Chapter 186 Gout, Urinary Retention, and Invisible Stones?

"you?"

The fat man narrowed his eyes.

On his plump round face, the cheeks were already spilling out to both sides, almost hanging down - if it were a blue cat, the cheeks would be very hairy - when he narrowed his eyes, The eyes became smaller and smaller, and only two rays of light shot out from between the eyelids:

"can you?"

He looked Gretel up and down. In terms of age, the boy's body is not as tall as an adult man's, and his face is immature. At first glance, he looks only fifteen or sixty-seven years old;

In terms of level, there are only two green leaves embroidered on the priest's robe, unlike Pastor Matthew who has been promoted to five levels after all;

In terms of accent, Gretel's tone of voice is a bit hard, not as soft and gentle as Nevis's. It sounds like an outsider...

His suspicious look was so obvious that Pastor Matthew coughed and wanted to endorse Grete. Before he could speak, the fat man snorted and turned to look at him:

"Master Pastor, I come to you every time I feel pain, and you charge me a sum of money every time - why do you keep treating me so many times, but you still can't get it cured, and it always hurts after a while?"

Matthew's face darkened. Of course there are many reasons why it can't be cured, such as this damn fat man's unwillingness to spend money. He couldn't help but sprayed back:

"You were unwilling to use magic before and were only willing to take medicine. Of course it won't be easy!"

"You can't heal without magic?" The fat man struggled to open his eyes. Pastor Matthew was a little angry, but next to him, Gretel couldn't help but laugh.

This sentence pattern is so familiar. "You won't see a doctor without an examination?" "You won't see a doctor without taking a X-ray?" "No... you won't see a doctor if you don't?" On average, every doctor hears this at least ten to eight times a day, and the entire emergency department A hundred or so times a day is considered a small amount. Sometimes, I have to step on the next door department with me:

"In the past, capable old Chinese medicine doctors could cure the disease with just a few consultations... You guys..."

At this time, the doctors in the Western medicine department can only smile bitterly with their Chinese medicine colleagues who write a bunch of checklists and are despised by the patients.

It’s not that you won’t see a doctor without an examination. It’s that only with an examination can you see a doctor more accurately. For example, if the man in front of me doesn't prescribe a few check-ups, I don't know how high your uric acid is, whether crystals are deposited in your joints, whether you have high blood pressure, hyperlipidemia, diabetes, arteriosclerosis, coronary heart disease and other common complications...

However, it is generally possible to simply determine the symptoms. Grete took a step forward with a smile:

"Sir, may I ask if your right big toe is not only red and painful, but also hot?"

"yes!"

"Did you suddenly feel severe pain in the middle of the night or early in the morning?"

"Yes, yes!—how do you know?"

"Did you eat delicious food last night? A lot of seafood, and drank strong alcohol?" Grete sniffed and smelled a smell of cigarette smoke: "You also smoked, right?"

The fat man nodded like he was pounding garlic. Grete continued to step forward, walked half a circle around him with his hands behind his back, and turned his head to look at his ear. Sure enough, he saw more than one nodule: "Isn't it that every time the pain is severe, you have eaten a lot of delicious food?" Or after drinking too much?"

When he said this, the face of the fat man opposite changed drastically, and oil and sweat rolled down his round face. The two calves with a circumference of more than a foot were trembling. Just looking at the extent, some people would believe that they were hams hanging from the roof beams. He pounced forward, and if Gretel hadn't been on guard, he would have almost hugged his thigh:

"Lord Priest!—Lord Priest! You have to save me!"

Alas... I should have told you earlier. Grete hooked her fingers and motioned for Bernard to drag him up and put him on the treatment bed:

"Don't move, let me take a look at your situation, emmmmm..."

Tsk tsk, the first metatarsophalangeal joint of the right foot is red and swollen, the ankle joint is red and swollen, and the knee joint is deformed; the finger joints also look wrong; the auricle, joints, and the olecranon bursa at the right elbow have nodules under the swelling and the skin is thin , rich blood supply. I twisted it casually, and it actually felt like I was twisting sand...

Even if uric acid is not measured and no polarized light microscope is used for microscopic examination, the cause can basically be determined. In fact, based on his past life experience, Gretel knew at a glance: This thing is gout.

Drinking, eating seafood, eating a lot of fish and meat, being obese, smoking, you have made yourself like this.

As for how to treat it...

Allopurinol? Probenecid? Benzbromarone? Febuxostat? Or indomethacin? Etocoxib?

Grete took inventory and found that the only thing he could get now was colchicine... not colchicine tablets, but colchicine. In this world, it seems that digging a few colchicum trees to soak in water can still be done. owned……

Wait, what is the lethal dose of colchicine? Can one colchicine bulb, or one gram of colchicum bulb, contain the amount of colchicine it needs to be effective? Will it poison people to death?

There is no antidote for this thing! We can only support treatment, blood purification, and wait for the person to recover and survive! Gretel is not sure whether this alien detoxification technique can be used...

Grete's mind was spinning with ideas, searching for information, papers, and fragments of words he had seen in his previous life. He has seen a few cases of colchicine poisoning, and there was no need for him to rescue them—that was the job of the emergency medicine department; he really needed to recall how many active ingredients there were in colchicine. But the fat man still pulled his arm hard and howled loudly:

"Master Priest...help me...I'm about to suffocate to death!"

"Yeah, yeah, yeah, lie down and don't move." With a wink, Gretel asked Bernard to hold him down and pull the bed curtains smoothly: "Bend your legs! Bend them! Pull your pants down a little, let me touch them... Don't Pull so much!”

Tsk, this belly is as fat as that of the woman who had a distended abdomen a few days ago. The fat on the abdominal wall is so thick that I can't see clearly what's going on, I can only feel it... Wow, my bladder is so swollen!

As soon as he put his hand on it, Grete nodded secretly, basically it was confirmed. He remained calm, calm, and followed the diagnostic procedure: first touching, then pushing, and then pressing down. It felt like a water bag and could not be moved. With a little force of his palm, the fat man started to scream:

"It's so hot! It's so hot that it kills me!"

"Can't pull it out?"

"That's right! That's right!—It hurts!"

"When did it first hurt?"

"Today! today!—this morning!"

Okay, urinary retention, urethral stones. Hmm... Considering the gout attack, it's more likely that the bladder stones rolled in and got stuck - or the urethral stones that were there before just got bigger. As for what type of stone it is...

"Please turn aside and let me use my magic to take a look..." X-ray magic, turn on!

Tsk, can’t see it.

It seems like no one guessed everything correctly today~~~Hahaha

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