This doctor has a system

Chapter 509 572. Young man, why are you so shy?
Dr. Ma Qianqian from the Department of Gastroenterology was quite smart and immediately started a consultation.

The second-line doctor in the general surgery department strongly condemned her behavior, but there was nothing he could do. He pinched his nose and looked at the patient, and thought that it was not an acute abdomen.

"My stomach is all soft," he said. "Let's ask the internal medicine department to check it out."

"By the way, it would be best to do an enhanced CT scan of the abdomen."

Dr. Ma Qianqian is naturally aware of this. As the saying goes: If you don’t strengthen your abdomen, you are just being a hooligan.

At the same time, she also thought of a disease: mesenteric artery embolism. If the patient has atrial fibrillation, a blood clot will form in the atrium. Once the blood clot breaks off and falls into the mesenteric artery, it will cause small intestinal artery embolism.

This will lead to intestinal ischemia and hypoxia, and the patient will experience abdominal pain, nausea, bloody stools, etc. If misdiagnosed and not treated in time, serious problems such as intestinal necrosis may occur.

However, the patient had no history of atrial fibrillation and no obvious abnormalities were found during cardiac auscultation, so the basis for this diagnosis was not sufficient.

But as long as it is considered, it still needs to be checked.

The diagnosis of mesenteric artery embolism is also confirmed by enhanced CT of the abdomen.

Ma Qianqian talked to the patient and he quickly agreed. Since he has been admitted to hospital, let's check it out in detail.

At the same time, the patient underwent an electrocardiogram and chest X-ray.

An electrocardiogram is a must for every hospitalized patient, especially if there is chest pain or abdominal pain.

Although the patient is young, it is unlikely that he has myocardial infarction, and myocardial infarction is mainly caused by chest pain, which is unlikely. However, myocardial infarction is happening at younger and younger ages, and many patients with myocardial infarction present with abdominal pain, so we should not take it lightly.

After struggling for most of the day, the patient finally completed all the examinations prescribed by the doctor and felt like he had successfully passed the test.

Dr. Ma Qianqian from the Department of Gastroenterology looked at the results and frowned.

"Doctor, is the problem serious?" The patient began to get a little nervous.

"No big problem." Doctor Ma said, "Just a little bit high blood lipids."

"Then what's going on with me?" The patient was a little anxious. He had done so many tests, could it be that they still couldn't find the cause?
"How is your pain now?" asked Dr. Ma. After the patient was admitted to the hospital, she gave the patient an additional 40 mg of phloroglucinol injection.

"It seems to have eased a lot." The patient felt it carefully and now only felt a little pain.

Could it be that there really was no serious problem and the patient just had acute gastroenteritis? Doctor Ma thought that the pain was caused by intestinal spasm?
"How about this, since the symptoms have eased, let's stay in the hospital for two days to observe and see." She suggested, "Sometimes not being able to find out the problem is not a bad thing."

"It could be that there's nothing wrong with you."

The patient thinks it is right, it is better than the doctor telling him that it is a tumor.

But at night, the pain worsened again, which made the patient and Dr. Ma worried.

"Director Hu, please take another look. Is it still a problem with your surgery department?" Ma Qianqian said. The patient kept crying in pain last night. He felt better after taking phloroglucinol, but the pain started again as soon as the effect of the medicine wore off.

The doctor on duty had no rest all night and was quite resentful during the morning meeting.

Director Hu of the General Surgery Department carefully examined the patient and found nothing.

"Director Gao, come here."

Gao Feng looked at him speechlessly. He was watching during the physical examination, so how could he come?
"What did you do before you got sick?"

"Eat and then go home," the patient replied.

"Be more specific." Gao Feng said.

"I went to Haidilao for hotpot. I like strong flavors, so I put a lot of chili rings and minced garlic in it, then added soy sauce, chopped green onions and coriander."

“We ordered a lot of dishes, including two large plates of beef and mutton.”

"After eating and drinking, I went home to be with my girlfriend," the patient said, "then I took a shower and went to bed."

"Next... um... do I need to say this?"

"No need, I already know." Gao Feng said.

"That's good." The patient breathed a sigh of relief. "I was a little embarrassed."

After asking around, it seemed like there wasn't any big gain, and everyone was quite disappointed.

Many times doctors can find the cause quickly, but if this happens, it will be relatively troublesome.

After all, there are dozens or hundreds of causes of abdominal pain, such as abdominal epilepsy, allergic purpura, porphyria, etc., which need to be considered and checked step by step.

"Details determine success or failure: Dong Bo's abdominal pain seems to have no known cause, but it is actually not complicated. You just lack a pair of eyes that can discover the details. Please make a clear diagnosis for the patient within half an hour. If you fail, 5 skill points will be deducted. If you succeed, you will gain 10 skill points." The system issued a task.

Lacking the ability to see details? Gao Feng was stunned.

That’s not right. The physical examination just now was very detailed, and it seems that nothing was missed in the inquiry of medical history?

What else had he not noticed?
The patient, Dong Bo, is not good-looking, in fact he looks a bit like a clown, but he looks very strong and has abdominal muscles.

His girlfriend is very beautiful, with long legs and a pretty face. The two of them together feel like a bunch of flowers stuck in cow dung.

Of course, this seems to have nothing to do with the illness.

Gao Feng thought about it and decided to do another physical examination himself.

It’s not that he didn’t trust Director Hu, but he was very curious about the details prompted by the system.

This time Dong Bo was asked to take off all his clothes.

"This"

"What's the big deal? You're a grown man." Director Hu said, "Hurry up."

"If you keep procrastinating, I'll have to help you," Director Hu threatened.

"I'll do it myself!" Dong Bo said quickly, and soon he was left with only a pair of shorts.

Gao Feng touched his whole body carefully, but the result disappointed him.

Just when he was about to give up, he suddenly saw Dong Bo's shorts.

"Take this off, too."

"No way!" Dong Bo said he couldn't understand. "Can I have a little privacy?"

"Hurry up!" Director Hu said, "Director Gao is responsible for you."

"You're a grown man, and you think we want to see it!"

Although Director Hu was unclear about Gao Feng's intention, it did not prevent him from asking the patient to cooperate.

"Then can Dr. Ma be allowed to leave?"

"I'm too lazy to see you." Doctor Ma Qianqian curled her lips and turned to walk out of the ward.

Dong Bo reluctantly took off his panties. "Open them, you're holding them so tightly that we can't see anything." Director Hu said unhappily, "Young man, why are you so shy?!"

"Just stay in the bathhouse by yourself, hurry up!"

Dong Bo took a deep breath and moved his thighs.

"Hiss" everyone exclaimed in shock.

Director Hu couldn't help but exclaimed, "You're not a silver spear wax head, right?"

"How is that possible!" Dong Bo said hurriedly, "It is worthy of the name."

After he finished speaking, he glanced at his girlfriend and said, "Yueying, tell the doctors that I am not lying."

"Are you mentally ill?" My girlfriend's face turned red and she turned around and left the ward.

"Don't move, I'll check the individual." Gao Feng said.

Dong Bo was shocked. “Is this appropriate?”

"Boss, wait a moment." Li Youliang quickly stopped him and ran to the nurse's station to ask for a pair of examination gloves.

"What's wrong with touching it?" Director Hu widened his eyes again.

"Dong Bo said in embarrassment, "But there is nothing wrong with me, there is no need to do this"

"It's not up to you to decide whether there is a problem or not. We are the doctors." Director Hu said coldly, "If you don't want Director Gao to check, I can do it."

He crossed his hands and pressed his fingers together, causing a crackling sound to appear from his joints.

Dong Bo subconsciously clamped his legs together, "What are you doing?!"

Gao Feng couldn't help laughing. Look how scared the child was.

He put on surgical gloves and motioned for Dong Bo to cooperate. As he gently applied force to the hand on the side he was examining, Dong Bo frowned.

"Stop! It hurts!"

"Does it hurt on the right side?"

"Yes." Dong Bo said with a frown.

"Have you been in pain these two days?" Gao Feng asked.

"Yes."

"Then why didn't you tell me?" Director Hu was furious. "You are asking for trouble by hiding your illness!"

"No, what does this have to do with stomachache?" Dong Bo said after a moment of silence.

"This has happened before, and it's fine after a few days of rest."

"It was just a simple squeeze?" Director Hu confirmed.

"Yes." Dong Bo said, "I am a young man after all, this makes sense, right?"

"You have no sympathy for women." Director Hu's tone was a bit complicated. "Don't do this again in the future. Look, you've been hurt too."

"My girlfriend asked for it. She likes it this way," said Dong Bo.

"Director Gao?" Director Hu called out when he saw Gao Feng hadn't spoken for a long time.

"Director Hu, call a urologist for consultation." Gao Feng stood up. "The abdominal pain may be related to this."

"Is it related to this?" Director Hu was stunned.

"Yes, it could be epididymitis."

Acute epididymitis is relatively common, and is more common in young and middle-aged men. It may be caused by factors such as sitting for a long time, holding urine, and unclean sexual life.

Will epididymitis cause abdominal pain?
It really does.

The urology doctor came over quickly and agreed with Gao Feng's opinion.

"You can do a color ultrasound to see, and if it's the case, transfer it to us."

"Don't worry." He comforted the patient, "If treated in time, the vast majority of people can recover."

Gao Feng felt a small sense of accomplishment in his heart, as it seemed that he had found the cause of the disease.

But what surprised him was that the system had not yet issued the reward.

"system?"

"The mission is not completed." The system prompts.

Do I have to wait for the results of the color Doppler ultrasound?

The ultrasound doctor praised, "Don't be afraid, this is a non-invasive test and it doesn't hurt."

He looked at it carefully and his expression changed immediately.

"Why does it look like there is a blood flow obstruction?"

As soon as these words were spoken, everyone suddenly became nervous.

If it is epididymitis, the local blood flow will be abundant because inflammation causes congestion. However, the color ultrasound shows that the patient's local blood flow in the epididymis is obstructed, which is a very big danger signal.

The ultrasound doctor said, "This cannot be delayed any longer."

"Hurry up and prepare for surgery!" The urologist started making phone calls.

Gao Feng had not expected this situation. How could he have testicular torsion?
"Doctor, is my condition serious?" Dong Bo also realized that something was wrong, and his legs began to tremble. "Can we not have surgery? I'm scared!"

You know, if the torsion can be reversed within 5 hours.

If it exceeds 24 hours, necrosis is almost inevitable, and in most cases the only option is to remove it with great pain.

Dong Bo was stunned for a moment, then became excited.

"Hurry up and push him into the operating room!" he shouted, "Quick! Immediately! Immediately!"

"Surgery! I want surgery right now!"

"Let me sign it now!!!"

Dong Bo was rushed into the operating room and underwent an exploratory surgery under spinal anesthesia.

He was conscious from beginning to end, but his lower body lost consciousness due to anesthesia. It would be a lie to say he was not afraid, he was extremely scared.

He didn't even dare to look!
(End of this chapter)