The most enlightened doctor

It took nearly two hours for Yu Zhiming to complete the positioning of eight pregnant women in labor and adjust the position of one fetus with the umbilical cord wrapped three times around the neck.

Afterwards, he rushed to the examination room in the Department of Cardiology and conducted a physical examination for the Gu family.

The first person to undergo a physical examination was found to have a problem by Yu Zhiming.

Liver cysts.

It is a common clinical liver disease.

Most liver cysts are simple liver cysts, which are small in size, grow slowly, have no obvious symptoms, and generally do not require treatment.

However, the 51-year-old patient examined by Yu Zhiming had a liver cyst with a diameter of about eight centimeters.

Although there are no obvious symptoms yet, if the baby gets older, there will be obvious symptoms of upper abdominal pain and fullness.

With such a large cyst, there is a risk of rupture.

Surgical resection is necessary.

The second examiner who walked into the examination room was a woman in her early forties.

As soon as she came in, she told Yu Zhiming that she had been constipated in recent months and often needed medicine to help her defecate.

I hope Yu Zhiming can find out the exact cause and solve her painful defecation.

This made Yu Zhiming grin secretly.

Although constipation is not a serious problem, its causes are diverse.

There are both organic and functional causes.

If it were told in detail, it would be enough for medical experts in this field to talk about it for ten days and a half.

This less than ten minutes of physical examination alone allowed Yu Zhiming to find out the exact cause of constipation. This must have been a deliberate attempt to make things difficult for him.

Although Yu Zhiming thought so in his heart, out of the desire to protect his honor as a medical genius and not wanting to be really troubled by this woman, he focused on the physical examination.

First, a brain exam.

One of the organic causes of constipation is neurological diseases, such as central brain diseases, stroke, multiple sclerosis, etc.

Yu Zhiming did not discover that this woman's brain had any brain problems that deserved special attention.

Next is to check the neck.

Yu Zhiming focused on her thyroid gland.

Endocrine or metabolic diseases, such as diabetes, hypothyroidism, parathyroid disease, etc., sometimes cause constipation symptoms.

Yu Zhiming then checked the woman's breasts, heart, left and right lungs, stomach and other internal organs...

After finding no problems that required attention and treatment, Yu Zhiming moved his hands to the woman's abdominal cavity.

After first examining the kidneys, gallbladder, reproductive organs and other internal organs in the abdominal cavity, Yu Zhiming left the most important examination of the woman's intestinal system for last.

He first quickly explored the woman's intestinal system.

Yu Zhiming first confirmed that the woman had no organic disease in the intestines, such as tumors, inflammation or other causes that caused intestinal lumen stenosis or obstruction.

In addition, causes of constipation such as pseudo-obstruction, congenital megacolon, and megarectum were also ruled out.

Further exploration was conducted, and Yu Zhiming ruled out intestinal polyps, rectal prolapse, hemorrhoids, rectal muscle hypertrophy, pelvic floor disease and other conditions one by one.

This woman's intestinal system is quite healthy.

Perhaps, is constipation caused by functional reasons?

For example, if you eat less, or the food lacks fiber, or lacks water, it will lessen the stimulation of colon movement, and it is easier to cause constipation.

In addition, emotional stress, fast pace of life, changes in work and living habits may also cause constipation.

Abuse of laxatives can lead to excessive dependence on drugs and can also cause constipation.

Just when Yu Zhiming wanted to ask about the woman's diet, life and medication habits, he suddenly noticed something.

This woman's colon seems to be a little long.

The normal anatomy of an adult is that the length of the ascending colon is 15 cm, the transverse colon is 55 cm, the descending colon is 20 cm, and the sigmoid colon is 40 cm.

If it exceeds the normal value and the range of motion increases, it can be diagnosed as colonic redness.

After a careful examination, Yu Zhiming found that the length of this woman's sigmoid colon was nearly 44 centimeters.

This is proper colonic verbosity.

A long colon is also a cause of constipation.

Just when Yu Zhiming was about to tell the woman about his discovery, he realized something was wrong.

The woman said that she only had symptoms of constipation in the past few months.

If the constipation is caused by a long colon, it should be long-term and stubborn constipation that has been present since childhood.

In other words, the main culprit causing the woman's constipation in recent months is not the long colon.

At best it can be regarded as an auxiliary bonus factor.

Could it be that today I am going to be defeated by a little constipation and my reputation will be tarnished?

Yu Zhiming's eyes fell on the woman's belly again.

No obvious belly.

For a woman of her age, her lower abdomen is relatively flat, which shows that she attaches great importance to maintaining her figure.

At least pay attention to your diet and exercise.

exercise?

Yu Zhiming thought of this word and stretched out his finger to poke the woman's abdomen.

The abdominal muscles are not as tight as expected, and their resilience is slightly lacking.

Perhaps the strength of the abdominal muscles and pelvic muscles is insufficient, and the propulsion force for defecation is insufficient, making it difficult to expel feces from the body?

“How many sit-ups can you do?”

Yu Zhiming finally asked a question.

The woman who was still lying on the examination bed said distressedly: "Dr. Yu, I used to be able to do sit-ups for fifty or sixty."

"I haven't been able to do it lately. I can't get up after doing more than a dozen."

"My back hurts every now and then!"

Backache? !

This made Yu Zhiming think that the lumbar nerves were damaged, which in turn affected the control of abdominal muscles, pelvic muscles, and intestinal peristalsis.

"Turn over and I want to check your spine."

Generally speaking, Yu Zhiming's physical examination does not require the subject to turn over.

Because if there is a problem with the spinal cord or intervertebral nerves, it will be reflected in other aspects of the body.

When Yu Zhiming makes discoveries and doubts, he will ask the subject to turn over and conduct an in-depth exploration of the spine.

Just like this time...

Yu Zhiming carefully explored the woman's spine starting from the cervical vertebra and working from top to bottom.

When he explored the woman's second lumbar vertebrae, he finally made a major discovery.

Two peanut-sized intraspinal tumors were found in the spinal canal of the second and third lumbar vertebrae.

This made Yu Zhiming finally breathe a sigh of relief.

Proving once again that the medical genius is not troubled by a little constipation!

"What? I have a spinal canal tumor? Is the constipation I've been having these past few months caused by the spinal canal tumor?"

The woman looked shocked and a little unbelievable.

Yu Zhiming explained: "Spinal canal tumor invasion causes spinal cord damage, which may affect the nerves that control intestinal peristalsis."

"This causes bowel movements to slow down and bowel emptying to slow down, which can lead to constipation."

"It may also affect the nerves that control the abdominal and pelvic muscles, leaving them without enough power to push bowel movements."

Yu Zhiming explained and comforted: "From what I've seen, the tumor in your spinal canal is only the size of a peanut, and its edges are quite regular."

"The possibility of complete surgical resection is quite high..."

After sending the somewhat shocked woman out, Yu Zhiming quickly asked the third medical examiner to come in.

He spent too much time on the woman, a full sixteen minutes.

He needs to speed up the progress of the physical examination later.

Fortunately, the physical examination of the next twenty-eight people did not reveal any major problems.

Three people had serious cardiovascular and cerebrovascular problems, and Yu Zhiming reminded them to go for examination and treatment.

There is also a 61-year-old man whose stomach also needs a good care and maintenance...

At 5:20 pm, Yu Zhiming completed all his work at Ning'an Hospital.

He moved his wrists, arms, and twisted his waist, stretching his body to relieve fatigue, when Gu Qingran walked into the examination room.

"The results of my cousin Jing's MRI examination have come out, and they are exactly the same as what you said."

Gu Qingran sighed softly and said, "Even after seeing the image, she still couldn't believe it."

"She didn't expect that she was looking for you to check for constipation, but in the end she found a spinal tumor."

Yu Zhiming smiled and said frankly: "Fortunately, she asked me to check the cause of constipation first."

"Otherwise, I wouldn't have checked to the end. Maybe I would have missed the spinal tumor."

Gu Qingran chuckled and said: "This is because you are very capable. Other doctors may find that the colon is long and not continue the examination."

Yu Zhiming was slightly startled, with an unhappy look on his face.

"Come to test me again?"

Gu Qingran quickly explained: "Zhiming, don't get me wrong, this is definitely not arranged by us."

"It was my cousin Jing's idea, and she just told me."

"She was examined at a hospital in another city and asked to undergo colon surgery."

"She got scared and ran to Binhai. She didn't believe it was the long colon, so she wanted to confirm it through you."

"I didn't expect you to be extraordinary as soon as you took action and found the final crux."

Yu Zhiming hummed twice.

Gu Qingran laughed again and apologized: "Zhi Ming, in the final analysis, this is because our organization is unfavorable. We did not make it clear to them in advance. We will prevent such things in the future."

"Let everyone in the family speak out and talk about anything. Don't come to you for a health check with tentative thoughts."

"so……"

Gu Qingran apologized again: "Don't you want to buy some red wine and white wine? I will give you two boxes each as an apology."

Yu Zhiming refused: "No, this code is the same code, I can't take advantage of you."

"I can understand this so-called test, just don't do it next time."

After a pause, he asked again: "Where are Qing Ning and Zhou Mo?"

Gu Qingran smiled and said: "I have a wound on my face. I am embarrassed to see people. I have already hid in the car and waited for you..."

When Yu Zhiming walked into the parking lot, he heard cheerful voices coming over.

"Momo, reporting Zhiming's name really worked. We actually got a reservation."

"Haha, let's have a big meal tonight."

Yu Zhiming heard Zhou Mo say with a smile: "Judging from the matter of reserving a seat in the restaurant, Dr. Yu's reputation has surpassed that of your brother."

"You can shame him..."

When Yu Zhiming heard their cheerful conversation, all the worries in his heart disappeared.

Still friends...

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