My medical skills are a billion points

"Brother Zhou, I've been single for so long, and I finally caught up with a girl, just let me taste the sweetness of love!"

Facing Gao Yingjun's obsession, Zhou Ziqiang just shook his head slightly.

He was not optimistic about Gao Yingjun and Tang Yanyan.

After all, Tang Yanyan's reputation and beauty are beyond the control of someone like Gao Yingjun.

Since Gao Yingjun didn't listen to everyone's persuasion, everyone didn't talk too much about this topic.

At this time, Li Xiang pushed the door open and walked in and shouted: "Everyone, don't be idle, come and see a patient."

Several people followed Li Xiang and came outside a ward.

Li Xiang said: "The patient is a 50-year-old male who suffered from anaphylactic shock due to injection of penicillin. At that time, he also suffered from respiratory arrest. He was rescued in the local hospital and just transferred to our department."

"After asking about the medical history, the patient is hypersensitive and is allergic to pollen and dust.

But this time when the penicillin was infused in the local hospital, there was no problem in the skin test, but after the infusion of penicillin, anaphylactic shock occurred. "

Gao Yingjun was a little puzzled.

"Li Xiang, isn't this patient in anaphylactic shock, has he been rescued now? What do you mean by letting us see?"

As soon as Gao Yingjun finished speaking, there was a painful howl from the ward.

Li Xiang pointed to the ward and said, "Did you hear that? This is the scream of that patient. I didn't ask you to discuss his anaphylactic shock.

But let you see why he has symptoms of acute abdomen. "

Several people followed Li Xiang into the ward, and then heard another howl of pain.

"Wang Liang, this is Director Xiao from our department. Please bear with it and don't scream. Let us give you a good examination and consultation."

Xiao Chu asked: "You have a severe stomachache right now, don't you?"

"Yes, doctor, my stomach hurts very much now, can you stop the pain for me first, I really can't stand it!"

Wang Liang lay on the hospital bed, clutching his stomach, and said while suppressing the pain.

Because when the patient came, the anaphylactic shock had not been completely corrected, so he was rushed to the emergency room.

Li Xiang simply gave him a blood test and bedside color Doppler ultrasound, and hadn't had time to do other major tests.

Therefore, I want to let Xiao Chu and others take a look at the general direction of this person.

But according to the current situation, Wang Liang's pain is too severe to cooperate with their consultation and physical examination.

Li Xiang then said to Wang Panpan: "Give him a shot of morphine to relieve the pain first!"

Wang Panpan prescribed the medicine and notified the nurse for an injection.

After the painkiller injection, Wang Liang felt better.

Several people asked about Wang Liang's situation in detail, and then returned to the office to discuss.

This patient is a bit of an incurable disease.

Otherwise, Li Xiang wouldn't have called everyone over to discuss it together.

Li Xiang knocked on the table, and first said: "Everyone has a clear understanding of this person's medical history. Then, let's express our opinions."

Gao Yingjun first said: "The patient has severe left abdominal pain, and the biochemical examination shows that lipase, blood amylase, urine amylase, and pancreatic enzymes all increased. Other examinations have not found any abnormalities for the time being."

"And he drank alcohol in the morning. It is not ruled out that alcohol induced acute pancreatitis."

"Anaphylactic shock occurred during the infusion in the local hospital."

Zhou Ziqiang shook his head.

"It's not necessarily pancreatitis, is it? You can't see the pancreas at all on color Doppler ultrasound. There is too much gas in the intestine."

Gao Yingjun smiled.

He only considered the judgment of pancreatitis based on blood biochemistry.

The color Doppler ultrasound can't see the pancreas clearly, of course he knows it too.

It is normal to have different opinions in case discussion.

Several people discussed and discussed, but there was no clear diagnosis, so they looked at Xiao Chu.

"Xiao Chu, what do you think about this patient?"

Xiao Chu smiled and said: "Brothers, you are completely dark under the lights!"

"Now that the patient's anaphylactic shock has been corrected and he is awake, we can push him to have an abdominal CT. When the examination is clear, won't the diagnosis be clear?"

Handsome Gao slapped his thigh fiercely.

"I'm going, forget about this, the patient can go for a major examination now, what are we talking about here!"

This is a typical dark under the lamp.

These doctors completely regarded the patient as anaphylactic shock and were unable to do large-scale examinations.

As everyone knows, the patient is fully awake, his vital signs are stable, and there is no problem at all with an abdominal CT or something.

They are discussing here and there, but it is better to be a CT to make it clear.

After confirming the examination plan for the patient, Li Xiang gave it to the patient and went for a pancreatic CT urgently.

After about 10 minutes, Li Xiang came back.

"The patient is a pancreatic cyst, because the anaphylactic shock induced abdominal pain. Next, anti-inflammation is needed, and the treatment of inhibiting pancreatic juice secretion is enough. The problem is not big."

In the end, the patient just gave him a false alarm.

Chapter 329 It's Okay, It's Just a Torsion

It's not uncommon to see such dark conditions in hospitals.

Sometimes because of inertial thinking, doctors also have such unexpected situations.

Xiao Chu just laughed at this.

But he received a little boy in the consulting room.

The little boy was about ten years old, he was in primary school, and today was not a weekend, but he came to the hospital to see a doctor.

The little boy always said that his stomach hurts, and he couldn't concentrate on going to school because of the pain.

What her parents meant was that the child was pretending to be sick in order not to go to school.

But the child kept saying that his stomach hurts, and as a parent, he had to take him to the hospital for treatment.

The main reason is to let Xiao Chu check the child to see if he is sick and if he is lying.

Xiao Chu said to Wang Panpan next to him.

"Get him a D-dimer lactate and amylase test!"

Wang Panpan didn't understand why Xiao Chu checked these two things for the little boy.

But it was inconvenient for her to ask questions in front of her family members.

Therefore, after checking on the computer, the family members were asked to take the little boy to check.

After the three of them walked away, Wang Panpan asked:

"Mr. Xiao, why did you check these two things for the little boy just now? I don't understand. Didn't you suspect him..."

Based on his own experience and knowledge, Wang Panpan thought of a possibility.

But she also felt that this might hardly exist, so she stopped talking halfway through.

Of course Xiao Chu knew the purpose of Wang Panpan's questioning.

Then he said: "The purpose of my investigation of these two things is to suspect that the little boy has a twisted bowel."

"Ah, the little boy really has a volvulus. How is that possible?"

"The kid had stomach pains intermittently. And after a meal, he had violent somersaults.

Therefore, the possibility of volvulus cannot be ruled out.If intestinal volvulus is diagnosed, surgical treatment is required as soon as possible. "

Regarding Xiao Chu's explanation, because Wang Panpan had never seen such a situation, he only nodded in doubt.

She is only a county doctor, and she has never seen such a relatively rare case, so she can't think of this possibility.

Of course, she still expressed her doubts to Xiao Chu.

"Mr. Xiao, this child has had stomach pains intermittently for a while. There is no major problem, and at his age, is it possible that the stomach pain is caused by mesenteric lymphadenitis?"

"The possibility of intestinal volvulus should not be high. You can see that he does not have a fever now, nor does he have nausea and vomiting."

Xiao Chu shook his head.

"Don't look at the appearance when you see a doctor, and you need multiple observations and careful examinations to make an accurate judgment.

After the child comes back from the examination in a while, you have to go through the hospitalization procedures for him, and let him observe overnight until tomorrow, and you can see the changes. "

"Really? Teacher Xiao."

Wang Panpan still has some doubts.

"You just do as I said, first go through the hospitalization procedures for him, and observe for one night. Tomorrow or not, if the child's condition changes, you will understand."

"Okay, Teacher Xiao."

When the parents came back with the boy for examination, Wang Panpan asked them to go through the formalities of hospital observation.

The little boy's parents were still a little reluctant.

I feel that my child just has a stomachache and there is no major problem, so why should he be hospitalized?

After Wang Panpan's detailed explanation, the child's parents reluctantly agreed to stay for one night.

If nothing happens tonight, they must be discharged tomorrow.

Moreover, their son is in school and cannot delay his studies.

Although the little boy's parents did not believe Wang Panpan's words, they still decided to go through the formalities of hospitalization for observation for the sake of the child's health.

A day passed quickly, and it was almost time for Xiao Chu to get off work.

At this moment, the little boy in the ward turned over and suddenly vomited on the bed.

Then, with a painful expression, he clutched his stomach and yelled.

The little boy who was sleeping soundly just now suddenly became so painful, his father was at a loss for what to do.

"Doctor, doctor!"

The little boy's father yelled down the corridor.

Xiao Chu hurried over, picked up the little boy, and walked outside.

"Your son's volvulus is getting worse and needs surgery now!"

Xiao Chu said without doubt.

The little boy's father panicked all of a sudden.

"Doctor, I'm sorry before, it's all my fault, I will listen to you!"

The little boy's father hurriedly apologized to Xiao Chu, then took out his mobile phone, called his wife, and asked her to come to the hospital as soon as possible.

Wang Panpan felt a little bad when he saw the little boy.

Then he asked, "Mr. Xiao, what's going on?"

"His intestinal volvulus is serious, and now he must be operated on immediately!"

"Quickly check the blood biochemistry, amylase, and do an abdominal CT!"

Xiao Chu ordered immediately.

"Blood biochemistry, amylase has been checked, his value is slightly higher, I'm going to take a CT of his abdomen now!"

While talking, Wang Panpan and Xiao Chu carried the boy to the CT room!

Soon, the results came out, and the little boy had torsion!

It is already very serious and requires surgical reduction as soon as possible.

Otherwise, after a long time, the necrotic part of the small intestine will be removed.