This doctor is great

Chapter 208 Aortic Dissection

"The doctor told you not to drink, but you still drink?"

Zhou Mo was speechless.

It's just killing yourself.

Chen Gang smiled wryly. At that time, not only was the doctor, but even his wife made repeated orders.

Make him never drink alcohol.

But this time he couldn't hold back and became addicted to alcohol, but he suffered a crime.

He felt the severe pain, and his intestines turned green with regret.

In the future, I will definitely not drink alcohol, even if I am beaten to death.

At this moment, a person walked in from outside the door,

Women in their 40s.

She was wearing delicate makeup and lipstick.

He was wearing a red sweater, jeans, and a pair of sneakers.

Looks like she should have been a beauty when she was young.

"Wife..."

Chen Gang's face turned bitter,
The wife strode away, came in and soon came to the patient Chen Gang.

A trace of distress flashed across the wife's face, which was then well hidden.

"Did I tell you not to drink?"

"I asked you if I told you?"

"If you don't listen, don't listen, let's go to the hospital."

The wife scolded like a cannonball.

The patient Chen Gang shrank his head like a tortoise, daring not to say a word.

Zhou Mo had a half-smile on his face, he really should be taught a lesson, otherwise he will do it again next time.

When his wife was almost scolded, Zhou Mo began to appear.

"Okay, don't say any more, the patient's condition is not stable yet."

"Don't irritate the patient."

"Doctor, my stomach hurts. Is there any painkiller for me first?"

At this moment, the patient finally couldn't bear it anymore.

It feels like the stomach is being pricked by needles, and the pain is unbearable.

"Do you still have the face to speak now?"

"Who told you to drink, how many times have I told you not to drink, you can't drink with this disease."

"Tell me if that old Wang called you today."

"How many times have I told you, stay away from those things."

Before Zhou Mo could speak, the patient's wife yelled like a cannonball.

The tall patient was immediately scolded like a grandson.

After the words fell, the patient's wife turned and looked at Zhou Mo.

"Doctor, do you have any painkillers?"

Although she scolded very much, she still felt very distressed in her heart.

Seeing her husband's pale, pained face, her heart twitched.

Hearing what the patient said, Zhou Mo directly asked the nurse to give the patient an injection of pain relief.

At this time, Huang Zhichao asked:
"Brother Mo, do you want to have a gastroscopy?"

Hearing Huang Zhichao's words, Zhou Mo shook his head slightly.

"I thought about this possibility from the very beginning."

"However, under normal circumstances, the pain caused by gastric ulcers is not so severe."

"The most important thing is that gastric ulcers generally do not have obvious abdominal tenderness."

"Because the lesion of gastric ulcer is limited to the stomach and does not involve the peritoneum, it will not cause obvious abdominal tenderness."

Zhou Mo had considered the possibility proposed by Huang Zhichao as early as when the patient was first brought in.

However, it didn't take long before Zhou Mo ruled him out.

After thinking for a while, Zhou Mo changed the subject and added.

"But now it seems that there is such a possibility, although this possibility is relatively low."

"Brother Mo, shall I contact the patient for a gastroscopy?"

Hearing Zhou Mo's affirmation, Huang Zhichao's face was full of smiles.

"and many more."

Zhou Mo suddenly stopped,

"It may not be appropriate to do a gastroscopy at this time."

Because Zhou Mo considered that the gastroscope is to extend a flexible tube from the mouth directly into the stomach.

To observe whether the gastroesophagus and duodenum have lesions.

Doing a gastroscopy is very frustrating even for normal people.

What's more, it is a patient with severe abdominal pain and unstable physical condition.

Huang Zhichao nodded, Mo Ge was very thoughtful.

Zhou Mo continued: "But we can't do nothing now."

"You can give the patient some drugs that inhibit gastric acid secretion first, and treat it as a mild gastric ulcer."

If the patient's condition is relieved, then it can be explained that it is a gastric ulcer. "

"If the patient's condition is not in remission, it must be something else.

"Could Brother Mo have a blood vessel problem?"

"Could it be "mesenteric artery embolism"? "

At this moment,
Huang Zhichao suddenly thought of a case.

A few days ago, Huang Zhichao received a patient.

That patient also had severe abdominal pain of unknown cause.

In the end, there was no other way, and an enhanced CT scan was done.

In the end, it was found that a blood clot had occurred in the patient's intestinal blood vessel.

This led to the patient's intestinal ischemia and severe abdominal pain.

Huang Zhichao feels that the current patient's condition is somewhat similar to that of the patient a year ago.

All were severe abdominal pains, all of which were of unknown cause.

So is it possible that this patient was also caused by thrombosis?

"Mesenteric artery embolism?" Zhou Mo smiled lightly, and couldn't help but praise Huang Zhichao.

"nice……"

"Hehehe~~~" Huang Zhichao raised his head.

"but!"

Zhou Mo changed the subject again.

"There is a possibility of intestinal vascular thrombosis, but it is not great."

"Under normal circumstances, mesenteric artery embolism occurs only in patients with underlying diseases."

"For example, atrial fibrillation, infectious myocarditis, etc..."

"This disease can easily form a blood clot in the heart, and once the clot breaks off, it may travel with the blood to the intestinal side."

"And the blood vessels on this side of the intestine are slightly thinner than those in other parts."

"When the thrombus flows to the intestine with the blood, it is easy to cause embolism."

"This is the cause of most mesenteric artery embolisms, but this patient has no other chronic diseases other than hypertension, so mesenteric artery embolism is not very likely."

Hearing this, Huang Zhichao's face instantly became bitter.

Sure enough, you still can't do it yourself?

None of this was considered.

at this time,

The wife of the patient Chen Gang is still scolding.

"How many times have I told you before that you can't drink or drink, you must listen."

"In the end, I drank it and came to the hospital. I almost died."

"If you really die, what will you do if you leave your child behind?"

"I don't listen to what I say, and now I'm suffering the consequences."

His wife was sitting beside him, babbling non-stop, saliva flying everywhere.

The patient Chen Gang gradually became expressionless from the initial distress, as if he was angry.

"???"

Zhou Mo froze for a moment, feeling something was wrong!
The patient's lips trembled slightly.

Zhou Mo's expression changed!
"Could it be..."

The heart is not good.

He came to the hospital bed in two steps in three steps, and shouted a few words to the patient Chen Gang.

"do you feel better now?"

"What's wrong?"

However, the patient Chen Gang just stared blankly ahead, as if he didn't hear Zhou Mo's words.

There seems to be a problem with the patient's consciousness.

"Fuck!"

"Miss Chen, quickly bring a sphygmomanometer and measure your blood pressure here."

Zhou Mo was anxious and shouted to the nurse station.

At the same time, he secretly scolded himself for not making him an ECG monitor just now!

Zhou Mo grabbed the patient's pulse,
Sure enough, weak! !

"Brother Mo, I'm here..."

The little nurse came quickly and measured the patient's blood pressure again.

While waiting for blood pressure results.

The patient's wife panicked: "Doctor, what's wrong with my husband?"

Zhou Mo: "Don't worry, wait until the test comes out!"

quickly,

The nurse measured the blood pressure on both sides.

"Brother Mo, the difference is 40..."

"Fuck!"

Zhou Mo's face changed on the spot.

Aortic dissection!
My mother, what the hell is going on today?Full-time internal medicine?

.

(End of this chapter)