Section 215

Chen Fang immediately realized that he might have said something wrong...

Looking at Zhang Yi's eyes, could it be that this person is in a serious condition? ?

"Well, family members, let me ask him how long this symptom has lasted? When did he start to feel nauseous, vomit and have difficulty breathing?"

The girl thought for a while and said:

"The nausea and vomiting may have started half a year ago, right? We went for a check-up at that time, and did a gastroscopy, but nothing was found."

Chen Fang was stunned: "Gastroscopy is fine?"

"Yes."

That's strange, nausea and vomiting, but the gastroscopy showed no problems.

It shouldn't be a stomach disease.

Chen Fang frowned and thought for a while, then looked at Zhang Yi again.

I saw that although Zhang Yi's expression was calm, there was still a hint of surprise and worry in his eyes.

Could it be that Zhang Yi already had a result in his mind? ?

Chapter 165 A young guy, actually has kidney failure?

But Chen Fang thought carefully, there are many diseases that cause nausea, vomiting and diarrhea, and most of them are gastrointestinal diseases.

Could it be that the problem of the young man in front of him is not with the stomach, but with the intestines?

After thinking for a long time without any result, Chen Fang felt that he had really said the wrong thing just now.

This young man might really have some incurable terminal disease!

"Blood pressure 150/106mmhg, body temperature 37.4℃."

One minute later, the blood pressure and body temperature came out.

High blood pressure, body temperature is also a little low fever.

After hearing the results, Zhang Yi asked again:

"Did the dyspnea start half a year ago?"

The young man nodded:

"Yes, I work during the day, and occasionally deliver food at night.

It started about half a year ago. When I deliver food at night, I feel very tired and dizzy when I run the distance from the gate to the community to deliver food to people. It's so uncomfortable.

I don't know what the reason is, and the feeling of nausea and vomiting has become more and more serious in the past six months.

In addition, the color of urine is also very dark when urinating."

Exertional dyspnea plus dark urine color?

"How dark is it? Dark yellow, brown, or blood red?"

"Between brown and blood red, actually, the urine color has always been a bit dark before, but it was between brown and blood red yesterday..."

When Chen Fang heard such a dark urine color, he became nervous.

Dark urine is not a good thing.

"Lie there and I'll check you." Zhang Yi said as he began to put on gloves.

The girl quickly helped the boy to the bed in the clinic.

Zhang Yi lifted the patient's clothes on his chest and began to listen to the heart with a stethoscope, and then palpated the chest and abdomen.

Although Zhang Yi already knew what the boy was like.

But the patient and other doctors didn't know, so Zhang Yi could only finish the examination as soon as possible and give the diagnosis.

In addition to the chest and abdomen examination, Zhang Yi also looked at the patient's face, pupils, cheeks, and limbs.

Then, Zhang Yi helped the patient up and said:

"I see that you have tenderness in your right lower abdomen, which is the location of the kidney. Have you ever had pain in your right lower abdomen before?"

The young man nodded: "Yes, I had pain before, but I didn't pay much attention to it. I just endured it and it went away."

Zhang Yi sighed and continued:

"If you have any problems, come to the hospital earlier. Early examination and early treatment, you know?"

It's delayed until now...

Alas!

It's a bit late!

"Also, I see you look a bit anemic. Have you felt weak in the past six months? Or have you had any other unexplained bleeding?"

The young man nodded vigorously:

"Yes, yes, yes! I don't know if it's anemia, but I feel dizzy and short of breath after jogging, and I have to sit or lie down to rest to feel better.

And last time I cut my toenails and accidentally cut my flesh. It was a very small wound. It may not have hurt at all before, but last time it not only bled but also didn't heal for two days.

I...doctor...what's wrong with me? Do I have cancer?"

Chen Fang didn't dare to answer abruptly, but turned his eyes to Zhang Yi.

Zhang Yi was silent for a moment and then said:

"Let's put it this way. We can't give you a definite answer at the moment. You have to do a checkup first to be sure.

First of all, you are a little anemic, so you need to check your blood routine for red blood cells, platelets and some other infectious diseases.

In addition, I see that your whole face and limbs are a little swollen, it's edema, plus you have dark urine, my initial guess is that it's related to the kidneys.

So electrolytes, thyroid function, liver and kidney function and urine tests are also necessary.

And you have exertional dyspnea, so you also have to do a chest CT.

Then there is abdominal color Doppler ultrasound to see if there are any problems with the abdominal organs.

I won't prescribe other gastroscopy digestive tract examinations for you yet, wait until the results of these examinations come out and then see.

Don't worry, I don't prescribe any extra examinations, all the examinations currently prescribed are mandatory items.

After these results come out, we will decide what to do next. If there is nothing serious, that would be the best."

"Then...how much will it cost to do these examinations?" The patient looked at Zhang Yi with embarrassment.

Zhang Yi looked up at him and the girl next to him and said:

"Maybe 700 or 800, at most 900."

"Okay, then... I'll go check it out first."

After that, the patient was helped out of the clinic by the girl.

Chen Fang immediately asked:

"How about Zhang Yi, what disease do you suspect it is?

Hyperthyroidism or kidney problem?

At first I thought it was a minor illness, but the more I asked, the more I realized it was something unusual. "

Zhang Yi said with a solemn expression:

“I observed him and found that his skin was dry, slightly edematous, his face was anemic, and he had some blood coagulation problems. In addition to gastrointestinal symptoms, he also had chest tightness and respiratory symptoms.

There is also a bit of a strong taste in my mouth when I talk.

And the most important point is dark urine, and the color is between brown and hematuria.

This is a bit dangerous. In short, I feel that it is a disease that can cause symptoms all over the body. "

Chen Fang was stunned: "What kind of disease can cause chain reactions throughout the body?"

Chen Fang muttered and thought.

"Eedema, dark urine, anemic face, gastrointestinal symptoms, and high blood pressure..."

Suddenly, Zhang Yi slowly said:

"I suspect that he had nephritis in the early stage, but it was delayed for a long time, causing kidney failure."

"Ah?! Kidney failure? Such a young guy? No way! I see he is only 24 years old on his ID card."

Chen Fang looked surprised and couldn't believe it.

Kidney failure in such a young guy? ?

"Yes, it's not just kidney failure, but also early symptoms of uremia."

After hearing this, Chen Fang thought more and more that it was possible.

The urine he said is darker than tea is close to hematuria!

There is also edema, which occurs as an early symptom of renal failure and uremia.

There are also high blood pressure, anemia, and even bone disease, etc.