42-year-old female executive crazy, people also become ugly, the doctor pulled up her pants legs that moment to find the real murder behind the scenes, but also her innocence!

Today's patient is a 42-year-old female executiveThe story of a female executive has been told before, and it is another story of a woman executive who has been thrilling lying up and downGuangzhou a company a senior management staff, female, 42 years old, life should have been smooth, but in this time changedThe female executive's surname is Mu, and she is called MsMuMsWood suddenly told her husband this morning that someone was following her and trying to steal company intelligenceLooking at the wife full of fear and panic, the husband's heart is also messy, these years the competition between companies is extremely fierce, the wife can have today's achievements really not easy, many people do everything possible to seek victory, all kinds of methods do not use its extremeBut stalking people such a mean mean meanthing is to his distasteHe was angry and frightened when he heard his wife being followedWhat if someone wants to kill your wife?The next thing his wife said, more is to let him a fog, will be suspicious of the faithShe said, do you know how I know someone is following me, because I have super powers, I heard someone whispering to me with a thousand miles of voice, saying that someone was looking at me in the corner.His wife's eyes flashed a strange smile, which made him very worriedSuperpowers? A thousand miles of voice? What's that with what it isI thought it was going to pass, but I didn't think that two days later, his wife told her the same thing againAnd other colleagues in the company also quietly contacted him, told him that his wife in the company these days behavior is very strange, elusive, such as unprovoked tantrums, speaking to the wall, and their own one will giggle, will be frightenedBad, there's a real problem this time Couldn't your wife be crazy?He couldn't believe it But it's so real again He himself had noticed the problem, and this time, with the description of others, made him collapse even more He stopped the job at hand and hurriedly drove his wife to the hospital near home, a hospital in The Third A, to see what was wrong with his wife People to middle age, out of this kind of thing, it is simply people want to cry without tears The doctor who received the visit briefly inquired about the situation and soon introduced them to the psychiatric clinic A psychiatrist looked at it and said that Ms Mu had hallucinogenic vision, and then carefully analyzed, diagnosed as schizophrenia It was a bolt from the couple Why is there schizophrenia? How could this be the good end Ms Mu's husband, Best, was helpless, but had to accept the reality Doctors say it may have something to do with genetics, genes, and work stress, and so on The cause is generally unknown In order to eliminate the cranial brain has anoctic lesions, such as cranial brain tumors and so on, the doctor recommended to do the head MRI, the result is normal, Ms Mu did not have a head tumor So schizophrenia is the original Doctors gave anti-psychotic drugs to eat, after eating Ms Wood's behavior to alleviate a lot, did not say that they have super-capacity, but the spirit is also depressed some, not to mention work, even ordinary home life is difficult to be competent, also can not lift the spirit This is a disaster The husband also seemed to be a night in vain, broken heart Several hospitals, as well as specialist psychiatric hospitals, thought his wife was schizophrenic and gave some medication When i heard the doctor say the disease can not be cured, the husband's mood is not to mention how uncomfortable But he is also ready to share with his wife psychological preparation, really can not, go to Beijing, find a bigger hospital to see, how much money does not matter For so many years of husband and wife, suddenly the change between people are at a loss Just the night before she left for Beijing, Ms Mu suddenly became ill again, crying and laughing at home, talking nonsense There is even a tendency to self-harm It scared her husband Call 120, come to the emergency department, hope the doctor can give some help Emergency doctors receive patients Yes, the old horse is back The old horse's first impression of the patient, this is a mad woman Hair messy, expression indifferent, eyes dull Old horse psychological secretly cry bitter, the middle of the night to receive such patients, it is simply a headache But as soon as he saw the patient's husband's red eyes, he felt that he had strength The worst man is not my old horse, nor is it the patient, and may be the gentleman in front of me Several nurses sent the patient to the rescue room, routinely attached to electrocardiogram, tied cuffs, and measured blood pressure.. A set of procedures down, the patient is actually serving The Post an stable and steady noisy, which surprised the old horse The old horse thought she had not lifted the roof of the emergency department, but also early to let the nurse ready to settle needles, fluorosterol needles and so on, the necessary time to directly intravenous injection of these needles, rapid calming The patient's husband told the old horse about the treatment, said that tonight the patient suddenly became more serious, at home when very manic, came to the hospital better The patient was diagnosed with schizophrenia After the horse learned the news, but years of emergency department experience told him that patients may have other problems It may not be intuition, but vigilance Emergency doctors would have died thousands of times without a little warning instinct Anyway, first into the rescue room, received electrocardiogram monitoring again The old horse told Dr SeiPei that he would ask a neurologist to come and see it Should have called a psychiatrist, but the night psychiatrist is not on duty, only the edge of the neurology, more to find someone to see is not a bad thing Blood pressure was measured, 210/100mmHg Oh, bad, so high blood pressure, don't suffer a whole brain haemorrhage The old horse said worriedly Patients have no history of hypertension, but such high blood pressure is certainly not normal If the patient is restless now, the high blood pressure can be explained, can be explained by tension, anxiety But now the patient is still relatively quiet, so high blood pressure is not normal And the patient also looks fat, round face, a look is the kind of easy three high people, this is more can not be taken lightly Old horse worried that the patient will have cerebral hemorrhage, cerebral infarction and other cerebral blood vessels accident, specially looked at the patient's limb muscle strength, muscle tension and so on, not much discovery, but feel that the patient's muscle strength is small, let her shake hands when the strength is worse Maybe it's hungry, my wife hasn't eaten much these days The patient's husband said He saw the old horse's doubts and hurried forward to explain The old horse had a cry, and he couldn't hold it back The family would not know, at this time the old horse's brain rapidly turn, thinking about various possibilities In any case, to do a skull CT is necessary, because the disease is aggravated, and blood pressure is so high, limb muscle strength is worse, do head CT if nothing is more assured The old horse said The patient's family did not hesitate to say that everything was listening to the doctor Dr Ma, the patient's temperature is 38.0 degrees Celsius The nurse took the patient's temperature and told the old horse The old horse a cry, picked up the stethoscope to the patient to listen to the double lung The left lung seems to have a bit of wet tone, as we have said before, the presence of wet music means that there is fluid in the trachea, air in and out of the trachea scraping the blisters produced by the sound is wet The old horse observed the patient's breathing and was slightly short Patients have coughing, coughing sputum these days, the old horse asked the family No The family denied that they had been with the patient for the past few days and had not seen coughing or sputuming It's just a bad appetite and you don't eat much It can not be ruled out that patients have lung infections, pneumonia, pneumonia will lead to fever, lung wet tone, and breathing prosthesis Even pneumonia can induce or exacerbate mental symptoms, the old horse said In fact, the old horse is not good at psychiatric diseases, but the principle of the disease infers that he believes that if a patient has an acute infectious disease such as a lung infection, it is entirely possible to aggravate his own pre-existing disease, schizophrenia The analysis of the old horse is not unreasonable Head CT, chest CT together do it, said the old horse Good The family is very happy Before doing CT, the old horse had instructed the nurse to draw blood and conduct a routine test Then push the patient to CT room, the old horse on the road or with sedatives, in case the patient noisy, do not cooperate, give her a needle, the old horse told the nurse CT is done and everything is going well The film can be seen on the spot, the skull is no problem, no bleeding, no tumor At that time there is some lung problems, some inflammation of the left lung, which may explain the patient's fever, wet tone, shortness of breath The patient has pneumonia The old horse told his family The patient had just returned to the rescue room when a convulsion occurred, which frightened the old horse Suddenly the patient had a closed tooth, a twitch in his hand, a frightened face and a look of horror Three more in the middle of the night, if this happens at home, may scare the family enough But the old horse soon calmed down Just ready to let the nurse on medication to stop the convulsions, the patient himself will not smoke, before and after less than 5 seconds After this withdrawal, the patient became weaker Lying on the rescue bed, breathing ups and downs, gasping for air The neurologist came over, saw the skull of the film, to the patient made a simple neurologic examination, think that the patient is not cerebral hemorrhage, also unlike cerebral infarction, there is no need to review CT, take the time to do a cranial brain MRI is ok The patient had an brain MRI some time ago and found no problems The patient's family interjected The neurologist hesitated to say that the condition would progress, had done no problem before, does not mean that now no problem, for safety reasons, or tomorrow or the day after tomorrow to do an MRI will be better, to rule out cerebral infarction or other neurological problems is better Since there is no neurology specialty for the time being, then the patient is temporarily in the emergency department observation, tomorrow to consult a psychiatrist to see The old horse had an idea in his heart At this time, Dr SeiPei came to report, said that the patient's blood-pumping results came out, nothing else, is the blood potassium is particularly low, only 1.8mmol/L (normal value 3.5-5.5), 1.8 is a very serious hypokalemia What's the reason? The old horse asked Dr Standard Pei It's probably the patient's bad appetite, eating less caused it Dr Seiber replied, in the middle of the moment This is also the most significant reason to be found so far, after all, the family said the patient did not eat anything these days The old horse nodded and acknowledged Dr Standard's analysis Then some potassium chloride to supplement, as soon as possible to make the blood potassium to a safe level, 1.8mmol/L is too dangerous, the patient is at every risk of cardiac arrest To know that potassium ions, sodium ions are the key ions of heart cell function, potassium ions too low will affect the heart electrical activity, may cause arrhythmia, severe hypokalemia will lead to cardiac arrest, a few months ago read the news, a patient died on the night of surgery, autopsy found that the patient is severe hypokalemia The old horse told the doctor about the dangers of hypokalemia Those are blood lessons The patient's convulsions may also be related to hypokalemia, Lao Ma said Hurry up the potassium of blood Give the patient an electrocardiogram, the old horse commanded the doctor With such low blood potassium, it's more safe to look at an electrocardiogram You can also take this opportunity to see what the e-cardiocardiogram has in people with hypokalemia Dr Seipei was very excited, and he was pushing the electrocardiogram machine When connecting the patient's electrocardiogram electrode, he needs to pull up the patient's trouser legs, but this one hooks up the old horse's mind After lifting the patient's trouser legs, Dr Zhou Pei frowned a little, there was something to say, but held back, and then turned his head and glanced at his teacher The old horse was watching at this time, and witnessed all this Old horse smiled, the patient this leg hair, with the surgeon XX doctor (male) have a fight ah The old horse lowered the voice, it is estimated that only the two of them can hear, after all, this is the patient's privacy Dr Chang Pei sneered, the patient is a woman, leg hair so long is indeed confusing In fact, the patient's leg hair is not long, than the average male may be less, but women's calves should not be slippery, so the old horse they will feel strange Suddenly the old horse's smile froze Dr Standard Pei saw this, also thought it was their own electrocardiogram operation error, fear of being scolded But it's confirmed again and again, yes, that's how it's connected The old horse suddenly asked Dr Standard Pei, you see the patient's face, like what?The patient's face is round, the duck's face is round Dr Zhou Pei also answered the teacher's questions honestly I'm not asking about this, I mean, this face shape, clinically what disease sourl you can think of The old horse was a little anxious Dr Zhou pei couldn't touch his head and didn't know what the teacher wanted to ask he smiled awkwardly Old horse white he looked at him, you see no, the patient face is so round, the whole person is also fat, leg hair is also long, you do not feel in doubt?Dr Standard Pei racked his brains again, suddenly jumped out a sentence: full moon face?Full moon face, is a medical jargon Refers to some patients' faces that become round, like a round moon, so they are called full moon faces Full moon face is usually seen in some patients who have long-term use of glucocorticoids, glucocorticoids is a very important hormone, is essential to maintain normal function of the body, but if the need for excessive, such as treatment of asthma, lupus, COPD and other diseases need long-term use of a large number of hormones, will lead to the patient's whole body protein, fat ratio problems, people will become fat, a bit of a tiger back feeling, called buffalo back, but the limbs will become relatively small,In addition to the patient's round face, the whole person also fat, leg hair is also long, and then look at the face, beard than the average woman more Such a face, to be honest, is a bit ugly But at this moment, it is not time to care about beauty and ugliness The old horse was satisfied with the full moon face proposed by Dr Seipei Because the old horse himself thinks so As for the patient just because of obesity, or really have a full moon face, it is not possible to determine for the time being Does this full moon face have anything to do with the patient's condition? Dr Irregular asked weakly It's big, but it's big The old horse's voice raised two decibels, and the eyes glowed, as if to discover a major secret What diseases are most common in the full moon face? The old horse asked Cushing syndrome The doctor answered without thinking This question is hard to solve him, because whether it is a practicing physician, or the examination and research, this question is the focus But that was an exam, and clinically he had not really seen a full-moon face, and had never seen Cushing syndrome (green duo is the adrenal gland, meaning, the gland above the kidneys) What is Cushing syndrome? There is a gland above our kidneys, called the adrenal gland, an endocrine gas organ that secretes many, many, and many very critical hormones, one of which is called glucocorticoids, which, when caused by certain causes, over-discharge seisphcoses too much cortical sugar Hormones cause a range of clinical symptoms, including full moon face, buffalo back, high blood sugar, low blood potassium, obesity, high blood pressure, and so on, as described by a doctor called Cushing, so it is called Cushing syndrome, translated as Chinese is Cushing syndrome To put it bluntly, Cushing syndrome is a clinical syndrome caused by the adrenal glands secreting too much glucocorticoids If the patient is really Cushing syndrome, then the patient can be explained.