This Doctor is Great

Chapter 80: Bladder to blame!

Then press and percussion one by one.

"Hi..."

Sudden,

The patient Liu Mo let out a small hiss.

Zhou Mo: "????"

The hand stopped at the liver area of the right chest.

"Here, are you in pain?" Zhou Mo asked in surprise.

Patient Liu Mo nodded: "A little...slight..."

Liver area, what is there?

liver,

And the gallbladder behind the liver.

In addition, there is the lower pancreas.

The liver, gallbladder, and pancreas are connected together, which is the foundation of medical students.

(The big guy gives a picture)

Zhou Mo tapped the patient again.

"Hi~"

knock knock~~~

"Hiss~~"

Liu Mo: "…………"

You resentment looked at Zhou Mo.

Zhou Mo tapped the pancreas again.

Liu Mo didn't react at all.

Zhou Mo pondered,

The liver area will be painful on percussion, indicating that there is a problem with the liver or the gallbladder. The pancreas is unlikely.

Zhou Mo looked serious: "Do you have any medical history before?"

Liu Mo shook his head: "No, I have always been healthy."

Zhou Mo: "No low back pain or something? I want to rule out whether you have gallstones."

Liu Mo shook his head: "I really don't..."

Zhou Mo nodded.

Then press the upper abdomen, there is tenderness.

But no rebound pain.

Then I did a Murphy sign.

Murphy's sign, also known as gallbladder tenderness sign, is a test of gallbladder tenderness.

It is mainly used in the examination of cholecystitis, especially when the symptoms of cholecystitis are acute, the patient presents with right upper quadrant pain.

During the physical examination, press the lower edge of the costal arch with the thumb of the left hand, and press the ribs with the other four fingers of the left hand. When the patient breathes, especially when inhaling, the swollen gallbladder touches the thumb and induces pain, which is regarded as Murphy's sign positive. .

Zhou Mo did it again.

Then……

"Sigh~~~"

Sure enough, the patient gasped.

pain!

Murphy's positive!

In other words, the patient is likely to have cholecystitis.

There is a problem with the gallbladder!

"Gallbladder, heart... It seems that there is an answer..."

However, it is not entirely certain!

Zhou Mo began to check other abdominal parts again.

Come here, check carefully.

At last,

The appendix, lower abdomen, etc. have been checked, and there is no problem.

The only problem is that the liver area just now was positive on percussion, with tenderness and no rebound tenderness.

Zhou Mo already had some guesses in his heart.

"I just percussed you, and there was pain in the liver area, so there may be problems with the liver and gallbladder..."

"Wait a minute, I'll give you a few checks:"

"Draw a blood, do a blood routine to see if there is any inflammation of the liver and gallbladder, and check the liver function."

"And then you have the guts. It's morning. You don't want to eat at noon. I'll give you an ultrasound on an empty stomach until the afternoon."

"That's all for now."

Liu Mo nodded: "Okay, okay..."

He realized that Zhou Mo seemed to have discovered his cause.

This is good news!

……

Zhou Mo left the ward and returned to the duty room.

Now he has 5 patients in his hands.

Syndrome X patients, patients with hypertension complicated with chronic nephritis, patients with myocardial infarction, patients after intervention, patients with unremarkable liver and gallbladder pain...

Fortunately, Zhou Mo is now familiar with various procedures, so filling in the information is faster.

As for the 36-bed patient (Liu Mo), the nurse in charge of the bed had already drawn blood and sent it to the laboratory, and the results were released in the afternoon.

At this moment,

"Whoa~~~"

Huang Yiming rushed over with a sliding chair.

"Brother Mo, I heard that you took over the three patients of Senior Brother Chen Bing?"

"yes."

"Wow? Aren't you busy?"

"No, it's fortunate that these patients are relatively stable, and they don't need to spend too much effort..."

"But it's very troublesome to write down the course of the disease. Would you like me to share it with you... Anyway, I want to study."

On the one hand, I want to help Zhou Mo, and on the other hand, I also want to learn from Zhou Mo.

Zhou Mo naturally would not refuse: "Thank you, then you are in charge of the 36 beds. After writing, I will check it. This patient is very interesting. Maybe you can learn something..."

Then he told Huang Yiming about the 36-bed patient Liu Mo.

"what?!"

Huang Yiming was surprised after hearing this.

ECG, myocardial enzyme spectrum, blood routine, echocardiography, dynamic ECG... Nothing found?

The patient is young, but has chest tightness and shortness of breath?

"This patient is very strange." Huang Yiming scratched his head and said.

"Yes, if you can solve this patient's puzzle, you can learn a lot." Zhou Mo smiled.

"That's right!"

Huang Yiming patted his thigh and couldn't help but get excited.

As long as he can learn something, he can't help being excited!

"Brother Mo, thank you!" Huang Yiming said gratefully, he knew that Zhou Mo was helping him.

"You're welcome, after all, you have to help me write medical records and doctor's orders..."

The two smiled knowingly.

"By the way, Brother Mo, do you have any guesses?" Huang Yiming asked curiously.

"Already have it, but we still have to wait for verification." Zhou Mo naturally guessed that it was related to guts, but he still had to wait for the results to verify.

"What is it?" Huang Yiming asked curiously.

"Keep it secret first, you can also check the information."

"Okay, I'll check right away."

Huang Yiming felt that he was full of energy at this moment!

Aww, went to look up the literature.

……

noon,

Huang Yiming took the initiative to invite Zhou Mo to eat takeout, and Zhou Mo was also polite and ordered a chicken with scallion oil.

The steamed marinated fresh chicken is sprinkled with fried shallots, and the shallots are fragrant!

With one bite, the delicious chicken + scallion fragrant, the ultimate beauty burst open in the mouth, it is extremely delicious.

"By the way, do you have a weaving?" Zhou Mo was curious and asked Huang Yiming, who was eating Hakka stuffed bean curd next to him, quietly.

"Compiling? How can it be that easy." Huang Yiming shook his head.

"Is it difficult for our hospital? You are also a doctor of SYS." Zhou Mo asked curiously.

"It's difficult. Among the 10 of us, it seems that Wang Lilong and Chen Xiyin have two or eight-year establishments."

"So few?" Zhou Mo was surprised.

"Haha... It's not like you don't know that the establishment is given to the relatives of the hospital leaders."

"Right!"

The doctors and nurses I said last time hate the information department. On the one hand, it is because the hospital's system has always been **** and the response speed is slow. On the other hand, there is the administrative post of the information department. Except for some people who work hard, many of them are leading relatives who are established. They don’t do business and fish every day.

Of course, catching fish is not particularly annoying.

The most annoying thing for doctors and nurses, especially the new generation of doctors and nurses, is that these people occupy the quota.

There is a saying: at the end of the universe is the weaving, so we can see the importance of the weaving.

Therefore, these relationship households are disgusting.

certainly,

You can't kill a boat with one shot. Many colleagues in the information department are also very good. They do practical work and don't procrastinate. They are worthy of recognition.

……

13:00,

Zhou Mo quickly sorted out the medical records and doctor's orders of the five patients.

Then I started to brush the cases of "X syndrome".

It's almost finished.

I can start writing the Cardiac Syndrome X Case Report tonight.

15:30,

Zhou Mo saw that the liver function and blood routine results of 36 patients (Liu Mo) had come out.

Open ~www.readwn.com~ The first is liver function.

Abnormal elevation of transaminases and bilirubin.

"Sure enough, there is a problem with liver function..."

Continue to click on blood routine.

"The white blood cells are elevated..."

As Zhou Mo expected!

Previously, Zhou Mo suspected that it was inflammation of the gallbladder, so he guessed that the white blood cells would increase, and now the results confirmed this guess.

"Yi Ming, go, 36 beds..." Zhou Mo got up.

"Okay." Huang Yiming followed.

Soon, Zhou Mo pushed the ultrasound by the bedside, and Huang Yiming followed him to the bedside of Liu Mo, the 36-bed patient.

"Doctor Zhou!" Liu Mo and his wife quickly greeted him.

"Hello, I'm going to do an abdominal ultrasound for you now... Didn't you eat at noon?"

"No no……"

"it is good."

Zhou Mo began to prepare for B-ultrasound, adjust parameters, apply couplant...

The probe is aimed at the patient's liver area...

1 minute later...

Zhou Mo switched to the patient's back.

2 minutes later...