My medical skills are a billion points

Chapter 203 This Patient Is Abnormal

Seeing that Xiao Chu remained silent, the young man begged again: "Doctor, please give me some laxatives. I've only been constipated for a few days and haven't had a bowel movement. Give me some laxatives. Once I have diarrhea, I'll be fine."

What the man said made Xiao Chu even more suspicious.

First of all, constipation is just that the stool cannot be resolved.

At most, it is abdominal distension, but no abdominal pain.

Moreover, laxatives can be bought in pharmacies outside.

So why did this man come to the hospital?

Xiao Chu looked at the pain on the man's face, it didn't look like he was pretending, but he didn't talk about his condition, he just asked for a laxative.

This makes people have to doubt his motives.

Patients like this are asked to prescribe medicine when they come up, and they don't talk about their condition, and they don't let them check up.

It is impossible for Xiao Chu to prescribe medicine for him.

Just like the young couple who held a child in their arms a while ago and let the antipyretics go, but they didn't let them see.

If Xiao Chu hadn't been careful at the time, he might have been fooled by that young couple.

Fortunately, Xiao Chu insisted on the principle, not allowing the child to be watched, and resolutely not prescribing medicine, so he escaped the catastrophe.

But now that this man came to the consultation room, he didn't see a doctor and only gave up laxatives, which must be a little abnormal.

Xiao Chu said: "You have to tell me the details of your illness."

"When did your stomach hurt?"

"Is there any nausea and vomiting? Is there any previous medical history?"

"I have to check your situation thoroughly and make a clear diagnosis before I can give you medicine.

If I don't know what's wrong with you and just prescribe medicine for you, I'm irresponsible to you, and it's dereliction of duty for me. "

But the man still didn't give up, he held his stomach tightly with his right hand, beads of sweat appeared on his face, he still begged Xiao Chu.

"Doctor, I had a stomachache half an hour ago. I haven't had a bowel movement for a few days. It must be caused by constipation. Just give me some laxatives."

Xiao Chu shook his head.

"I'm sorry, I can't fulfill your request. I can't prescribe medicine without a clear diagnosis. This is the principle of a doctor."

"If you just buy laxatives, there are a lot of laxatives in pharmacies outside, and you can buy them at will. There is no need to go to the hospital to register to buy laxatives."

"If you insist on letting me prescribe laxatives for you, and don't let me find out the cause of the disease, then please go to a pharmacy outside to buy them, and I can refund your registration fee."

Seeing that Xiao Chu was unmoved at all, the man had severe stomach pains, so he had no choice but to accept the examination.

Xiao Chu let the man lie on the examination bed.

After a physical examination, it was found that his left lower abdomen had obvious tenderness, but no rebound pain.

Moreover, the abdominal distension is not obvious, and the tenderness in the left lower abdomen is relatively limited.

If it is tenderness in the lower right quadrant, acute appendicitis should be considered.

But this man had tenderness in the lower left abdomen, and no obvious flatulence.

Moreover, the symptoms of abdominal pain were obviously severe. During the examination, the sweat on the man's face had permeated a layer.

It was obvious that he was in great pain.

But at this time, Xiao Chu's passive ability was not activated.

He could only consider several possibilities such as acute gastroenteritis, urinary stones, and intestinal spasms based on the man's symptoms.

But further inspection is needed to be sure.

It doesn't matter whether Xiao Chu's passive ability is activated automatically, or whether he can directly see what disease the man has.

But the necessary inspection is absolutely indispensable.

Because of the current medical environment, it is not allowed to prescribe drugs to patients without any examination.

Nothing is okay, once an accident happens, you prescribe medicine to the patient without any evidence of examination, then the doctor will be held legally responsible.

Xiao Chu prescribed an abdominal CT for the man, as well as abdominal color Doppler ultrasound and related blood routine examinations, and asked the man to go to the emergency room for a CT scan.

There is a CT in the emergency department, which is specially opened for emergency patients. It can be checked at any time, and the results can be issued at any time without queuing.

If it is the experts and professors in the outpatient clinic upstairs, they will prescribe the test results.

For example, CT and MRI, etc., all inspections need to be carried out on the basement floor.

Under normal circumstances, these large-scale inspections will not produce results on the same day, and they will have to wait until the next day at the earliest.

Because of the particularity of the emergency department, the hospital has specially installed a CT in the emergency department to serve emergency patients.

And some patients who often come to the hospital know this convenient condition. , They will not go if they can not go upstairs to find those experts and professors.

I came to the emergency department for examination, just to get the results quickly.

As long as this man has a CT scan, Xiao Chu will soon see the CT results on the computer, which is also convenient for diagnosis and treatment of patients.

And if the man knew that he didn't get checked, Xiao Chu would never see him, or he knew in his heart that his illness had to be checked.

So he was not resisting, so he took the medical card and went to the CT room for examination.

Not long after the man with abdominal pain left, another 25-year-old young man entered the consultation room.

This man is not tall, probably less than 1.7 meters.

With sunken eye sockets and thin cheeks, he looks very thin and sickly.

He walked into the consulting room and said directly to Xiao Chu: "Doctor, I have cancer, I can't stand the pain, please prescribe me a pethidine to relieve the pain."

Hey!Today is weird!

Two patients in a row, without mentioning their condition, just let the medicine go.

And this young man was even more outrageous, and he gave way to poison and anesthetic when he came up.

Demerol is a restricted drug!

It is a powerful pain reliever, but it is also a controlled narcotic drug.

Xiao Chu's current title of resident physician cannot prescribe this kind of medicine at all.

Because the hospital will not give junior doctors the right to authorize narcotics.

And this young man in his 20s asked himself to be prescribed Demerol when he came up, and he also said that he had cancer.

But he didn't have the relevant certificate of cancer in his hand, which made Xiao Chu even more suspicious.

Because some patients with advanced cancer do need to take analgesics to relieve pain.

But they usually have medical records and an anesthesia card issued in the hospital.

Those powerful analgesics can only be prescribed when you come to the hospital with your medical records and anesthesia card.

But the man in front of him didn't have anything in his hand, and he was about to take Dulantin when he came up.

It made Xiao Chu suddenly think of an incident he encountered with his teacher during his internship.

That was when he had just been intern for three months, and he was on night shift with his teacher.

At night, I also met a young man who asked his teacher to get rid of Du Lengding.

I also didn't have any proof in my hand.

Xiao Chu's teacher at that time had rich experience.

He politely rejected the patient's request and sent him away.

Afterwards, the teaching teacher emphasized to Xiao Chu that those who come up to prescribe strong painkillers without any proof in hand are likely to be drug addicts, so we must be vigilant.

Xiao Chu looked at the man in front of him, and then remembered what his teacher said during his internship.

I was shocked in my heart!

Chapter 204 This Man Can Play

The patient in front of him is very likely to be an addict!

It's worth it!

To prescribe restricted drugs in broad daylight, this person is very courageous!

This Du Lengding, not to mention that he has no qualifications, even if he is qualified, Xiao Chu will definitely not give him a prescription.

However, Xiao Chu didn't want to provoke this kind of people.

After all, once these people become addicted, they can do anything.

After thinking for a while, Xiao Chu said, "I'm sorry, I'm not good enough to prescribe the medicine you mentioned."

When the man heard that Xiao Chu could not prescribe the medicine, he was a little anxious.

"Where can I prescribe this medicine?"

"If you want to prescribe this medicine, you must have the medical records and diagnosis certificate from the hospital, and then go to those old experts to prescribe it."

Xiao Chu didn't hide anything from the man, he told the truth.

It is true that his qualifications cannot prescribe this medicine, and there is no need to hide it.

What if he guessed wrong?

This man is not a drug addict, but a real patient. Isn't that hurting him?

Therefore, the conditions for prescribing this medicine were stated, and the man was allowed to figure out a way by himself.

Anyway, he definitely can't prescribe this medicine.

The thin man stared at Xiao Chu twice, bit his lip, thought for a while, picked up the medical card and left without saying a word.

Looking at him like this, without even an explanation, I'm afraid the possibility of being an addict is very high.

For a person like him, no matter which hospital he goes to, it is impossible to prescribe this kind of medicine.

Xiao Chu saw a few more patients. It was already five o'clock in the afternoon, and there was still an hour before get off work.

At this time, the patient who had a stomachache before came to the consulting room with his hands on his stomach and the film.

Xiao Chu found that the man's expression was really painful, but he showed an embarrassing expression.

He lowered his head, not daring to look into Xiao Chu's eyes, but silently handed the film to him.

After Xiao Chu put the CT film on the viewing light, his eyes widened immediately.

Oh my God!

This guy is good at playing!

On the CT film, there was a long strip-shaped object in the descending colon of the man's left lower abdomen.

I saw this object, about thirty to forty centimeters long, with a pointed head and a thin tail, which looked like a snake.

In an instant, Xiao Chu thought of a creature in the water.

Field eel!

Suddenly, Xiao Chu understood everything!

Why did this man prescribe laxatives as soon as he came in, without mentioning the cause?

And after the inspection, he showed an embarrassed look, and he hesitated between words.

It turns out that the root of everything is here!

Chrysanthemum is burst!

And it was exploded by eels!

Awesome!

Xiao Chu had only heard before that there were women who would play like this.

But I didn't expect that the man was also interested in it.

What an eye-opener!