I'm really an intern

Chapter 338 The Magical Focus

Zhang Tianyang was a little helpless.

The patient's family members did not seem to have the knowledge they should have of the little boy's illness.

The 48-bed boy was admitted to the hospital last weekend.

According to the last description of the child's parents, Zhang Tianyang knew that the hydrocele of this little boy was discovered shortly after birth, and the doctor's suggestion at that time was to continue to observe.

And now, the child is one and a half years old.

It stands to reason that in more than a year, the child's parents should have checked the basic information of this disease.

But now, they still looked at themselves blankly, their eyes full of thirst for knowledge.

Sighing softly in his heart, Zhang Tianyang chose to explain the term "light transmission test" first.

"The light transmission test is the operation I just did."

Zhang Tianyang shook the phone in his hand at the child's parents.

"The light transmission test means that in a relatively dark environment, use the light of a flashlight to shine on the bottom of the mass, and then see if there is light coming through the top of the mass.

If there is liquid in the mass, it will leak out, so the high probability is hydrocele.

If it is something else solid, such as a tumor, it will not transmit light, and it will be more troublesome. "

"Oh~"

The child's father seemed to understand, nodded in surprise, and then rubbed his hands in embarrassment.

"Then doctor, the synovial membrane or some kind of fluid accumulation"

Got it!

Zhang Tianyang put his hand on his forehead in his heart.

This family can't even remember what disease their child has!

"The synovium is the synovium, and the sheath is the sheath. Your child is called a hydrocele."

Zhang Tianyang took out a small notebook, wrote down the words "hydrocele" stroke by stroke, then tore off the page and handed it to the child's father.

"Don't finish the operation at the end, the child doesn't even remember what kind of disease it is."

"Hey, sorry, I remember wrong."

The child's father scratched his hair, started to laugh again, and then carefully stared at the four words written by Zhang Tianyang, whispering the words in his mouth, as if he wanted to memorize them.

The child's mother also stretched her head to look over.

Zhang Tianyang felt helpless again.

He believed that the doctor who saw the couple must have briefly told them about the disease a year ago.

He also believed that before this hospitalization, the outpatient doctor must have mentioned the name of the disease to them.

But medicine is a highly specialized field, and what the doctor said does not mean that the patient can understand it.

Most of the time, we know what it is, but we don’t know why.

Or worse, don't know why

After all, the "synovium" is the part of the joint, and the "sheath" is the thing around the balls. Can it be the same!

Things that look very different to doctors and look funny when mixed up may look similar to patients.

After all, the synovium and the sheath look alike!

Perhaps this is the status quo of most patients?

While Zhang Tianyang felt helpless, there was no good way to do it.

The popularization of medical knowledge is not under his control. What he can do is to try his best to spread it to the patients in his hands.

"Well, let me explain to you."

He took out his small notebook again and wrote down a few nouns.

"First of all, your child's problem, hydrocele, refers to a cystic lesion caused by excessive fluid accumulation in the vaginal sheath cavity."

Guessing that the family members of this "** sheath cavity" might not know what it is, Zhang Tianyang paused, and explained it alone.

"During fetal development, the sperm will gradually descend from the abdominal cavity and finally enter the vagina. During this process, the descending sperm will descend with two layers of peritoneum, and the gap between the two layers of membranes is the sheath cavity.

To put it simply, there are two membranes around the human testicles, and there is a liquid bubble between the two membranes. "

"The liquid between these two layers of membranes is generally in balance between production and absorption. You can understand it as a swimming pool. While entering the water, the water is released at the same time. There is always so much water in the pool."

"Oh~ Got it!"

The child's father's face was covered with the four characters of "suddenly enlightened".

Zhang Tianyang's explanation is very easy to understand, which gave the father and mother of the child who had been troubled by this for a long time a sense of enlightenment.

Subconsciously, the two sat upright and listened carefully.

Zhang Tianyang nodded and continued to speak.

"But when this balance is broken, fluid absorption is impaired, and excessive accumulation will cause hydrocele.

Adult hydrocele may be caused by various inflammations and traumas, and may also be secondary to diseases such as filariasis, schistosomiasis, syphilis, tuberculosis, and tumors. "

"Long-term hydrocele may cause compression of adjacent organs and even affect fertility, so it is necessary to come to the hospital for treatment."

"what!"

The child's mother couldn't hold back, and screamed, with fear and panic on her face.

"It will affect fertility!"

Children are the heart and soul of mothers. When she first heard that her son might have problems, she immediately panicked.

Zhang Tianyang raised his hand slightly, signaling to be safe and not to be impatient.

"Yes, it's possible, that's why surgery is needed. Moreover, hydrocele is actually quite common in children."

After reassuring the two parents, Zhang Tianyang continued to state.

"In clinical practice, we often meet parents like you, and the main complaint is that the child has three breasts."

"Unlike a hydrocele in an adult, a hydrocele in a child is more likely to be caused by an unclosed processus sheath, or insufficiency, during development.

When you first saw it, did the doctor ask the child to stand up and lie down again, and then observe the change in size of the lump?

Then you found no obvious changes, so you were asked to go home and observe? "

Facing the question raised by Zhang Tianyang, the two parents froze for a moment, but quickly retrieved the information from their memory.

"Like, yes! Doctor, how do you know?"

How do I know, because this is a routine inspection

Hydrocele is divided into communicating and non-communicating. If the mass is not the same size when standing and lying down, it is communicating.

Communicating hydrocele must be treated surgically, while non-communicating hydrocele has the possibility of self-healing, and it is generally explained to go home for observation.

But when these things are pulled out, it involves the classification of hydrocele, such as ** hydrocele, spermatic cord hydrocele, mixed hydrocele and so on.

Zhang Tianyang simply skipped it.

"Most children will recover slowly after the sheath is closed, so when you first came to see it, the doctor's advice was to continue to observe."

"But there are also some children whose hydrocele does not resolve on their own, which may be related to the delayed development of the lymphatic system in children.

At about one year old, if the hydrocele does not improve significantly, surgery should be performed. "

"I won't explain the specific operation process to you, it's more complicated, but generally speaking, there will be no problems after the operation, so don't worry too much."

The other party probably didn't quite understand the sheath reversal technique, so Zhang Tianyang chose to skip it again.

After writing down a bunch of proper nouns in a small notebook, tear it off again and hand it to the child's father.

"You can look up these words on the Internet, and you can basically figure out the disease status of your child."

"Thank you doctor!"

Looking at the neat handwriting on the paper, the child's mother seemed very happy.

But the smile on the child's father's face was a little subtly far-fetched.

While the child's mother was coaxing the little boy to put on his pants again, the child's father mysteriously pulled Zhang Tianyang aside.

"Doctor, that"

With a smirk on his face, he rubbed his hands a little uneasy.

"I have a question, I want to ask."

"Is this something he inherited?"

(End of this chapter)