Mountain? How long did you climb? Did you reach the top?”

Chen Xu nodded: “I’ve reached the top, it’s quite tiring…”

A little regret.

Yesterday, I shouldn’t be so aggressive, pretending to be young and climbing so high, I knew I would go up the ropeway directly.

“Have you ever had knee pain before?”

“No.”

Zhou Mo nodded.

Obviously, the patient will definitely have some damage to the knee after a lot of exercise.

Knee injuries are not ruled out.

Wait for an X-ray, or a B-ultrasound for further examination.

Next, look at diet (gout).

Zhou Mo continued to ask, “What did you eat yesterday? Be specific.”

Zhou Mo actually focused his attention on gout.

Because yesterday the patient had a lot of seafood + beer.