I can see the status bar

Chapter 623 Damage Investigation

To understand the meaning of "black esophagus", first of all, we need to clarify a concept-whether the esophagus is originally black.

This is of course nonsense.None of the internal organs of the human body are naturally black.The human body can naturally appear black, except for the hair, there are only skin and irises.

So, under what circumstances, organs will change color?
First, some organs may discolor when exposed to certain dyes.For example, the indigo carmine injection that Sun Lien once used to frighten people may turn the inner wall of the kidneys and ureters blue in a short time.Smokers who smoke for a long time may have black spots in their lungs due to tar adhesion.

Among other things, Pseudomonas aeruginosa causes green pus to appear in the infected area, and jaundice causes the iris and skin to be tinged with a dull yellow...but rarely black.

There may be many explanations for the skin turning black outside the body, but the internal organs turning black... The only possibility Sun Lien can think of right away is necrosis.

This cannot be blamed on Sun Lien's lack of knowledge, after all, more than half an hour ago, he watched Chen Tianyang and Dr. Wang release [-] liters of necrotic tissue fluid and pus from a Nigerian soldier's ass.Now when he sees "black" and "purple", Sun Lien's mind is full of the sound and taste of the liquid that fell into the stainless steel basin in his hands.

The Russian in front of him spoke English, but in the follow-up communication, it was obvious that the other party could no longer use this kind of Russian with a big Leba flavor.He searched around the room, and finally found a translator who was not too seriously ill and could speak English, Russian and Chinese—the Pakistani captain who just said with a wry smile that he had a stomachache.

I have to say that Pakistani comrades are caring.Sun Lien just wanted to know a little bit about the basic situation of the Russian in front of him, and asked about his medical history.Unexpectedly, the Pakistani captain actually had a good relationship with Peter.He didn't even ask Peter to say anything, and started telling what he knew.

Peter was born and raised in the Soviet Union.But after he enlisted in the army, the Soviet Union disappeared.

As an armored maintenance engineer, Peter was the last batch of retired soldiers in his armored division.First, the gunners were discharged in batches because the ammunition was sold out, and then the armored soldiers left because there were no tanks and armored vehicles.In the end, Peter was sent by the regiment leader to the streets of Vinnytsia in the truck he had repaired.And gave him five thousand rubles-this is the dividend he helped repair those tanks and then sold them to those arms dealers.

The Soviet Union is gone, the tank is gone, and Peter's identity as a soldier is gone with it.Mechanics like him are almost everywhere in Russia.Peter, who couldn't even eat a full meal, finally decided to exchange all his wealth for vodka and a one-way ticket to Nigeria.

After arriving in Nigeria, Peter found a job doing mechanical maintenance in the Nigerian Army.Every day he would fall asleep with guilt and regret, and wake up with deeper pain.The day-to-day alcoholism has lasted for more than 20 years. If he doesn't drink a whole bottle of vodka every day, he will even be too weak to move.

Speaking of this, the Pakistani captain sighed helplessly, and explained to Sun Lien, "If this kind of thing happens to any soldier who loves his country, it will lead to the same ending, but these neighbors in the north really drink... ...more."

Sun Li'en blinked, but he didn't have any problem with listening to the story.But the premise is that the story has to help him diagnose the disease.The Pakistani captain muttered for a long time, but there was no useful information, which made Sun Li'en a little anxious.

"Has he had any obvious stomach discomfort recently? Acid reflux or vomiting?" Because he couldn't hear the information he wanted, Sun Lien directly began to lead the Pakistani captain to question him.Although he is still not sure what kind of disease the black esophagus is, but it seems that at least Peter needs to have a gastroscopy to make a definite diagnosis.Therefore, Sun Lien tried to direct the topic to Peter's symptoms. It would be better if it sounded like a symptom of gastric cancer, so that he could prescribe the inspection items for gastroscopy.

"Yes, he vomited blood three times recently, and each time the amount was not very large." The Pakistani captain said after exchanging a few words with Peter, "and he has been feeling dizzy and weak recently."

If you drink a catty of vodka a day and just feel dizzy and weak, it can only mean that this person is very good at drinking.Sun Lien resolutely skipped this description, and asked, "What kind of blood did you vomit? Black, like caviar?"

"No, it's fresh blood, the bright red kind." The captain shook his head. "He said he didn't find any blood until after he vomited. He had nausea and stomach acid before, but he never vomited blood."

There are many particulars in the type of blood related to the digestive tract.The most basic thing is to look at the color and shape of the blood to determine whether the bleeding point is in the esophagus or below the esophagus.In the case of gastric or duodenal bleeding below the esophagus, the blood is coagulated by the acid and digestive enzymes in the stomach and forms a black semi-solid.Sometimes, less severe bleeding from the stomach or duodenum can also present as melena.

And the bright red blood was vomited, which means that the blood flowing out after the injury did not come into contact with the stomach acid and digestive enzymes in the stomach.This directly made Sun Lien lock Peter's gastrointestinal bleeding symptoms above the cardia and below the pharynx.

Combined with the black esophagus displayed on the status bar... Sun Lien frowned, this couldn't be a ruptured vein in the esophagus, could it?

Inside the esophagus is an intricate blood supply.Even if a certain vein is broken, the diagnosis of "black esophagus" should not appear... Sun Lien was a little confused about what was wrong, but Peter's current symptoms were enough for Sun Lien to make a decision for a gastroscopy— — The cause of gastrointestinal bleeding is under investigation.After thinking for a while, he wrote down three possible directions of guessing "peptic ulcer?", "acute gastric mucosal lesion?" and "digestive tract tumor?" on the diagnosis sheet in front of him.

Of course Sun Li'en would not write "black esophagus" on it, he hasn't made such a fuss yet.However, judging from the current situation, a more detailed inspection is still necessary.He has been drinking heavily for more than 20 years, and who knows what irreparable damage alcohol has done to Peter's body.

(End of this chapter)