My medical skills are a billion points

Because a small mistake by the doctor may take a life away.

However, interns are an exception.

Even if interns make mistakes, they will be accompanied by teachers.

Of course, when interns make mistakes, they only happen when the instructors are watching them.

And the teaching teacher will definitely not, let the interns let themselves go.

For the sake of a bowl of water, Xiao Chu specially asked Liu Qing to see a few patients alone.

From this comparison, he found that Liu Qing was far behind Wang Li in both theoretical knowledge and clinical experience.

But Xiao Chu didn't blame her either.

Just pointing out where she was wrong.

For Liu Qing who is obviously a rich girl, Xiao Chu will never ask too much.

After all, she probably won't work in the hospital in the future.

Xiao Chu was teaching the two of them the diagnosis and treatment experience of some common diseases and frequently-occurring diseases, when the ambulance brought a patient.

is a young woman.

She was lying on the emergency gurney, clutching her stomach, rolling in pain.

Her mother was helpless and anxious.

Xiao Chu took Wang Li and Liu Qing to see the doctor.

The woman's symptoms were somewhat similar to those of the man before, and Wang Li's heart skipped a beat.

"Isn't there going to be another kidney stone??"

Because this woman had a stomachache that was worse than that of the man just now, everyone hurriedly pushed her into the emergency room.

Wang Li hurriedly asked, "Does your stomach hurt?"

"Well, it hurts so badly, I can't take it anymore, give me a painkiller injection."

The woman frowned, enduring the pain and said.

Wang Li didn't respond, but asked instead, "How long did it take for the pain to start?"

"It's been hurting for almost 10 minutes."

The woman's mother answered for her.

And Xiao Chu immediately gave her a physical examination.

No matter which part of the stomach is pressed, the patient complains of pain.

But her entire stomach is very soft, without the characteristics of those acute abdomen.

Seeing that Xiao Chu finished examining the patient, Wang Li and Liu Qing were a little confused.

They couldn't figure out what was going on with the patient.

But Wang Li still followed the routine inspection and gave the woman a checklist.

The two of them were about to push the woman for an examination.

At this time, Xiao Chu said: "The test results will come out in a while, give her a pethidine first to relieve the pain, otherwise, she won't be able to take it anymore."

"Does she want to take Dulantin in advance?"

Wang Li asked suspiciously.

After all, it is better to judge that the man before was a ureteral calculus.

It is understandable to take painkillers in advance.

But this woman had no clue at all, so she beat Du Lengding ahead of time, which made Wang Li puzzled.

Xiao Chu nodded.

"Use pethidine to stop the pain first!"

Seeing that Xiao Chu agreed to use the painkiller injection, Wang Li hurriedly gave the doctor's order.

After the painkiller injection, the woman's abdominal pain gradually eased.

Then, she and Liu Qing pushed the woman for an examination.

Soon, the test results came out.

Looking at the test results in her hand, Wang Li frowned.

Because the test results of this patient are all normal and there is no problem.

Not urinary stones!

This is strange, and my stomach hurts like a twist.

There is no problem in the examination, this disease is a bit strange!

However, Wang Li suddenly became excited again.

This can be regarded as a difficult case, and it is time to gain insight.

And Xiao Chu looked at the completely normal inspection report in his hand, and fell into deep thought.

All examinations were completely normal, but the patient suffered from severe stomach pain.

In an instant, Xiao Chu remembered a very rare disease.

"Doctor, what's wrong with my daughter? Why does she suddenly have a stomachache?"

the patient's mother asked.

Xiao Chu said directly: "Your daughter's condition is not very clear at the moment, first go through the hospitalization procedures and wait for further examination."

Although Xiao Chu had already diagnosed the woman's condition in his heart.

But a urine test result is needed, so let her go through the hospitalization procedures first.

And this patient was handed over to Li Xiang to take care of the bed.

He couldn't figure out for a while, what kind of disease this woman was, after all, all tests were normal.

Because the condition is not very clear, Li Xiang did not use any special medicine.

I only used some antispasmodic and pain-relieving drugs, and some nutritional drugs.

However, the woman's pain has been significantly relieved, and she no longer screams.

It is definitely not appropriate to discuss the condition in front of patients and their families.

So several people returned to the office to analyze the condition.

With Xiao Chu's clinical experience, she naturally already knew what disease this female patient was suffering from.

So he said with a smile:

"This case is more meaningful. You guys can express your opinions. You two, Liu Qing and Wang Li, can also participate."

Now in the office, apart from Xiao Chu, there are Li Xiang and a fellow doctor.

The rest are Liu Qing and Wang Li.

Seeing that the team was led by the attending physician, Wang Li and the two naturally dared not express their opinions.

The two of them dare not get a big ax in front of Lu Ban's door!

Chapter 224 Terrible Disease

Although Li Xiang didn't know the bottom line in his heart, at least he had a judgment in his brain.

He said: "This patient had similar symptoms before, but the test results showed no problems.

But I was fine again, so I thought it might be stomach pain caused by intestinal spasm. "

Li Xiang said that there is still a certain truth.

Intestinal cramps can occur at any age.

Of course, children are more common.

The etiology is generally related to dietary factors, gas accumulation in the gastrointestinal tract, or stimulation of the gastrointestinal tract by cold, hunger, etc., intestinal smooth muscle will appear, and strong contraction will cause acute abdominal pain.

This disease is self-healing, which means it will get better by itself.

Sometimes when the pain is very severe, drinking some hot porridge, hot water, etc., may gradually relieve it.

And if the intestinal spasm occurs, there is nothing wrong with it.

General color ultrasound examination, CT examination, blood routine examination, are normal.

So according to this line of thinking, Li wanted to consider that the female patient might have intestinal spasms.

However, he wasn't sure.

Xiao Chu didn't speak, but looked at the trainee doctor.

"If this patient was handed over to you, what diagnosis would you make?"

This trainee doctor studied under Li Xiang.

For the female patient, he also read the examination report and the medical history inquired in detail.

My heart is also a mess.

Because all the examinations were normal, even if the stomach hurts badly, he couldn't tell what the disease was.

But Xiao Chu actually asked him, so he had no choice but to answer bravely.

"Director Xiao, I'm the same as Teacher Li. I also think it's caused by intestinal spasm."

The trainee doctor really couldn't think of any symptoms that fit this female patient.

Since his teacher, Li Xiang, gave a possible answer, he followed suit.

Hearing the two people's answers, Xiao Chu remained calm.

Instead, he looked at Wang Li and Liu Qing.

Not to mention these two people.

Even Li Xiang, the teaching teacher, only gave an ambiguous answer.

What opinions can they have.

Wang Li hurriedly waved her hand and said, "Mr. Xiao, I can't analyze what kind of disease this patient is.

If you have an answer, tell us, let us learn a lot. "

Li Xiang let out a sigh of relief.

"Director Xiao, to be honest, this is indeed the first time I have encountered this patient's symptoms.

If you look at her symptoms, the pain is so severe, but all the test results are normal, it is really a bit incomprehensible.

I can only consider intestinal spasm at present, but it is not very sure, if you have a reliable diagnosis, you can tell us about it. "

Xiao Chu nodded.

"I can tell you with certainty that this patient is not having intestinal spasms."

"Not intestinal spasms?"

Li Xiang looked suspicious.

"But all her tests were normal.

Moreover, the abdominal examination showed no sign of acute abdomen. I can't think of any other problems at present. "

If it wasn't the intestinal spasm, what disease was causing her severe abdominal pain?

Several diseases quickly popped up in Li Xiang's mind.

But after thinking about the patient's symptoms and performance, they didn't match.

Now Li Xiang was a little restless.

"Director Xiao, if this woman doesn't have intestinal spasms, but after I gave her antispasmodic painkillers, she gradually disappeared from the pain, how can this be explained?"