Chapter 268: Which department should a person with a long-term fever go to?
When Wei Ping was looking at his phone, this message popped up on the screen.
"Which department should a person with a long-term fever go to?"
A simple question also troubles some people.
However, some of the people below regarded him as a military advisor.
"It's an emergency! There's nothing an emergency can't handle!"
"I think internal medicine!"
"If you have a long-term fever, your resistance must be very weak!"
"How weak is the person who asked this question!?"
…
When Wei Ping saw this problem, he treated it very seriously. After all, if a person with a long-term fever is cured once and then comes back again, it proves that the real cause of the disease has not been found.
There are two major categories of diagnoses in medicine that give doctors a headache: one is "fever to be investigated" in internal medicine, and the other is "abdominal pain to be investigated" in surgery.
Many patients with fever are diagnosed with "fever to be determined" when they are admitted to the hospital, and the diagnosis is still "fever to be determined" after they are discharged. In other words, there are many patients for whom the cause of their fever cannot be found at all.
So the person who asks this question is most likely to have a fever that needs to be checked.
"This question is also a question that everyone is puzzled about, but it is also an issue that cannot be ignored. If the fever persists for a long time, it proves that the true cause has not been found. Otherwise, this would not happen. Therefore, we need to analyze the true cause. Here are some ideas for you. I hope you can write them down."
In fact, he didn't need to say it, the staff of XX Live were already recording it using voice-to-text, and there was also a dedicated proofreader.
These things will be provided to everyone after the live broadcast.
"If a fever is above 38°C for more than three weeks, and bacterial or viral infection is initially ruled out, it is classified as a fever of unknown origin. Obviously, the long-term fever you mentioned should fall into this category.
Unexplained fevers are usually treated with tests, but these tests are not always definitive, and in about 10% of cases, the cause is ultimately unidentified.
"Fever-causing pyrogens include two major categories: exogenous and endogenous. The first category includes various pathogens, such as bacteria, viruses, and fungi. These are what we often call infections. Whether it is the respiratory tract, biliary tract, heart, urinary tract, etc., they may all be sources of infection.
Endogenous pyrogens, such as interleukins, tumor necrosis factor, and interferon.
As soon as this was said, everyone learned from it.
"It turns out there are so many reasons for fever."
"We used to think a fever was a cold. Now it seems we were wrong."
"Doctor Three Punches is amazing! He knows everything!"
"With this amount of knowledge, you can kill most doctors in seconds, right?"
"Look at the books behind him, a whole wall of them. There are so many of them, and they are all professional books."
"I've seen him save a patient before. He was truly professional and a kind person. I've never seen a doctor like him before."
"Doctor Three Punches is truly a good doctor for us!"
…
Wei Ping didn't see the discussion, but continued:
"If we understand these two reasons, we can quickly determine which department to visit for a fever. However, this isn't absolute. Let me break it down for you."
"study……"
"study……"
"study……"
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"First, if a fever is accompanied by abdominal pain, it is recommended to see a surgeon for a checkup. If the fever occurs first and then the abdominal pain, it could be a biliary tract disease, such as cholangitis or cholecystitis. If the abdominal pain occurs first and then the fever, it could be another surgical disease."
“It turns out there is so much to learn.”
"That's right. There's so much knowledge to learn, I have to remember it."
…
"Secondly, if you simply have a fever, go straight to the internal medicine department to check for the cause. Generally, they'll first do a blood test at the hospital. Don't be surprised if the doctor orders a blood test right away, as they need to determine whether it's a bacterial or viral infection so they can prescribe the right treatment!"
"No wonder the doctor took blood samples when we went to the hospital."
"Yeah, I never smoked before! Just prescribe medicine!"
"I heard that some doctors used to prescribe both antiviral and antibiotic medications. They couldn't determine whether your illness was viral or bacterial, so they just prescribed both. The advantage of this is that one dose can cure your illness, but the overuse of antibiotics can cause drug resistance!"
"This netizen is so professional, is he a medical student?"
"Or perhaps working with Doctor Three Punches?"
"It's great to be able to work with Dr. Sanquan. I've already applied to medical school and will apply to First Hospital in the future. I hope Dr. Sanquan will still be working there by then!"
"This is the first time I've felt how popular medicine is. If more people join in, doctors won't be so exhausted in the future."
"Feel sorry for the doctor for three seconds."
"Shouldn't we feel bad for Dr. Sanquan? He doesn't even charge us for treating us!"
"There are so few good doctors like this now!"
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"Among bacteria, fever caused by tuberculosis infection is the most difficult to diagnose. Sometimes doctors can't diagnose it, so please be more tolerant of them."
Wei Ping said again.
"Tuberculosis bacteria are very difficult to kill. Treatment usually takes more than half a day, and the fever it causes won't be too high. If it's diagnosed as a tuberculosis infection, then you need to go to the respiratory department."
"Third, patients with urinary tract infections and fevers have one thing in common: they almost always have high fevers that require strong antibiotics to reduce. Urinary tract infections cause fevers, but bacterial bladder infections don't. For women, fevers are usually caused by kidney infections, while for men, fevers are usually caused by prostate infections. For these patients, we recommend seeing a urologist."
"Fourth, cancer patients with fevers can develop fevers in all cancers. For these patients with fevers, you can consult a surgeon or oncologist. They will give you the best advice."
"Fifth, fever caused by autoimmune diseases, such as lupus erythematosus, rheumatoid arthritis, and ulcerative colitis. Fever is common after the body is attacked by the immune system. Patients of this type should seek help from the immunology department!"
"Generally speaking, you can't pinpoint which type you have, but you can look at the symptoms. If you still can't pinpoint it, I recommend expanding the scope of testing. Also, be honest with your doctor about your condition; sometimes, small details can be key to the diagnosis!"
"That's very well said. It's a pity that I can't give you a reward, otherwise I would definitely give you a gift!"
"The Three Punch Doctor is really great, we've all taken note."
"I never thought there would be so much knowledge about a simple fever!"
"Doctor Three Punches, let's talk about the other stuff."
…
"I'm very pleased that everyone knows this and has taken note of it, because knowing this knowledge may play a crucial role at some point in the future. Whether it's for yourself or your friends and family, it's definitely a good idea to be prepared!"
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