1548 Menopause
The next morning, I arrived at the hospital.
"Boss Zheng, someone is looking for you, and it's arrived early in the morning." The doctor on duty told Zheng Ren.
"Where are people?" Zheng Ren asked.
"I said it was your fellow villager, so I asked me to go to the office to wait."
After changing his clothes, Zheng Ren came to the office.
Liu Zewei arrived early and was discharged from the hospital today and was so busy that he was busy.
Moreover, this group of patients is very likely to go to the community hospital after the first phase of the operation and observe for one day.
So he came very early, to welcome a bright future and witnessed a huge jump in Boss Zheng's career.
Although there were countless things waiting to be done, he was chatting with an ordinary middle-aged man. The man was holding a thick film bag in his hand, and he could tell at a glance that it was the person Director Pan mentioned.
"Hello, you are the family of the patient who the director mentioned." Zheng Ren came in and asked directly.
"This is Boss Zheng," Liu Zewei introduced.
Middle-aged men are extremely ordinary in appearance and dressed in the face and look honest.
Although he was surprised that Zheng Ren was so young, he still bowed honestly and showed his respect for Boss Zheng.
After being introduced by someone, when I came to the imperial capital for treatment, I was almost nervous about seeking medical treatment. This is when I came to ask for help, and the first thing I had to do was to be correct.
Zheng Ren smiled and asked, "Is the patient your lover? Tell me about the situation."
As he said that, he took the film held by the patient's family.
"Mr. Zheng, the patient is my lover, and she is 42 years old this year. One month ago, she said it was pain around her navel. It was relieved immediately after the pain was initially. She thought it was diarrhea or something, so she ignored it." The middle-aged man said.
Zheng Ren nodded, signaling that he knew and started watching the time on the movie.
In chronological order, from the beginning, you can have a better understanding and understanding of the patient's condition.
"The first attack didn't take it seriously, so I didn't take it seriously. But two or three days later, my stomach hurts again. The frequency of pain is getting higher and higher. I was worried that something big is happening, so I died and took her to the hospital for a look."
Zheng Ren found the movie 23 days ago and took it out and inserted it into the video viewer.
It was not 1 month, but it was normal for the patient's family to describe things with a slight deviation.
It is a flat plate of the abdomen with no free gas visible under the diaphragm; there is a slight accumulation of gas in the left colon, and two "irregular" small vapor liquid planes are seen in the lower right abdomen; no obvious special changes are seen in the others.
This "small" gas-liquid plane of the right lower abdomen is likely to be considered incomplete intestinal obstruction, and the diagnosis of Haicheng First Hospital is completely free of problems.
"I checked it at that time..." The middle-aged man started watching the film bag and said after comparing the time: "It's this film. The diagnosis is incomplete intestinal obstruction, so we recommend that we go back and observe."
There are many incomplete intestinal obstruction, and you can go to the hospital for observation or go home for observation.
Zheng Ren considered that the doctors in Haicheng Emergency Department did not find any inducing factors after consultation, so he had this kind of suggestion.
At most, use the point-opening and exposing, which is enough.
He was familiar with the doctors in Haicheng emergency department.
Although there are minor problems, there is no special treatment, and it is difficult for the patient and the patient's family to be hospitalized.
"What happened later?" Zheng Ren started to look through the test form at that time and asked casually.
"After returning home, the pain was getting better after that. Later, it hurt for a while almost every day, and it would be better for about 20 minutes." The middle-aged man said, "When it doesn't hurt, it's like a good person, so my lover and I don't care."
"Three days ago, there was another abdominal pain. This time it was not healed, and the cold sweat was falling from the pain." The middle-aged man said, "There was no choice but to call 120 ambulance and take her to the hospital."
"The diagnosis of the emergency department is 'emergency', and it is said that it is necessary to be observed in the emergency department. I think it is not the case, so I asked someone to find Director Sun and go to the Second Department of General Surgery for hospitalization."
Zheng Ren smiled, picked up the inspection at that time, and looked at it carefully.
Imaging examination is indeed a manifestation of incomplete intestinal obstruction, but the symptoms are much more serious than last time.
This can also be judged when the patient's family describes his medical history.
The same is true for blood tests and other examinations, which conform to imaging judgments.
The blood is usually slightly higher in the white blood cells and the neutrophils are also higher. Hemoglobin is low. It is not uncommon for middle-aged women to have anemia.
Zheng Ren pondered and continued to read the test sheets one by one.
Liver function...the aminotransferase is a bit high? It doesn't seem to have much problem. Bilirubin is normal, and other things are not enough to make diagnostic changes.
After admission, the Department of General Surgery 2 was given symptomatic supportive treatment such as fasting, gastrointestinal decompression, laxative, rehydration, somatostatin inhibition of intestinal fluid secretion and anti-infection.
The diagnosis was clear and the treatment was quite normal, which was very consistent with Director Sun's style. It was stable and steadily.
However, the patient's abdominal pain still did not relieve after treatment, and later he underwent a transoral entanglement, which received: the diverticulum of the duodenum descending from the diverticulum, non-atrophic gastritis with bile reflux.
Gastroscopy also diagnoses the patient with atrophic gastritis.
This is not very common. At the age of 42, there is atrophic gastritis?
But it is not a big deal. It's just rare, not even rare.
Zheng Ren made his own judgment in his mind while looking at the test form.
Looking through the test form on one side, there were many problems, but none of them were big deals, and a clear diagnosis could not be given at all. In other words, Director Sun's diagnosis was correct, and Zheng Ren had no objection to this for the time being.
Zheng Ren inserted his abdomen ct on the film reader, held his chin with his right hand, and read the film carefully.
"Boss, there seems to be some problem here. There is a very obvious intestinal obstruction, why is it not good?" Su Yun stood aside and pointed at the obstruction position on the tablet and said.
Zheng Ren nodded and continued to read the film.
After reconstruction, there are more places where the entire image looks wrong.
The renal tubules have atrophy, which does not look like a middle-aged woman in her 42-year-old, but more like an imaging manifestation that only people in their 70s have.
Excessive aging?
Zheng Ren recalled some clinical case reports, and he directly denied the diagnosis.
"What medicine do your lover usually take? Apart from stomachache, are there any other discomforts?" Zheng Ren asked while watching the movie.
"This is not that after 40 years of menopause, I have a little irritable temper." The middle-aged man thought for a while and said, "I always say that I have no future in my life and I can't make money. I used to cook for me, but I haven't cooked for the last few years, and I just complain every day. Otherwise, I dress up and run out to class reunions."
"..." Zheng Ren quickly stopped the middle-aged man's topic.
If this continues, it may become a family ethics drama.
Seven years...eight years...more than ten years of itch, holding your left hand with your right hand, starting to pay attention to dressing up, and then going out to find a classmate.
Chapter completed!