Practicing Medical Skills in a Small Clinic novel Chapter 475

Chapter 475: Chapter 225: The Mysteriously Emaciated Patient, Good News Keeps Coming (Part 2)

No choice, after all, he is a law-abiding citizen.

"Jingsheng, there’s a pretty complex case here. I’ll send you the information. Please help with the consultation."

Lian Tao responded almost instantly.

"Send it over!"

Li Jingsheng had no confidence at all. Any case that even Lian Tao couldn’t handle was definitely not simple.

However, he had accumulated quite a bit of life value now, and his diagnostic skills had reached a certain level, so he wasn’t afraid to take on difficult cases.

Soon, the information was sent over.

The patient is an elderly person over 60 years old, with symptoms of weight loss and recurrent lower limb rashes, persisting for nearly four years. Recently, there was also fatigue, to the point of being unable to walk independently.

So, they came to the People’s Hospital for a consultation.

There had been treatments before, but only at local small hospitals, where it was always treated as eczema.

Recurrent flare-ups.

Many treatment methods were tried but yielded no good results.

As for a cure, that was out of the question.

The skin rash is truly tormenting, causing itching and psychological stress, creating significant distress for the patient.

Ordinary eczema wouldn’t cause such fatigue that the patient can’t even walk.

After examination, there was also an oral ulcer, just as recurrent as the lower limb rash, lasting for nearly four years.

Moreover, the tongue constantly felt painful, which had also lasted for four years.

It seemed that the patient’s illness wasn’t a simple digestive tract disease. It felt more like an issue with the immune system.

The patient had been eating normally for the past four years.

Since eating was normal, why would there still be continuous weight loss and the patient becomes emaciated?

Lian Tao had already prescribed clotrimazole for the patient to hold in their mouth to relieve tongue pain.

But this was merely treating the symptoms rather than the root cause.

Moreover, the patient’s symptoms weren’t limited to oral ulcers.

The medical records showed the patient was 175 cm tall, weighing 49 kg, clearly underweight.

Heart and lung examinations revealed no abnormalities.

The patient had mild tenderness about 3 cm below the right rib margin in the abdomen, with no shifting dullness in the abdomen.

There were scattered dark red patches on the anterior shin, and on the right shin, there was a flabby blister nearly 1 cm in diameter on the red patch.

Scattered blister ruptures could be seen, along with shallow erosions, some of which had scabbed over.

Some skin lesions even showed significant lichenification changes.

From these red patches, blisters, and shallow erosions on the legs, it bore a great resemblance to eczema and athlete’s foot.

Li Jingsheng had treated some patients with athlete’s foot, some with disease courses extending over six years, very stubborn.

Since athlete’s foot is a fungal infection, its greatest characteristic is difficulty in cure and easy recurrence.

It mainly attacks the skin, creating intense itching, cracking, blisters, and erosion. Applying regular dermatitis ointments can quickly take effect, but it relapses shortly after.

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