Sleepless Doctor

There is a young reader, a fan of Miss Cola, who just entered junior high school and often asks some questions recently.

It’s weird to have this kind of young book buddies for the first time, or to chat with book buddies of this age for the first time. Just look at the screen name and you know that there is a generation gap~~~ Hey.

When I got up early in the morning, I saw Coke's message and asked some reasonable questions about the medical record of penicillin allergy. Thinking about it carefully, some of the points I expressed are still rather obscure, so I will explain them here.

Boss Tao’s son has emphysema all over his body, which is caused by pharyngitis and oral penicillin allergy. This is the final conclusion. It is possible that some book friends have the same questions as Coke, but they are allergic to penicillin, why other hospitals can't tell.

As explained in the book in more detail, none of the major characteristics of penicillin allergy is pneumomediastinum. I have been working clinically for 20 years, and I have never seen pneumomediastinum caused by allergies.

So after seeing this case profile, I started to conceive the whole story.

Normal doctors will think of trauma when they see pneumomediastinum, and penicillin allergy is redundant information, and it is immediately ruled out.

Finally, Mr. Wu gave the explanation that allergies caused pneumomediastinum and subcutaneous emphysema, which was basically logical.

This is a rare complication, especially rare.

It is not that the level of the clinician is not enough, but the first thing to consider after seeing the patient is the common disease and common situation. In the end, I was forced to have no other way but to screen a little, and penicillin allergies would come to the end.

After all, Teacher Wu has the protagonist's halo, the editor of the medical certificate, you can know it at a glance. But normal doctors won't do this. If you give some time, try step by step, and screen by exclusion, you will get the correct conclusion in the end.

But in the story, Boss Tao has no patience, and directly takes the child to see the doctor.

Having said that, because of the need for storytelling, many rare cases have been selected. My daughter-in-law told me last night, reading your book, I think it’s not easy to live...

Please rest assured, book friends, as long as you don't need to take penicillin orally with boiling water, there will be few accidents. These rare cases, let alone ordinary people, may not be able to see a single case in a doctor's work life, anyway, I have never seen it.

I've seen it and remember that you can't take penicillin orally in hot water, you can't eat fungus overnight, and don't wear headphones all the time to avoid mold infection in the external auditory canal. As for cephalosporin, everyone knows the thing about drinking and leaving, so I won't say much.

That's it for explanation.

In the end, I still want to compare my heart and ask for a monthly pass.

In addition, if possible, please click on automatic subscription. Subscription is indeed a powerful motivation, and I hope to get the support of your book friends.

Bow~~~~~~

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