They said it was done two minutes ago and the patient is walking back, "Zhou Litao said." I'm urging them to upload the radiographic films as soon as possible. Boss Zheng, please take a look. "
Zheng Ren took the patient's information from Zhou Litao's hand and looked at it bit by bit.
Just as Zhou Litao had said, the patient's physical signs and self-reported pain were contradictory. The X-ray radiographic films and ultrasound were also contradictory.
Su Yun frowned. It seemed that he was not very clear why this situation had occurred.
The patient's entire situation was a little strange.
If the physical signs and self-reported pain were contradictory, it was still common in clinical practice. However, could an objective examination be wrong?
Most junior doctors were very superstitious about objective examination, but sometimes objective examination would also contradict each other.
"Let's take a look at the CT." Zheng Ren quickly read the patient's examination report and strode to Zhou Litao's duty room.
This had become Boss Zheng's office in the emergency department.
The computer was on. Zhou Litao found the patient's CT image and moved away.
The CT image supported the ultrasound's judgment. The patient's right kidney was hydronephrosis and a stone was stuck in the proximal end of the ureter.
Zheng Ren was also puzzled. He inserted the X-ray radiographic films into the radiographic film viewer and began to compare the differences with the CT images.
"Strange, the X-ray images look very standard." Su Yun's eyebrows furrowed even more.
They were all very standard but contradictory. Similar situations were not common in clinical practice.
Zheng Ren did not say anything. He held his cheek and kept looking left and right, reconstructing the situation in his mind.
"Let's go see the patient," Zheng Ren said in a deep voice after nearly 10 minutes of silence.
Zhou Litao handed over two white coats. Zheng Ren and Su Yun put them on and walked out of the duty room.
The patient had already returned after the examination. The effect of the painkillers had worn off and his pain was even worse.
He did not go to the hospital bed. Instead, he curled up on the stretcher trolley and grabbed his lover's hand desperately. He looked very pitiful.
The pain of the urinary tract was painful … No matter what kind of pain it was, it was fatal. Zheng Ren came to the patient's side and asked softly, "Where do you feel pain?"
The patient's family was very impatient, but in the face of the doctor's questions, they could only say the same thing over and over again.
"The left side of the stomach hurts." Although the patient's family was still cooperative, they were already beginning to become impatient.
"Doctor, this side hurts," the patient said as he held his left stomach. His wife's hands were on his waist, trying to raise the temperature as much as possible. Perhaps this would alleviate his pain.
Sure enough, it was pain on the left side. Zheng Ren then wanted to turn the patient to his side normally to examine him. However, the patient was like a frightened bird. He said in panic, "Doctor, don't hit my waist. Every time you hit me, it's like dying."
"…" Zheng Ren looked at his expression. It did not seem to be an act. He was also speechless.
She was afraid of the pain.
"Okay." Zheng Ren looked at his System panel and nodded gently.
The diagnosis on the System panel was the same as the CT and B-scan ultrasonography. It was the opposite of the patient's self-reported symptoms — right urinary calculus, right kidney hydronephrosis.
A lot of relevant information was dug out by Zheng Ren. As he looked at the System panel, he pondered.
"Doctor, what's wrong?" The patient curled up on the hospital bed and asked pitifully.
At this moment, he looked so helpless. His face was pale, and there was cold sweat on his forehead from the pain.
Even his clothes were penetrated. It was really pitiful.
This was still considered good. Many people saw the burly man lying on the stretcher trolley and screaming like a pig being slaughtered. Zheng Ren had seen this scene countless times in Sea City General Hospital.
"It's okay, it's okay." Zheng Ren smiled and comforted the patient. "It's just a small problem. We'll study it and make you feel less pain as soon as possible."
His smile seemed to have some unknown power. The patient felt that the pain had lessened a little.
However, the patient's family was very annoyed. They glared at the group of 'useless' doctors as they left.
Back in the duty room, Zheng Ren said in a deep voice, "Admit him to the hospital."
"…" Chief Yu was speechless. He did not expect Boss Zheng to give such an explanation.
He knew that he would be admitted to the hospital. There was no need for Boss Zheng to say anything.
"Boss Zheng, what disease are you considering?" Chief Yu asked very cautiously.
"Right kidney hydronephrosis, right ureteral calculus. Hurry up and carry out the gravel. If the hydronephrosis gets worse, I reckon that the kidney will not be able to be saved, "Zheng Ren said.
"What about the left side? Did the patient complain of pain on the left side? "Su Yun asked.
"I think it's mirror image pain," Zheng Ren said.
Mirror image pain?
This term was rarely used in clinical medicine.
Zhou Litao was dumbfounded. Chief Yu had some experience, but he was not sure if he was right or wrong. "Boss Zheng, is it the kind of mirror image pain that causes the pain on the left side?"
"Yes." Zheng Ren was still looking at the radiographic films and nodded.
"Generally, mirror image pain is bilateral pain." Su Yun gave a different opinion.
"Physical examination. Chief Zhou's physical examination showed bilateral pain. The patient complained about the left side. I don't think it's important," Zheng Ren said.
"Zheng … Brother Yun, what is mirror image pain?" Zhou Litao had never encountered it before, so he was a little confused.
"After one side of the body is injured, they will feel pain in the same place on the other side of the body. This research began on a large scale after World War II, but there is still no conclusion," Su Yun said. "The strange situation is that when one side of the nerve is injured, the corresponding nerve on the other side of the body will also be injured."
"…"
Was this science? Or was it just a joke? If Brother Yun and Boss Zheng had not said that, Zhou Litao would have stood up and scolded them.
If one side of the nerve was injured, the other side would also be injured. This was simply too idealistic and unbelievable.
"Actually, similar research began after World War II. Similar research began as early as the American Civil War." Zheng Ren rested his chin on his hand and continued to look at the radiographic films. He said, "Dr. Auckland, a neurologist at Massachusetts General Hospital, did research on this. The final mirror image pain was also named by her."
"Boss, mirror image pain appears in cases of herpes zoster virus infection more often. It's rare in the urinary tract, right?" Su Yun was also very puzzled.
"Very few, but there are."
Zhou Litao looked at Su Yun pitifully as if he had a kidney stone, waiting for Brother Yun to explain to him.
"It is generally seen in herpes zoster. The reasonable explanation is that the herpes zoster virus enters the spinal cord and then spreads to the other side of the body, "Su Yun said. "However, the wounded who are injured in the war will also lose one side of the limb, causing pain on the other side."
Zhou Litao suddenly remembered that he had indeed encountered similar patients in the emergency department. However, the healthy side was not injured, so he did not pay attention to it. He only thought that it was a kind of hysteria.
He did not expect that there was really a theory of mirror image pain.
…
…
Note: It was written incorrectly in the single chapter. I sneaked a look at this chapter while I was busy at work. I was shocked and thought that I did not realize there was such a big difference. It turned out that, like the first case in Asia, the old man did not know how to count. Here, apologize, bow. Add monthly votes and updates. After the official return, you can add updates to the chief ~ ~ ~
Also, ask for a heart. On the phone, the book details page, the character column at the bottom of the page, click on the "heart" little hand next to the name in the corner. You can click on it once a day. It's best if you click on all six characters ~ ~ ~
Sogou Reading Website:
Select text and click 'Report' to let us know about any bad translation.
