I'm really an intern

Chapter 472 The "Disappeared" Left Kidney

The patient is lying on the bed closest to the emergency room door.

Her belly was raised high as if she was pregnant with ten treasures.

The trousers with obvious mud marks had been untied and pulled down to the bottom.

The patient's stomach is really too big.

The big one can only see the belly!

Zhang Tianyang quickly moved forward two steps, and finally saw the patient's face and arms.

The patient should have been very dark.

Because the skin on the face and arms takes on a weather-beaten, sun-and-rain color.

Only the stomach is white.

Inappropriately, Zhang Tianyang thought of the colorful balloons that were blown up.

"Hu-hu-"

As he got closer, he could hear the other party's weak and difficult exhalation.

Zhang Tianyang turned his head, so he saw a face with closed eyes, deeply frowning brows, and slightly trembling muscles unconsciously.

Painful countenance.

"DiDi! DiDi!"

The monitor screamed continuously.

The red prompt symbol flashed crazily on the screen.

Pulse 119 beats per minute, respiration 30 beats per minute, blood oxygen saturation 96%, blood pressure only 84/54mmHg!

The patient has entered a state of shock!

Zhang Tianyang stretched out his hand without hesitation, and began to conduct a physical examination quickly.

However, just as the palm of the hand touched the patient's belly, before he started exerting force, the patient suddenly trembled.

Change position and touch again.

Another flick.

Change the position again.

Still shaking.

However, apart from a slight shortness of breath in the ears, she still exhaled weakly, and did not hear the patient's painful cries.

This is the patient, he has no energy to cry out for pain!

This is an extremely dangerous omen!

Zhang Tianyang's face was sullen, and his palms moved quickly.

With the shaking of the patient's whole body, he quickly got the result——

Abdominal tenderness with rebound tenderness, positive Murphy's sign, positive shifting dullness!

Shifting dullness is only positive when there is a lot of fluid in the stomach.

Generally, it can only be tested in patients with a large amount of ascites.

but now

Is it ascites in the patient's stomach?

I'm afraid not

It's all blood!

"Om-"

The door of the emergency room opened again, and the white coat hurriedly pushing the machine began to yell.

"Which critically ill patient needs a B-ultrasound!"

"here!"

"there!"

Zhang Tianyang and another young doctor raised their hands at the same time.

"Come!"

The B-ultrasound doctor rushed over pushing the machine, "Give me a hand!"

Zhang Tianyang didn't respond, but he stretched out his hand, caught the momentum machine, and let it stop firmly beside the bed.

Then, he casually picked up the couplant in the small basket next to the machine and squeezed it directly onto the patient's belly.

The transparent and viscous liquid was evenly and gently applied to the belly. Because the patient's stomach was stretched, the amount of coupling agent was also greatly increased.

But Zhang Tianyang's hands were fast, and he didn't waste much time.

"Plug in! Where's the outlet?"

The B-ultrasound doctor held the plug and went with another young doctor to find an outlet. When he turned around, Zhang Tianyang was already in front of the machine.

"Didi"

The machine is already on.

"what are you doing?!"

The B-ultrasound doctor yelled subconsciously.

As a B-ultrasound doctor, this B-ultrasound instrument is his most important thing. The machine is with people, and even if the machine is broken, he still has enough to carry it.

And this kind of machine that requires specialization in surgery is not used by ordinary clinicians!

"Don't break it for me"

Before he could utter the words, he was swallowed by the B-ultrasound doctor.

Because Zhang Tianyang has started to debug the interface proficiently, and has accurately adjusted the modules needed for abdominal B-ultrasound.

"Give!"

Zhang Tianyang handed over the probe with a layer of couplant.

The ultrasound doctor looked up at him.

There are three types of probes hanging next to the machine!

He didn't even ask?

And got it right?

Is it a colleague?

"Wait for what?"

The B-ultrasound doctor deserted for a while, and was taken aback for a while.

Zhang Tianyang frowned, reached out and took the probe back.

The patient's condition is critical to the naked eye, and half an hour later, the whole hospital will be consulted. After the B-ultrasound, it is necessary to continue to improve the CT.

If surgery is to be performed, the anesthesiologist will also conduct an evaluation.

But with every delay, the patient's condition became more serious.

Soldiers are very fast!

When it's time to race against time, how can there be time for desertion?

With the probe in his hand, Zhang Tianyang pressed it directly on the patient's belly, his eyes fixed on the screen.

"Ok?"

The B-ultrasound doctor felt his hands loosen, and when he turned around, the white coat next to him had already started to work with the probe!

"What are you doing!"

It was also a subconscious scolding, and after blurting out half a sentence, he swallowed it automatically and consciously.

Because he discovered that the doctor who grabbed the probe seemed to really know how to do it.

Moreover, the image displayed on the screen does not seem to be very good.

The only one present who couldn't understand the situation was the little doctor in the emergency department. He looked at the B-ultrasound doctor, then at Zhang Tianyang, and blinked.

Are these two doctors together?

Their faces are so serious and getting more and more serious!

So did the B-ultrasound find something bad?

"A large amount of fluid in the peritoneal cavity."

Zhang Tianyang spoke softly, stating what he saw.

Beside, the B-ultrasound doctor nodded involuntarily.

"Abdominal viscera are vague, but the outline of the kidney is faintly visible on the right side, and the left side"

The probe moved to the left side of the patient and started to move a little bit.

The patient's stomach is very distended and very large.

So compared with normal B-ultrasound, this kind of movement lasted for a long time.

Zhang Tianyang's hand is very steady.

Qi is also very stable.

But my heart couldn't help trembling.

because

"I can't see the outline of the kidney on the left side at all"

Can't see a bit of it!

Although there must be a large amount of ascites interference, but the corresponding right kidney can still see the round

so

Left kidney, disappeared?

Zhang Tianyang suddenly turned his head and stared at the little doctor in the emergency department.

"Has this patient had a kidney cut before?

Or was there something wrong with his left kidney? "

"This"

The little doctor in the emergency department was stopped by the question, but he reacted quickly, turned around and walked out.

"I'll ask the family!"

The door of the emergency room opened and closed, and the little doctor walked in a hurry.

"The patient has never undergone abdominal surgery before, and he never heard of any kidney problems during examinations in other hospitals!"

"so"

Zhang Tianyang's heart sank.

Where did the patient's "disappeared" left kidney go?

3 meters fall.

Land on the left waist and abdomen.

Distended abdomen.

Tenderness and rebound pain throughout the abdomen.

Positive shifting dullness.

In addition, the left kidney "disappeared"

A terrible guess appeared in Zhang Tianyang's mind.

"DiDi! DiDi!"

The monitor was screaming frantically.

The heart rate accelerated again, jumping to 122 beats per minute.

One sound, another sound.

The hearts of the doctors present gradually sank.

------------

Too tired lately.

Well, and the health is not good again.There seems to be something wrong with the nervous system again.

During the Chinese New Year period, I mentioned the facial paralysis in the book, and it recurred recently, and this time it was not limited to the face, and the sense of touch was decreased all over the body.

Made an appointment for an MRI and an EEG, and have to wait.

Ugh

(End of this chapter)