This doctor is great

Chapter 146 First time!I was given a red envelope!

in addition,

The abdominal pain around the navel mentioned by the patient, this characteristic - could it be 'appendicitis'?
In typical appendicitis, it is not the right lower quadrant pain at first, but the pain around the navel, and then it gradually manifests as right lower quadrant pain, which is called "transferred right lower quadrant pain".

and also,

In addition to acute gastroenteritis can cause diarrhea, is it possible that the abdominal pain and diarrhea caused by 'intestinal tumor'?

No, it can't be an intestinal tumor.

Zhou Mo shook his head.

Because tumors generally have a process, it is impossible for the condition to appear in two days.

These thoughts flashed through Zhou Mo's mind.

In the past three days, I have read a lot of books and literature on gastroenterology, becoming more and more familiar with gastroenterology, and thinking more comprehensively.

But it will also be found that gastroenterology is becoming more and more complicated.

The emergency doctor continued to introduce at this time: "According to the results of the physical examination, and then performed a CT scan, no significant abnormalities were found in the liver, gallbladder, pancreas, spleen, kidney, and intestinal tract... Acute cholecystitis, cholangitis, appendicitis, urinary tract, etc. were ruled out. ..."

"Also, the two items of pancreatitis also exclude acute pancreatitis..."

"Then there was an electrocardiogram, and nothing was found..."

"Doing blood sugar on the spot ruled out ketoacidosis..." (Write this separately later)
everything,
normal! ! ! !
"Then, blood routine, liver and kidney function..."

Having said that, the emergency doctor paused, and Zhou Mo and others' attention was suddenly attracted.

Emergency doctor: "The patient's blood routine was obviously abnormal, and the white blood cell count was doubled. In addition, the patient's platelet count was significantly reduced by one-third."

Final Thoughts

All in all, no problem.

That is: white blood cells + platelets, abnormal!
These two items represent: the performance of bacterial infection!
The decrease in platelets may mean that the infection is more serious, and it is understandable that the platelets are low in those who inhibit bone marrow hematopoiesis. (Extension: Wait for the suppression to be more severe, and it is possible that the white blood cells will also decrease.)
Zhou Mo began to think in his heart: "The problem now is back to the infection. Abdominal pain is only a symptom of infection."

"So, we still need to find the source of the infection!"

"The location of the infection must be the gastrointestinal tract and abdominal cavity. (Severe diarrhea)"

At this moment,
The doctor of anorectal department also came.

Learned about the situation.

The anorectal and hepatobiliary surgeons, after seeing the films and examination reports, agreed in the end:
"This has nothing to do with surgery, it can't be done."

"Yes, I can't open my stomach to see it, I still need gastroenterology to solve it... I'll go back first, I'm busy."

finished,

The two surgeons left.

The emergency doctor looked at Mr. Zhang Luojia: "Do you have any ideas about gastroenterology?"

Teacher Zhang Luojia shook his head: "I don't know what it is, the only thing I can think of is an intestinal infection..."

Then she looked at Zhou Mo.

"Xiao Mo, do you have any suggestions?"

Zhou Mo shook his head: "No...the time is too short now, and I can't figure it out at once...Since the abdominal pain and diarrhea, and there is no surgical situation, it seems that there is no other place to go except to live in our department...or else Send it back to the digestive system, check slowly..."

The emergency doctor nodded: "Then send you to the gastroenterology department to be hospitalized, and use antibiotics first..."

Teacher Zhang Luojia: "Okay...Zhou Mo, your 80th bed is empty, you can take him in, keep an eye on him..."

Zhou Mo: "Don't worry, teacher..."

The emergency doctor heaved a sigh of relief, and said with a smile: "Hurry up and take him away... You know that the emergency department here is too busy, and there is a very serious rescue from time to time, and you may not be able to take care of him when you get busy. "

……

quickly,

The patient was admitted to the Department of Gastroenterology.

Accompanied by his wife, he went through the admission procedures.

At this time, Zhou Mo had time to understand the detailed information of this patient.

Name Xie Mingtao, male, 43 years old.

His wife was beside him with a sad look on his face.

The patient Xie Mingtao took Zhou Mo's hand, pleading: "Doctor, you must cure me quickly... I am the pillar of support. If I don't go to work, my salary will not be paid, and my family's more than 1 mortgage will not be paid at all." For starters, when the time comes to auction, you will directly lose hundreds of thousands of dollars, and it has been in vain for a few years..."

Zhou Mo quickly comforted and said, "Don't worry, I will definitely..."

The wife next to me wiped her tears sadly: "Let's not talk about the mortgage first, take care of your body first, your body is important..."

Zhou Mo also wanted to help them, so he couldn't help but go through the emergency diagnosis process, physical examination, examination report and so on.

Still haven't found it!
"Strange, what exactly is it?"

"By the way, the emergency department did a stool test, and it seems that I didn't see the result..."

Zhou Mo picked up the ipad and clicked to view it.

The results had already come out, and Zhou Mo was very disappointed at that time—the stool test did not find anything.

"what is it?"

Zhou Mo returned to the duty room with curiosity.

At this moment,
It's already 11:40.

"Go, go to the dining hall to eat..."

A group of 15 medical students went to the dining hall.

On the way, Zhou Mo told other medical students about the patient's condition.

"Do you have any ideas? What is the reason?"

"The poop can't find the reason?"

"impossible?"

"That's right, it's all about diarrhea. If it's a bacterial infection, you should be able to find it in feces..."

"I don't know..."

While eating in the canteen, Zhou Mo swiped his phone to look for answers while eating, not thinking about eating.

……

back to the department,
"Doctor Zhou..."

The wife of the patient Xie Mingtao stopped Zhou Mo, then called Zhou Mo into the ward, and drew the curtain to block the outside.

"What's wrong?" Zhou Mo asked blankly.

"Doctor, please trouble me about my husband's illness..."

Next second,
Zhou Mo only felt that when his hand was pressed, there was something extra in his palm.

Zhou Mo glanced at the things in his palm.

"???"

Red... red envelopes! ! !
At this moment, Zhou Mo was stunned!
Then startled!
My heartbeat couldn't help but speed up!

To be honest, when Zhou Mo was in school, he had thought about what he would do if the patient gave him a red envelope, such as rejection, righteous words, and awe-inspiring justice...

However, when Zhou Mo was really given a red envelope for the first time, Zhou Mo's head was buzzing at this moment~~~.

My head is dizzy.

On the one hand, it's a surprise that his medical skills have been recognized by the patients?
On the one hand, it is at a loss what to do, not knowing how to refuse is more appropriate.

The most direct expression is to be startled.

As for the "righteous words" and "justice" that I had previously mentally rehearsed in college, I couldn't do it at all, and my head was in a daze.

Zhou Mo looked at the red envelope and stayed for at least 10 seconds before reacting.

Quickly push the red envelope back!

It's like holding a red-hot soldering iron in your hand.

"No, no, I can't accept red envelopes."

"No, no, Doctor Zhou, you must accept this red envelope. I don't feel at ease if I don't accept it."

"No, no, the hospital will criticize you! You are hurting me!"

"If you don't tell me, no one will know!"

"The bed next door will know."

Beds 79 and 78 next door: "..."

Patient's wife: "..."

awkward atmosphere,
Diffuse throughout the ward~~~
　ps: Disclaimer in advance: This case is not a common infection.

　　
　
(End of this chapter)