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Occult lesions
Liu Xiaoqing is a 36-year-old ordinary white-collar worker. Three days ago, she suddenly had a high fever that did not go away, accompanied by symptoms such as general fatigue and headache.
At first, she thought it was a common cold, but she didn't get better after taking some fever-reducing medicine. Gradually, she felt breathless and palpitated and short of breath. Just when she was at a loss, Liu Xiaoqing was sent to the emergency department of the central hospital.
After Zhao Lei, the doctor on duty, received the consultation, he immediately realized that his condition was dangerous. The young woman has a high fever that does not go away for three days, and has developed heart failure manifestations such as dyspnea, and her condition is very critical.
Zhao Lei quickly arranged a series of examinations: blood routine, biochemistry, electrocardiogram, chest CT, etc., but he couldn't find the cause. Faced with this thorny conundrum, he fell into deep thought.
With years of clinical experience, Zhao Lei is keenly aware that the lesion may be hidden in a part that is not easy to find. He carefully inquired about Liu Xiaoqing's medical history and learned that she was usually busy with work and ate and slept irregularly. These are all high-risk factors for predisposing disease. Zhao Lei decided to conduct a comprehensive physical examination of Liu Xiaoqing again.
In the process of inspection, a surprising discovery attracted Zhao Lei's attention. When he took off Liu Xiaoqing's pants, he found a red, swollen, and painful rash on his inner thigh. Suddenly, a thought flashed through his mind: "Could it be sepsis caused by skin and soft tissue infection?" "
Skin and soft tissue infections are purulent infections caused by bacteria invading the skin, and the common pathogens are staphylococcus, streptococcus, etc. If the infection spreads throughout the body, sepsis can result.
Sepsis is a life-threatening systemic inflammatory response syndrome that can cause hyperthermia, heart failure, and other multi-organ dysfunction. This is highly consistent with Liu Xiaoqing's clinical manifestations.
In order to confirm the diagnosis, Zhao Lei immediately performed a bacterial culture on the lesions. At the same time, he gave Liu Xiaoqing high-dose antibiotic treatment and closely monitored his vital signs.
Two days later, the culture results were suggestive of Staphylococcus aureus infection. Under the effect of antibiotics, Liu Xiaoqing's condition gradually improved, her body temperature dropped to normal, and her breathing and heart rate also stabilized.
Looking back on the whole diagnosis and treatment process, Zhao Lei felt a lot of emotion. As a doctor, in the face of incurable diseases, you must not only analyze comprehensively and systematically, but also think outside the box and dare to question. Sometimes, the cause is not necessarily hidden in the deepest depths, but in the corners where we are blind. Only by maintaining a keen insight and rigorous attitude can we unravel the fog of disease and find the key to solving the mystery.
Liu Xiaoqing's case also gives us a profound enlightenment: some daily habits may seem insignificant, but they can become invisible killers of health.
Staying up late for a long time and eating irregularly will put the body in a sub-healthy state and reduce resistance. If bacteria take advantage of the situation, it can cause serious infections. Therefore, we must always be vigilant against these "dead ends" of health, develop good living habits, and put prevention first.
This is the end of the story. For Liu Xiaoqing, this is a rebirth after a catastrophe of life and death. For Dr. Zhao Lei, this is another case that proves the greatness of the doctor's benevolence.
The profession of a doctor carries too much hope for life. Every battle against illness is a test of wisdom and courage. Only with a benevolent heart and a scientific and realistic attitude can we overcome obstacles in the fight against disease and continue to write a brilliant chapter in life.
Let us pay tribute to all health care workers, who have guarded our health with perseverance and sweat and lit the beacon of hope. At the same time, it also reminds everyone to take care of their bodies and stay away from diseases. A healthy life can bloom the most brilliant colors.
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(The story in the article is purely fictional, if there is any similarity is purely coincidental, if the body is not well, seek medical help in time)