My medical skills are a billion points

Zhang Hongbo swiped a few Douyin videos with a gloomy expression on his face.

"I managed to capture the evidence of him receiving red envelopes. I didn't expect this kid to charge the hospital fee for the patient. Why does this kid have a long head? Patients don't even want red envelopes for him."

"The enthusiasm we've managed to stir up has subsided so quickly. This kid is really lucky."

A sneer appeared on the corner of Zhang Guoxing's mouth.

"The matter calmed down so quickly, Liu Qiming must have suppressed the trending searches. As the dean, he will definitely not let this matter escalate and damage the hospital's reputation.

To my surprise, Xiao Chu actually returned the red envelope.This one miscalculates us. "

"Dad, what shall we do in the future? After this incident, Xiao Chu's reputation has risen instead of falling, which is even more unfavorable to us."

Zhang Guoxing pondered for a while, and said: "Now that Xiao Chu's reputation is in full swing, let's not risk it easily, but think about it in the long run. As long as he continues to work in our hospital, sooner or later he will be caught by the tail."

Although Zhang Hongbo really wanted to pull Xiao Chu off his horse, he couldn't do it for a while, so he could only follow Zhang Guoxing's suggestion.

……

Xiao Chu had just finished seeing a patient with tennis elbow. A man in his thirties came to him with the help of a woman in her thirties.

The young woman clutched her belly with pain on her face.

The man should be her husband, who carefully helped her sit down on the stool with a worried expression on his face.

The young woman clutched her stomach and said in pain:

"Doctor, my stomach hurts badly, can you show me what's wrong?"

Before Xiao Chu could speak, her husband hurriedly said:

"My wife started to have a stomachache at noon. At first she thought she had diarrhea, but she didn't have diarrhea after going to the toilet a few times, but her stomach hurt more and more.

Check her carefully, what is the disease? "

The patient's pain was mainly in the lower abdomen. The pain was severe and he refused to press.

There is even a phenomenon of localized peritonitis.

Women have abdominal pain in the lower abdomen and the performance of localized peritonitis, nothing more than a few situations.

The first is that acute appendicitis needs to be ruled out.

Furthermore, it is necessary to consider whether it is a gynecological disease.

Another possibility is whether ectopic pregnancy.

Xiao Chu asked about the woman's menstrual history and marriage and childbearing history in detail.

Xiao Chu discovered a suspicious point.

According to the man, he has been on a business trip for half a year and only came back yesterday.

So last night, the two were crazy.

The man even suspected that his wife's stomachache was caused by the two being too crazy.

If this is the case, the possibility of ectopic pregnancy is still relatively small.

But, according to the woman's symptoms and menstrual history,

What Xiao Chu considered was still in favor of a ruptured ectopic pregnancy.

So, he immediately gave the woman a color ultrasound examination of the uterine appendix, as well as a hematuria hcg examination.

More than half an hour later, the woman clutched her stomach and came back with the test results.

Xiao Chu glanced at it and immediately froze!

The result of this woman's judgment is the same as mine!

She was really bleeding from a ruptured ectopic pregnancy!

This is also the reason for the severe abdominal pain.

Xiao Chu felt a little difficult!

The woman's husband was away from home for half a year, but she was pregnant, which caused the ectopic pregnancy to rupture and bleed!

What does this mean? !

Obviously, the woman cheated while her husband was away.

The result was pregnant, and it was an ectopic pregnancy.

Seeing Xiao Chu remain silent, the man hurriedly asked:

"Doctor, what's wrong with my wife? Don't be dazed, treat her quickly!"

Obviously, the woman's husband didn't know what was going on.

But as soon as Xiao Chu spoke out about his condition, the woman's husband would definitely understand that he was being cuckolded.

This is no good!

If Xiao Chu told the truth now, the woman's husband would definitely not let her go.

And it is very likely to let go and leave, regardless of the woman.

If Xiao Chu doesn't explain the situation clearly now, the two people in front of him are eagerly waiting for his diagnosis.

Moreover, this woman's ectopic pregnancy needs to be treated with surgery as soon as possible, so Xiao Chu must not hide her condition.

Otherwise, it is easy to suffer a lawsuit.

After thinking about it, Xiao Chu had an idea.

Xiao Chu said: "Your disease is a gynecological disease, and it is likely to require surgery.

So I suggest you take these checklists, go to the gynecology clinic to find a gynecologist, and show you the details again.

This is the emergency department. Their gynecologists are of course more professional in gynecological diseases! "

Patients with ectopic pregnancy are admitted to the gynecology department, which is justified.

So he pushed the patient to the gynecologist.

As for how they should tell men about their condition, that is their business.

When he heard that surgery was still needed, the man suddenly became nervous.

"Doctor, what's wrong with my wife? Why do I still need an operation?"

Xiao Chu handed all the examination results to the man and said: "Whether the patient needs surgery, you should go to the gynecology department as soon as possible, after all, they are more professional."

Women's ectopic pregnancy bleeding is not too much.

It will not be life-threatening for a while, and it is most appropriate to transfer to the gynecology department.

Chapter 242 Don't You Want to Follow Director Xiao on Stage?

In the end, the woman was transferred to the gynecological ward.

Xiao Chu has not activated the ectopic pregnancy operation yet.

So even if he wants to do this operation, he still needs to spend points.

Furthermore, the situation of the couple is complicated.

During the preoperative conversation, privacy will definitely be involved.

Xiao Chu was too lazy to make trouble for herself.

Therefore, it is most sensible to refer the patient to the gynecology department.

It also saves people from the gynecology department from saying that they intercept their patients.

Two days passed, and the red envelope incident was posted on the Internet, and there was no further disturbance.

It was as if this had never happened.

This morning, Xiao Chu had just finished working on a patient.

Gao Yingjun came to Xiao Chu with a CT scan.

"Xiao Chu, I admitted a patient yesterday, his chest X-ray is very strange, please show me!"

Now the director of the department, Chen Bin, continues to stay at home on vacation.

Therefore, if there is any problem in the emergency department, whether it is a difficult disease or a difficult operation, Xiao Chu should be asked to solve it.

Xiao Chu picked up the film and looked at it, and found that the patient's lungs had multiple round and quasi-circular shadows, the size of which was 1~10cm.

The lesions are homogeneous in density, cystic in shape, with smooth and clear edges, and may have ring-shaped calcifications.

After watching the film for a while, Xiao Chu asked: "What is the patient's previous medical history, and what symptoms did he come to see?"

Gao Yingjun immediately replied: "This patient came here yesterday afternoon. His main symptom is cough, with no obvious sputum production, occasional hemoptysis, no chest tightness, and no fever."

"He didn't take it seriously at first, and when his cough became severe, he went to a nearby clinic and prescribed some cold medicine.

But after eating, there was no effect, and I didn't go to the hospital for examination.

In the past two days, he felt suffocating, and his activities became more severe, so he came to our hospital for examination. "

"As a result, after I got the film, I found that it didn't look like tuberculosis, it didn't look like lung cancer, and it wasn't pneumonia."

"So I wondered, what the hell is this film?"

Xiao Chu's current clinical experience is world-class.

He glanced at the CT film and already had a general understanding of the patient's condition.

Of course, if you want to make a diagnosis, you can't just rely on a single film to make a diagnosis.

You also need to check the patient yourself.

The two came to the emergency ward.

The patient was a middle-aged man in his fifties who was breathing oxygen, but still felt breathless.

Xiao Chu examined this patient in detail, and then asked him: "You were in good health before, weren't you?"

The patient nodded.

"Then have you traveled recently?"

The patient gasped and said with difficulty: "Oh, I traveled to Shaanxi for a week more than a month ago.

I travel for a few weeks every year, but after I came back this time, I felt something was wrong with my body. "

"I was tired and coughed at every turn. I didn't care at the time. When it was serious, I took some cold medicine, but it didn't work.

But I didn't expect that I couldn't breathe these days, and my cough got worse.I've never had this before, what is wrong with me?doctor. "

According to the patient's medical history and the results of his examination, Xiao Chu has a clear understanding of his diagnosis.

"Your illness is considered to be pulmonary echinococcosis. It has a lot to do with your trip to the west a month ago!"

"Pulmonary echinococcosis?"

Not to mention that the patient is completely confused.

Even Gao Yingjun frowned and thought about it for a long time.

I have an impression of this disease.

The main reason is that he has never seen this disease before.

I have almost forgotten about the disease mentioned in the textbook.

Now after Xiao Chu reminded him, he gradually recalled some impressions.

Hydatid disease, also known as echinococcosis, is a chronic parasitic disease caused by human infection with the larvae of Echinococcus tapeworm (Echinococcus).

Clinical manifestations vary depending on the hydatid cyst location, size, and complications.

The disease is a serious, zoonotic disease.

High-incidence and epidemic areas are mainly concentrated in alpine meadow areas, pastoral areas with cold climate, drought and little rain, and semi-agricultural and semi-pastoral areas.

Mainly Mongolia, Shaanxi and other places are more serious.

Wild animals such as domestic dogs and foxes are the main source of infection.

Humans become infected through contact with domestic dogs, or by ingesting water, vegetables, or other food contaminated with eggs.