Chapter 791 You Are Poisoned and Cannot Advance Today (Bugfield Leader Adds 1 Update)
"Name?"
"Morey. ...Morey Kelly."
"gender?"
"Male...Hey! Isn't this obvious?"
"Sorry, sorry." Gretel showed a smile like a wolf grandmother. In an instant, Mr. Knight's anger was suppressed: "I meant to record it for the tower spirit. Okay, age?"
"25 years old."
"Profession?"
"knight."
"grade?"
"Level 5."
"How long does it take to become a knight?"
"A year. ...A year and a half."
After a long series of conversations... or a long series of information input, Mr. Knight was invited to the floating saucer, turned around, and came down. Next is Warrior 1, Warrior 2, Warrior 3, Warrior 4...
After five consecutive CT scans, even the central tower spirit of the mage tower made a buzzing sound - Gretel didn't know where it learned the bad habits. Is this dissipating heat, or is it showing the boss "I'm working"?
The conscience of heaven and earth, it was not him who taught Ta Ling the sound effects of hard drive cooling!
But fortunately, the CT results are not needed immediately. It can even be said that this examination is not necessary. Grete can wait slowly.
He summoned invisible servants to carry the treatment bed, waved to Knight Kelly, and smiled like the wolf grandmother again:
"Come, lie down, unbutton your shirt, and lift up your left trouser leg~~~"
Young soldiers do not have a series of diseases such as high blood pressure and hyperlipidemia, and the possibility of developing cardiovascular organic diseases is inherently small.
Relatively speaking, electrocardiogram and cardiac color ultrasound are much more likely to detect problems.
Gretel checked them one by one. It should be said that most people are normal, and at most it is myocardial hypertrophy - which makes sense, strenuous exercise requires a strong heart -
What is the differential diagnosis between "athlete's heart" and "hypertrophic cardiomyopathy"?
As soon as the electrocardiogram came out, Grete's eyes narrowed slightly. Well, there is a slight change in the T wave, and the sinus heartbeat is also brady, indicating organic changes in the heart.
But when he had a CT scan before, he took a quick look and found that the external image of the heart was still normal. So, how the heart is doing depends on the echocardiogram...
"Mage Nordmark, how is my heart?"
He didn't speak for a long time, but Knight Kelly couldn't help but lean over from the pillow to ask. Grete poured some glycerin onto his chest and ordered softly:
"Quiet."
Pressing a finger on it, Knight Kelly immediately shut up and lay back on the bed. Gretel closed his eyes slightly and stared at the echocardiogram in his meditation field of vision. He did rapid mental calculations and kept counting:
"Heart rate 60 beats per minute... Left ventricular diastolic diameter... 55.3... Left ventricular systolic diameter... 36... Left ventricular posterior wall end-diastolic thickness... 11... Left ventricular posterior wall end-systolic thickness... 16 …End-diastolic thickness of the ventricular septum…10…”
Knight Kelly lay confused on the bed, unable to understand and unable to move. After Grete reported the data, he grabbed a handkerchief and threw it at him:
"Wipe it yourself."
There was a burst of laughter from behind. Up and down, small and suppressed, it was obvious that the soldiers covered their mouths and did not dare to laugh, but it was really funny:
"It really seems like I was being raped by the elder... ah..."
"It's just...exactly the same as when we were at Rita Hotel..."
"Scum..."
Knight Kelly's expression changed, and he wanted to jump up and roar, but because Gretel didn't issue an order, he really didn't dare. Gretel was expressionless and turned a deaf ear:
After the B-ultrasound, doctors throw a piece of paper and ask the patient to wipe it themselves. Doctors have long been ridiculed to the point of becoming immune to this scumbag behavior. For a surgeon, does this kind of speed still count as a car?
"Lie back. I'll check again."
He ordered softly. With a slight hook of his finger, the little snake on the oak staff flew out. Grete pressed the golden treasure box again and observed carefully through the eyes of the little snake:
Well, myocardial hypertrophy is uniformly distributed. Except for the interventricular septum, the anterior wall, posterior wall, inferior wall and lateral wall are all hypertrophic, and the degree is relatively similar. The interventricular septal separation and left ventricular posterior wall thickness are less than 12 mm, and the ventricular wall motion is normal...
It matched the characteristics of an athlete's heart in his memory, and was obviously different from hypertrophic heart disease. Confirmed, this Kelly Knight is in normal condition. Then cover it with mental power and feel the abnormal energy...
No unusual energy reported.
very good.
Well, you can refer to this to record the structure of the heart, record the ejection fraction, evaluate other people's heart conditions, and what level you need to reach after becoming a knight!
Grete checked them one by one. Electrocardiogram, echocardiography, blood oxygen saturation, blood potassium, blood sodium, and blood calcium. Most of the soldiers passed the test happily, but when they found soldier No. 18, Grete slowly frowned.
"There's something wrong with you."
"What, what's wrong?"
"You have a heart problem." Gretel frowned, staring at the electrocardiogram and cardiac color Doppler ultrasound displayed by Talling, comparing them repeatedly:
Fishhook-shaped ST-T changes and shortened QT interval on the electrocardiogram suggest possible digitalis poisoning. Abnormal hypertrophy of the cardiac apex and left ventricular posterior wall, with a thickness greater than 16 mm...
"By the way, stretch out your arms."
"What?"
"Collect blood!"
Throwing down a blood test magic, Gretel frowned even more. The blood potassium is relatively low. Although it has not reached the level of hypokalemia, the value is not optimistic. For a man in his early thirties, his blood potassium is lower than the average and close to the lower limit of normal. This is wrong.
He scanned the kidneys conveniently, and the color Doppler ultrasound showed that the kidneys were normal and there was no disease in the adrenal glands. So……
"Have you eaten anything weird lately?"
"Ah, no, no." The soldier on the treatment bed replied stiffly. Beside Gretel, Bishop Ampton took a step forward and frowned deeply:
"Really do not have?"
"Really do not have!"
A ray of light flashed in the hands of the Lord Bishop. The base is dark black with a hint of blood red, which is obviously the auxiliary magic of the God of War Temple. Grete glanced at him lightly and asked directly:
"Didn't you use that low-quality magic potion, or the reduced version of your level-breaking potion, to assist in your training?"
The warrior winced. He glanced at the bishop quickly and shut his mouth tightly - or was he afraid to lie under the witness of divine magic? Grete did not press any further and nodded to Bishop Ampton:
"He is poisoned. Chronic poisoning, he needs to stop taking medicine and recuperate for a period of time. You must not take any more potions today, nor can you try to advance."
Well, the main ingredient of the pass-through potion is the magic potion called "Fox Gloves". Grete had learned it from his teacher, and it looked exactly like the foxglove he had seen in his previous life——
The clusters of bell-shaped flowers and the spots inside the flowers were unmistakable to him! And any emergency doctor who has seen foxglove will definitely not forget it!
Cardiac glycosides extracted from foxglove, such as digoxin and cedilan, have always been loved and hated by emergency physicians. Love it, it is a powerful cardiotonic, and it will have immediate effects in times of heart failure;
Hate it, it has a very narrow therapeutic window and the onset of action varies based on each person's situation and tolerance. A little lower, a little higher, I'll show you the poison...
Well, chronic poisoning is hypokalemia, and acute poisoning is hyperkalemia. Symptoms, manifestations, treatment ideas, and medications are completely different...
Bishop Ampton slowly frowned, changed a spell, and scanned it again. Then, he nodded to Gretel:
"You're right. He does have signs of slight poisoning. I haven't noticed it without a spell check. - Who told you to take this medicine without authorization? Didn't the fleet say it repeatedly, except for passing the customs clearance, it is not allowed at any other time. Do you want to eat?”
At this point, the God of War Temple has sufficient experience. Reduced and inferior versions of clearance potions are always sold on the black market, and warriors who have difficulty advancing often buy them to eat——
Basically, for warriors who reach the advancement threshold by relying on the reduced version of the potion, nine out of ten warriors will die when they officially advance. Even if they are lucky enough to survive, they will most likely be useless and cannot be raised back.
However, this kind of knowledge is only known by the temple and the regular army. Most of the wild warriors don't know. Fortunately, the potion is also expensive and can't be easily taken, so many people won't die...
The soldier's face was ashen. He climbed down from the treatment bed tremblingly, and with a plop, he knelt directly on the ground:
"Let me try it once! Really, let me try it once! I have been waiting for this opportunity for a long time! The last time I failed to advance, it took me a year to raise it. All my savings were used to buy medicine. food--"
More than half of the knights and warriors present turned their heads away unbearably. Bishop Ampton looked away with compassion. Only Gretel looked calm and shook his head resolutely:
"No. You have been slightly poisoned. Due to your young age, you can recover after stopping the medicine for a period of time. But now, in order to overcome the problem of taking a large dose of medicine, you must exercise strenuously immediately after taking the medicine-"
His voice suddenly rose, making everyone present, including the soldiers kneeling on the ground, jump in fright:
"Die on the spot!"
"Cough, cough, cough." Bishop Upton cleared his throat uncomfortably. What does it mean to die on the spot? You are here and I am here. With the combined strength of the two of us, we still can't bring one person back?
Grete turned and gave him a slap on the back of the head. He usually abides by the rules and tries his best when trying to pass the level. He understands and is willing to help;
He usually takes forbidden drugs secretly and brings himself to this point. He is determined not to save him!
Hypokalemia and then hyperkalemia, chronic foxglove poisoning superimposed on acute poisoning, are too difficult to save. The myoelectricity of the heart is absolutely chaotic. When the time comes to supplement potassium and remove potassium, some will need diuresis, and some will need to stop taking diuretic drugs...
Thinking of the rescue experience in his previous life, he was just as big as the other, so he must not cause this trouble for himself!
Moreover, this guy has developed hypertrophic cardiomyopathy, which is different from "athlete's heart". This is a real disease. Even if the foxglove is metabolized, the success rate is probably not high...
The warrior was grabbed by the collar by the leading knight and dragged out. Gretel finished checking each one, analyzed the CT data, used a small snake to penetrate into the body to see the cardiovascular system, and clapped his hands:
"Okay, everyone else is fine. Today is a day of adjustment, and tomorrow, we will start to advance one by one!"
****
3000 words!
The first update is completed!
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Today's echocardiographic data comes from "Echocardiographic Measurement and Preliminary Analysis of 68 Athletes"
There are too many types of athletes, including strength group, swimming group, long-distance running group, basketball group, shooting group, badminton group, gymnastics group...
I really couldn't decide which group the Cavaliers should target, so I blindly selected the swimming group...