Gou is practicing medicine in the clinic

Chapter 363 Acute abdomen, obesity and general surgery

"How about I ask her to come over now to accompany you for consultation? I can just learn some medical knowledge from you."

Xiao Linlin said with a joking expression.

For such a big sister who is eleven or twelve years older, Li Jingsheng is really not necessarily her opponent.

"Ahem... let's forget it. People's words are scary. Qinglan calls you Sister Xiao, and you can't bear to see what happens to her relationship, right? You go and do your work first."

Li Jingsheng was scared.

Little girls these days are very brave.

He is so 'excellent' that he is a hot commodity in the eyes of many young female doctors and nurses in the Second Hospital.

Sometimes, Li Jingsheng gets a headache when he meets someone who is willing to cheat.

"Haha, didn't you just say you could withstand temptation? What are you afraid of?"

"I'm not afraid, I'm cautious!"

He stubbornly said.

To say that he can withstand the test, he is really not afraid.But I can't stand the gossip.

People's words are scary, and if they fall into Ou Qinglan's ears, they will pierce her heart like a thorn.

Li Jingsheng was unwilling to do anything that might make her sad.

"It's better to be cautious. Trust is the foundation of marriage. I'm going to get busy first. I'll leave it to you to diagnose these two patients."

She left quickly.

That child's condition was deteriorating rapidly and the cause had to be identified as quickly as possible and then dealt with further.

It really takes a life and is not good for anyone.

Doctors are also flesh-and-blood people, and they cannot just watch something happen to their patients.

After Director Xiao left, Li Jingsheng first checked the inspection data of veteran cadres.

At the age of over 80, his body can still be maintained so well and he has no serious underlying diseases. This is already considered a very good physical condition.

The results of routine stool and biochemical tests were normal.

Bacteria such as dysentery are all negative, and all indicators of stool are relatively normal.There are no abnormal indicators such as pus stool and fatty stool.

After checking repeatedly, he couldn't find the reason.

Prepare to think about it carefully when you have time after work.

It will be more convenient to take photos of the inspection data of veteran cadres so that they can be viewed when free and discussed with Director Lian Tao.

He looked at the time and saw that there were only about sixteen minutes left.

Time must be seized to diagnose another case.

Otherwise, next time I want to ask Xiao Linlin to treat me, I will be embarrassed to open my mouth.

The patient is young, 35 years old, working as a white-collar worker in a company, engaged in planning and sales, male.

Not long after lunch, about an hour later, I suddenly felt severe pain in my upper abdomen.

The patient was brought to the hospital by the 120 ambulance.

This indicates that the problem should be more serious.

The treating doctor has already done some examinations. After the gastroenterology department brought the patient over, they conducted further consultations and examinations.

But in the end, the determination of the cause of the disease, which the young doctor might not have experienced, fell to Director Xiao.

This is also a common phenomenon in small departments. There are only a few soldiers, and the chief physician will basically handle difficult problems.

Unlike those large departments, which have strong troops and many experts.

Even some senior attending physicians can directly handle many problems on behalf of the chief physician and deputy chief physician.

Why is Li Jingsheng popular in orthopedic surgery?

To put it bluntly, his ability to be a good person is only one aspect. What really makes the superior doctors like him is that he can help solve problems at critical moments.

Li Jingsheng can handle difficult cases and critical cases.

Who doesn’t love such a capable person?
"The body temperature is 37.9 degrees, which indicates the presence of fever. The heart rate is as high as 121 beats per minute, but the blood pressure is very low. The systolic blood pressure is 95 and the diastolic blood pressure is 64mmhg. The oxygen saturation is not bad, 99%, which should be normal..."

Li Jingsheng quickly checked the patient's condition.

These data are obtained from inquiries or examinations by the treating doctor.

This is what residents do all the time.

The patient's abdominal examination showed a flat abdomen with no swelling, but a plate-like abdomen.

There was also significant tenderness throughout the abdomen.

This indicates that the lesion area is relatively large.

The rebound pain test is even more obvious.

The results of the abdominal CT in the emergency room showed that there was free air under the diaphragm in the abdominal cavity.

Usually when this happens, the first thing people think of is upper gastrointestinal perforation.

No wonder this case had to be diagnosed by Director Xiao himself.

"If the patient is overeating with this Chinese meal, it's probably an acute abdomen. I'll have to ask."

He took the information and went to the doctor's office to find someone.

"Excuse me, who is Dr. Zhang Ruozhen?"

"I'm!"

A pretty young female doctor raised her hand and looked up at Li Jingsheng who was standing at the door.

"Did you bring this patient named Zhao Changsheng from the emergency room?"

"Correct!"

"The patient developed severe abdominal pain more than an hour after eating lunch. Have you ever asked him what he had eaten?"

"It's just a normal working meal eaten by the company, which should rule out the possibility of food poisoning."

"Is he full with this meal?"

"That...I didn't ask." The female doctor's handsome face turned slightly red.

"The patient is in the ward now, right?"

"Correct!"

"Take me to see the patient. My name is Li Jingsheng. Director Xiao asked me to help diagnose this patient. She is busy with other things."

Li Jingsheng briefly introduced the situation.

"Well, I know you. Director Xiao is my teacher. She has been praising you recently and said that it would be much easier for her if our gastroenterology department could have a young doctor like you. Let me learn more from you. "

"Director Xiao, you are complimenting me! Come on, let's go see the patient quickly. After processing, I have to go back to the orthopedic surgery clinic for consultation."

Li Jingsheng can be regarded as a senior in front of this young female doctor.

Although he is a few years older than the other party.

But in terms of strength, he is stronger than Director Xiao in many aspects.

"plz follow me!"

She smoothed her hair with her hands and tucked it behind her ears, revealing her delicate face.

The skin also looks quite fair.

Recruiting such a beautiful female doctor in the Department of Gastroenterology is good news for male patients.

The two came to the ward and saw the male patient.

His face was pale, sweat was pouring out from his forehead, and his expression was painful.This is for pain.

"Mr. Zhao, did you eat much lunch today?"

"Well, a bit too much."

The patient answered painfully, his voice a little weak.

"In the company's work meal today, there were two dishes that I liked, so I ate more and added rice twice. Did I eat too much chili that caused my stomachache?"

"This possibility cannot be ruled out. In the future, you can eat spicy food in moderation. If the spicy food is too spicy, such as devil's pepper, it can directly cause death. Let me listen to the bowel sounds for you."

Li Jingsheng took the words.

At the same time, I borrowed a stethoscope from Dr. Zhao and listened to the patient’s bowel sounds.

"Don't eat anything, including water. After further diagnosis for you here, there will be a new treatment plan. Don't be too nervous. You should control the amount of food next time and don't eat too much. It will hurt your stomach and intestines. body."

After Li Jingsheng finished speaking, he motioned to Dr. Zhao to talk outside.

She did have some sharp eyesight, and Li Jingsheng followed her with just one look.

"This patient had hyperactive bowel sounds, a fixed location of abdominal pain, and he had obvious signs of peritoneal irritation. In addition, abdominal CT showed intestinal obstruction, free gas, etc. So my initial diagnosis was acute abdomen.

As for the causes of this disease, there are kidney stones, gallstones, acute appendicitis, acute cholangitis, acute necrotizing pancreatitis, acute gastrointestinal perforation, etc.

It is recommended to focus on checking the duodenum. It is more likely that he already has a duodenal ulcer and then overeating caused acute perforation.

The gastroenterology department couldn't handle it and had to be transferred to surgery for surgery. "

Li Jingsheng quickly stated his diagnosis.

Because he had to rush back to the orthopedic surgery clinic immediately.

"Okay, I'll arrange an examination right away and contact the general surgery department to prepare a transfer."

She didn't raise any questions, and she didn't know whether it was because she was honest by nature and was the kind of good girl she had grown up with, or because she admired Li Jingsheng's skills, so she trusted Li Jingsheng almost blindly.

"The cause of the veteran cadre's diarrhea has not been found yet. Tell Director Xiao. I will check again after work."

After Li Jingsheng finished speaking, he left in a hurry.

This busy, another solid afternoon.

At six o'clock, he still had three patients to treat, and Xiao Linlin had already called.

"I really don't know what to say today. We have been busy in the gastroenterology department for most of the day, and all two patients were sent to the general surgery department. The child named Chen Huan has been found to have acute appendicitis, suppuration and perforation, and acute peritonitis. Already Arrange surgical treatment.

Zhao Changsheng's patient also had the same diagnosis as yours. He had an acute abdomen and a perforated duodenal ulcer. He was also referred for surgery.

Alas, it’s all for their general surgery department. "

As the director of the department, she definitely hopes that the patients she treats can create benefits for the department.

All of it was transferred to the General Surgery Department. Not to mention that all the efforts were made in vain, at least the bulk was given to the General Surgery Department.

"As long as we can cure the patients! In the future, the general surgery department may reciprocate and transfer some patients to you."

Li Jingsheng comforted her.

"That's all I can think about. The old cadre pressed me to ask me about the cause of the disease again. I really can't find the cause. Please help me with your troubles. That's it. I have a lot of work to do today, so I won't talk anymore."

She probably made this call because she wanted to give Li Jingsheng feedback on the results of the two patients.

It is also a kind of respect.

Li Jingsheng then took the time to deal with the patient.

When he was about to finish dealing with the penultimate patient, Ye Hui reminded him.

"Master is here!"

Li Jingsheng looked up and saw Ou Qinglan waving to him, holding a packed lunch box.

This is the meal that has been bought for Li Jingsheng.

She quite listened to Li Jingsheng's words. He said that he should save a little and don't go to the hotel to eat, so she simply solved the problem.

"I really envy the love between my teacher and my wife."

Yang Luqing couldn't help but said.

"There is nothing to envy. You will also find your other partner in the future. As long as you treat each other sincerely, tolerate each other, and support each other, you will definitely be very happy."

Li Jingsheng said.

"Doctor Ye, do you have a boyfriend?"

Jin Yanyu suddenly said something.

(End of this chapter)