"Boss Zheng, look at the test form." The young doctor diligently turned the iron medical record clip to the pasted test form and handed it to Zheng Ren, and then reported the medical history.

"The patient was diagnosed with acute appendicitis in our hospital for abdominal pain 4 hours 5 days ago and was diagnosed with acute appendicitis. The emergency room was approved for appendicectomy.

During the operation, the appendicle inflammation was found to be atypical, and the appendix was removed smoothly. After the operation, the patient still felt abdominal pain and developed abdominal distension after a few hours. Because it was tolerated, it was not taken seriously, and it was not treated specially. After that, the abdominal distension gradually worsened and the abdominal pain gradually decreased."

"Wait a moment, during the operation, I said that 20ml of light yellow exudate was sucked out. Did you follow the surgery?" Zheng Ren did not look at the test form directly, but found the surgical record.

After glanced at it, Zheng Ren saw a sentence that made him have questions.

"Boss Zheng, I followed the surgery." The young doctor said: "When the peritoneum was incised during the operation, a small amount of light yellow ooze was indeed released. I used the suction device to suck it clean. There was no pus moss, and the ooze was clearer and not turbid."

He felt that Zheng Ren was a little bit of a big deal, just a little oozing, which may be caused by inflammatory exudation of the appendicle.

Although there is a lot of ooze, it is estimated that it is only 20ml, and there seems to be nothing to make a fuss about.

This is not the point, the main condition is the intestinal obstruction and a large amount of abdominal effusion.

But before the report was made, Boss Zheng interrupted himself.

"Well, I'll think about it again, you can continue." Zheng Ren said casually while looking through the medical records.

"After abdomen flat-panel examination showed: intestinal obstruction. He was given banned diet according to intestinal obstruction, and gastrointestinal decompression, fluid replenishment and other treatments. The patient was ventilated and defecated three days after the operation, but the abdominal distension continued to worsen, and the abdomen was significantly bloated. After consultation by the director, it was recommended that the patient's family be transferred to the provincial hospital for further diagnosis and treatment."

"The patient's physical examination is: clear consciousness, poor mentality, stable vital signs. The left lower abdomen is positive for tenderness, no rebound pain, Murphy  symptom is negative, the liver and spleen are not touched under the ribs, the whole abdomen is not touched, there is no tenderness in each ureteral tenderness, there is no pain in the liver and kidney areas, the abdomen is voiced, the mobility is positive, and the intestinal rumbling sound is normal, about 4  /min."

The young doctor was a little proud, and he said these things casually, but he had put in a lot of effort.

A clinician as serious as myself is really hard to find even with a lantern.

The tiger's body was shocked, and Boss Zheng was not allowed to accept his head and bowed. He cried and shouted that he wanted to take him to the imperial capital?

It is said that the coward Liu Xuzhi of the radiology department has been invited by Boss Zheng many times to work in the imperial capital. It doesn’t count when going to work, and there is still a staffing!

That is the organization of the imperial capital.

Liu Xuzhi can go to the capital, what can I do?

After reporting the medical history, the young doctor thought of it with some pride.

"Previous history...Li Yong, did your lover have hepatitis B and tuberculosis in the past?" Zheng Ren asked.

"No."

The young doctor was a little confused. The past history was not important. It was all about the past, so what should I ask about?

Is hepatitis B tuberculosis nothing related to appendicitis?

Even if it is tuberculous intestinal obstruction... how many things should be seen? Boss Zheng is picking on the bones in the eggs, just because he reports his medical history?

"Have you had any surgery?" Zheng Ren continued to ask.

The little doctor looked confused and looked at Li Yong.

"No..." Li Yong hesitated a little.

"Think about it again, caesarean section and other things are all considered." Zheng Ren felt helpless when he looked at the past history that he had almost nothing said on the medical record.

The medical record is too rough, eighteen streets worse than Chang Yue.

Then do it yourself, Zheng Ren asked.

"I haven't had a caesarean section... I heard from my wife that before getting married... I had an operation about 20 years ago. There was a tumor on the bladder. Later, after the removal, it was diagnosed as a benign mass." Li Yong found what Zheng Ren needed in the dust of his memory.

This is what happened when asking the patient's family for medical history. The patient's family members don't care about many things and think it has nothing to do with their current condition. The second is that they simply forget it, which is a memory deviation.

Only by finding clues and exploring the bottom line can you find out the medical history.

It’s really not easy to see a doctor and solve a case.

"Bladder?" Zheng Ren pondered, "I'll take a look at the movie."

The little doctor responded crisply and inserted the flat sheet of the standing abdomen onto the viewing device.

The film is very simple, with small liquid flatness. Just watching the film, there is no problem with intestinal obstruction.

But intestinal obstruction... effusion in abdominal cavity...

There is no necessary connection between these two diseases.

Zheng Ren went back and read the doctor's advice again. He found that there was a large amount of abdominal effusion, and the general surgery department of Xilin Town People's Hospital used conventional diuretic methods.

However, the amount of urine recorded in the course of the disease is very small.

"The disease course is recorded, is the recorded urine volume value correct?" Zheng Ren asked.

Sometimes, some doctors will ignore this and write a random number on it.

"Boss Zheng, I work very seriously." The little doctor's face turned a little red. He felt very wronged in the past part of the past.

This is clearly a mistake from the patient's family. After asking, they didn't say anything. Why did Boss Zheng say it as soon as he asked?

Li Yong, the immortal, is just giving himself eye drops!

"Well, you can see it." Zheng Ren said quietly.

The little doctor's face was slightly better.

"But the clinical experience is not rich enough."

“…”

"I used 40mg of furosemide, but the urine volume was not much, and there was no problem with kidney function. What are you thinking about?" Zheng Ren asked.

"..." The little doctor was stunned for a moment, "I noticed this, so I suggest that the patient's family take the patient to the provincial hospital."

Zheng Ren had already guessed, and he smiled and said, "Let's go and take a look at the patient."

The young doctor and Li Yong both had a head full of dew, but seeing the patient and physical examinations were normal. The specific diagnosis should come out after seeing the patient.

If Boss Zheng can understand it.

If you can't understand it... this is also very likely.

The little doctor led Zheng Ren to the ward in front and heard Zheng Ren ask, "Where is your director?"

"There was a dinner party at noon and I went out for dinner."

"You want to drink again?" Zheng Ren asked.

"I guess it's." The young doctor had no choice. His director just wanted to drink this. He would drink alcohol during holidays. He would not have surgery on a normal working day and he would be willing to take a few sips, which was quite harassed.

However, the town-level hospital has similar virtues.

When I arrived at the ward, the little doctor stood aside respectfully and watched Boss Zheng check his physical condition.

He took a look first, and his abdomen was bulging.

Well, this is the most basic visual diagnosis. Although I didn't say it, I was afraid that he had already started to think about the relevant condition after seeing it for nearly two seconds.
Chapter completed!