"What happened next?" Old Director Pan asked.
"In the few days after taking the medicine, my sore throat got worse and worse. I couldn't even eat or even drink water."
"Do you have a fever?" Zheng Ren asked.
"The strange thing is that he doesn't have a fever. When I heard the symptoms at first, it felt like pharyngitis or tonsillitis or something. But I asked his classmates in detail and they all said he didn't have a fever. So, I... Sigh. "
Taoist Wang sighed.
"You continue."
"Now he has severe sore throat, and the attacks are very frequent, about once every 5-10 minutes, and each time lasts about 5 minutes. The symptoms are obviously aggravated when eating and drinking."
So often? And it's not continuous, but intermittent.
Zheng Ren listened carefully to Taoist Wang's medical history and began to think about pharyngeal-related diseases.
"It is said that sometimes even loud noises and unintentional activities can induce severe sore throat for a period of time. It also occurs when falling asleep at night, and the frequency has not decreased at all. The child has not eaten or drank for 5-6 days now, and his body is afraid I can’t stand it any longer.”
Taoist Wang said, his eyes a little red.
But he held it back, cupped his hands, and said: "Old Director Pan, Boss Zheng, that's all I know about the situation, so I'll just trouble Boss Zheng."
"Where is your son hospitalized now?" Zheng Ren asked.
Taoist Wang mentioned the name of a hospital in a third-level city near the imperial capital.
"The hospital is not big and is close to the school. It is convenient for the students to take care of me. I didn't expect the child to be so serious at first, so I thought I would just wait a few days. But the longer I waited, the worse the condition became, so I had no choice but to call me."
Zheng Ren asked a few more questions. The young man was only 20 years old this year. He had been in good health and had no surgery or trauma. There is no positive disease in the family history and everything is normal.
It's just pharyngitis, can it be so serious
"Has the laryngoscope been done? Are there any foreign bodies or tumors in the airway or upper esophagus?" Zheng Ren asked.
"It is said that a laryngoscope was performed on admission and no problems were found."
"Do you have an order?"
"Yes." Taoist Wang immediately took out his mobile phone, walked to Zheng Ren, found the picture, and handed it to Zheng Ren.
Su Yun stood up and came to Zheng Ren's side, looking around.
There are two laryngoscope images on the film. Although the positions are not very standard, they are sufficient for diagnosis.
There were no foreign bodies visible in the pharynx or vocal cords, and there was not even inflammatory edema.
Zheng Ren continued to look through the test sheets. Except for the serum ions, everything was normal. There was no problem at all.
Serum ions are abnormal because the patient has not eaten for a long time.
If you don't drink water or rice for five or six days, you will usually have some electrolyte imbalance.
"Do you have any recent photos of the child? It would be best if you could send a current photo so I can see if there are any abnormalities on the body surface." Zheng Ren said.
Taoist Wang immediately contacted his son, and a few minutes later, four or five photos were sent over.
The photos sent cover all the locations, and basically nothing is missing.
There were no bruises, redness or swelling on the surface of Taoist Wang's son's skin, and no obvious lumps were seen. Zheng Ren's suspicions were all dispelled by a few photos.
At this moment, Zheng Ren started to criticize Big Pig Hoof, why can't he see the system panel
If you look at the picture and there is a system panel, it will be much more convenient to conduct remote consultation by yourself.
Zheng Ren began to think about the conditions related to the pharynx.
"Xiao Wang, what are you going to do if this is someone who goes to your Taoist temple to burn incense?" Old Director Pan asked.
"Traditional Chinese medicine calls it plum core qi. It is believed that this disease is caused by emotional damage, leading to stagnation of liver qi, stagnation of liver qi or qi stagnation and blood stasis. The treatment methods of traditional Chinese medicine are generally: soothing the liver and regulating qi, removing phlegm and dispersing stagnation." Taoist Wang said with a sad face.
"So, your son broke up with his girlfriend?" Su Yun said with a smile.
"Ahem..." Taoist Wang was also speechless.
"It doesn't feel like it." Zheng Rendao: "The innervation of the pharynx is extremely rich. The sensory and motor nerves mainly come from the pharyngeal plexus on the posterior wall of the pharynx, including branches of the vagus nerve, glossopharyngeal nerve, accessory nerve, and parasympathetic nerve."
"Do you suspect it's a neurological problem?" Su Yun asked.
"According to what Brother Wang said, it hurts when you open your mouth to speak. It must have stimulated the nerves." Zheng Ren pondered, holding Xie Yiren's hand with one hand, while picking up the chopsticks with the other hand and subconsciously placing it on the bone plate. Beating.
"In addition, there are the second branch of the trigeminal nerve, the glossopharyngeal nerve, etc., which are directly distributed in the pharynx. Therefore, the pharynx is extremely sensitive, and small problems will be obvious."
"It's like I didn't say anything." Su Yun said disdainfully.
"Diseases in many organs throughout the body can also cause abnormal sensations in the pharynx through nerve reflection and conduction."
"For example?"
"Not to mention anything else, just talking about thoracic esophageal diseases, esophageal spasm, diverticula, achalasia, early malignant tumors, traumatic esophagitis, reflux esophagitis, cardia spasm, diaphragmatic hiatus, etc. Feeling uncomfortable."
"It's too rare!" Su Yun said.
"Indeed, these are very rare and unlikely." Zheng Ren said, "There is a way to easily rule out many situations."
Taoist Wang's eyes lit up.
"Brother Wang, tell the doctor over there to spray 1% lidocaine into the throat to see if it can relieve the severe sore throat." Zheng Ren said while thinking deeply.
Taoist Wang was a little embarrassed, but he didn't dare to disturb Zheng Ren's thinking, so he picked up his phone and walked out.
"Zheng Ren, are you sick?" Director Pan asked in a low voice when he saw Taoist Wang walking out.
"Director, we are doctors and we have to talk about science." Zheng Ren stopped thinking, but he didn't get angry or dumb as if he was interrupted by Su Yun. Instead, he smiled and explained to Director Pan.
"Well, you're right." Old Director Pan said, "Just think about it, don't be in a hurry."
"Everyone eats first, eat first." Zheng Ren greeted when he saw that no one was using chopsticks and the dishes were almost cold.
"Mr. Zheng, it's very interesting to be in the imperial capital!" Chu Yanzhi said with a smile: "Life is really fulfilling."
"It's not interesting. I'm as tired as a dog every day." Zheng Ren said casually.
"Don't listen to him. He doesn't even wear a lead suit now. He just sits in the operating room every day and watches Fu Gui'er and Lao Liu perform operations." Su Yun exposed Zheng Ren's fake trick. Run to the emergency department.”
"It's great. There are more people in big cities, and you can see more things. They say they should escape from Beijing, Shanghai and Guangzhou, which is nonsense." Chu Yanzhi picked up the chopsticks and looked at Old Director Pan with flashing eyes, "Director, please use the chopsticks first. Ah, that’s right.”
Director Pan picked up the chopsticks with a smile.
Zheng Ren quickly turned the big fat fish head over and waited until Director Pan took a bite of the meat from the fish head before everyone started eating.
…
…
Note: Xia Huaniang has published a new book, "Escape for Your Life, Author." Xia Hua Niang's imagination is quite good, the last book Immortality was like this, and the beginning of this book is also quite good.