What happened after that? "Old Chief Physician Pan asked.
"A few days after taking the medicine, his throat became more and more painful. He couldn't even drink water, let alone eat. "
"Does he have a fever?" Zheng Ren asked.
"No. That's the weird part. When I first heard the symptoms, I thought it was pharyngitis or tonsillitis. However, I asked his classmates in detail and they all said he didn't have a fever. That's why I … Sigh. "
Daoist Wang sighed.
"Please continue."
"Now, his throat is very painful and the attacks are very frequent, once every five to ten minutes.
Each attack lasts about five minutes. The symptoms are aggravated when he eats or drinks. "
That frequent? Moreover, it was not continuous but intermittent.
Zheng Ren listened carefully to Daoist Wang's medical history and began to ponder about pharyngeal diseases.
"It's said that sometimes, even loud stimulation and unintentional activities will induce a period of severe throat pain. The attacks will continue at night and the frequency has not decreased. The child has not eaten or drunk for five to six days. I'm afraid his body can't take it anymore. "
Daoist Wang's eyes were a little red as he spoke.
However, he resisted the urge and cupped his hands. "Old Chief Physician Pan, Boss Zheng, that's all I know. I'll have to trouble you, Boss Zheng."
"Where is your son in the hospital now?" Zheng Ren asked.
Daoist Wang gave the name of a hospital in a third-tier city near Imperial Capital.
"The hospital isn't big and it's close to the school. It's easier for the students to take care of him. The child didn't expect it to be so serious at first and thought he would be fine after a few days. However, the more he waited, the worse it got. He had no choice but to call me. "
Zheng Ren asked a few more questions. The young man was only 20 years old and had been healthy without any surgery or external injuries. There were no positive symptoms in his family history. Everything was normal.
It was just pharyngitis. How could it be so serious?
"Did you do a laryngoscope? Any foreign bodies or tumors in the upper part of the airway or esophagus? "Zheng Ren asked.
"I heard he did a laryngoscope as soon as he was admitted and there were no problems."
"Do you have a list?"
"Yes." Daoist Wang took out his phone, found the picture, and handed it to Zheng Ren.
Su Yun stood up and came to Zheng Ren's side, poking his head out.
There were two laryngoscope images on the radiographic films. Although the position was not very accurate, it was enough for diagnosis.
There were no foreign bodies in the throat or vocal cords, not even inflammatory edema.
Zheng Ren continued to look through the test results. Other than the serum ions, everything else was normal. There was no problem at all.
The abnormal serum ions were because the patient had not eaten for a long time.
Generally speaking, there would be some electrolyte disturbances after five to six days of starvation.
"Do you have a recent photo of the child? It's best if you can send me one now. I'll see if there's anything unusual on the surface of my body, "Zheng Ren said.
Daoist Wang immediately contacted his son. A few minutes later, four to five photos were sent over.
The photos that were sent over were very complete, and there was basically nothing that was missed.
Daoist Wang's son's skin didn't have any bruises, redness, or obvious lumps. Zheng Ren's suspicions were dispelled by the photos.
At this time, Zheng Ren cursed in his heart. Why couldn't he see the System panel?
It would be much more convenient for him to conduct remote consultations if he could see the System's interface as well.
Zheng Ren began to think about the condition related to the pharynx.
"Little Wang, what do you plan to do if this person goes to your Taoist temple to burn incense?" Old Chief Physician Pan asked.
"It's called plum nucleus qi in traditional Chinese medicine. It's believed that this disease is caused by emotional injury, resulting in stagnation of liver Qi, or stagnation of Qi and blood stasis. The general treatment method of traditional Chinese medicine is to soothe the liver and regulate Qi, eliminate phlegm, "Daoist Wang said with a frown.
"So, your son broke up with his girlfriend?" Su Yun asked with a smile.
"Ahem …" Daoist Wang was also speechless.
"It doesn't seem like it," Zheng Ren said. "The pharynx is very innervated. The sensory and motor nerves mainly come from the pharyngeal plexus of the posterior pharyngeal wall. There are branches of the vagus nerve, glossopharyngeal nerve, accessory nerve, and parasympathetic nerve."
"You suspect it's a neurological problem?" Su Yun asked.
"According to Brother Wang, it hurts when I open my mouth to speak. It must have stimulated the nerves." Zheng Ren pondered, holding Xie Yiren's hand with one hand and picking up chopsticks with the other, subconsciously tapping on the bone plate.
"In addition, the second branch of the trigeminal nerve and the glossopharyngeal nerve are directly distributed in the pharynx. That's why the pharynx is very sensitive. Even a small problem will be obvious. "
"It's the same as not saying anything," Su Yun said disdainfully.
"Many diseases in the body can also cause abnormal sensations in the pharynx through nerve reflex and conduction."
"For example?"
"Let's not talk about other diseases. Esophageal spasm, diverticulum, achalasia, early stage malignant tumors, traumatic esophagitis, reflux esophagitis, cardiac spasm, diaphragmatic rupture, all of these can cause pharyngeal discomfort."
"That's too rare!" Su Yun said.
"Indeed, these are very rare and the possibility is not high," Zheng Ren said. "However, there's a simple way to eliminate many cases."
Daoist Wang's eyes lit up.
"Brother Wang, tell the doctor over there to spray 1% lidocaine into the pharynx and see if it can relieve the severe throat pain," Zheng Ren said while deep in thought.
Daoist Wang was in a difficult position but did not dare interrupt Zheng Ren's thoughts. He picked up his phone and walked out.
"Zheng Ren, is it an illness?" Old Chief Physician Pan asked softly when he saw Daoist Wang walk out.
"Chief, we're doctors. We have to be scientific." Zheng Ren's thoughts were interrupted but he did not get angry or stupefied like when Su Yun interrupted him. Instead, he smiled and explained to Old Chief Physician Pan.
"Yes, you're right," Old Chief Physician Pan said. "Think about it. There's no hurry."
"Everyone, eat first," Zheng Ren said when he saw that no one was eating and the food was getting cold.
"Chief Zheng, it's quite interesting in 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 apron now. He sits in the operating room every day and watches Lil Fugui and Old Liu perform surgery." Su Yun exposed Zheng Ren's fake trick. "He's so free that he goes to the emergency department whenever he has nothing to do."
"That's great. There are more people in the big city and more things to see. Everyone says they have to escape from Beijing, Shanghai, and Guangzhou. That's nonsense. " Chu Yanzhi picked up her chopsticks and suddenly looked at Old Chief Physician Pan. "Chief, you should eat first."
Old Chief Physician Pan picked up his chopsticks with a smile.
Zheng Ren quickly turned the fat fish head around and waited for Old Chief Physician Pan to take a bite of the fish head before everyone started eating.
…
…
Note: Xia Huaniang has started a new book, Run for Life, Author. Xia Huaniang's imagination was quite good. The previous book, Immortality, was like this. The opening of this book was also quite good.
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