Gou is practicing medicine in the clinic

Chapter 82

Now the little girl clearly has femur lesions in her legs.

At least Li Jingsheng felt abnormal.

Which diagnostic skills should be improved?He couldn't help but make a mistake.

Kong has more than 300 health points, but can't find suitable diagnostic skills to upgrade.

Internal medicine, gastroenterology, hepatobiliary medicine, and cardiovascular medicine can all be excluded.

Then only the diagnosis of general surgery and the bones are barely side by side.

General surgery is known as the original department of surgery, and it was an all-rounder in those days.

After these years of progress and development, it has gradually evolved from general surgery to separate cardiology, thoracic surgery, neurosurgery, brain surgery, bone surgery, etc.

Therefore, general surgery can actually be called a hodgepodge of surgery.

Li Jingsheng has only learned five diagnostic and medical skills so far, which is already very good.

Most doctors only have one or two diagnostic skills.

A person who devotes his whole life to a thorough study of medical diseases and mechanisms in a certain subdivided field is the existence of the master series.

In fact, very few people can do this.

There is no limit to learning, even if it is just the most common respiratory medicine, it is enough for a person to study and study for a lifetime.And even so, it is still impossible to learn everything.

If Li Jingsheng didn't have the super-defying golden finger of the attribute panel and specialized in so many medical fields at the same time, he would definitely die.

Because countless medical predecessors have proved with blood lessons that it is best to specialize in a subdivided medical field.

With that energetic and talented person, it is already the limit to specialize in two sub-fields at the same time.

"I can only try to improve the diagnosis of general surgery to the proficient level first, and try the effect!"

At this moment, he felt that his medical skills were still not enough.

A little too little.

If people know that he already has five diagnostic skills and say that he is less, he is afraid that he will be beaten to death by other doctors.

It can only be said that human desires can never be satisfied.

General surgery is a field that his small clinic plans to focus on. It will be a matter of time before its proficiency is raised to the proficient level.

Now with more than 300 health points, he is naturally rich and powerful.

Once you have made your decision, don't hesitate any longer, decisively consume 76 points of health, and your proficiency in general surgery diagnosis will be directly raised from the proficient level to the proficient level of 100.1/500.

It feels good to have 'money'.

Many dreams that were once unattainable can be quickly realized.

In the past, if he survived until the age of 60, he could upgrade general surgery to the proficient level, which would be regarded as a high profile.

The reality may be a little more cruel. His small clinic does not receive a few surgical patients a year, and he is still rolling at the proficiency level when he is 60 years old.

After the promotion of general surgery diagnosis, he felt it carefully, and was shocked to find that the improvement of surgical diagnosis ability was not a little bit, but directly changed from a river to a lake.In the past, I only knew a little about some common traumas.

At this moment, I have a certain awareness and understanding of many general surgery diseases such as liver, biliary tract, pancreas, gastrointestinal, anorectal, vascular diseases, thyroid and chest tumors and trauma.

Although it mainly focuses on diagnosing the etiology, it also has some inspiration and help for his pharmacology and surgical skills.

As his proficient level of medical skills increased, he discovered that there was a certain relationship between all medical skills.

It's kind of complementary.

The improvement of general surgery clinics, along with the adjustment of electrolyte balance, infection medication, and the development of emergency medical quality have all improved to a certain extent.

Subconsciously looking at the two medical skills of the prescription, the proficiency in the efficacy of the medicine was automatically increased by 10 points.

The drug generation increased a little less, and the proficiency was automatically increased by 5 points.

It is an unexpected gain that the proficiency of these two medical skills has improved so much.

Li Jingsheng's medical skills improved so much in an instant, and when he diagnosed the little girl again, he finally had a sliver of confidence and confidence.

"Mom, my leg hurts, it hurts!"

When the little girl told her mother, her voice was trembling, and the facial features on her face were slightly distorted.

You could see the bulge of her cheeks as she gritted her teeth.

"Doctor Li, do you think there is a way to do this? Every time the child hurts, it feels like cutting flesh in my heart."

The child's mother was so anxious that she almost shed tears.

"I can understand your feelings. I am also very sad as a doctor to see my child in such pain. To solve this problem, we must find out the reason. My small clinic has limited equipment and conditions. In fact, it is more recommended Take your child to a big hospital for a checkup."

Based on his professional knowledge and experience, Li Jingsheng felt that this little girl was definitely not suffering from calcium deficiency and rapid growth, causing leg pain.

"Don't get me wrong, I didn't mean to urge you. We must trust you when we come here."

The girl's mother thought that Li Jingsheng was upset by being urged, and wanted to drive them to a big hospital.

Li Jingsheng has always been very tolerant towards family members and patients, and he really wouldn't push people away because of such a trivial matter.

"Thank you for your trust. I will try harder. At least it would be good to be able to find out what caused the leg pain."

Li Jingsheng stared at the little girl's legs again.

She is gently rubbing her knees and shins with her little hands.

"Did you take your child to the hospital for an examination or was it three or four months ago?"

"Yes, it's been almost four months. The doctor at the Pediatric Hospital simply asked, and then said that it might be caused by calcium deficiency, let us buy two bottles of calcium tablets and eat."

"Did the child have big knees when he was a child?"

Li Jingsheng asked again.

"No, it should be that the knees have gradually grown bigger over the past year or so. The child may have grown faster in the past two years!"

Mom didn't care about that.

After Li Jingsheng finished asking, he began to lower his head and meditate again.

The family members did not dare to speak out this time and waited quietly.

"Little friend, let me check you again. If it hurts, tell uncle."

Li Jingsheng couldn't help feeling distressed when he saw the little girl's painful expression.

Pain is the enemy of mankind.

Every doctor is a holy warrior who eliminates the disease.

Li Jingsheng tried to pinch her knee, and she immediately groaned in pain.

But did not speak.

This kid is quite sensible.

Enduring the pain and cooperating with the doctor's examination, I must hope that Li Jingsheng can help her find out the illness and relieve her pain.

"Why does this skin feel a little hot?"

Li Jingsheng's first reaction was inflammation.

It's just that I haven't heard that arthritis can cause local skin temperature to rise!

He immediately took an infrared thermometer and measured the skin temperature of the child's legs.

37.5 degrees.

37.4 degrees.

36.7 degrees.

The temperature difference is huge, the forehead temperature is only 36.7 degrees, but the temperature of the legs, calves and knees is as high as 37.5 degrees.

The skin temperature of the left leg was also 37.4 degrees.

This is not normal.

"The local skin temperature increased, the bone pain was severe and lasted for a long time, the pain continued to progress, the knee was much wider than that of children of the same age, and the calf tibia felt uneven when palpated..."

Li Jingsheng linked all the symptoms with the medical history of up to four months to make a comprehensive diagnosis.

Exhausting all the knowledge I have learned in my life, I try to think about the diseases that may cause these symptoms.

Suddenly, he thought of a terrible disease name.

bone cancer.

All the signs of this child are too much like bone cancer.

And it is very likely that transfer and diffusion have occurred, reaching the shoulder position.

Bone cancer in children is relatively rare, and the bones of the extremities are often affected first.The most common symptom in the prodromal period is pain, especially joint pain, redness and swelling, and lumps.

There are also children with varicose veins in the lower limbs.

The little girl did not see varicose veins for a while.

However, doctors are only mortals with inner eyes, and can only see the superficial veins, but cannot see the deep veins of the lower extremities.

"The child's knee is very large, probably due to joint swelling caused by bone cancer. In this case, the pain level will be very high, second only to trigeminal neuralgia. At such a young age, I really don't know how much pain I endured."

After Li Jingsheng had a preliminary diagnosis, his mood became extraordinarily heavy.

Bone cancer is extremely difficult to cure, and the recurrence rate is very high.

Moreover, the cost of the operation is extremely cruel, and amputation is considered good if it can save one's life.

The little girl reported that her shoulders have also started to hurt recently, and she was afraid that cancer cells had begun to invade the arm bones.

"I suggest that you take your child to a big hospital for a leg bone examination immediately tomorrow. My small clinic can't cure this disease at all."

Li Jingsheng said in an extremely low tone.

"Doctor Li, this is..."

The child's mother thought that something had annoyed the doctor again.

Li Jingsheng looked at Tang Ping, "Sister Tang, take the child over there to play and wash some fruit for the child."

As soon as Tang Ping heard this, she knew what Li Jingsheng wanted to say to her parents, and she didn't want her children to hear it.

Li Jingsheng only spoke when Tang Ping took the child away.

"I just diagnosed the child, and the result is very bad."

Li Jingsheng said tactfully.

"She, isn't she calcium deficient? What kind of disease is she suffering from?"

When the child's mother heard this, she immediately became nervous.

"Initial suspicion is a mass."

Li Jingsheng still put it more tactfully.

"What, what do you mean?"

"It's possible that there is a tumor on the bone. You'd better take your child to a big hospital for an examination tomorrow morning. The child also started to have pain in his shoulder, so you have to report this to the doctor. It would be great if you could have an examination earlier. Now, I'm afraid of being delayed!"

Li Jingsheng said to his family very sadly.

"This... how could it be like this, how can you get such a terrible disease just because of leg pain, what can I do..."

The child's mother's body was weak and she couldn't even stand still.

No matter how stupid she is, she now understands that her daughter may have a tumor.

For her, it was like a bolt from the blue.

"Don't worry, it's just a result of my first diagnosis, and it's just a preliminary suspicion. After going to the hospital tomorrow, we'll see the situation."

Li Jingsheng looked at the young mother, very afraid that she would faint here.

In the end, the child's mother seemed to have lost her soul and took the child away.

When I left, I didn't even say thank you.

In her heart, the sky had already collapsed, and she couldn't care about anything else.

Li Jing let out a long sigh.

"I wish I could have misdiagnosed it just once!"

he muttered to himself.

Doctors are most afraid of misdiagnosis, which is even more terrible than missed diagnosis.

At this moment, Li Jingsheng hoped that his diagnosis was wrong.

　Thank you to the two book friends, Qiao Shuli, Spanking Bug, for your support.Many thanks.

　　
　
(End of this chapter)