This Doctor is Great

in addition,

The patient said abdominal pain around the navel, this feature - is it 'appendicitis'?

In a typical appendicitis, it is not the right lower quadrant pain at first, but the pain around the navel, and then gradually manifests as the right lower quadrant pain, which is called "metastatic right lower quadrant pain".

besides,

In addition to acute gastroenteritis causing diarrhea, is it possible that abdominal pain and diarrhea caused by 'intestinal tumor'?

No, it can't be an intestinal tumor.

Zhou Mo shook his head.

Because tumors generally have a process, it is impossible for the situation to appear in the past two days.

Zhou Mo flashed these thoughts in his mind.

In the past three days, I have read a lot of books and literature on gastroenterology, and I have become more and more familiar with gastroenterology, and my consideration has become more comprehensive.

But it will also be found that gastroenterology is becoming more and more complex.

The emergency doctor kept introducing at this time: "According to the physical examination results, and then doing CT, no significant abnormality was found in the liver, gallbladder, pancreas, spleen, kidney, intestine, etc... Acute cholecystitis, cholangitis, appendicitis, urinary tract, etc. were ruled out... "

"Also, the two items of pancreatitis also rule out acute pancreatitis..."

"Then there was an electrocardiogram, and nothing was found..."

"Do blood sugar on the spot and rule out ketoacidosis..." (Write this separately later)

everything,

normal! !

"Then, blood routine, liver and kidney function..."

Having said that, the emergency doctor paused for a while, and Zhou Mo and others suddenly attracted the attention.

Emergency doctor: "The patient's blood routine is obviously abnormal, the white blood cell count is doubled, and the patient's platelet count is significantly reduced by one-third."

Summarize:

All, no problem.

That is: white blood cells + platelets, abnormal!

These two represent: the performance of bacterial infection!

The low platelet count may mean that the infection is more serious, and the low platelet count is understandable because of the inhibition of bone marrow hematopoiesis. (Extended: As the inhibition is more severe, it is possible that the white blood cells will also decrease.)

Zhou Mo began to think in his heart: "The problem now is to return to infection. Abdominal pain is only a symptom of infection."

"So, we still have to find the source of the infection!"

"The location of infection must be the gastrointestinal tract, abdominal cavity. (Severe diarrhea

At this moment,

The anorectal doctor also came.

Understand the situation.

The two surgeons, anorectal and hepatobiliary, watched the film and the inspection report, and finally agreed:

"This has nothing to do with surgery, it can't be done."

"Yes, I can't open the abdomen to see it. I still have to go to the gastroenterology department to solve it... I'll go back first, I'm busy."

finished,

The two surgeons are gone.

The emergency doctor looked at Teacher Zhang Luojia: "Do you have any ideas for gastroenterology?"

Teacher Zhang Luojia shook his head: "I don't know what it is, the only thing that comes to mind is intestinal infection..."

Then she looked at Zhou Mo.

"Xiao Mo, do you have any suggestions?"

Zhou Mo shook his head: "No... It's too short now, and I can't figure it out all at once... Since I have abdominal pain and diarrhea, and there is no surgical situation, it seems that there is no other place to live except in our department... Or send it back for digestion. Inside, check slowly..."

The emergency doctor nodded: "Then I'll send you to the gastroenterology department. I'll give you antibiotics first..."

Teacher Zhang Luojia: "Okay... Zhou Mo, your 80th bed is empty, come and take him, keep an eye on it..."

Zhou Mo: "Don't worry, teacher..."

The emergency doctor breathed a sigh of relief, smiled and said, "Hurry up and take it away... I am here in the emergency department, you know, I am busy, and there will be a very serious rescue from time to time, and it may not be able to take care of him when I get busy next time."

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…

soon,

This patient was admitted to the Department of Gastroenterology.

Accompanied by his wife, go through the admission procedures.

At this time, Zhou Mo had time to know the details of the patient.

Name Xie Mingtao, male, 43 years old.

His wife was beside him with a worried look on his face.

The patient, Xie Mingtao, took Zhou Mo's hand and pleaded, "Doctor, you must cure me quickly... I am the backbone. If I don't go to work and the salary can't be paid, my family's mortgage of more than 10,000 yuan can't be repaid at all. , when the auction comes, it will directly lose hundreds of thousands, and it will be in vain for a few years..."

Zhou Mo quickly comforted and said, "Don't worry, I will definitely as soon as possible..."

The wife next to her wiped her tears sadly: "Don't talk about the mortgage, take care of your body first, your body is important..."

Zhou Mo also wanted to help them, so he couldn't help but go through the emergency diagnosis process, physical examination, examination report and so on.

Still haven't found it!

"Strange, what is it?"

"By the way, I did a stool test in the emergency room, but I don't seem to see the results..."

Zhou Mo picked up the ipad and clicked to view it.

The results have come out, and Zhou Mo was disappointed that day - the stool test found nothing.

"what is it?"

Zhou Mo returned to the duty room with curiosity.

At this moment,

It's already 11:40.

"Go, go to the dining hall to eat..."

All the medical students, 15 people together, went to the dining hall.

On the way, Zhou Mo told other medical students about the patient's condition.

"Do you have any ideas? What's the reason?"

"Can't find a reason for the feces?"

"impossible?"

"Yes, it's all diarrhea, if it's bacterial infection, it should be able to be found in feces..."

"I don't know..."

While eating in the dining hall, Zhou Mo swiped his phone to find answers, and was not thinking about eating.

…

back to the department,

"Doctor Zhou..."

The wife of the patient Xie Mingtao called Zhou Mo, then called Zhou Mo into the ward, and drew the curtain to block the outside.

"What's wrong?" Zhou Mo asked blankly.

"Doctor, my husband's illness, please worry about it..."

next second,

Zhou Mo only felt that his hand was pressed, and there was something in his palm.

Zhou Mo glanced at the thing in the palm of his hand.

"???"

Red... red envelopes! !

At this moment, Zhou Mo was stunned!

Then startled!

My heart can't help but speed up!

To be honest, when Zhou Mo was in school before, he thought about what he would do if a patient gave him a red envelope, what would he refuse to accept, his righteous words, and his awe-inspiring justice...

However, when Zhou Mo was given a red envelope for the first time, Zhou Mo's head was buzzing~~~.

Brain dizzy.

On the one hand, it is a surprise that your medical skills have been recognized by the patient?

On the one hand, they are at a loss and don't know how to refuse.

The most direct manifestation is shock.

As for the "righteous words" and "righteousness and awe-inspiring" mentally rehearsed in college, I couldn't do it at all, and my head was stunned.

Zhou Mo looked at the red envelope and stayed for at least 10 seconds before he could react.

Quickly push the red envelope back!

It's like holding a red-hot soldering iron in your hand. UU reading www.uukanshu.com

"No, no, I can't accept red envelopes."

"No, no, Dr. Zhou, you must accept this red envelope. I'm not at ease if you don't accept it."

"No, no, the hospital will criticize it! You are hurting me!"

"If you don't tell me, I won't tell you, no one knows!"

"The next bed will know."

Beds 79 and 78 next door: "..."

Patient's wife: "..."

awkward atmosphere,

Spread throughout the ward~~~

Chapter 139 The first time! Got a red envelope! GET /u/193/193219/71818045.shtmHTTP/1.0Host:-Forwarded-For:103.146.124.61X-Real-IP::closeUser-Agent:(WindowsNT10.0;Win64;x64)AppleWebKit/537.36(KHTML,likeGecko )Chrome/72.0.3626.121Safari/-:gzip,:text/html,+xml,;q=0.9,image/webp,image/apng,*/*;q=0.8,-exchange;v=-Language:zh -CN,zh;q=0.8Cache-Control:max-age=0Referer:Click to download this site APP, massive novels, free to read!