novelslam Chapter 356
Chapter 356
Chapter 356
Lin Feng returned to the emergency department from icu,
“Doctor Lin is back…”
“Quickly, nurse girl, transfer me to Doctor Lin.”
“I want to turn…”
“I’m going too, the doctor I saw is not as handsome as Doctor Lin…”
A group of aunts, aunts, uncles…have flocked to the nurse’s station.
Other doctors: “…………………………”
I’m on a horse!
We seem to be despised by patients!
Shocking and cold!
When will Pu Chou stand up?
Lin Feng, the enemy of a lifetime! !
Huh…………With fewer patients, don’t we feel relieved?
Well, it smells so good!
Doctor Lin is here well!
…
Lin Feng greeted the grieving and happy complex gazes of many doctors and returned to the No. 3 consultation room.
Open a consultation.
Turn on the call machine.
“Please visit Yuan*feng to the third clinic…”
Soon, a young man turned pale, clutching his stomach, and then he was helped in by another young man.
“Doctor Lin…”
“Sit… Tell me about the situation…”
Lin Feng said as he tapped the patient’s information and opened the patient’s medical record page in the hospital system.
·Patient, male, 22 years old.
“Dr. Lin, I didn’t know why last night. I had abdominal pain and diarrhea. At first I thought it was ordinary acute gastroenteritis. I bought some medicine for myself, but the effect was not good.”
“Then the abdominal pain worsened in the middle of the night, and it became nauseous. I vomited 3 times in the middle of the night… This morning, I came to the hospital…”
When Lin Feng heard it, the first reaction was “acute gastroenteritis.”
“Did you eat anything unclean last night?”
“No, I’m from Mizuki University, and I eat food from the canteen…”
Lin Feng nodded.
Although the food in the canteen is unpalatable, if a student has acute gastroenteritis, there will definitely be many other students who will also have acute gastroenteritis.
However, the patient is relatively young, and most of the abdominal pain is a minor problem. If you are middle-aged and elderly people, you have to be more vigilant.
Therefore, Lin Feng is not in a hurry…
“Where does it hurt?”
“Here… (pointing to his lower right abdomen)…”
“Is it appendicitis?”
Lin Feng took a look at this location, it was the location of the appendix.
“Lie down on the bed, let me see…”
Lin Feng wants to perform a physical examination on the patient.
Putting on the gloves and pressing the right lower abdomen, the patient seemed to have some pain, but it was not much worse than before.
The entire abdomen is still soft, it cannot be acute peritonitis or intestinal obstruction.
Consider appendicitis mostly.
“Did you have pain in this position (lower right abdomen) at the beginning? Will there be pain around the belly button at the beginning? Then transfer to the lower right abdomen?”
Why does Lin Feng ask that?
Because,
In typical appendicitis, it is not pain in the right lower abdomen at first, but pain around the navel, and then gradually manifests as pain in the right lower abdomen, which is called “metastatic right lower abdomen pain.”
Why is there such a phenomenon?
Because the appendix nerve is fed by sympathetic nerve fibers through the abdominal plexus and small visceral nerves, appendicitis is mild at the beginning, and the pain is transmitted to the brain through the nerve fibers, and the brain mistakenly believes that there is a problem around the belly button.
Later, the inflammation of the appendix worsened, and the brain really discovered that the problem was the appendix in the right lower abdomen. At this time, the pain was fixed in the right lower abdomen.
so,
“Metastatic right lower abdominal pain” has become a typical feature of appendicitis (statistical significance is 70%-80%).
“No…I always have pain in the right lower abdomen, no pain around the belly button…”
“good……”
Lin Feng nodded.
However, despite what the patient said, appendicitis cannot be ruled out.
“Go for a abdominal ultrasound, or CT. By the way, take blood for a blood test, a urine test…”
Student Yuan hesitated: “Dr. Lin, how much is a B ultrasound? How much is a CT?”
He is actually quite afraid of spending money, after all, he is a student.
Lin Feng explained: “B-ultrasound is a bit cheaper, but it may not be able to see clearly if the examination is confirmed. If the diagnosis is not confirmed by that time, you may have to do a new CT (aicd), which costs two cents. CT is a bit more expensive. …However, in order to see a doctor, you must do one of these two examinations…”
“This… Then I choose CT…”
Yuan student was afraid that in case the B-ultrasonic really didn’t see it clearly, it would be really daunting to add a CT.
“Then CT + blood routine + urine routine…”
“Okay…”
…
after an hour,
The patient returned with the blood test, urine test, and CT results, and found Lin Feng.
· Blood routine, except for higher white blood cells, other electrolytes, coagulation indicators, etc. are normal.
·Urine routine, no problem…
·The appendix, there is no problem at all, no signs of swelling…
·The liver, gallbladder, pancreas, spleen, colon, small intestine, kidney, and ureter also look all right…
Now, Lin Feng was puzzled.
If it wasn’t appendicitis, what would it be?
Could it be the heart and lungs? Or thromboembolism?
Of course, the patient is 22 years old, too young, and the possibility is very small, unless it is congenital.
“Do you have a history of heart disease?”
“No……”
“High blood pressure, diabetes?”
“nor……”
Lin Feng stopped his heart and lungs.
There is really no problem…
Exclude… exclude… exclude…
Then, Lin Feng began to consider more detailed diseases.
The causes of abdominal pain are very complicated, and there are hundreds of them. They need to be investigated one by one. The most serious ones should be eliminated first, and then the others will be considered…
Before starting the investigation…
Lin Feng couldn’t help it again: “Apart from your lower right abdomen, do you have any other discomforts?”
Student Yuan blushed and twisted a little:
“My egg…it hurts…”
Lin Feng heard this, a flash of lightning passed in his mind!
Egg egg inflammation! !
Since the nerves that innervate the egg may cross with the nerves of the abdominal organs, when the egg is diseased, there will be obvious scrotal swelling and pain, as well as abdominal pain, nausea, vomiting and other reflex pain.
His face suddenly became serious.
“Why are you talking now!!”
“This…” Yuan student was a little embarrassed, and quite innocent.
Lin Feng urged: “Quickly, lie down on the bed!”
Lin Feng puts on his gloves and prepares to check…
Skill activation: Monkey steals peaches! !
Funny~~~~
————————————
ps: The three shifts are over…
Little knowledge: one big and one small, one up and down, are all normal.
The right side is often larger than the left side, but it will not be worse than 20%, otherwise there is a problem.
One egg, or multiple eggs, there are…
Finally: Eggs are not easy to lay, do it well and cherish it~~
. .