Come on, Dr. Wu

Chapter 42 General’s Belly

"I feel like I'm going to die suddenly!"

In the emergency room at night, patients continued to come one after another. After finishing one stitch, Qu Ying stretched out her waist, revealing her perfect curves, and said to Wu Xiaofu.

Wu Xiaofu glanced at him and said, "You are just shouting fiercely. Isn't this quite enjoyable?"

Qu Ying really enjoys this feeling of rapid progress while being busy. The difficult sewing she had done before is now a skillful one, and it only takes a few days.

The time has come to midnight. As the saying goes, at this time, people and everything in the hospital come out, and the Lord of Hell is also going to pull people. Various places in the bustling city, to say twelve The busiest thing after ordering was definitely not the sauna club, but the emergency department of the hospital.

Just like the ones Wu Xiaofu and Qu Ying sewed in front of me.

A group of young people played some skewers at night, drank some wine, and somehow got into it. After a rough description, Wu Xiaofu also figured it out clearly. They were probably a group of three boys and two girls. He is young, drinking happily, and is a man. Just look at the man at the table over there looking at the female companion next to him. He can bear this, even if he is told to take care of his eyes.

Can you bear it? If you go out to drink in the middle of the night, watch a woman and have to be controlled, how can you live? The effects of alcohol, the secretion of hormones, the flow of blood, the speed of wine bottles, the waving of fists, and the long sound of sirens Ming, the hospital, the police station, the police station, aren't these arrangements clearly arranged?

It didn't cost me much money to drink at first, but now it's better, and the medical expenses and fines have doubled several times.

However, for us young people, the best thing is to save face. The two people sewn at this time belong to both sides of the fight. At this time, we are still staring at each other, refusing to obey anyone, that is, there are police escorts, otherwise, I have to try the hospital fight scene.

"Brother Wu, right? You're really good at sewing. I'll come back to you next time."

"next time!"

Wu Xiaofu had just finished sewing the one in his hand. The young man looked at his arm. Even if he said this, the policeman beside him glared, hoping for a next time!
  The young man hurriedly begged for mercy. It was pride to defend his female companion, but it was foolish to mess with the police.

After returning to the clinic, Wu Xiaofu found that Liu Wenyin was still very energetic and was getting more and more energetic.

"Teacher, something is wrong with you?"

Something's wrong!

Liu Wenyin was startled when she heard this and quickly wiped her lips. Is there any evidence left?
  Wu Xiaofu and Qu Ying looked at Liu Wenyin's actions and suddenly became suspicious, "Teacher, are you stealing something behind our backs?"

Liu Wenyin was a little depressed, "Can you all see this?"

"I just saw that you were getting more and more energetic, and I felt that something was wrong with you. Who told me, teacher, that you are wiping your mouth with a guilty conscience?"

The co-author was deceived by this guy!
  Liu Wenyin took out a bag from the cabinet and handed it to the two of them, and said slowly, "If you stay in the emergency room for a long time, you will find that other people's biological clock is the biological clock, and your biological clock is the charge. The later you are, the more energetic you will be, especially if you are pregnant." After twelve o'clock, there is no sleepiness at all. Of course, it is useless even if you are sleepy, the patient will not let you sleep."

Wu Xiaofu took the bag, opened it, and saw that it was a small barbecue. His eyes lit up.

"Teacher Lu arranged it?"

Teacher Lu's name is Lu Hongbo. He is the attending physician of the respiratory department. He is about the same age as Liu Wenyin and is also an unmarried young man. By the way, Liu Wenyin took time off during the day and even found time to go on a blind date. That teacher Lu, except that he is not very tall, is almost tall. There are no shortcomings. The two of them must have known each other. When Liu Wenyin went to work at night, it was Lu Hongbo who sent it to her.

Liu Wenyin still wanted to hide it, so the thief only sent Lu Hongbo to the entrance of the hospital supermarket, but Wu Xiaofu, who was out to buy delicious food, saw him clearly. "You are the only one with eyes, be careful I kill you and silence you."

Wu Xiaofu chuckled and began to share the delicious food with Qu Ying. However, he didn't have any peace of mind for a few minutes when a patient was called outside.

Liu Wenyin took one look and sent her directly to the emergency room. She had a fever of 40 degrees, and she was almost confused by the fever.

Wu Xiaofu and Qu Ying followed Liu Wenyin. After seeing the patient, Wu Xiaofu couldn't help but scream.

"With this belly, do you often drink bars?"

The family member who brought the patient over next to him must be the patient's wife. At this time, she nodded quickly and said, "Doctor, you are really right. I don't care about this guy. Sooner or later, he will drink to death outside. He drank it two days ago." After a big drink, the group of friends sent him back. After he came back, he started to have a fever. It was fine at first, but it was just a low fever. I was anxious to go to work, so I gave him some medicine and ignored him.

But it's been two days, and it hasn't gotten better. It got even higher tonight, reaching 40 degrees. I couldn't help it, so I hurriedly sent it over. "

Wu Xiaofu nodded. After seeing a doctor for a long time, you will find that there is a big difference between general belly and obesity. General belly is also what people often call beer belly. It is because of excessive alcohol intake and deficiency of the liver and spleen. Just like blowing up a balloon, the belly is blown up, but the degree of obesity is different. Not only does the whole body gain weight uniformly, the belly is also a watermelon belly, with a thick layer of fat.

The one in front of me is obviously a beer belly.

"Xiao Fu, you have gained experience in drinking. Tell me, what should you think about next?"

"Hey, teacher, I've quit today. Let's take blood immediately to check the infection indicators. Blood routine and biochemistry are all checked. I guess the infection indicators can't be low. Let's do an electrocardiogram first. If the fever is so severe, it's probably the liver and gallbladder. The problem may be that the tube is blocked, and we will need to do a color Doppler ultrasound and CT scan later to check."

This is Wu Xiaofu's specialty. Throughout his life, Wu Xiaofu has specialized in liver and gallbladder surgery.

Liu Wenyin was noncommittal. In the past two days, she had also noticed that Wu Xiaofu was really a self-taught type. It had been two days, but she still hadn't taken the opportunity to scold Wu Xiaofu. She didn't even bother to teach Qu Ying. Sorry, it seems like there is some preference for one.

After the blood results came out, sure enough, the transaminase was more than five times the normal value. The normal transaminase was lower than 14. The one in front of me was directly over . This is a typical alcoholic liver disease. If you continue to drink, the liver will harden. , the bilirubin is also high, more than ten times, and the pct is .

pct is procalcitonin. Under normal circumstances, the normal value of pct is 0-0.5μg/L. Procalcitonin is a protein synthesized by the liver. When the body is infected by bacteria, fungi, parasites, etc., PCT will increase. In hospitals, it is generally used as an early diagnostic indicator of bacterial infection.

This is obviously a gallbladder infection, so we need urgent abdominal color ultrasound and CT scan.

Sure enough, if the bile duct is blocked, patients who drink alcohol for a long time will increase bile secretion. Over time, it will cause cholestasis and bile duct blockage may occur.

The patient said he had stomach pain, but it was actually due to blockage of the biliopancreatic duct. Looking at the imaging examination, it was found that this had actually caused acute pancreatitis.

"What should we do next?"

Liu Wenyin looked at Wu Xiaofu. The patient came in and underwent a series of examinations and medication. Liu Wenyin hardly expressed any opinions. It could be seen that Liu Wenyin also intended to cultivate Wu Xiaofu.

"Please consult me. I'll make a call right away."

(End of this chapter)