Gou is practicing medicine in the clinic

Chapter 81

"Okay, little girl, please sit down!"

Li Jingsheng asked the little girl to sit down.

The little girl is wearing anti-myopia glasses, her brows are slightly frowned, and her height is about 145cm, which is neither tall nor short.

"How old are you?"

"11 years old!"

She was a little self-conscious, and lowered her head when answering questions.

It can be seen that her teeth have been straightened, and the wires are still on.

The cost of this kind of ceramic self-ligating bracket orthodontics is not cheap, at least 3 yuan, usually [-] to [-] yuan.

It shows that the parents of this little girl are willing to spend money for the child.

"Which leg usually hurts?"

"Both legs hurt. The right side hurts more."

"How long does it usually take for the pain to go away? For example, the pain lasts for a night, or for an hour or two, and then it gradually disappears."

"In the past, the pain was shorter, and it was fine in a day or two. Now the pain lasts for more than a week."

What a sin.

The child is still so young, but he has to endure leg pain for a long time.

After Li Jingsheng heard this, his expression became more serious.

Prolonged pain and increased pain mean that the disease is progressing.

Pain is a self-protection mechanism of the body. When our body is injured, that part will send out a pain signal to remind the owner of the body that there is a problem with that part.

For example, the most common, burns.

If there is no pain in the hand, if you put it into the boiling water, you will not feel the soup is cooked.

"Are there other pains besides the leg?"

"Recently, I feel a little pain in this part of the shoulder, but it's not serious. Sometimes there will be a slight pain for a while, and the time will not be very long. It may be just a few hours."

Although the little girl is shy and introverted, she speaks clearly and well-organized language.

"Your daughter's usual academic performance must be very good?"

Li Jingsheng said to his mother standing beside him.

"This child is quite competitive and has always been the top two in the class." When the mother talked about her daughter's grades, she was quite pleased and proud.

"You are so good! Amazing!"

Li Jingsheng gave the little girl a thumbs up.

In fact, it's almost like a condom. Next, I will give her a physical examination.

After being praised, she smiled shyly.

"Can you pull up the trouser legs? Let me check the bones of your legs."

Li Jingsheng asked the little girl.

The mother standing next to her has already rolled up her daughter's trouser legs.

You can see that her legs are very thin.

Today's children, the staple food is basically a variety of snacks, coupled with lack of exercise, the body is generally thin.

This is actually not a good sign.

"You're so skinny, you need to eat more!"

Li Jingsheng said with concern.

"This child usually likes to eat snacks such as jelly, spicy, and QQ candy. When it comes to eating, he says he is not hungry, and I feel worried when I look at it." After the mother finished speaking, she trained her daughter again. "Did you hear what the doctor uncle said? Let you eat more food and eat less snacks."

The little girl just nodded, most likely because she didn't mean what she said.

Li Jingsheng secretly sighed in his heart, the child's problems are all caused by the parents' pampering.

If parents do not buy snacks for their children and strictly control the pocket money, the children will not be able to eat even if they want to!
Li Jingsheng tried to palpate the child's legs.

It seems that the tibia of the child's calf is obviously thicker than that of ordinary children, and it feels uneven, and the size seems to be different.

With a little force, the little girl cried out in pain.

He tried to palpate the child's left leg again, and he could feel the same ups and downs on the shin bone of the calf.

Take a closer look at the child's legs. The knees are thicker than those of children of the same age.

I don't know if it's because her legs are too thin that her knees look thick?

Li Jingsheng is not good at orthopedic diagnosis, nor is he good at pediatrics, he just knows a little bit.In fact, every clinical medical student has the potential to become a general practitioner.

But in the end, due to limited time and energy, and different hobbies, most of them will choose a subdivided medical field they like.

For example, Li Jingsheng focused on the field of respiratory medicine.

Staring at the little girl's knees and leg bones, Li Jingsheng tried hard to think about the diseases related to these symptoms.

In the end, he dejectedly realized that he was too good at it.

I can't find any useful diagnostic direction.

This happens because of the low level and superficial knowledge, which makes it impossible to apply what you have learned.

Lack of diagnostic experience in related fields is also a reason.

"It seems that we can only hold Buddha's feet temporarily!"

He has no clue about the diagnosis, so he can only find ways to improve his medical level and diagnostic ability.

The attribute panel is his biggest Buddha.

The girl's mother stood by and waited patiently for Li Jingsheng's diagnosis without urging her.

The little girl showed a painful expression from time to time.

The pain in her leg was tormenting her.

Li Jingsheng was contemplating on the surface, but actually he quietly opened the attribute panel with his consciousness.

Grade: senior resident physician 657.2/1000
诊断：呼吸内科精通118.9/500，胃肠内科熟练22.7/100，普外科熟练24.1/100，心血管内科精通110.1/500，肝胆内科入门0/10。

He was surprised to find that the experience value of the level had increased by 54.

Level experience is the most difficult to increase, how can it increase so much at once?
When he discovered that there was an extra hepatobiliary medicine diagnostic skill, he immediately understood what was going on.

It must have been a major breakthrough in diagnosing the cause of the man in the black jacket just now, which made his diagnosis of hepatobiliary medicine reach the entry level.

In the more than nine months since he opened the clinic, he has read most medical books on digestive tract internal medicine.

The Department of Gastroenterology has a little foundation before. After opening the clinic, it has reached the entry level because it often needs to prescribe stagnation medicine, digestion medicine, and gastritis medicine to patients.

Now the diagnosis of hepatobiliary medicine has reached the entry level, which is a great benefit and a great improvement for the diagnosis of gastroenterology.

I have been studying hard for the past few months, and the diagnosis of hepatobiliary medicine has not made much progress.

I didn't expect that planting flowers deliberately would fail, but planting willows and willows would become cute unintentionally.

Because of today's diagnosis, he accidentally contributed to the entry-level diagnosis of hepatobiliary medicine.

Sometimes it's just so weird.

No one knows how exciting tomorrow will be.

He was pleasantly surprised to find that not only was there an additional diagnostic skill, but also his diagnostic proficiency in gastroenterology had increased by a full 10 points.

Under normal circumstances, with so much level experience added, the life value will definitely increase a lot.

Health: 328.

A full 101 points of health were added.

It seems that earning life points is not that difficult as long as you find the right way!
When you learn a new medical skill, you can get at least 10 health points.

There should be other reasons for the increase of 100 points this time.

For example, helping a patient to diagnose the cause is tantamount to indirectly saving the patient's life.

That man saw a doctor as if he was engaged in underground work, and he didn't ask for a fee when he left.Not even a symbolic mention.

There is a kind of person called an iron rooster.

Don't look at the economic conditions are good, but very stingy.

As long as there is no major problem with his body, he will not go to the hospital.

why?Afraid of spending money.

There have been people like this since ancient times. After they die, they have to see which coffin is cheap.

The liver and kidney are very special organs. Once they have lesions, they cannot be reversed once they have progressed to a certain extent.

Such as the most common hepatitis, nephritis.

When nephritis progresses to the late stage, it will become uremia. I believe many people know this.

Apart from dialysis and kidney transplantation, there is no other option.

It is also difficult to reverse the progress of hepatitis in the middle and late stages, liver function will gradually be lost, and terrible liver cancer will follow.

Don't think that if you cut off half of your liver, it will grow back. It's very patient.

In fact, the liver is much more fragile than imagined. If fatty liver is not treated in time, it may cause irreparable consequences.For patients with liver cirrhosis, it is good to take medicine for life.

Li Jingsheng helped the man diagnose liver problems and persuaded him to see a doctor in time, wouldn't that mean saving a life?

Looking at the 300+ HP, he felt that he could squander it again.

(End of this chapter)