[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"origin-check-in-at-the-hospital-the-first-surgery-shock":3,"chapter-check-in-at-the-hospital-the-first-surgery-shock-check-in-at-the-hospital-the-first-surgery-shock-chapter-63":6},{"origin":4,"title":5},"english","Check-in at the Hospital: The First Surgery Shocked the Nation!",{"chapter":7,"nextChapterSlug":20,"prevChapterSlug":21,"totalChapters":22,"novelImage":23},{"id":8,"novel_id":9,"title":10,"slug":11,"index":12,"content":13,"wordcount":14,"created_at":15,"updated_at":16,"volume":17,"translator":18,"content_hash":19},873772,1146,"Chapter 63 - 57: Diagnosing the Illness, Rare Exercise-Induced Allergy","check-in-at-the-hospital-the-first-surgery-shock-chapter-63",63,"\u003Cp>Actually, this question is very simple. As long as medical students have seriously studied their internal medicine textbooks, they can roughly figure it out.\u003C\u002Fp>\n\u003Cp>It’s just that these two diseases are often easily confused by doctors under normal circumstances.\u003C\u002Fp>\n\u003Cp>Because the symptoms of gastroenteritis and food poisoning are so similar!\u003C\u002Fp>\n\u003Cp>Gastroenteritis is generally caused by a viral infection, which primarily attacks the human digestive system, causing symptoms.\u003C\u002Fp>\n\u003Cp>Food poisoning, on the other hand, is caused by bacteria, viruses, or parasites in food, which can enter the food during production and handling.\u003C\u002Fp>\n\u003Cp>So, although the mechanisms of these two diseases are different, their actual symptoms are quite similar.\u003C\u002Fp>\n\u003Cp>This is precisely why these two diseases can be difficult to diagnose!\u003C\u002Fp>\n\u003Cp>\"Nurse, take him for a check...\"\u003C\u002Fp>\n\u003Cp>Wei Dajing had just started to call out.\u003C\u002Fp>\n\u003Cp>\"Ugh~\"\u003C\u002Fp>\n\u003Cp>At that moment,\u003C\u002Fp>\n\u003Cp>The afflicted male student suddenly began to vomit while still unconscious.\u003C\u002Fp>\n\u003Cp>A mouthful of vomit mixed with blood spewed out, landing on both Wei Dajing and Zhang Chen’s clothes in front.\u003C\u002Fp>\n\u003Cp>Qin Feng, who was standing behind them, was not affected.\u003C\u002Fp>\n\u003Cp>The two of them furrowed their brows slightly but did not move; Zhang Chen continued examining the patient, completely disregarding the filth and unpleasant smell on him.\u003C\u002Fp>\n\u003Cp>’Not bad.’\u003C\u002Fp>\n\u003Cp>Qin Feng nodded slightly at the sight.\u003C\u002Fp>\n\u003Cp>Although his usual pretentiousness can be annoying, his professional skills are quite solid.\u003C\u002Fp>\n\u003Cp>But immediately after, he was drawn to the vomit splattered on the ground.\u003C\u002Fp>\n\u003Cp>\"There’s blood~\"\u003C\u002Fp>\n\u003Cp>The three of them reacted with a simultaneous thud of their hearts!\u003C\u002Fp>\n\u003Cp>If it were just vomiting and diarrhea, combined with unconsciousness, those still would not be too serious.\u003C\u002Fp>\n\u003Cp>But now there’s vomit with blood, indicating the condition might be more severe than they imagined!\u003C\u002Fp>\n\u003Cp>\"What is your relation to the patient?\"\u003C\u002Fp>\n\u003Cp>Zhang Chen immediately looked up at the somewhat stunned male companion and asked in a serious tone.\u003C\u002Fp>\n\u003Cp>\"Huh? I... I’m his classmate.\"\u003C\u002Fp>\n\u003Cp>The male student snapped back to reality at the sound and quickly replied.\u003C\u002Fp>\n\u003Cp>\"Has he shown any abnormalities since last night? Any unusual symptoms like vomiting?\"\u003C\u002Fp>\n\u003Cp>The male student paused to think after hearing Zhang Chen’s words.\u003C\u002Fp>\n\u003Cp>A moment later, he shook his head.\u003C\u002Fp>\n\u003Cp>\"Didn’t notice anything, everything seemed normal! We even had a glass of soy milk and ate two buns together this morning.\"\u003C\u002Fp>\n\u003Cp>As his voice fell,\u003C\u002Fp>\n\u003Cp>Wei Dajing and Zhang Chen exchanged a glance, furrowing their brows.\u003C\u002Fp>\n\u003Cp>What’s going on here?\u003C\u002Fp>\n\u003Cp>If it were gastroenteritis or food poisoning, the condition wouldn’t develop this quickly!\u003C\u002Fp>\n\u003Cp>\"Has there been any similar case recently at school?\"\u003C\u002Fp>\n\u003Cp>Qin Feng asked.\u003C\u002Fp>\n\u003Cp>The male student shook his head again.\u003C\u002Fp>\n\u003Cp>\"No, I haven’t heard of any.\"\u003C\u002Fp>\n\u003Cp>...\u003C\u002Fp>\n\u003Cp>For the moment,\u003C\u002Fp>\n\u003Cp>The three of them fell silent; they had no other options left but to proceed with the examination!\u003C\u002Fp>\n\u003Cp>Wei Dajing quickly ordered tests, including blood tests, vomit analysis, and ultrasound...\u003C\u002Fp>\n\u003Cp>To rule out all possible conditions, a thorough examination was necessary.\u003C\u002Fp>\n\u003Cp>At this moment,\u003C\u002Fp>\n\u003Cp>A nurse had already brought a stretcher. The three of them, along with the male student, lifted the patient and placed him onto it.\u003C\u002Fp>\n\u003Cp>\"Take him for the examination first, and notify his parents to come quickly.\"\u003C\u002Fp>\n\u003Cp>\"Okay, okay, I’ll call them right away.\"\u003C\u002Fp>\n\u003Cp>Hearing Wei Dajing’s words, especially at the sight of the examination form in his hand, the male student became somewhat panicked and nodded vigorously.\u003C\u002Fp>\n\u003Cp>He took out his phone to make a call.\u003C\u002Fp>\n\u003Cp>\"Wait!\"\u003C\u002Fp>\n\u003Cp>Just as the nurse was about to push the unconscious student away, Qin Feng suddenly stopped them.\u003C\u002Fp>\n\u003Cp>Everyone’s gaze simultaneously turned toward him; Zhang Chen’s expression turned angry, just about to scold him.\u003C\u002Fp>\n\u003Cp>But they saw Qin Feng swiftly lift the unconscious student’s shirt, exposing his upper body.\u003C\u002Fp>\n\u003Cp>In an instant, everyone’s expressions changed!\u003C\u002Fp>\n\u003Cp>They saw raised red welts on the student’s upper body skin, some as large as a thumb, others as small as soybeans.\u003C\u002Fp>\n\u003Cp>They were distributed all over his chest, looking rather alarming.\u003C\u002Fp>\n\u003Cp>The male classmate’s face turned pale at the sight, and he instinctively took a few steps back.\u003C\u002Fp>\n\u003Cp>\"Angioedema!\"\u003C\u002Fp>\n\u003Cp>At this moment, Qin Feng, Zhang Chen, and Wei Dajing all said in unison.\u003C\u002Fp>\n\u003Cp>Angioedema, also known as angioneurotic edema or giant urticaria.\u003C\u002Fp>\n\u003Cp>This disease often occurs in areas where the skin tissue is relatively lax, generally as localized edema.\u003C\u002Fp>\n\u003Cp>\"This is.....\"\u003C\u002Fp>\n\u003Cp>Wei Dajing frowned, still not reacting.\u003C\u002Fp>\n\u003Cp>\"It could be Food-Dependent Exercise-Induced Anaphylaxis!\"\u003C\u002Fp>\n\u003Cp>\"Food-Dependent Exercise-Induced Anaphylaxis?\"\u003C\u002Fp>\n\u003Cp>Qin Feng and Zhang Chen almost spoke simultaneously.\u003C\u002Fp>\n\u003Cp>As the words fell, they instinctively exchanged a glance, especially Zhang Chen.\u003C\u002Fp>\n\u003Cp>He looked at him in astonishment; his reaction speed was impressive!\u003C\u002Fp>\n\u003Cp>Because this condition is indeed very rare; some internists might never encounter one in their lifetime, only occasionally seeing it in textbooks.\u003C\u002Fp>\n\u003Cp>It is a highly unusual disease, primarily because its trigger is baffling!\u003C\u002Fp>\n\u003Cp>Although it belongs to food allergies, certain conditions must be met for it to occur.\u003C\u002Fp>\n\u003Cp>Exercise!\u003C\u002Fp>\n\u003Cp>Some people, after consuming seafood, high-fiber foods like celery or spinach, and wheat-based foods, can experience a highly dangerous allergic reaction if they engage in vigorous exercise within 4-6 hours during digestion.\u003C\u002Fp>\n\u003Cp>Milder cases cause intolerable itching and red rashes, while severe cases lead to breathing difficulties and laryngeal edema that block the airway.\u003C\u002Fp>\n\u003Cp>If not treated promptly, it can endanger life!\u003C\u002Fp>\n\u003Cp>However, many internists encountering such situations would treat it as a common allergy, never considering this possibility.\u003C\u002Fp>\n\u003Cp>Qin Feng and Zhang Chen’s judgment was based on the sportswear worn by the male student.\u003C\u002Fp>\n\u003Cp>Because if there is no exercise, nothing happens.\u003C\u002Fp>\n\u003Cp>Once exercising, trouble is guaranteed!\u003C\u002Fp>\n\u003Cp>It’s just that peculiar!\u003C\u002Fp>\n\u003Cp>\"Huff~ Huff~\"\u003C\u002Fp>\n\u003Cp>The male student on the stretcher let out a series of low groans from his throat.\u003C\u002Fp>\n\u003Cp>The two people looked over simultaneously, and at this moment, the patient’s face was flushed, and his lips showed signs of swelling.\u003C\u002Fp>\n\u003Cp>Breathing with an open mouth, tracheal wheezing seemed somewhat difficult.\u003C\u002Fp>\n\u003Cp>These are symptoms that only occur with allergies!\u003C\u002Fp>\n\u003Cp>And now, all symptoms and signs point to one thing.\u003C\u002Fp>\n\u003Cp>It fully matches the symptoms of food-dependent exercise-induced allergic reaction!\u003C\u002Fp>\n\u003Cp>\"Did you just engage in a lot of physical activity?\"\u003C\u002Fp>\n\u003Cp>Qin Feng immediately asked.\u003C\u002Fp>\n\u003Cp>The boy standing beside nodded.\u003C\u002Fp>\n\u003Cp>\"Yeah, our school had a sports day today, we just finished running.\"\u003C\u002Fp>\n\u003Cp>Indeed!\u003C\u002Fp>\n\u003Cp>\"It’s certain now; this should be food-dependent exercise-induced allergic reaction.\"\u003C\u002Fp>\n\u003Cp>Zhang Chen heard and nodded, speaking firmly.\u003C\u002Fp>\n\u003Cp>And Wei Dajing on the side finally remembered, unable to hold back his surprise.\u003C\u002Fp>\n\u003Cp>\"It really is. I didn’t expect to encounter such a strange and rare allergy.\"\u003C\u002Fp>\n\u003Cp>Qin Feng stepped forward to hold the wrist of the unconscious boy, whose skin was somewhat cold, pulse very fast, heart rate reached at least above 200!\u003C\u002Fp>\n\u003Cp>Beads of sweat appeared on his forehead, started dripping down, face turning pale.\u003C\u002Fp>\n\u003Cp>Palpitations, chest tightness, profuse sweating, face devoid of color.\u003C\u002Fp>\n\u003Cp>Anaphylactic shock!\u003C\u002Fp>\n\u003Cp>\"No time for inspection, get him into the emergency room first!\"\u003C\u002Fp>\n\u003Cp>Without another word, Qin Feng, along with the nurse, rushed the stretcher into the emergency room.\u003C\u002Fp>\n\u003Cp>Anaphylactic shock is already severe, with an immune system’s rapid hypersensitivity reaction causing vascular microcirculation to expand and tissue permeability to increase.\u003C\u002Fp>\n\u003Cp>If delayed further, the person would be completely gone!\u003C\u002Fp>\n\u003Cp>Zhang Chen and Wei Dajing followed, sprinting all the way into the emergency room.\u003C\u002Fp>\n\u003Cp>\"I’ve handled this condition before, let me!\"\u003C\u002Fp>\n\u003Cp>Zhang Chen, seeing the situation, reached for the equipment and spoke loudly.\u003C\u002Fp>\n\u003Cp>Qin Feng reached out to stop him.\u003C\u002Fp>\n\u003Cp>\"Wait, change your clothes first, I’ll handle it.\"\u003C\u002Fp>\n\u003Cp>He pointed at Zhang Chen’s lab coat and pants, which still had remnants of vomit.\u003C\u002Fp>\n\u003Cp>During rescue and treatment, conditions permitting, one must ensure as much aseptic operation as possible to avoid cross-contamination!\u003C\u002Fp>\n\u003Cp>This is common sense for medical students!\u003C\u002Fp>\n\u003Cp>Zhang Chen looked at himself and immediately understood, withdrawing his hand.\u003C\u002Fp>\n\u003Cp>However, he didn’t leave but instead stared at Qin Feng with a face full of astonishment.\u003C\u002Fp>\n\u003Cp>He will do it?\u003C\u002Fp>\n\u003Cp>How could an intern possibly operate on this special allergy?\u003C\u002Fp>\n\u003Cp>It’s shock, after all!\u003C\u002Fp>\n\u003Cp>But Wei Dajing, standing to the side, didn’t speak. Instead, he had a look of delight on his face and actively moved to a spot with a good view to observe.\u003C\u002Fp>\n\u003Cp>...\u003C\u002Fp>\n\u003Cp>Zhang Chen was speechless seeing this scene, even the supervising doctor wasn’t intervening?\u003C\u002Fp>\n\u003Cp>What if something goes wrong!\u003C\u002Fp>\n\u003Cp>This is a matter of life!\u003C\u002Fp>\n\u003Cp>\"Administer fluids immediately!\"\u003C\u002Fp>\n\u003Cp>Qin Feng ignored his worry and anxiety, immediately instructing the nurse to insert a retention needle in the unconscious boy.\u003C\u002Fp>\n\u003Cp>Rapid fluid replenishment according to shock principles, fast first then slow, first crystal then colloid, added potassium.\u003C\u002Fp>\n\u003Cp>After the onset of shock, due to the drastic decrease in microcirculation perfusion of vital organs, fluid replenishment is crucial!\u003C\u002Fp>\n\u003Cp>Disinfection, wearing gloves...\u003C\u002Fp>\n\u003Cp>Needle insertion, establish venous access, in addition to the retention needle, Qin Feng opened another route.\u003C\u002Fp>\n\u003Cp>One minute later, the fluid mixing was complete; saline, balanced salt solution, glucose...\u003C\u002Fp>\n\u003Cp>These can quickly increase returned blood volume to the heart and cardiac pump output, stabilizing shock.\u003C\u002Fp>\n\u003Cp>Then input plasma, albumin, etc., reducing crystal blood seepage outside the vessels.\u003C\u002Fp>\n\u003Cp>With the entry of fluid into the body, data on the monitor began to decline.\u003C\u002Fp>\n\u003Cp>Heart rate slowly dropped from 202 to 130; in just 3 minutes, shock was basically under control.\u003C\u002Fp>\n\u003Cp>And Zhang Chen was already stunned!\u003C\u002Fp>\n\u003Cp>Mouth slightly open, staring at Qin Feng in astonishment.\u003C\u002Fp>\n\u003Cp>’This... how is this possible? The speed is too fast! Faster than me!’\u003C\u002Fp>\n\u003Cp>He even had a thought in his mind, wondering if this intern had encountered this condition before?\u003C\u002Fp>\n\u003Cp>Hmm!\u003C\u002Fp>\n\u003Cp>It must be like this!\u003C\u002Fp>\n\u003Cp>Otherwise, it would be impossible to recognize such a special condition at a glance!\u003C\u002Fp>\n\u003Cp>He himself only encountered it once at Beijing Hospital, and this guy is quite lucky.\u003C\u002Fp>\n\u003Cp>Qin Feng couldn’t be bothered with his surprise, paying attention to check the body every minute, adjusting the speed and ratio of fluid replenishment, to prevent shock rebound.\u003C\u002Fp>\n\u003Cp>And this process also left Zhang Chen quite amazed!\u003C\u002Fp>\n\u003Cp>Ten minutes later, the symptoms of shock had basically disappeared.\u003C\u002Fp>\n\u003Cp>Isn’t this guy an intern?\u003C\u002Fp>\n\u003Cp>How does he know to adjust fluid replenishment through body checks?\u003C\u002Fp>\n\u003Cp>He’s quite skillful!\u003C\u002Fp>\n\u003Cp>Unconsciously, his gaze towards Qin Feng changed, with a kind of confident appreciation.\u003C\u002Fp>\n\u003Cp>Not bad!\u003C\u002Fp>\n\u003Cp>Looks like he may have wrongly judged him earlier; this intern is a good seed!\u003C\u002Fp>\n\u003Cp>\"Good job, what’s your name?\"\u003C\u002Fp>\n\u003Cp>Thinking about this, he proactively walked over, smiling, and asked Qin Feng.\u003C\u002Fp>\n\u003Cp>???\u003C\u002Fp>\n\u003Cp>\"Qin Feng.\"\u003C\u002Fp>\n\u003Cp>Qin Feng replied plainly.\u003C\u002Fp>\n\u003Cp>\"Alright, I got it.\"\u003C\u002Fp>\n\u003Cp>After saying that, he turned around and left the emergency room.\u003C\u002Fp>\n\u003Cp>Leaving behind Qin Feng and Wei Dajing, along with two equally bewildered nurses.\u003C\u002Fp>\n\u003Cp>Is this guy dumb?\u003C\u002Fp>\n\u003Cp>Shouldn’t hearing the name Qin Feng elicit this reaction?\u003C\u002Fp>\n\u003Cp>Is there really anyone at Jiangcheng City First Hospital who doesn’t know who Qin Feng is?\u003C\u002Fp>\n\u003Cp>Idiot!\u003C\u002Fp>\n\u003Cp>At this moment,\u003C\u002Fp>\n\u003Cp>besides Qin Feng, everyone’s mind simultaneously popped up with these two words.\u003C\u002Fp>",1796,"2026-06-03T05:20:17.806Z","2026-06-03T05:20:20.949Z",1,"novelbin.me","3a3e2a51581610649ea88fc77a81e2533b8e9be333dea7020992aedff234b7a5","check-in-at-the-hospital-the-first-surgery-shock-chapter-64","check-in-at-the-hospital-the-first-surgery-shock-chapter-62",468,"https:\u002F\u002Fnovelzhen.com\u002Fimages\u002Fcovers\u002Fcheck-in-at-the-hospital-the-first-surgery-shock-cover.jpg"]