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Li Jin Quan
General Surgery
About me
Loudi Central Hospital, General Surgery, attending physician, engaged in clinical work in surgery for many years, with rich clinical experience in the diagnosis and treatment of surgical systemic diseases.
Proficient in diseases
Specializes in common diseases such as gallstones, cholecystitis, bile duct stones, liver cysts, liver hemangiomas, etc.
Voices
Diet for thyroid nodules calcification
Patients with calcified thyroid nodules need to be cautious about their diet. Firstly, they should avoid irritating foods such as chili peppers, ginger, garlic, strong tea, coffee, and alcohol. Secondly, they should not consume foods high in fiber as these can cause diarrhea. Instead, they should eat foods rich in carbohydrates and fats, which provide energy and reduce the consumption of proteins in the body, as proteins play an important role in physiological regulation. Additionally, these patients should consume foods rich in vitamins and minerals to aid physiological metabolism. Lastly, it is beneficial for patients with calcified thyroid nodules to include animal organs in their diet.
What should I do if I am allergic to tetanus?
Mild symptoms of tetanus allergy mainly manifest as skin redness, itching, and the appearance of rashes, some of which occur a few days after the tetanus injection, with redness and itching at the injection site or the appearance of some rashes. Severe tetanus allergies can cause chest tightness, irritability, pale complexion, profuse sweating, low blood pressure, and slow pulse. In severe cases, it can lead to cessation of heartbeat and breathing. Once an allergic reaction to tetanus occurs, the injection of tetanus should be immediately discontinued, a venous pathway should be established, and aggressive treatment with adrenaline, dexamethasone, and calcium agents should be administered for the allergy.
Can tetanus be cured?
Tetanus is a curable disease. It is usually caused by an infection with the tetanus bacillus, which produces a specific infection in the human body. Clinically, it is mainly manifested as muscle tension and rigidity, with the primary symptoms being difficulty opening the mouth, a sardonic smile, neck stiffness, and opisthotonos. In severe cases, it can lead to respiratory confusion, respiratory arrest, or cardiac arrest. Therefore, patients with tetanus should go to the hospital for treatment as soon as possible. With standardized and systematic treatment, the vast majority of patients can be cured.
How long does it take for a concussion to occur?
Concussion is a mild type of cranial trauma, typically characterized by temporary disturbances in consciousness, such as a coma not exceeding half an hour, along with retrograde amnesia, meaning the inability to recall specific details of the incident. Patients may experience lower blood pressure, pale complexion, as well as symptoms like dizziness, headache, nausea, loss of appetite, tinnitus, blindness, lack of concentration, and memory decline. Most concussion symptoms appear immediately after the injury, and there is usually no latent period.
Can you eat eggs if you have tetanus?
Tetanus patients should eat more light food, with low fat and sodium content, and avoid strong irritants, such as spicy foods. They can eat more foods containing protein, because sufficient protein in the body can help heal wounds and also provide enough energy for the patients, which is beneficial to their condition. Therefore, tetanus patients can eat a moderate amount of eggs.
Diagnosis methods for chronic appendicitis
The diagnostic methods for chronic appendicitis mainly include medical history, clinical symptoms, physical examination, laboratory tests, and auxiliary examinations. Firstly, cases of chronic appendicitis generally have a history of acute appendicitis episodes. Clinically, it is mainly characterized by pain, discomfort, and dull pain in the lower right abdomen, often without a history of migratory lower right abdominal pain. In physical examinations, tenderness can be found in the lower right abdomen, and when chronic appendicitis flares up acutely, signs of peritonitis can manifest as rebound pain in the lower right abdomen. In laboratory tests, an increased white blood cell count can be observed. Auxiliary examinations may reveal thickening of the appendix wall and obstruction in the appendix lumen due to fecaliths. Therefore, chronic appendicitis can be diagnosed through methods such as medical history, clinical symptoms, physical examination, laboratory tests, and auxiliary examinations.
Should you avoid certain foods if you have chronic appendicitis?
The majority of chronic appendicitis is transformed from acute appendicitis after treatment. Clinically, it mainly manifests as recurrent pain and discomfort in the lower right abdomen. In cases of chronic appendicitis, it is important to pay attention to a reasonable diet, avoid overeating and the consumption of gastrointestinal irritants, including spicy foods and some hard, cold foods, as these can induce pain in the lower right abdomen. Additionally, the diet should be low in sodium, sugar, and fat. Consumable options may include liquid or semi-liquid foods, as well as foods like yogurt. It is also advisable to eat fruits and vegetables rich in vitamins and anti-inflammatory substances, such as apples, bananas, cabbage, and cauliflower.
The dangers of chronic appendicitis
Patients with chronic appendicitis primarily exhibit persistent, recurring pain in the lower right abdomen, which may be accompanied by abdominal bloating, loss of appetite, and indigestion. These prolonged gastrointestinal symptoms can lead to malnutrition and a weakened immune system. Additionally, chronic appendicitis can acutely flare up and become suppurative, which can lead to perforation of the appendix. Once the appendix perforates, it causes diffuse peritonitis, leading to sepsis, septic shock, and even multi-organ failure, endangering the patient's life. This outlines the dangers associated with chronic appendicitis.
How to identify a concussion
The first patient has a history of head trauma. The second patient's CT scan did not reveal any substantive changes in brain tissue. The third patient may exhibit some clinical symptoms, such as transient consciousness disorders, typically lasting no more than half an hour. There is also recent memory loss; the patient cannot recall the incident. Additionally, the patient experiences self-reported symptoms of dizziness, headache, nausea, loss of appetite, insomnia, memory decline, and lack of concentration. With these medical histories, some CT scans, and symptoms, a concussion can be diagnosed.
Do you still need a skin test for tetanus allergy?
Under normal circumstances, if there is an allergy to tetanus, a skin test is not required. If tetanus vaccination is indeed necessary, human immunoglobulin can be injected, and this does not require a skin test. 250 units can be injected directly. Additionally, tetanus antitoxin desensitization injections can be used. The so-called desensitization injection involves diluting 1500 units of tetanus antitoxin into doses of 0.1 ml, 0.2 ml, 0.3 ml, and 0.4 ml, totaling 1 ml, and administering it in four doses, each 20 minutes apart. After the injections are completed, an observation period of 30 minutes is required to ensure there are no adverse reactions before the patient can leave.