As he sighed with emotion, the phone rang again.
The landline in the emergency ward was different from the one in Old Chief Physician Pan's office. The landline in the old chief's office was mostly related to administrative staff quarrels in the hospital.
The landline in the emergency ward was most likely sent up by the emergency department, or the emergency department could not grasp the patient's condition and needed Zheng Ren's consultation.
After picking up the phone, Zheng Ren nodded a few times before standing up and walking downstairs.
"Boss, what's the matter?" Su Yun asked.
"Intestinal obstruction, a fifteen-year-old girl," Zheng Ren said.
"Let's go take a look." Su Yun followed Zheng Ren and the two of them went to the emergency department.
Intestinal obstruction, or intussusception in infancy, resulting in obstruction. Or, it was caused by old age and decreased intestinal function.
It was rare for 15 or 16 years old to have intestinal obstruction when the body was at its peak.
When they arrived at the emergency department, the emergency physician was already busy. There was a large crowd in the consultation room, most of them middle-aged and elderly patients over 60 years old.
Northeast China was like this. Young and middle-aged technical backbones with a future, vitality, and skills mostly went to the South to work. Most of those who stayed were elderly.
This was a side effect of population loss, and it had just started. The situation would get worse in the future. In the hospital, there were fewer doctors and older patients.
Seeing Zheng Ren, the emergency physician first comforted the old man in front of him, then hurried to Zheng Ren's side and took him to the emergency treatment room. As they walked, he said, "The patient is a fifteen-year-old female patient who came to our hospital with abdominal pain and vomiting two days ago. The physical examination found that the patient's abdomen was swollen and soft to the touch, with widespread tenderness and no rebound pain. Abdominal CT scan showed dilated intestinal loops and a large number of fecal stones in the right abdominal cavity. "
Her voice was a little hoarse, and it was obvious that she had been talking since morning. She did not even have time to take a sip of water.
"What's the treatment?" Zheng Ren asked.
"Hypertonic saline enema, but it didn't work," the emergency physician replied. "After the enema, we did a vertical abdominal plain film. The degree and number of small bowel dilation increased, and there was a balance of gas and liquid."
"Okay." Zheng Ren pondered.
When he arrived at the treatment room, he saw a girl curled up on the treatment bed. She was retching violently, but nothing came out.
A middle-aged woman with an anxious face was gently patting her back while wiping away her tears.
"Chief Zheng, the radiographic films are here. Please take a look first. I'll go back to work." The doctor from the emergency internal medicine department hurriedly said a few words to Zheng Ren and ran back to the consultation room.
Zheng Ren first came to the patient's side and asked the patient to lie flat with his legs curled up. He rubbed his hands to raise the temperature of his palms before he began the physical examination.
The patient was very thin and had long hair. Her eyes were big and round with long eyelashes, but her eyes were filled with tears. Zheng Ren knew it was a natural reaction caused by intense vomiting.
"What's your name?" Zheng Ren habitually inquired about the patient's information while performing a physical examination. He placed his hand on the patient's upper left abdomen as he spoke.
"Big brother, my name is Wang Yutong." The girl's eyes sparkled as she answered.
"Junior high or high school?" Zheng Ren asked intermittently as his hand roamed around the patient's abdomen.
The patient's upper abdominal tenderness was not very obvious, but abdominal distension was typical. When he reached the lower left abdomen, the patient began to feel tenderness.
Zheng Ren checked carefully and confirmed the location.
The diagnosis given by the System panel was intestinal obstruction, Rapunzel Syndrome.
Zheng Ren was a little confused. However, when faced with a problem that he did not understand, especially in front of the patient, he had to pretend to be calm and confident.
After the physical examination, Zheng Ren patted the girl's shoulder and gestured for her to cover her abdomen.
Then, he went to the radiographic film viewer and inserted the abdominal CT scan and plain abdominal radiographic films into it.
It was a typical symptom of intestinal obstruction, just as the emergency internal medicine doctor had said. Both the fluid level and the coprolithiasis were typical.
Zheng Ren pondered.
Su Yun noticed Zheng Ren's unusual expression and leaned over to ask in a low voice, "Boss, is there anything strange?"
"How much do you know about Rapunzel Syndrome?" Zheng Ren asked.
Su Yun did not expect Zheng Ren to ask for his opinion. He thought it was a test. He quickly searched for any memory related to Rapunzel Syndrome in his mind.
As expected of a genius. His memory was absolutely flawless.
Just like those who left their names in the history books, Su Yun possessed the ability to read tombstones on horseback and memorize everything he saw.
In less than ten seconds, Su Yun found information about Rapunzel Syndrome in his memory.
"Rapunzel Syndrome, also known as Rapunzel Syndrome, 1986
By Vaughan
A clinical condition described by others. The patient has mild to severe cases of trichotillomania and ingestion of hair. The formation of gastrolithiasis causes abdominal pain, vomiting, nausea, malnutrition, vomiting blood, diarrhea, and in severe cases, intestinal obstruction. " Su Yun answered in a low voice. It was as if he had returned to the campus with a respected professor standing next to him.
Test him? How could he answer such a simple question? Su Yun felt a little smug.
"Yes." Zheng Ren nodded after listening to Su Yun's explanation.
It matched the patient's symptoms perfectly. From the looks of it, the long-term ingestion of hair had caused the formation of gastrolithiasis, which had blocked the colon and caused the obstruction.
The best way to deal with intestinal obstruction with a clear cause was to remove the gastrolithiasis surgically.
Since everything was confirmed, it was time to prepare for surgery.
"Family member, come here for a moment," Zheng Ren said.
The patient's mother was taking care of her. The father followed Zheng Ren out of the treatment room.
"Does your daughter usually behave strangely?" Zheng Ren asked.
The father was puzzled. He tried to recall but could not understand what Zheng Ren was asking.
"It's okay if you don't know," Zheng Ren said gently. "I think the patient has symptoms of intestinal obstruction. According to the scans, it's caused by fecal stone blockage. Laxative enema is not effective and surgery is needed to solve the intestinal obstruction."
Zheng Ren did not explain Rapunzel Syndrome to the father directly. If he did … the father would probably get angry.
Some things were important in the order.
Once the intestinal obstruction was solved, the anxiety of the patient's parents would be alleviated. Then, with the gastrolithiasis in hand, he would explain the cause of the disease and future treatment to them. This was the best choice.
The father did not have any ideas, so he did whatever Zheng Ren said.
Zheng Ren called Su Yun and admitted the patient to the hospital. After preoperative preparations, he performed the surgery.
…
…
For those who wanted to read pirated versions and skip subscriptions, please subscribe in full. It won't cost much.
Sogou Reading Website:
Select text and click 'Report' to let us know about any bad translation.
