This doctor is great

Chapter 85 The gallbladder is to blame!
Then press and percusse them one by one.

"hiss……"

suddenly,

The patient Liu Mo hissed softly.

Zhou Mo: "????"

The hand rests on the liver area of ​​the right chest.

"Here, do you hurt?" Zhou Mo asked in surprise.

Patient Liu Mo nodded: "It's a little...slight..."

Liver area, what's there?

肝，
There is also the gallbladder behind the liver.

In addition, there is the underlying pancreas.

The liver, gallbladder, and pancreas are connected together, which is the foundation of medical students.

(Give me a picture)

Zhou Mo tapped the patient again.

"Sigh~~"

Knock Knock~~~
"hiss~~"

Liu Mo: "..."

Youyuan looked at Zhou Mo.

Zhou Mo tapped the pancreas again,

Liu Mo didn't respond at all.

Zhou Mo pondered,

There will be pain on percussion in the liver area, indicating that there is a problem with the liver or gallbladder.Pancreas is unlikely.

Zhou Mo looked serious: "Did you have any medical history before?"

Liu Mo shook his head: "No, he has always been healthy."

Zhou Mo: "No low back pain or anything like that? I want to rule out whether you have gallstones."

Liu Mo shook his head: "Really not..."

Zhou Mo nodded.

Then press the upper abdomen, there is tenderness.

But no rebound pain.

Then do the Murphy's sign.

Murphy's sign, also known as gallbladder tenderness sign, is an examination method for gallbladder tenderness.

It is mainly used in the examination of cholecystitis, especially when the symptoms of cholecystitis are acute, the patient presents with right upper quadrant pain.

During the physical examination, press the lower edge of the costal arch with the thumb of the left hand, and press the ribs with the other four fingers of the left hand. When the patient breathes, especially when inhaling, the enlarged gallbladder touches the thumb and induces pain, which is regarded as a positive Murphy's sign. .

Zhou Mo did it again.

then……

"Sigh~~~"

Sure enough, the patient gasped.

pain!
Murphy's positive!
In other words, the patient is likely to have cholecystitis.

Gallbladder problem!
"Gallbladder, heart... seems to have the answer..."

Still, not entirely sure!

Zhou Mo began to check other abdominal parts.

Come and check carefully.

At last,
The appendix, lower abdomen and other places have been checked, and there is no problem.

The only problem is that the percussion of the liver area just now was positive, with tenderness and no rebound tenderness.

Zhou Mo had already guessed in his heart.

"Just now I percussed you, and there is pain in the liver area, so there may be problems with the liver and gallbladder..."

"Wait a minute, I'll give you some checks:"

"Take a blood test and check your liver function."

In the morning, the nurse draws blood every day, and there is blood routine, so there is no need to do this.

"And you still have guts. It's morning now. Don't eat at noon. You should be on an empty stomach until the afternoon. I'll give you a B-ultrasound."

"That's all for now."

Liu Mo nodded: "Okay, okay..."

He realized that Zhou Mo seemed to have discovered his cause.

This is great news!
……

Zhou Mo left the ward and returned to the duty room.

Now he has 5 patients in his hands.

Syndrome X patients, patients with hypertension and chronic nephritis, patients with myocardial infarction, patients after interventional surgery, ordinary patients with liver and gallbladder pain...

Fortunately, now Zhou Mo is familiar with various procedures, so filling in the information is faster.

As for the 36-bed patient (Liu Mo), the nurse in charge of the bed has already drawn blood at this time, sent it to the laboratory department, and the result will be available in the afternoon
At this moment,
"Whoa~~~"

Huang Yiming slid a chair and rushed over.

"Brother Mo, I heard that you took over three patients from senior brother Chen Bing?"

"Yes."

"Wow? Aren't you so busy?"

"No, fortunately, these patients are relatively stable, so you don't need to spend too much thought..."

"But it's troublesome to write the course of the disease. Would you like me to help you share it...Anyway, I want to study too."

On the one hand, I want to help Zhou Mo, and on the other hand, I also want to learn from Zhou Mo.

Zhou Mo naturally would not refuse: "Thank you, then you are in charge of the 36 beds. I will check after I finish writing. This bed patient is quite interesting. Maybe you can learn something..."

Then he told Huang Yiming about the condition of the 36-bed patient Liu Mo.

"what?!"

After hearing this, Huang Yiming was surprised.

Electrocardiogram, myocardial enzyme spectrum, blood routine, echocardiogram, dynamic electrocardiogram... nothing was found?
The patient is young, but he just has chest tightness and shortness of breath?
"This patient is very strange." Huang Yiming scratched his head.

"Yes, if you can solve this patient's riddle, you can learn a lot." Zhou Mo smiled.

"That's right!"

Huang Yiming slapped his thigh and couldn't help but get excited.

As long as he can learn something, he can't help being excited!
"Brother Mo, thank you!" Huang Yiming thanked him, knowing that Zhou Mo was helping him.

"You're welcome, after all, you have to help me write medical records and doctor's orders..."

The two laughed heartily.

"By the way, Brother Mo, do you have any guesses?" Huang Yiming asked curiously.

"It's already there, but it still needs to be verified." Zhou Mo naturally guessed that it was related to gallbladder, but he still needs to wait for the result to be verified.

"What is it?" Huang Yiming asked curiously.

"Secret it first, you can also check the information."

"Okay, I'll check right away."

Huang Yiming felt very motivated at this moment!

Aoao screamed to check the literature.

……

noon,

Huang Yiming took the initiative to ask Zhou Mo to eat takeaway, and Zhou Mo was not polite, and ordered a scallion chicken.

Steamed marinated fresh chicken, topped with fried shredded shallots, the scallions are tangy!

One bite, the delicious chicken + green onion, the ultimate beauty bursts in the mouth, it is so delicious.

"By the way, do you have a plan?" Zhou Mo was curious, and quietly asked Huang Yiming who was eating Hakka Yong Tofu next to him.

"Compilation? It's not that easy." Huang Yiming shook his head and said.

"Is it difficult for our hospital? You are also a doctor of SYS." Zhou Mo asked curiously.

"It's difficult. Among the 10 of us, it seems that Wang Lilong and Chen Xiyin have a two-eight-year system."

"So few?" Zhou Mo was surprised.

"Hehe... It's not like you don't know that the staffing is given to the relatives of the hospital leader."

"Right!"

The doctors and nurses I mentioned last time hate the information department. On the one hand, it is because the hospital system has always been rubbish and the response speed is slow.On the other hand, there are administrative posts in the information department. Except for some people who work hard, many of them are relatives of leaders with established establishments.

Of course, touching fish is not particularly annoying.

What annoys doctors and nurses, especially the new generation of doctors and nurses, is that these people occupy the quota of the establishment.

There is a saying: the end of the universe is the organization, which shows the importance of the organization.

Therefore, these relationship accounts are disgusting.

of course,

You can't kill a boatload of people with one shot. Many colleagues in the information department are also very good. They do practical things without procrastination, which is worthy of recognition.

……

13:00,

Zhou Mo quickly arranged the medical records and doctor's orders of the five patients.

Then start to brush up the cases of "X Syndrome".

It's almost finished.
This evening I can start working on my Heart Syndrome X Case Report.

15:30,

Zhou Mo saw the liver function and blood routine results of the 36-bed patient (Liu Mo) come out.

Open it up and take a look.

The first is liver function.

Abnormally elevated transaminases and bilirubin.

"Sure enough, there is a problem with liver function..."

Continue to click on blood routine.

"The white blood cells have increased..."

As Zhou Mo expected!
Earlier, Zhou Mo suspected that it was gallbladder inflammation, so he guessed that the white blood cells would increase, but now the results confirm this guess.

"Yiming, let's go, bed 36..." Zhou Mo got up.

"Okay." Huang Yiming followed.

Soon, Zhou Mo pushed the bedside B-ultrasound, Huang Yiming followed, and came to the bedside of the 36-bed patient Liu Mo.

"Doctor Zhou!" Liu Mo and his wife greeted quickly.

"Hello, I'm going to do an abdominal ultrasound for you now... Didn't you eat at noon?"

"No no……"

"it is good."

Zhou Mo began to prepare B-ultrasound, adjust parameters, apply couplant...

The probe is aimed at the patient's liver area...

1 minutes later……

Zhou Mo switched to the patient's back.

2 minutes later……

Zhou Mo put down the probe and smiled.

Ultrasound results:
Gallstone!

And it's not too small!
As for why the patient does not feel pain, because some gallbladder stones are coquettish and cheap, and will not make the owner of the body feel pain.

As for cholecystitis, gallbladder stones can easily damage the gallbladder, which can lead to cholecystitis and increased white blood cells.

to here,
The cause of patient Liu Mo's chest tightness and shortness of breath is ready to be revealed!

·
·
·
Gallbladder Syndrome! !

--------

ps: Recommendation ticket, monthly ticket feeding port...(*▽*)
　Today's Lantern Festival, everyone has enough food and clothing (porridge)!
　　
　
(End of this chapter)