The girl's photo just now left a deep impression on Xu Jiakang. After hesitating for a while, he realized it. However, his mind returned to the patient's condition, but his heart was still empty, and his tone was as light as it was: "Did you have a diagnosis?"

Qi Jing did not rush to reply to him, but looked at the old aunt just now: "Did your heart follow this aunt?"

"What a mess..." Xu Jiakang pretended to be calm.

"So you like this type." Qi Jing held his chin with one hand and gradually fell into deep thought.

"Don't talk nonsense, you've seen photos of her daughter." Xu Jiakang's face turned red and he immediately pulled back the topic, "What's the diagnosis of that person?"

"Bladder Ascariasis."

Xu Jiakang listened to this somewhat unfamiliar noun and touched the upper right abdomen, and finally put away his scattered thoughts: "It's really possible, as mentioned in the textbook, the upper right abdomen is so painful... Alas? Wait! Didn't you just say that the spasm hurts?"

Qi Jing looked indifferent and said with a smile: "Oh, there will always be errors in what the eyes look like, don't care too much. Besides, it may be that it is pulling the surrounding nerves, causing spasm and pain. How can I say this clearly?"

"You know there are errors and you are so confident..."

"Of course the doctor has to be confident. If you don't even believe your own judgment, how can you let the patient believe you?" Qi Jing seemed to be talking about something simple.

"Aren't you just making a point?"

"Whatever you say, the diagnosis has been made anyway." He turned sideways and looked at the toilet in front of the cabin, and continued: "The pain of the ascaris drilling on the top is transient. If you are tired of drilling, you have to calm down for a while. The patient felt that it was better just now and should be able to get off the plane. After getting off the plane, he would take him to Danyang Hospital."

Xu Jiakang nodded.

Ascariasis is when ascariasis enters the biliary system. Although it is very painful, it may cause congestion in the pipeline like liver flukes, resulting in jaundice and obstructive inflammation. However, because there are many individuals, they are easily captured by imaging examinations, so they generally do not develop into severe diseases. After being sent to the hospital, once diagnosed, they can be dewormed.

After a few courses of treatment...

emmmmm...Hmm?

He immediately realized something was wrong and asked, "Why are you sent to Danyang Hospital? First People's Hospital is closer to the airport."

"That's how much distance is." Qi Jing smiled and disagreed, "It's only three or five kilometers away, so there's no difference."

Although they came to the United States together, they lived together these days, and they used their brains to deal with patients and cases. However, after returning to China, Xu Jiakang still had to go back to his own hospital.

Danyang Hospital and First People's Hospital belong to the system of Danyang Medical University. On the surface, brothers have tried very hard in secret. Brothers have to settle accounts openly, so their competitors naturally cannot let go. They have to discuss who the patient belongs to.

"The patient was in such a severe pain, so he was sent to a large hospital nearby for treatment." Xu Jiakang bit this key point and refused to let go. "Are you not a road three or five kilometers away? Those two commercial streets are often traffic jams, so you don't know."

Qi Jing smiled and made a simple gesture diagram: "If you say that, the Third Hospital is closer. Do you have to send it to the Third Hospital?"

"Third Hospital?" Xu Jiakang was not clear about the specific locations of several hospitals, but this did not affect his exclusion of the Third Hospital from the competition queue. "What does it have to do with the Third Hospital? The doctor in the Third Hospital is still sleeping in the back row and has not participated in the case discussion!"

"It seems like you have participated." Qi Jing retorted with a smile.

"I just participated, cholecystitis and pancreatitis are all what I said."

"Are you right?"

"..." Xu Jiakang shook his head.

"Who asked the diagnosis now?" Qi Jing pointed his chest with his finger before he could answer, and emphasized, "I asked them all, so whose hospital should I send? Of course, it must be my hospital, Danyang Hospital."

"No, no, you're obviously quibbling."

At the last moment, Xu Jiakang found that he was led by Qi Jing in a trough direction and laughed in anger: "If you say it is gallbladder ascariasis, it must be? This can only be considered a clinical suspicion, not a diagnosis. If you really want to write a medical history, it is also written that "doubt that gallbladder ascariasis may be, and perform an impact examination to further clarify the diagnosis." This is how it is!"

"The symptoms can match. Do you tell me that you doubt it? Is it possible?"

"It is also a difference between suspected and highly suspected, and cannot be confirmed."

"You said cholecystitis and pancreatitis, does he have a fever? He hasn't eaten for more than ten hours. Does it fit the prerequisite for the disease after fullness?"

When it comes to the right or wrong diagnosis, Qi Jing will definitely become the best lever: "Now patients have pain in the liver area, anorexia and weight loss, and some months ago, there were respiratory symptoms of coughing and sputum. Isn't this gallbladder asymptotism?"

Xu Jiakang is good at neurology, and it is a kind of neurology that is especially targeted at emergency internal medicine. The most common treatments are cerebral infarctions in various parts, Alzheimer's disease, various encephalitis, neuritis and withdrawal diseases.

He really doesn't know much about parasites: "Respiratory symptoms?"

Qi Jing was stunned for a while before realizing this incident, and joked: "The filaria before produced chylopid, you said you forgot. Now the roundworms are moving and lung development, and you don't know. Are you passing the parasite class? "

Xu Jiakang acted helplessly, but he didn't explain much.

Qi Jing didn't care too much at first, but was used to teaching, so he asked two questions about parasites in a row: "How does Toxoplasma gondii spread in cats? What drugs should be used to treat liver flukes?"

These two questions are not difficult, and ordinary medical students can answer them. But when they enter Xu Jiakang's ear, it feels like a coin falling into the sewer, without even a sound.

"I admit that I really didn't learn very well in parasites."

Qi Jing:???

A person with such a strong sense of self-esteem actually admitted that he could not do it, without even a single word of defense, which itself was full of doubts. Such a suspicious situation naturally attracted Qi Jing's attention: "How can you say that you can't do it if you are a top student at Dan Medical University, a young elite in the emergency department of the First Hospital, and a prestigious director He Tianqin University, the imperial successor.

“…”

"Or I'll change one." Qi Jing showed the kindness that he often used when teaching. "Hepatic flukes, Toxoplasma gondii are too small. Let's change to a larger one. How about tapeworms? The tapeworm's section will automatically fall off the body..."

After saying that, he raised his entire arm and twisted it.

Xu Jiakang smiled bitterly and didn't say anything. He just pressed his hands on his legs and secretly pinched himself. This action was very concealed and would not attract Qi Jing's attention at all. But now his five senses were completely mobilized, and any small movement could not escape his eyes.

"Duodenal hookworm, American hookworm that stays in the small intestine, larval migration of Brazilian hookworm..."

After the three hookworms said that, Qi Jingzui looked at him again, and a warm smile appeared on the corner of his mouth: It’s interesting, I need to add more materials.

"Schistosomiae are divided into three categories. Egyptian schistosomiae likes bladder, Mann's likes large and large intestinal veins, and Japanese people also want mesenteric veins, but insect eggs like to travel around the body..." Qi Jing said this, looking at him sitting upright and feeling uncomfortable, and sighed, "I think it's better to send the patient to Danyang Hospital."

Xu Jiakang laughed twice and was still holding on: "What are you talking about? The first yard is closer, so I should send it here."

Qi Jing couldn't help but give a thumbs up in his heart: It's a man!

He has always respected such people and will never give the other party a chance to breathe:

"Why do pinworms laying eggs around the anus use extremely harmful trauma-

** method? Why are female worms pierced, but males worms dead? Why do the Medina dragon worms, which look like rice noodles, leave the intestines and drill into the lower limb skin? Why do female worms have two uteruses? If the roundworm eggs that have been fed to others are counted, use biological weapons? Will they be..."

"Enough is enough!" Xu Jiakang finally couldn't help but grab Qi Jing's arm, "Stop talking."

Qi Jing comforted him and patted the back of his hand gently: "It's okay, I made up these questions, I don't know the answers, don't care too much."

"Don't care too much..."

Xu Jiakang lifted up the sleeve of his left hand and showed goosebumps: "When I think of those little bugs, I feel cold on my back. What does it have to do with the answer? You still say don't care."

"How cute the little bugs are." Qi Jing twisted his fingers in front of him, "By the way, you won't feel anything about octopus, squid, jellyfish, and sea anemone..."

"No! Stop talking." The more Xu Jiakang refused, Qi Jing became more and more vigorous, and finally forced him to give up, "Okay, okay, you won! I don't want the patient anymore, so I'll send him to Danyang Hospital."

Qi Jing didn't expect to win for this reason in the end. Although it was funny, it lacked a sense of accomplishment.

The patient showed obvious symptoms of gallbladder ascariasis, which he repeatedly verified in his mind several times.

Parasites are like humans. Larvae are much naughty than adults. Many larvae will get lost after playing outside for a long time and then drill around. But when they mature, they will be much more peaceful and will stay in the parasitic place to live well, and will no longer cause trouble everywhere.

However, the roundworms have a bad temper. If they are slightly stimulated, they will drill everywhere. The only ones that can cause pain in the liver and gallbladder area are the roundworms.

However, Qi Jing knew very well that the patient's statement could not be used as evidence of diagnosis. Although he refuted Xu Jiakang in this regard, it was just to obtain this case. After the patient got it, years of clinical experience began to tell him that there were still several doubts that had not been resolved, and the matter was not that simple.

Why do people who wear this kind of clothes get ascariasis?

What was he trying to say but unable to say it at that time?

Have you ignored any details? Hair, expression, clothing, dietary rules, behavior... Are there any small movements that are different from ordinary people?

Fortunately, things were the same as Qi Jing thought, Pei Hongying's upper right abdominal pain was paroxysmal.

After he came back from the toilet, he saw Qi Jing sitting back with a little regret, but his expression had already relaxed a lot, and his right hand left the area of ​​the upper right abdomen. He even patted Qi Jing gently on his stomach and made an OK gesture.

"It's fine..."

Time gradually passed, and after lunch, blood flowed back into the gastrointestinal tract, causing the brain's blood supply to decrease and oxygen supply to decrease. The sleepiness slowly raised his head. Qi Jing directly covered the magazine on his face and fell asleep.

In fact, for their doctors, it doesn’t matter if the jet lag fails. I have worked fewer night shifts away from clinical practice in the past two weeks. Their respective class attendants are not good at taking care of the treatment. I will definitely have to help make up for the shifts in the future, and I just need to use the jet lag to adapt to the upcoming night shift.

Qi Jing had to look for Hu Dongsheng who had been stocked for two months next time. How is he developing now?

Later, we have to train the little guys who have just come to the emergency room. He and Ji Qing are not there. It is not possible to rely on Chen Xiao and Qu Yi alone. Although there are two main subjects, Yan Dingfei and Wu Tongshan, one is half mute, and the other is rigid and rigid, just like the regulations in the emergency room treatment process.

At least we must let these students leave some shadows of themselves after they come.

There is also the child who is similar to Hu Dongsheng, so he must be taken down...

"Doctor Xu, Dr. Xu, wake up~"

I don’t know how long I slept, but Qi Jing vaguely heard the old aunt’s voice just now in his sleep. He didn’t care too much, but just adjusted his position slightly and prepared to continue to fall asleep.

"Well, what's wrong?" Xu Jiakang asked with squinted eyes.

"It seems something is wrong with the person sitting next to me." After she said that, she looked at her seat again and said anxiously, "It's the Southeast Asian guy you can talk to before."

Xu Jiakang rubbed his eyes, looked up and looked over her gaze, feeling like he was woken up by the front desk nurse while sleeping: "His stomach hurt again?"

"I don't know much about this. I see he's just sleeping for seven or eight hours." The old aunt didn't know how to express it, so she could only continue, "and he didn't eat much either. He just put the supper there and just took a few bites and then didn't want it."

Xu Jiakang yawned: "This is not normal, we didn't eat either."

"This, this is different." She didn't know how to describe it, "Anyway, there's a problem."

Xu Jiakang smiled, trying to show his calmness and calmness that he had been practicing in the emergency department for a long time, but he didn't expect that the conversation was suddenly snatched by Qi Jing on the next seat. He just showed his upper half of his face from the magazine and asked softly: "Have he asked the flight attendant for a blanket? Have you ever drunk water?"

"You are not...oh, so you are also a doctor." The old aunt suddenly realized and looked at the two of them with a smile.

"There is nothing to make a fuss. Most of the dozens of seats in this row are doctors."

"Ah? So many?"

Qi Jing repeated the question just now: "Have he asked the flight attendant to ask for a blanket?"

"Blanket..." The old aunt glanced at Qi Jing and suddenly thought of something, "Yes, he asked for two in one breath, wrapping himself tightly."

"Did you tremble?" Qi Jing asked again.

"I don't know much about this."

Xu Jiakang frowned: "Does your stomach hurt but you have a fever?"
Chapter completed!