Come on, Dr. Wu

Chapter 400 Spider mole on the thigh

Most importantly, this is a young man.

It seems that she is about the same age as Wu Xiaofu, and still a little girl.

According to Wu Xiaofu's experience, there is basically no good situation with this kind of face.

Not only Wu Xiaofu, but even Liu Lin and You Zhiyi could see some clues, especially the patient's sad face and weak way of walking, which made people associate his condition with his liver.

"Come, sit down."

Wu Xiaofu pointed to a seat and asked the patient to sit down. After the patient sat down, Wu Xiaofu could see more clearly. Not only was the jaundice severe, but the spider nevi were also serious. From the patient's collar, one could see strings of red spider-like marks.

Many people must have heard of spider nevi, but in real life, I am afraid that few people have seen spider nevi. They have only heard about them or imagined them.

After all, there are not so many cases of liver disease. Most people cannot find a liver disease patient around them. Moreover, even if there is one, no patient will show his or her spider nevi to people around them. For most patients, the subconscious reaction after becoming ill is to isolate themselves and completely isolate themselves from the people around them.

So, the concept of spider nevus, or the subconscious reaction when hearing about spider nevus, is that it is a type of nevus that looks like a spider, just like an ordinary mole on the body, but in fact.

Spider nevi are much more conspicuous and vivid than the moles we usually see, and they are all red.

Spider nevi are actually a type of idiopathic telangiectasia, which manifests itself as nevi formed by the expansion of the terminal segments of the branches of small arteries in the skin.

These moles have a central point, with small blood vessel branches radiating around it. These small blood vessel branches are like spiders. From the morphological point of view, they look like a spider at first glance, so in medicine, this type of mole is called spider nevus.

Spider nevi do not occur easily anywhere on the body. The most common place they are seen is the area where the superior vena cava is distributed.

For example, the face, neck, upper chest, shoulders and upper limbs, etc.

Among these parts, the most common are actually the upper chest and neck, especially the upper chest. Initial spider nevi basically start here because this is where the branches of the superior vena cava are most densely distributed.

Of course, it doesn’t mean that every patient with liver disease will develop spider nevi, but with the progression of liver disease and the deterioration of vascular conditions, spider nevi can be seen in most patients.

And it is not just patients with liver disease such as cirrhosis and acute hepatitis who can be affected, but also healthy patients, such as children, pregnant women and others.

Wu Xiaofu had seen some pregnant women before who were so frightened by the appearance of spider nevi and after comparing their results with those on the Internet that they rushed to the hospital for a check-up, fearing that they really had liver disease. They only relaxed when the doctor told them that it was a physiological phenomenon.

After all, people now have a deeper understanding of liver disease. Everyone knows that as liver disease progresses, it will almost always evolve into cirrhosis or liver cancer.

Who wouldn't be scared in such a situation?

In some severe liver diseases, the number of spider nevi is even greater, just like the patient in front of us. She has subconsciously tried to cover her neck, but the spider nevi are still difficult to cover and can be seen. Little girls still love beauty, so having so many spider nevi, plus people's strange looks, is painful to think about.

"how long it has been?"

Hearing Wu Xiaofu's question, a trace of trance flashed in the little girl's eyes. How long had it been? The little girl's memory was a little fuzzy, but it was clearly only a few dozen days. Yes, in fact, it was only two months, less than three months.

But in the past two or three months, the little girl really counted the days.

To be precise, it has been seventy-six days, and today is the seventy-sixth day. During these seventy-six days, the little girl truly experienced what it means to live every day like a year.

At first, she didn't feel much, just that her appetite was a little poor. Then she always felt nauseous and vomited. She couldn't smell any strange smell, and the slightest stimulation would make her stomach uncomfortable.

At work, when her colleagues saw her like this, they started teasing her and said she was pregnant.

But, a girl like her doesn't even seem to deserve a boyfriend, so how could she possibly get pregnant?

Her last name is Huang. In fact, she has just started working for a short time. She is the type of person who doesn’t even have a name in the company. Everyone calls her Xiao Huang, or that someone.

Xiao Huang also feels particularly inferior because of his excessive weight.

She is 1.57 meters tall, but she weighs 200 kilograms, or maybe even more. But later on, Xiao Huang didn't want to weigh herself anymore, because every time she weighed herself, she would get angry. But after getting angry, she still couldn't control her appetite.

Xiao Huang had no desire to lose weight at first, until she fell in love with a boy in the company. She also accidentally heard the boy say that Xiao Huang was not ugly, and if she could lose weight, she would be a beauty, after all, she had a pretty face.

These words immediately became like a seed planted in her heart.

lose weight!

This concept suddenly appeared in Xiao Huang's mind. In fact, Xiao Huang had thought about losing weight before, but she couldn't stick to it for long. She would run to the late-night snack shop, diet until midnight and then get up to eat more. Over time, she gave up.

But this time it was really different. She started looking for ways to lose weight on the Internet.

A post attracted Xiao Huang. It was about a diet pill. Many people said it was useful. Xiao Huang was overjoyed and contacted the poster immediately. He bought a course of the pill directly. The pill was not cheap, but for the person he secretly loved, Xiao Huang risked his life.

It turns out that this diet pill is really effective. After taking it for just over ten days, she started to lose weight.

Before, she couldn't help eating, but after taking the medicine, she felt nauseous when she saw food.

If you don't eat much, you won't gain as much weight.

There is no need to exercise. This is what the advertisements for weight loss pills say. After three months of weight loss, the results were remarkable. Xiao Huang went from 200 kg to 160 kg.

In three months, he gained forty kilograms.

Xiao Huang does have a good face shape. After losing weight to 160 kilograms, although he is still fat, he looks much better overall.

People around her also paid more and more attention to her. Some praised Xiao Huang for her good figure and said she looked much better after losing weight, while others asked Xiao Huang about her method of losing weight. What made Xiao Huang most happy was that the boy she had a crush on seemed to pay more and more attention to her.

This encouraged Xiao Huang greatly.

Xiao Huang feels that she cannot stop her weight loss journey, even though she has already experienced obvious side effects. According to the instructions on the weight loss program, she should have stopped. However, she has verified one thing through her own experience.

That is, losing weight is really addictive.

She directly ordered a month's supply and continued taking the medicine. Later, Xiao Huang was no longer just nauseous at the sight of food, she also began to have diarrhea and vomit acid. At this time, some girls who were losing weight had already noticed that Xiao Huang was not in good condition and reminded her that if she took diet pills, she had to take care of her body.

But Xiao Huang has been completely immersed in the feeling of losing weight.

In fact, losing weight to 160 kilograms is already a great achievement, because of the 200 kilograms body weight, dozens of kilograms are due to excess fat. Just like the 40 kilograms that Xiao Huang lost, it might be excess fat, which is relatively easy to lose. But if he wants to lose more, it will not be so easy.

In the first half of the month, Xiao Huang's results were indeed not very good.

But after Xiao Huang persisted for another half a month, he started to lose weight again, and the weight loss was very fast. In just one month, he lost more than 30 kilograms. This was more efficient than before, which made Xiao Huang ecstatic.

But as she lost weight, Xiao Huang finally discovered something was wrong. Some strange things began to appear on her body.

There are a lot of red moles, and they are everywhere.

Especially on the chest and neck.

In Xiao Huang's opinion, this thing is so ugly, so ugly that Xiao Huang can only wear high-necked clothes to cover it up.

And it's not just on the chest and neck, it can also be seen on the arms and even the legs.

The only thing Xiao Huang could be thankful for was that the scar was gone from her face, otherwise, she wouldn’t know how to face outsiders.

Xiao Huang also realized that this might be caused by taking diet pills, so he hoped to stop taking diet pills and see if this kind of thing could disappear.

But Xiao Huang was horrified to find that even after she stopped taking the diet pills, these ugly things did not disappear, but became more. Moreover, she was horrified to find that her face had turned yellow, and some people even called her a yellow-faced woman.

And the speed of losing weight seemed to have not stopped. In a short period of time, she only weighed 110 kilograms, which was her dream weight. However, the onset of the disease made Xiao Huang sober up a little. She realized that there might be something wrong with her.

So Xiao Huang went to the hospital quickly.

But after a check-up, Xiao Huang was struck by lightning and found out he had liver cancer!

She is only twenty-six years old!

It's liver cancer!

Xiao Huang didn't believe it. She thought it was because she had found a small hospital, so she came to the First Affiliated Hospital. Xiao Huang also saw the offer from Yilu and was deeply impressed by Wu Xiaofu, so when she thought of going to a big hospital, the first person she thought of was Wu Xiaofu, so she came to Wu Xiaofu's outpatient clinic.

He rolled up his sleeves, revealing a large number of spider nevi on his neck, and Xiao Huang pulled down his collar.

"It's been seventy-six days. At first I thought it was just a side effect of the diet pills and it would disappear as long as I stopped taking them. But I was so stupid. There are too many of these things. To the extent that I have nightmares every day. Director Wu, please help me. Not only these, but there are even bigger ones on my thighs. I want to pick them off, but even if I bleed, they are still there. I am really desperate."

On the thigh!
Wu Xiaofu was stunned when he heard this. To be honest, he had seen many patients with liver disease, and even more with spider nevi, but this was the first time he had seen spider nevi on his thigh.

After hesitating for a while, Wu Xiaofu let the patient lie on the examination bed and asked Liu Lin to help expose the spider nevus on his thigh.

It's really big, just like a real spider.

And these don’t seem to be the biggest ones. The biggest one should be the one that was scratched. It should be because of lack of careful care. At this time, the scratched part of the patient’s right thigh is somewhat infected.

To be honest, this is the first time I have seen a liver disease patient with spider nevi on his legs.

This made Wu Xiaofu understand that if liver disease progresses rapidly, spider nevi may not only appear on the upper chest or upper limbs, but may also appear on the lower limbs.

And it's not just spider nevi, there are also palms of the hand.

The patient's palms are really obvious.

Palmar erythema, like spider nevi, is a prominent physical sign of patients with liver disease. It is also a sign that is emphasized in college textbooks. Because not every patient with liver disease has it, once it appears, it is relatively typical.

The main external manifestation of liver palms is pink patches on the thenar and hypothenar eminences on both sides of the palms and the inner sides of each finger, which are closer to cinnabar in color.

This patient is very typical, and the symptoms of palmar erythema and spider nevi are typical among typical ones.

"Okay, sit back down. Besides these, are there any other symptoms?"

"Yes, at first I felt nausea and vomiting, then my skin started to turn yellow, and now I have all kinds of bleeding. When I wash my teeth, my gums bleed, and my nose bleeds more frequently... wuwuwu"

As he spoke, the patient began to cry.

Well, this case is really typical. Liver disease patients are like this. When the condition is serious, they may also have nasal and gum bleeding, petechiae and ecchymosis of the skin and mucous membranes, vomiting blood and black stools, weight loss and fatigue, lack of energy, yellowing of the skin and sclera, darker urine, etc.

"Come, take my pulse."

Seeing that the patient was crying and unable to communicate well, Wu Xiaofu asked the patient to put his hand up. After taking his pulse, even Wu Xiaofu could only shake his head.

The pulse of liver cancer is still very obvious, especially since Wu Xiaofu has taken too many pulses and knows the pulse of liver cancer patients too well. With Wu Xiaofu's current pulse-taking skills, he can always get it right.

There are basically no errors or omissions.

Xiao Huang's disease is not just liver cancer. It has progressed to a certain extent and may even infiltrate other organs.

Because the patient's other organs seemed to be in poor condition during pulse diagnosis, but considering the patient's history of taking diet pills, it might be a side effect caused by the drugs.

You should know that although weight loss pills are metabolized through the liver, other organs may also be affected.

There are many weight-loss drugs used clinically, and different types of weight-loss drugs have different pharmacological effects.

The most common ones are weight loss pills that promote metabolism.

After being ingested, this type of drug can achieve the purpose of weight loss by accelerating the metabolism of protein and fat.

However, these drugs mostly contain endocrine hormones, which can easily cause endocrine disorders in the human body and have relatively large side effects. Even if taken in the short term, the impact on human health is quite obvious.

Then there are appetite suppressants, which can act directly on the brain's feeding nerve center to inhibit the stimulation of food on the sympathetic nerves, reduce appetite, and thus achieve the effect of weight loss.

Over time, it is easy to develop anorexia, gastrointestinal dysfunction, and other side effects.

Then there are drugs that promote excretion.

This is the most common one. It is what girls drink the most now. It is also called slimming tea.

After oral administration, slimming tea can promote gastrointestinal motility, reduce the absorption of food and calories, and achieve the effect of weight loss.

This type of drug can cause considerable damage to the gastrointestinal tract.

As for the diet pills that Xiao Huang took, Wu Xiaofu heard that they seemed to be a powerful drug with the effects of three types of drugs combined. Xiao Huang had been taking it for such a long time, so one can imagine the side effects.

(End of this chapter)