"Nothing should have happened." Sun Yu's husband shook his head. "My wife is the kind of person who can't hide things. If she has something, she will tell me."
Guo Xiang pursed his mouth. Of course, he can't deny his statement, but if it's really bad, it's possible for women to choose to hide it.
"Don't check again." Guo Xiang said that since the patient's family members want to check, they should check it carefully. If the physiological reasons are excluded, she really has no choice but to go to a mental hospital.
At this time, the patient suddenly became manic. Her husband couldn't hold her alone, and Guo Xiang hurried forward to help.
Xu Wei and Xing Ming next door also ran over when they heard the news. The patient was very strong and grew a little fat. They couldn't hold her down. Later, they had no choice but to give her a tranquilizer.
Guo Xiang first gave the patient some routine examinations, measured his blood pressure and listened with a stethoscope.
But this time, there was a wet rale, and the patient had pneumonia?
However, the patient's husband did not say that he had been treated for pneumonia in the hospital before.
"Does your lover have a cough these days? Is there phlegm? " Asked Guo Xiang.
"No." The patient's husband shook his head.
"No?" Guo Xiang frowned. The wet rale was so obvious. There was pneumonia. How could he not cough?
Look at the blood pressure again. My God, 120, 210, high pressure and low pressure are so high? You have to explode your blood vessels if it goes on like this.
It's possible that the blood pressure may rise when I was manic just now, but now I'm calm down and people have fallen asleep. Why is the blood pressure so high?
"Does your lover usually have high blood pressure?" Guo Xiang asked again.
"She's not tall. She's a little fat, but she used to be healthy." Said the patient's husband.
"There are problems with blood pressure and lungs. Let's do a CT. Do the brain and chest together." Xu Wei said aside.
"Do you want to do it?" The patient's husband asked Guo Xiang.
Guo Xiang nodded, "you'd better do it and check the reason. Besides, with such high blood pressure, there is a risk of stroke... "
"Then do it." The patient's husband nodded. He just brought someone to see a doctor. It's inevitable to have an examination.
Guo Xiang followed him to the CT room and looked on the spot. There was no problem with the brain, no tumor and no bleeding. But there is inflammation in the lungs, which is pneumonia.
"Then treat pneumonia first." Guo Xiang said that I don't know what causes insanity, but I still have to treat it first.
Then he issued a hospitalization form and prescribed antibiotics to treat the patient with pneumonia first.
Routine blood sampling was done, and the results showed that the blood potassium was particularly low, half of the normal value.
"Your lover hasn't eaten these days?" Asked Guo Xiang.
The patient's husband nodded, "yes, I have a bad appetite these days and eat very little."
Guo Xiang nodded and gave the patient some potassium chloride. First fill up the potassium. Otherwise, too low potassium ion is easy to cause arrhythmia and even cardiac arrest.
In this way, connect the electrocardiograph to the patient to see if there is any abnormality.
The nurse came to help the patient take off his clothes and put on his clothes, and then connected the electrodes of the ECG.
Guo Xiang looked at the patient and was suddenly stunned.
"Dean Guo, what's the matter?" The nurse asked what she thought she had done wrong.
Guo Xiang pointed to the patient's leg and asked her husband, "has your lover's leg hair always been so heavy?"
The Han's hair is black and long. It's as good as some men.
The patient's husband looked at it and frowned, "not before. Although she is a little fat, her skin is very good and white. It seems that she didn't have so many hairs before? So many things have happened during this time that I haven't noticed. "
"Huh?" Xu Wei on one side also turned up the patient's trouser legs and looked, "it's abnormal."
Guo Xiang stared at the patient's face again. "Look, what's her face like?"
"Face?" Xu Wei was stunned and looked at the patient. Because the patient was a little fat and had a round face, there was nothing wrong.
But what does Guo Xiang say?
Xu Wei looked at it again and was surprised, "like a full moon face?"
Guo Xiang nodded. The full moon face is a medical term, which means that the patient's face becomes round after suffering from a certain disease, and it is very round, like the full moon, so it is called the full moon face.
Generally, the full moon face is caused by the long-term use of glucocorticoids.
Glucocorticoid is a very important hormone in the human body. It is essential to promote people's normal biological function, but once excessive, people will become very fat.
For example, some people use hormones to treat nephritis and asthma. People are easy to get fat and round like a balloon.
In addition to being fat, the hair grows very thick.
Look at the patient again. In addition to leg hair, the small lip hair around the lip is also darker than that of ordinary women.
"Has your lover had kidney disease before? Used hormones? " Asked Guo Xiang.
"No, she's always in good health." The patient's husband shook his head.
Is that the body secretes too much glucocorticoid?
Guo Xiang and Xu Wei looked at each other, "Cushing syndrome?"
"What is Cushing's syndrome?" Asked the patient's husband.
"Cushing's syndrome is a clinical syndrome caused by excessive secretion of glucocorticoids by the adrenal gland." Guo Xiang said, "there is a gland on our kidney called adrenal gland. Usually when we watch TV, the patient is dying. The doctors say to take adrenaline, that is, the adrenaline... "
"The adrenal gland is an endocrine organ that can secrete many hormones, one of which is called glucocorticoid. Under the action of some reasons, excessive glucocorticoid secretion will cause a series of symptoms."
"Such as full moon face, hypertension, hypokalemia, obesity and so on. Moreover, when these hormones act on the brain, they will cause mental symptoms. Some people are depressed and some people are manic, so your lover has not been hit or anything has happened, but he has mental problems because of this hormone. " Guo Xiang said.
"Really? Can it be cured? " As soon as a big stone in the heart of the patient's husband is put down, can it be cured by finding the reason?
He said, how can a lover suddenly become a psychopath when he is well.
Guo Xiang shook his head, "but we haven't found the cause of Cushing's syndrome. As I said just now, the adrenal gland secretes too much glucocorticoid, but the normal human body will not secrete too much for no reason. There must be a reason. "
"Can there be a tumor on the kidney that causes the adrenal gland to secrete glucocorticoid madly?" Xu Wei said.
"This possibility is not ruled out. It may also be the cause of the pituitary gland." Guo Xiang said.
The pituitary gland can also secrete many hormones, one of which is called adrenocorticotropic hormone. This hormone acts on the kidney and can promote the adrenal gland to secrete glucocorticoids.
The human body is really very complex. It is connected one by one. The two organs you think have nothing to do are actually connected.
"If the patient has a pituitary tumor, it will also stimulate the adrenal gland to secrete more glucocorticoids." Guo Xiang said.
The patient's husband looked confused. He didn't understand. He didn't care about the principle, as long as he found the reason and could cure it.