Chapter 822 - 385: Giant Lymphadenopathy—Surgical Treatment Doesn’t Require Etiology Investigation (2)

Chapter 822: Chapter 385: Giant Lymphadenopathy—Surgical Treatment Doesn’t Require Etiology Investigation (2)

Protein is one of the most important nutrients in the human body.

When it continuously flows out through urine, the body cannot absorb enough nutrients, and naturally, symptoms like emaciation and anemia will appear.

When proteinuria occurs, the first suspicion is whether there is a problem with the kidneys.

Because the two kidneys in the human body act like super filters, they expel waste water and harmful substances out of the body.

This is why uremic patients need to undergo dialysis in hospitals.

Because after kidney failure, its filtration malfunctions, and it can no longer expel toxic and harmful substances. It even includes fluid retention, leading to edema in the lower limbs, facial swelling, and so on.

Dialysis substitutes for kidney function by filtering harmful substances from the blood to ensure normal body operation.

Kidney failure is a demon; once it starts, it’s irreversible.

It keeps progressing; the further it goes, the more frequent the dialysis becomes. The only ultimate treatment path is kidney transplantation.

Nowadays, kidney resources are extremely scarce in major hospitals.

The vast majority of patients have to wait a hundred years without getting a kidney. So young people must take care of their kidneys.

Especially those who don’t like drinking water, replacing it with beverages, or other unhealthy lifestyles, which can cause kidney damage.

There are also some young people who, out of vanity, choose to sell kidneys on the black market to buy a good phone or appear wealthy.

Thirty to forty thousand yuan for a kidney, but the actual amount in hand is only over twenty thousand, less than thirty thousand.

They think this money comes easy.

After all, there are two kidneys, selling one doesn’t matter.

This is an extremely short-sighted and foolish act.

With both kidneys working together, they can alleviate each other’s workload. Removing one kidney means the remaining kidney has to handle the workload of two, making it more prone to failure.

By then, the outcome is predictable.

Li Jingsheng, after reviewing the urine test results, continued to check the lymph node biopsy results.

To see lymph follicles and patches of mature plasma cells.

Isn’t this lymph node hyperplasia?

And it belongs to massive lymph node hyperplasia.

No wonder he was a bit confused when diagnosing the patient yesterday, excluding malignant tumors, and benign tumors as well.

Now seeing the biopsy results, he suddenly had a bit of realization.

It turned out to be massive lymph node hyperplasia.

"Dr. Li, to be able to determine issues with the patient’s urine just from a blood test result is truly impressive. After discovering proteinuria in the patient, I supplemented with some imaging tests.

X-ray examination revealed osteolytic damage.

Later, a bone marrow puncture was performed. The bone marrow smear showed a large number of plasma cells in the patient’s bone marrow, at which point I suspected multiple myeloma, and it was multiple. But after doing a lymph node biopsy later, the cause became even more elusive."

Director Xue had already done so many tests on the patient.

Li Jingsheng felt sorry for the patient for two seconds.

Sometimes it’s hard to know what to say.

The patient was reluctant to do even a routine urine and feces test at the South City Health Service Station.

Eventually, she ended up in a big hospital, obediently doing a bunch of tests.

Including even a bone marrow puncture.

This is also why many patients are afraid of going to big hospitals.

Big hospitals are not short of patients, doctors won’t waste time dilly-dallying with you.

Just registering and waiting for consultation takes a long time. Once inside, the doctor inquires, then prescribes what he deems necessary to test. Directly making the patient pay and take the tests.

There’s basically no room for the patients to bargain.

Moreover, if the patient has many test items to do or is unfamiliar with the diagnostic process, he might spend an entire day running around the hospital without completing them.

When finally getting the test results, the doctor is already off duty.

"Director Xue, I think we can basically rule out the patient’s myeloma. Because myeloma cells were not found in the patient’s bone marrow smear. Although plasma cells were found, as well as a high 0.2, the patient did not exhibit bone pain or bone destruction. The amount of monoclonal immunoglobulin in serum was significantly below 10g/L. None of these support the patient having myeloma."

When Li Jingsheng examined the patient, although he didn’t specifically feel the bones.

But he did a cursory check and can confirm that the patient’s bone tissue was not compromised.

He even thought there was little necessity for a bone marrow puncture.

Maybe each doctor’s diagnostic approach is different!

Like Director Xue, these older doctors often stick to routine diagnostics.

To put it nicely, it’s working strictly according to procedures; to put it bluntly, it’s outdated and rigid.

The development and progress of medicine are extremely fast.

Many treatment schemes and diagnostic criteria considered correct ten years ago are obsolete or wrong ten years later.

If this patient had been under Li Jingsheng’s primary care, three tests would basically be enough.

Test routine urine and feces, followed by a lymph node biopsy.

The female patient’s thyroid had no enlargement or other abnormalities, the bone was also normal, so why do a bone marrow puncture!

Of course, while Director Xue is a doctor in the orthopedic department, he doesn’t have the skill to tell bone quality without feeling the bone.

He naturally can’t compare to Li Jingsheng.

"Yes, later I also basically ruled out this condition. But I believe the diagnostic significance of bone marrow testing is very significant. The patient’s bone marrow hyperplasia is markedly active, plasma cells are abnormally proliferating, and binuclear and multinucleated plasma cells can be seen. Then her red blood cells exhibit rouleaux formation, which is very helpful for further diagnosis."