My Medical Skills Give Me Experience Points

Chapter 1187: Chapter 469: Airway Obstruction, All Diagnoses Correct_2

"It turns out his tongue base was obstructing the airway!"

Initially, I thought it was caused by food getting stuck in the trachea during eating, leading to suffocation.

This situation often occurs when the patient experiences consciousness disturbances, causing the pharyngeal muscle group to relax, which leads to the tongue base obstructing the airway.

The human tongue and epiglottis are connected to the jaw, so as Zhou Can did, pushing the jaw upward forces the tongue and epiglottis to rise and move away from the pharyngeal wall, allowing the patient’s airway to clear.

With Zhou Can’s assistance, the patient’s airway cleared, the cyanosis on his face slowly faded, and he gradually returned to normal.

"Why did he lose consciousness?"

The patient is now in a state of complete loss of consciousness.

This is also the main reason for the tongue base to obstruct the airway.

"My dad has always had hypertension and loves drinking. The doctors advised against drinking, and we were very careful to prevent him from drinking. This morning, he went out early, bought a bottle of alcohol, and drank some. Shortly after, he started slurring his speech and couldn’t stand properly. We quickly brought him here. On the way, he was still conscious and could speak, but later he went straight into a coma."

The family members are a middle-aged couple in their forties.

The one answering should be the son.

The daughter-in-law stood beside, not speaking, just anxiously watching the unconscious patient.

"Teacher Lu, did you take his blood pressure?"

Hypertension patients should avoid drinking alcohol as no one knows the outcome of even one sip.

Especially for the elderly, the consequences are usually severe.

"Systolic pressure 180, diastolic pressure 120."

Nurse Lu is an experienced nurse from the Emergency Department, who often has strong professional judgment when rescuing patients.

She knows well when a patient needs support from a higher-level doctor.

"Quickly check the cardio-cerebrovascular! I think his condition is quite bad."

Zhou Can suspects from the patient’s symptoms that it’s very likely a brain hemorrhage or similar condition.

Blood pressure for hypertension must be well controlled; once brain hemorrhage occurs, the probability of stroke is extremely high. It’s particularly dangerous, and the prognosis is often poor. Getting away with hemiplegia can be considered fortunate.

...

He went into the operating room for surgery, leaving outside matters aside.

At lunchtime, coming out for a meal, he heard that the patient indeed had ruptured cerebral blood vessels and intracranial hemorrhage. The person has now been transferred to Neurosurgery for treatment.

The Neurosurgery Department at Tuya Hospital includes brain surgery.

Some hospitals have a dedicated brain surgery department.

Many ordinary patients mistakenly think Neurosurgery is equivalent to brain surgery, which is completely wrong. Neurosurgery covers far more fields than brain surgery.

Human nerves are distributed throughout various parts of the body.

Neurosurgery studies mostly head nerves and spinal nerves.

The head can be seen as a nerve center, while spinal nerves are the main pathway throughout the body.

Some children suffer spinal injuries during dance practice or falls, or accidents, leading to paralysis; most often, lower limb paralysis occurs.

This is because the nerves within the spine are compressed or injured.

When practicing dance, children have limited endurance; if they express significant pain during leg presses or back bends, force should not be applied. Gradual progress is needed, slowly increasing the difficulty of movements.

Some dance teachers believe they are very professional, thinking that all the children they have taught are fine, so they treat every child roughly.

They uphold the belief that strict teachers produce outstanding students.

Little do they know, as long as no issues arise, it’s fine; but if they encounter a child with weak health, or excessive pressure during dance training compresses the lumbar spine, it is very likely to cause paralysis.

Some children may initially show no symptoms, or only express pain.

The teacher may believe they’re being overly dramatic.

Then, after some time, usually between ten hours to two or three days, the child suddenly becomes paralyzed.

By then, it’s too late to say anything.

So do not foolishly replace Neurosurgery with brain surgery.

The nerve center is in the head, but brain surgery treats more than just nerve diseases, including cerebral vascular issues, cerebral herniation, etc.

Zhou Can was eating while checking his phone’s WeChat.

There’s no other way; he’s just too busy.

Replying to Su Qianqian’s messages, or checking private messages from others, can only be done during lunch breaks or after work.

"Dr. Zhou, the test results for that child are out. I’ll send them to you to check."

Tang Fei didn’t let it affect her; she continued to send private messages to Zhou Can and chat as usual.

Xue Yan hadn’t contacted Zhou Can these days, which made him somewhat worried.

Zhou Can reviewed the test results of the child, and both anti-gliadin antibodies LGC and LGA were positive. It seems Dr. Zhou’s diagnosis was correct; the child indeed has celiac disease.

Anti-endomysial LGA antibody shows weak positivity.

This is consistent with the patient’s condition.

Although the child has celiac disease, it is atypical.

The capsule endoscopy shows swelling in the 2nd, 3rd, and 4th groups of the small intestine mucosa, resembling gyral patterns, with the mucosal surface showing spotty erosion.

At this point, diagnosis is confirmed without doubt.

No wonder the child’s stool occult blood was intermittently positive.

The small intestine is one of the three major nutrition absorption organs in the human body; it is the main nutrient absorption organ and possesses advantages unattainable by other organs, truly unique.

Not only is the small intestine the longest organ, but it also has many folds, and its inner wall is filled with countless villi and fine villi.