When doctors have a simulated operating room

The patient was cured.

The bleeding stopped and the specific cause was found.

Although the blood loss was a bit much, we can only take care of it slowly in the later stage.

At least he saved his life.

The patient was sent out of the operating room.

The family members outside the door were excited!

"How was it? Was the operation successful? Did nothing go wrong?"

Zhang Yi nodded: "Don't worry, the bleeding spots are caused by stones. Although your daughter's condition is rare, she has stones at such a young age, you still have to find the cause.

See if there is anything wrong with her usual diet, especially those diet pills she took randomly.

It is best not to eat after discharge. Weight loss has never relied on diet pills, but on exercise and normal diet."

The girl's mother smiled politely and said: "Okay, okay, I will definitely not let her eat those messy things in the future."

On the side, the girl's father still had a stern face, but he also whispered thank you.

In his heart, this doctor is younger than Dr. Zhao.

But it is obvious that this doctor's medical skills are better!

After the operation, the patient was sent to the hepatobiliary surgery department for hospitalization.

Zhang Yi returned to the emergency department.

It was exactly early in the morning. Zhang Yi has been busy since he started the night shift.

Behind him, Gao Han couldn't help but ask curiously:

"Doctor Zhang, why can you tell that it's a gallstone problem at a glance? The gallstone is so small..."

Zhang Yi sat on the chair and gulped down a large glass of water before saying:

"First of all, this patient has done all the tests, and no bleeding points can be found.

But only the color Doppler ultrasound report shows that there is a gallstone.

So the doctor's first reaction should be to think about the problem from this gallstone?

This gallstone is indeed small, but it causes the bile duct and pancreatic duct to expand.

Why do you think about why the ducts expand? In addition to the stones blocking there, is there anything else?

Is it inflammatory exudate? Or blood?

We have to consider all possible reasons.

Special cases need special treatment and cannot be handled according to conventional thinking.

In addition, the outlet of the bile duct and pancreas is the duodenum, so think boldly, could it be the problem of the stones that caused the bleeding of the bile duct and pancreas.

Then the blood flows out of the duodenum, and then the bloody stool is pulled out from the anus? "

Zhang Yi's words benefited Gao Han and Shen Lingyue a lot.

Special cases cannot be treated according to conventional thinking.

"We doctors, especially when dealing with more complicated diseases that are difficult to find the cause, must not miss any details.

Any detail may be the culprit of the disease. "

Gao Han and Shen Lingyue nodded repeatedly.

Wow...

So this is our master?

Gradually.

Zhang Yi's status in the hearts of these two top students has improved a lot.

‘Gurgle’

Suddenly, Shen Lingyue’s stomach started to growl.

Zhang Yi glanced at her: “Are you hungry?”

Shen Lingyue nodded somewhat embarrassedly.

We had dinner at six o’clock, so it was normal to be hungry at this time.

“I reminded you yesterday, did you bring food?”

Gao Han nodded: “Yes, bread and milk.”

Shen Lingyue lowered her head slightly: “I remember putting the food on the table in the morning, but I forgot it when I went out.”

Zhang Yi sighed, looked at the two nurses next to him and asked:

“Are you hungry?”

The nurse turned around and nodded: “Yes~!”

Wow, is Dr. Zhang going to treat us? ? !

“Go to the emergency clinic and ask Zhao She and the others if they are hungry. If they are, I will order takeout together.”

It just so happened that the two surgeries just now, one for intestinal obstruction and the other for pancreaticoduodenectomy system, were rewarded with 200,000 yuan.

He is not short of money.

Plus, he is now a small leader.

It is necessary to treat people to a meal occasionally.

The nurse's face lit up and she ran out in a flash.

After a while, she hurried back: "Hungry, hungry, hungry, Dr. Zhao said that as long as you, Dr. Zhang, treat him, he must be hungry."

Zhang Yi laughed and took out his mobile phone to order takeout while complaining:

"This Zhao She is really, he eats even if he is not hungry? He is really not afraid of bursting his stomach!"

There are fewer and fewer patients in the second half of the night, and several people in the emergency department have time to sit down and eat some midnight snacks.

At this moment, Gao Han was eating a hamburger in his hand while holding his mobile phone to send messages to his classmates group.

Gao Han:

"Are there any people who are working the night shift and are not sleeping? I'll send a case to everyone to see if you can find the bleeding point."

Classmate A: "I'm working the night shift! Tell me about it!"

Classmate B: "I'm a late sleeper here, tell me about it, I'll see what kind of difficult and complicated disease it is!"

Classmate C: "It just so happens that I'm working the night shift too~!"

Then Gao Han sent all the examination sheets of the girl he had just photographed to the group.

Gao Han: "This patient had bloody stools for more than 3 days, and the bloody stools worsened three hours before admission. When he came to the hospital, he was in a state close to shock. Take a look, combine the medical history I told you and the examination list to find out where the bleeding point is."

Gao Han's eyes were filled with smiles, and he guessed that none of his classmates would guess it~

Classmate A: "Do you still need to guess? It's obviously gastrointestinal bleeding. Isn't it enough to do a gastroscopy and colonoscopy? I'm also convinced. Why are you asking us? Are you looking down on me, Gao Han?"

Classmate B: "That's right, bloody stools must be lower gastrointestinal bleeding. Let's see if there is a problem with the colon or rectum."

Classmate C: "@Gao Han, are you okay? You asked us to guess this little thing in the middle of the night? If you're okay, eat more Lychee Plums."

Gao Han almost wanted to laugh out loud when he saw the reactions of these classmates.

But he still held back.

Gao Han: "Haha, all wrong! All wrong! Didn't you look at the checklist? Colonoscopy and gastroscopy, look at the pictures yourself."

Classmate A: "Huh? That's not right, how come there's no bleeding in the colonoscopy and gastroscopy?"

Classmate B: "I took a look, and even the interventional examination didn't find any bleeding? It's weird, what's going on?"

Classmate C: "Fuck, it's not lower gastrointestinal bleeding? What's the problem? What caused bloody stools and almost shock, but it's not a gastrointestinal problem?"

Classmate D: "Curious, @Gao Han, hurry up and announce the answer!"

Some lurking classmates were blown away by this strange case.

Gao Han: "Look carefully at all the test results I sent you, and you will find it."

Gao Han: "My teacher said: 'Special diseases cannot be treated according to conventional thinking', so I suggest that you don't miss any details!"

Student A: "Don't keep me in suspense, just tell me!"

Student B: "There is no tumor, no hemorrhoids, and no vascular bleeding, so what is it?"

Gao Han: "Tsk tsk, you guys are really not careful enough? You can't see such a big stone on the color Doppler ultrasound result??"

Gao Han: "Okay, I will announce the correct result now~"