Hurry up! It's impolite to chat with a doctor here. If you have a good relationship, go to the tavern after work. What are you talking about here? "Zheng Ren threw the shackles of morality at the patient's family.
They were stunned for a moment and calmed down.
The patient's stomach hurt badly and was suffering from the CT scan. Because of this, one CT scan was not enough and they had to do two more, which caused their dissatisfaction.
This kind of noise was involuntary, and it was an occasional event.
After being shouted at twice, the anger and courage disappeared, and his entire person calmed down.
In addition, Zhou Litao had a good temper and kept explaining. They quickly went into the room with the emergency surgery doctor to write out the list.
Zhou Litao wiped his sweat and gave Zheng Ren a look. He wanted to bring Zheng Ren to the main patient's duty room.
However, Zheng Ren did not go. He walked directly to the emergency surgery room and urged them.
The doctor wrote out the list quickly and the patient's family ran away.
Su Yun saw the patient's family disappear and walked into the emergency surgery room. He gave a thumbs up and praised, "Boss, your acting is good. It's very good."
Zheng Ren smiled. "Let's go to Chief Zhou's duty room and talk."
If the patient's family had something to do and turned back, he was afraid that the matter would be even bigger.
Zheng Ren was experienced in such small conflicts that were not considered medical disputes.
After all, he was the emergency department's chief resident. He had seen many small things.
When he arrived at Zhou Litao's duty room, Zheng Ren completely relaxed and sat on the chair with a smile.
"Chief Zhou, go up and talk to him," Su Yun said with a smile as he sat directly on the bed.
"How would I dare?" Zhou Litao said with a bitter face. He knew that Su Yun was joking, but this joke was not funny at all.
They were all doctors and knew that the topic just now was awkward, so they consciously said new things.
"Chief Zhou, what's the patient's condition?" Su Yun asked. "A free liver is usually found in childhood. Why did the patient drag it out until now?"
"When the patient came, I asked about her medical history. It was said that she began to have intermittent abdominal pain since she was five or six years old, but it disappeared after a while," Zhou Litao said. "The family didn't care and thought that the little girl's body was weak.
Later, the patient got used to it. Every time she felt pain, she would lie on the right side and it would be slightly better.
"The right side. This is the rhythm of returning the liver to the right side."
"More or less. Every time I have a stomachache, I'll find a lump. I can still move it when I push it with my hand," Zhou Litao said.
This … Zheng Ren felt a little helpless. The patient was really careless. He found such a big lump on his stomach, but he still didn't come to the hospital for an examination?
No, it should be …
Su Yun asked, "Didn't the patient come to the hospital for a checkup?"
"He said that he did it twice. Both times, after the abdominal pain subsided, he remembered to check it. Nothing happened. In the end, the patient gradually forgot about it."
I forgot.
I forgot!
"The patient has been in pain for a long time this time, and there is no improvement in lying on the right side. The mass in the upper abdomen is especially large. Coupled with the nausea and intense pain, I got scared and called an ambulance to send me to the hospital. "
"After I arrived, I touched the patient's abdomen. There was no pain, but I could feel a mass moving from right to left."
"What were you thinking at that time?" Su Yun asked.
"If I don't do the examination, what else can I think about?" Zhou Litao smiled. "But I have thought about the accessory spleen and liver abnormalities."
"Is the intestinal obstruction serious?" Zheng Ren asked.
"I can still hear bowel sounds, but it is slightly weaker, about once per minute." Zhou Litao's physical examination was very detailed and impeccable.
"Okay, then take a look at the radiographic films and send him directly to the surgery department." Zheng Ren smiled. "An adult free liver is really rare. It was first reported by Terrier and Auvray in 1897. Since then, there has been no decent summary at all. Even case reports are rare. "
"Yes, as long as it is mainly children, under five years old," Su Yun added.
Zhou Litao knew that the two in front of him sounded reasonable, but it was also the first time they had seen it.
What was ability?
This was ability.
Being able to remember things from books meant that they had a good memory. However, in clinical practice, they could use it as if they had seen many cases. This was great ability!
Some things and some people had to be convinced.
Zheng Ren called Dr. Liang, who said that the examination was almost done and the radiographic films of the left body position had been uploaded.
He turned on the computer and pulled up the patient's imaging data. It could be seen that the colon entered from the retrohepatic space between the liver and the diaphragm.
The image was quite typical. Compared to the radiographic films of the supine position, the distance of the liver was about 10 cm to the left.
That was the origin of the mass that the patient said he could feel, and the origin of the intestinal obstruction.
It was not completely blocked, nor was there strangulation or necrosis. The patient's condition was in a controllable stage.
After looking at the radiographic films, the radiographic films of the right lying position were sent up.
After changing positions, one could see that the position of the liver had moved very obviously, directly returning to the original position.
However, the intestinal tract was compressed, and there were some artifacts on the radiographic films. It was probably because the patient had intestinal obstruction. When lying on the right side, the pain was obvious and there was agitation.
"Okay, send him to the surgery department to prepare for emergency surgery." Zheng Ren turned off the radiographic data.
"Send the liver and gallbladder?"
Zheng Ren glanced at Su Yun and said with a smile, "Your Brother Yun said that if we send the liver and gallbladder, we will ask the gastrointestinal tract to go on stage together. First, we will do intestinal reduction for the gastrointestinal tract, then the liver and gallbladder will be fixed. "
"Don't make me take the blame," Su Yun said. "You said it yourself. I never do things like tormenting people."
This disease was actually very simple. It was just that no one had seen it before, so they were a little confused.
It was caused by the liver's ligaments being too long, weak, missing, and other abnormal development, causing the liver to be unable to be fixed. When the patient was upright, the liver moved down, the hepatic diaphragm space widened, and the colon was embedded in it, causing a series of clinical symptoms such as increased pain, nausea, and vomiting.
"Chief Zhou, let the surgeon accompany him," Zheng Ren said. "Don't let anything happen on the way."
"Okay." Zhou Litao walked out of the shift system, called the surgeon who was examining the patient, and gave a few words of advice.
Then, Zhou Litao walked into the surgery's emergency room to deal with the patient who had been previously examined.
Zheng Ren smiled and followed Zhou Litao out. He glanced at the surgery's consultation room and immediately paused.
"Boss?" Su Yun followed behind. He did not expect him to suddenly stop, almost bumping into Zheng Ren's back.
Zheng Ren did not say anything. He hurried back to Zhou Litao's duty room, grabbed a white coat and put it on.
"What's wrong with you?" Su Yun stood at the door and asked him.
"Ask Chief Zhou to prepare nitroglycerin. Be quiet, don't add to the patient's pressure," Zheng Ren said very seriously.
Remember the mobile version of the website:
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
