latelenovela Chapter 354
Chapter 354
Lin Feng returned to the emergency department from the ICU,
"Dr. Lin is back..."
"Quick, nurse girl, transfer me to Dr. Lin."
"I'm going to turn too..."
"I also turned, the doctor I saw was not as handsome as Dr. Lin..."
A group of aunts, aunts, uncles... They flocked to the nurse's station.
Other doctors: "...................................."
I'm stepping on a horse!
We seem to be despised by patients!
Chilling and cold!
When will Pu Ugly stand up?
Lin Feng, the enemy of life!!
Hey............ With fewer patients, wouldn't we be easier?
Well, it's so fragrant!
Dr. Lim is here!
......
Lin Feng greeted the complicated gazes of many doctors with resentment and happiness, and returned to Clinic 3.
Open the clinic.
Turn on the call machine.
"Please ask Yuan *feng to visit the third consultation room..."
Soon, a young man turned a little pale, covered his stomach, and then was helped in by another young man.
"Doctor Lin..."
"Sit... Tell me about the situation..."
Lin Feng said as he knocked down the patient's information and opened the patient's medical record page in the hospital system.
Patient, male, 22 years old.
"Dr. Lin, I don't know why last night, I had abdominal pain and diarrhea, I just thought it was ordinary acute gastroenteritis, I bought some medicine to eat, the effect was not good."
"Then the abdominal pain worsened in the middle of the night, and I was nauseated, and I vomited 3 times in the middle of the night... This morning, I came to the hospital..."
When Lin Feng heard it, his first reaction was "acute gastroenteritis".
"Did you eat anything unclean last night?"
"No, I'm Mizuki University, and I eat from the cafeteria..."
Lin Feng nodded.
Although the food in the cafeteria is unpalatable, if one student develops acute gastroenteritis, there will certainly be many other students who will also have acute gastroenteritis.
However, the patient is relatively young, and most of the abdominal pain is a minor problem. If you are middle-aged and elderly, you should be more vigilant.
Therefore, Lin Feng is not very anxious...
"Where does it hurt??"
"Here... (pointing to his right lower abdomen)..."
"Is appendicitis?"
Lin Feng took a look at this position, it was the location of the appendix.
"Lying in bed, I'll see..."
Lin Feng wants to do a physical examination of the patient.
After putting on gloves and pressing on the right lower abdomen, the patient seemed to have some pain, but it was not much worse than before.
The entire abdomen is still soft, it cannot be acute peritonitis, intestinal obstruction.
Appendicitis is considered mostly.
"Did you have pain in this position (right lower abdomen) in the first place? Will there be pain around the navel at first? And then transfer to the right lower abdomen? "
Why did Lin Feng ask that?
Because
Typical appendicitis, at the beginning, is not pain in the right lower abdomen, but pain around the navel, and then gradually manifests as right lower abdominal pain, which is called "metastatic right lower quadrant pain".
Why is this happening?
Because the appendix nerve is introduced by sympathetic nerve fibers through the abdominal plexus and visceral small nerves, appendicitis is mild at first, and the pain passes through the nerve fibers to the brain, and the brain mistakenly thinks that there is a problem around the navel.
Later, the inflammation of the appendix worsened, and the brain really found that the problem came from the appendix in the right lower abdomen, and the pain was fixed in the right lower abdomen.
So
"Metastatic right lower quadrant pain" is a classic feature of appendicitis (statistically significant 70% to 80%).
"No... I always have pain in my right lower abdomen, and there is no pain around my navel..."
"Well..."
Lin Feng nodded.
However, despite what the patient says, appendicitis cannot be ruled out.
"Go for an abdominal ultrasound, or CT, by the way, draw blood for a blood routine, urine routine..."
Student Yuan hesitated for a moment: "Doctor Lin, how much is B Chao?" How much is CT? "
He is actually quite afraid of spending money, after all, he is a student.
Lin Feng explained: "B is super cheaper, but the examination is specific, may not be able to see clearly, if there is no diagnosis by then, you may have to do a new CT, spend two cents." CT is a little more expensive... However, in order to see a doctor, one of these two tests must be done..."
"This... Then I'll choose CT..."
Student Yuan was afraid that if the B ultrasound really didn't see clearly, he wanted to add a CT, then he would be really confused.
"Then CT + blood routine + urinalysis..."
"Okay, okay..."
......
An hour later,
The patient took the blood routine, urine routine, and CT results, returned, and found Lin Feng.
Blood routine, in addition to a little higher white blood cells, other electrolytes, coagulation indicators, etc. are normal.
Urinalysis, no problem...
Appendix, no problem at all, no signs of swelling ...
The liver, biliary, pancreatic, spleen, colon, small intestine, kidney, ureter also look fine...
At this time, Lin Feng wondered.
If it wasn't appendicitis, what would it be.
Could it be the heart, lungs? Or thromboembolism?
Of course, the patient is only 22 years old, too young to be unlikely, unless it is congenital.
"Do you have any history of heart disease?"
"No..."
"High blood pressure, diabetes?"
"Nor ..."
Lin Feng stopped his heart and lungs.
There really is nothing wrong with it...
Exclude...... Exclude...... Exclude......
Then, Lin Feng began to think about more detailed diseases.
The causes of abdominal pain are complex, dozens and hundreds of them, need to be investigated one by one, first eliminate the most serious, and then consider others...
Before you start troubleshooting...
Lin Feng couldn't help but endure it again: "Are you uncomfortable in other places besides your right lower abdomen?" "
Student Yuan blushed and pinched a little:
"That egg of mine... It hurts a little..."
When Lin Feng heard this, a flash of lightning flashed in his mind!
Osocystitis!!
Because the nerve innervating the egg may cross with the abdominal organ nerve, when the egg has lesions, there will be obvious scrotal swelling pain, and it will also be manifested as abdominal pain, nausea, vomiting and other reflex pain.
His face suddenly became serious.
"Why did you say it now!!"
"This..." Student Yuan was a little embarrassed, quite pure.
Lin Feng urged: "Quick, lie in bed!" "
Lin Feng put on gloves and prepared to check...
Skill Launch: Monkey Steals Peaches!!
Comical~~~~
————————————
ps: Three more ends...
Egg trivia: one big and one small, one up and down, are normal.
The right side is often a little larger than the left, but it will not be worse than 20%, otherwise there is a problem.
One egg, or multiple eggs, there are also ...
Finally: eggs are not easy, and they can be cherished ~~
。