medical road high rise

Chapter 377 Unexplained Abdominal Pain

Chapter 379 Unexplained abdominal pain

A few days later, the urgent pathology results came out, as Qin Feng guessed, it was indeed tapeworm.

In the patient's report examination, the IgG antibody to the tapeworm was positive, and other indicators were also in line with the signs of tapeworm infection.

Tapeworms are the white worms that appear in rotting meat.

Now the patient's condition is clear, but there is still a point of doubt, that is how the patient got infected.

The family members of the patient also came over. They all seemed to be the kind of temperamental people. They asked about it. They were locals in Shanghai. They collected more than a dozen suites for rent and lived an extremely good life. Tapeworms can only be found in messy food. environment to survive.

There is only one possibility, that is, when the patient eats in a certain restaurant outside, the restaurant does not follow the hygienic management, and puts raw food and cooked food on the same cutting board for processing, and there is a high probability of infection.

There is also good news, that is, the patient's examination results did not show systemic infection, but the spleen was infected and necrotic.

After leaving the patient in the general surgery department, Qin Feng left directly.

Before the hospital manager left, he asked with some doubts: "Brother Qin, shouldn't the pork tapeworm grow in the muscles and brain of the human body? How could it appear in the internal organs?"

"Pork tapeworms are indeed used to growing in these two locations, but the patient's situation is somewhat special. It may be that the food carries the eggs into the internal organs, and there is a large number of reproduction. After eating the patient's spleen, calcification occurs. "Qin Feng explained.

If it wasn't for eating up the patient's spleen, once the patient's spleen is opened, it is likely to be covered with tapeworms, which is more scary than eggs.

As soon as Qin Feng returned to the consulting room, the doctor from the obstetrics department came over and dragged Qin Feng away.

"Doctor Qin, we encountered a difficult patient in the obstetrics department. The condition is complicated. Do you have time?" the obstetrician asked.

"Okay, I'll follow you and take a look, and tell me the specific situation on the way." Qin Feng said.

The obstetrician led the way, Qin Feng followed behind, and then kept explaining the patient's condition.

The patient is a 28-year-old woman who was four months pregnant and developed abdominal pain.

Because it was her first pregnancy, the patient mistakenly thought that abdominal pain was a normal symptom of pregnancy, and did not care about it at first. It was not until the abdominal pain lasted for about a week, from a dull pain at the beginning to affecting normal sleep that the patient realized that she needed to come to the hospital. Check it out.

The patient's past medical history is also very simple. She had an appendectomy three years ago, and a double uterus was found during the prenatal checkup.

Uterine twins is a reproductive tract malformation disease. The cause is that during the development period before birth, the ducts on both sides develop normally but are not completely fused, thus forming two uteruses.

Both uteri have their own separate fallopian tubes, which are fully functional and can even lead to the formation of a double Y tract.

Theoretically speaking, this is not a serious disease, nor is it life-threatening, it is not a special case, and there is no need for treatment and resection at all.

The abdominal pain obviously has nothing to do with the double uterus, so I came to the ward and looked through the patient's medical records.

Qin Feng frowned when he saw the newly recorded medical records.

The patient's abdomen was distended. The obstetrics department preliminarily judged that the distension was caused by pregnancy, but it did not rule out whether there was abnormal distension caused by disease.

The tenderness of the whole abdomen was obvious and unbearable, but there was no obvious rebound pain and muscle tension.

However, because the patient was pregnant, many examinations could not be carried out easily. The obstetrics department only gave an internal inspection. The final result was that the patient's Y passage was unobstructed, no bleeding, the cervical canal was hard in the middle, and the cervix was not dilated. Nothing out of the ordinary.

"No, the patient is in shock."

While Qin Feng was looking through the medical records, the nurse suddenly shouted.

Qin Feng turned his head to look at the patient on the hospital bed. At this time, the patient's complexion was already pale, and there were two middle-aged couples and a man standing beside him. They should be the family members of the female patient.

"Doctor, why did my daughter suddenly become unconscious?" the patient's mother asked anxiously.

Qin Feng and the obstetrician quickly went forward to check, and the patient's physical values ​​were normal. After Qin Feng and his two simple treatment, he soon regained consciousness.

"Have you done an ultrasound examination for the patient?" Qin Feng asked.

"No, when the patient's last ultrasound was an obstetric examination, the family members and patients were worried that the second ultrasound would affect the fetus, so they did not agree to do ultrasound." The obstetrician said.

Qin Feng frowned even tighter. The output power of the ultrasound examination is very small, and has no obvious impact on the fetus. Now the patient has unexplained abdominal pain, and all inspections must be completed, otherwise if there is an accident, it will be two Life.

At this time, the patient's husband said, "Doctor, if it doesn't work, you can give my wife various tests right away, as long as my wife can survive."

With the consent of the family members, Qin Feng naturally asked the obstetrics department to send the patient for an ultrasound examination.

The results of the ultrasound surprised everyone.

Qin Feng has already understood the situation of the double uterus, but part of the continuous interruption and complete placenta previa can be vaguely seen in the anterior muscle layer of the uterus.

There is another more serious situation. The doctor in the auxiliary department quietly told Qin Feng and the obstetrician that there was a stillbirth in the patient's uterus.

The obstetrician's face changed, and she finally understood why she avoided the patient's family.

The whole family was looking forward to the birth of their grandson, and when they were told the news suddenly, there was a high probability that there would be trouble, and they thought it was caused by the ultrasound examination.

Qin Feng looked at the obstetrician and asked: "Does stillbirth in the womb cause abdominal pain?"

"Even if it causes abdominal pain, it is impossible for the abdominal pain to last for a week. It should not be the main cause of the abdominal pain." The obstetrician said.

The cause of the abdominal pain is still not found, but a surgery has been confirmed, which is to clean up the stillbirth of the patient.

Qin Feng began to have a headache. Qin Feng had learned very little about obstetrics and read few literatures.

Abdominal pain in pregnant women is really difficult to judge.

On the one hand, pregnant women themselves have abdominal pain, which is a normal phenomenon. In the first trimester, pregnant women often feel slight cramping, soreness, and persistent dull or severe pain in the lower abdomen.

Slight soreness comes from the implantation of the fertilized egg. After the fertilized egg lands on the endometrium, it needs to integrate itself into the endometrium for further development, which will cause the movement and contraction of the inner wall of the uterus, resulting in slight spasms , soreness.

Generally, this kind of abdominal pain will only last for one to three days. As for the persistent dull pain or severe pain in the lower abdomen, it may be that the implantation position of the embryo is wrong, that is, an ectopic pregnancy, but ectopic pregnancy is usually accompanied by Y tract bleeding. This situation can therefore be ruled out.

(End of this chapter)