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Unraveling the Mystery: Understanding Acute Abdominal Pain and Diarrhea
As I was preparing to transfer the patient to another bed, he suddenly told me that his left lower limb was feeling more numb and he couldn't even move it.
What? I couldn't believe it.
Initially, I thought he had been lying in the same position for too long, compressing his blood vessels and nerves, causing numbness in his feet.
But when I examined his left lower limb, I noticed a definite decrease in muscle strength. Compared to his right leg, his left leg was almost paralyzed.
I broke out in a cold sweat!
The patient's abdominal pain hadn't eased, and now he couldn't move his left leg. He was panicking and crying out loudly.
His girlfriend was also aggressive, almost grabbing my collar, asking me what happened and if I had used the wrong medication, damaging his nerves!
I couldn't find the words to explain.
This couldn't be possible. Phloroglucinol injection is a commonly used antispasmodic drug for us, effective in relieving gastrointestinal spasms, renal colic, and so on. I'd never heard of any reports of it causing limb weakness or even paralysis.
Moreover, the levofloxacin had just been administered and couldn't have caused such significant adverse reactions so quickly, unless it was a drug allergy.
Even if it was a drug allergy, the initial symptoms should be skin itching, redness, or circulatory instability, not paralysis of one side of the lower limb!
For a moment, I was at a loss.
What was happening?
The patient had complained of fatigue and weakness from the start, but it hadn't been severe enough to prevent him from moving his left leg.
But now, upon examination, his left leg was indeed almost immobile, with muscle strength barely reaching grade 1 (normal is grade 5).
The nurse rechecked his blood pressure and it remained high.
The resident doctor reminded me, could it be a stroke?
As I mentioned earlier, with such high blood pressure, the patient was indeed at risk of a stroke.
But it didn't seem like a stroke, as there were no other localization signs.
Moreover, for a patient to experience both poisoning and a stroke in one night would be extremely unlucky.
I kept a close eye on the patient's blood pressure, repeatedly feeling the pulse in his left lower limb, which was weak, and his limb temperature was cooler. Suddenly, I thought of a disease.
The mere thought of this disease made me feel remorseful. I was so foolish, I should have thought of it from the start, how could I have forgotten about it until now?
The more I thought about it, the more remorseful I felt!
But now was not the time for remorse, I had to solve the problem immediately. Because if it was indeed this disease, the patient could collapse and die at any moment, which would be a tragedy, and I would never be able to clear my name.
What? I couldn't believe it.
Initially, I thought he had been lying in the same position for too long, compressing his blood vessels and nerves, causing numbness in his feet.
But when I examined his left lower limb, I noticed a definite decrease in muscle strength. Compared to his right leg, his left leg was almost paralyzed.
I broke out in a cold sweat!
The patient's abdominal pain hadn't eased, and now he couldn't move his left leg. He was panicking and crying out loudly.
His girlfriend was also aggressive, almost grabbing my collar, asking me what happened and if I had used the wrong medication, damaging his nerves!
I couldn't find the words to explain.
This couldn't be possible. Phloroglucinol injection is a commonly used antispasmodic drug for us, effective in relieving gastrointestinal spasms, renal colic, and so on. I'd never heard of any reports of it causing limb weakness or even paralysis.
Moreover, the levofloxacin had just been administered and couldn't have caused such significant adverse reactions so quickly, unless it was a drug allergy.
Even if it was a drug allergy, the initial symptoms should be skin itching, redness, or circulatory instability, not paralysis of one side of the lower limb!
For a moment, I was at a loss.
What was happening?
The patient had complained of fatigue and weakness from the start, but it hadn't been severe enough to prevent him from moving his left leg.
But now, upon examination, his left leg was indeed almost immobile, with muscle strength barely reaching grade 1 (normal is grade 5).
The nurse rechecked his blood pressure and it remained high.
The resident doctor reminded me, could it be a stroke?
As I mentioned earlier, with such high blood pressure, the patient was indeed at risk of a stroke.
But it didn't seem like a stroke, as there were no other localization signs.
Moreover, for a patient to experience both poisoning and a stroke in one night would be extremely unlucky.
I kept a close eye on the patient's blood pressure, repeatedly feeling the pulse in his left lower limb, which was weak, and his limb temperature was cooler. Suddenly, I thought of a disease.
The mere thought of this disease made me feel remorseful. I was so foolish, I should have thought of it from the start, how could I have forgotten about it until now?
The more I thought about it, the more remorseful I felt!
But now was not the time for remorse, I had to solve the problem immediately. Because if it was indeed this disease, the patient could collapse and die at any moment, which would be a tragedy, and I would never be able to clear my name.
22 pages, Kindle Edition
Published May 18, 2024
1 person is currently reading
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