It's not that hard to open a hospital in another world, right?

Chapter 418 Hear the light spot with your ears?

Elder Gu Shan let out a scream.Around the hospital bed, there was a small commotion among the barbarian crew gathered in a circle.

"Can't it be treated directly..."

"That's right, we elders, we treat him directly every time..."

"It hurts so much, why do you need to press..."

Gretel didn't even have to look back to know that they were questioning him.Maybe, because he caused the elder's pain, he was also a little annoyed.

Fortunately, these doubts are limited to lip service.Whether it was because he had cured a few people, or because Ms. Yinlong was in charge, in short, no one abused them, let alone attacked them.Thank goodness, Amitabha.

The only intervention was Ms. Yinlong, who poked her head and asked curiously:

"Hey little guy, what are you pressing?"

"I see what's wrong with him..."

The voice became lower and lower, turned into a whisper, and then turned into a silent murmur.Don't be pancreas, don't be pancreas, don't be pancreas...

Tension in the right upper abdominal muscles, tenderness in the right upper quadrant, and severe pain after eating, first consider gallbladder and pancreas problems.However, he can still live if his gallbladder is removed. If his pancreas is removed, he doesn't have insulin on hand!

It's really reached that point, boss, your healing skills must be strong!Even if the pancreas is necrotic, it must be rescued!

Gretel continued to palpate while praying.The liver is a normal size, the gallbladder...the gallbladder feels a little off.As for the pancreas, the pancreas is relatively deep and cannot be touched by touch.

Gretel switched hands, placed the palm of his left hand flat on the old man's upper right abdomen, raised his thumb, pressed it against the gallbladder point under the right rib, and ordered in a deep voice:

"Breathe deeply!—inhale!"

……no response.The old man was throbbing in pain and ignored him...

"Breathe!" Someone behind him repeated the command.The voice was clear, high-pitched, undeniable, and it was the voice of Ms. Yinlong that he was familiar with these days.The elder trembled, followed the password instinctively, and took a deep breath——

The diaphragm moves down, and the abdomen bulges, driving the gallbladder to move down together.Moving halfway, he touched Gretel's thumb waiting below, and a sharp pain came immediately.

The old man's forehead was covered with cold sweat, and he instinctively held his breath.The belly that had just swelled a little, froze in place, and even shrank a little.

Gretel breathed a sigh of relief.Murphy's sign is positive, typical Murphy's sign is positive.With this sign, acute pancreatitis can be ruled out.Basically, it can be determined that it is a problem with the gallbladder!
"Little mage, do you see where the problem is?" Ophelia asked with a smile behind her.Gretel nodded slightly:

"Preliminarily determined. I will investigate in detail."

He continued to press along the patient's upper right abdomen.Finding out that it is a gallbladder disease does not mean that you can stop there.

Cholecystitis itself will have a bunch of complications. Besides, other diseases may also occur at the same time, such as cholecystitis combined with acute appendicitis, which is not uncommon——

Examination of the left upper quadrant showed no abnormalities!
Physical examination of the left lower abdomen was normal!

Examination of the right lower quadrant was normal!

The sphygmomanometer hasn't come out yet, the electrocardiogram hasn't come out yet, and the routine blood test can't be checked... OK, then the next thing is X-ray and B-ultrasound...

By the way, can B-ultrasound and X-ray be done under tranquillity?

Gretel quickly turned his brain. X-rays are definitely possible, he has tried many times.Tranquilization, and similar divine arts, are based on the principle of cutting off the pain perception of the central nervous system, and confining the limbs so that people cannot move.As for whether the muscles can still work...

The recipient can still breathe normally, and he also felt the strength of the muscles tensed during the laparotomy before.From this, it can be inferred that the control of the nerves to the muscles should not be completely cut off, and the digestive tract can move normally?
At least the smooth muscles are still working normally, well, that should not affect the detection of B-ultrasound.As for whether there is mutual interference between magic and magic, that is another topic.

"Ma'am, please relieve the pain for him." He half turned around and nodded slightly back.Then he touched his chest pocket, pulled out the [Endless Ink Pen], and stuffed it under the old man...

……

……

can't see anything...

Obviously, Elder Gu Shan's professional level has far exceeded level four.

In other words, with the circle of patients that Gretel has come into contact with now, the [Endless Ink Pen] is almost not enough, and the X-ray light source should be replaced with a shotgun.

Now, in front of Ms. Yinlong, is it appropriate to ask her niece to borrow the tiara?

Will it be treated as a scam?

Gretel hesitated for a moment and decided to do a B-ultrasound first.Fortunately, there is no grade limit for B-ultrasound. With a swipe of glycerin, the fingertips touch it, and there is immediate feedback in the meditation environment.

"what?"

The two silver dragons looked at each other.Cerilla's ears were stretched out, and unconsciously, she had already appeared in the shape of a dragon; Ophelia would not show her dragon ears, but she couldn't help but take a step forward, and the air outside her ears, as seen with the naked eye, A circle of thin ripples appeared.

"What did you hear?"

"sound."

"Yes, a very sharp, very weak voice... Can you tell where there is a disease just by this voice?"

The aunt and nephew looked at each other, but they couldn't tell why.Taking advantage of Gretel's unpreparedness, Ophelia quietly released a loudspeaker magic, and the voice was directly transmitted to her ears:

"The echo of the liver parenchyma is enhanced, the light spots in the liver are thick and uneven, and there are spots...the wall of the bile duct is rough and thickened, and the echo is enhanced...the gallbladder is enlarged, the wall of the gallbladder is thickened and rough, no stones are seen...a ring around it Hypoechoic area...no obvious abnormalities in spleen and pancreas...no abnormalities in both kidneys...intestine...bladder...pelvic cavity..."

I didn't understand anything other than "no abnormality seen".And, since it is distinguished by sound, why does he talk about things like light spots and thickening?

Ophelia was curious.Otherwise, discuss it with him later, teach him more magic, and replace it with this method of diagnosing illnesses with voice?
She was taking inventory of the inventory, considering how many magic spells she could exchange. Gretel had already wiped off the glycerin used for B-ultrasound, and turned around.With solemn eyes and slight worry:

"It should be cholecystitis. Acute, non-calculous cholecystitis. The pain is so severe, combined with the course of the disease, consider perforation—"

"Blade problem? It's easy to cure!" Ophelia was eager to discuss spells with Gretel, and threw the healing spells away.one, two—

"Huh? Why isn't it all right?"

"...I haven't finished." Gretel wiped his sweat:

"His gallbladder is unlucky, it has already formed gangrene. The treatment needs to be strengthened, and after it is cured, it is recommended to drain some bile. I suspect there are other problems—"

(End of this chapter)