1761 Past history is not important (monthly ticket 5001)
"She has seen her in the past many times," Zheng Ren asked.
"Well, the diagnosis in other places is similar, basically all of them are gastroenteritis or something." Zhou Litao said: "This girl is also tortured to the point of being crazy."
"Mr. Zhou, what medical history do you have? Think about it." Zheng Ren looked up at the roof and said to Zhou Litao casually.
"Well... the diagnosis seems to have been diagnosed recently, and she was asked to take oral medication for treatment. Then she diagnosed ascariasis in the intestinal region!"
"Astroworm?" Zheng Ren pondered, "The manifestation of ascariasis is a typical xiphoidal process under the xiphoid process. The patient is sweating profusely, restless, accompanied by nausea, vomiting, abdominal pain, and sometimes vomiting roundworms. The abdominal pain during the intermittent period can completely disappear."
Zhou Litao looked at Zheng Ren in surprise and sighed in his heart.
Boss Zheng seemed to focus on the female patient who was about to jump off the building. Is this a subconscious reaction after reading too much?
"Naught and vomiting are only a small part of the time. Severe abdominal pain is not a pain like a drill. A pain like a drill..." Zheng Ren said, remembering the two patients with loaches in their abdominal cavity.
I don’t know how much it will hurt, but it will probably hurt a lot.
It should be like this.
"Boss Zheng, I don't look quite like the diagnosis of chronic gastroenteritis." Zhou Litao said, "The loss of appetite, upper abdominal discomfort, belching, nausea, vomiting, repeated stomach pain, etc. are all very consistent."
"Chronic gastroenteritis at the age of 10 has been onset for 16 years." Zheng Ren was still looking at it, and Zhou Litao felt like he was a predatory cheetah, ready to go.
But what do he want to do when a person who fell from a high altitude is ready to go?
"Mr. Zhou, we doctors cannot be so hasty. Some patients seem to be fine, but in fact they are very serious and delayed." Zheng Ren said lightly, his voice was very low and very light.
But every word fell so clearly in Zhou Litao's mind.
The little freckles on his face were a little shy.
"Zheng...Boss Zheng, what disease do you think is?" Zhou Litao asked.
"I don't know." Zheng Ren said: "I didn't see the patient, I didn't even see the test form. Do you think it's just like this to diagnose it?"
“…”
Zhou Litao was completely speechless.
"Has the gastroenteroscopy been tested?" Zheng Ren asked.
"It's okay to check it out." Zhou Litao said.
"It's okay, where does chronic gastroenteritis come from?" Zheng Ren saw the girl upstairs suddenly sitting down, then turned around, his body trembling, not knowing whether it was a convulsion due to the pain or a crying.
He breathed a sigh of relief.
Then a little light appeared in the night sky, and Su Yun's figure appeared and sat next to the girl.
Zheng Ren was finally relieved, looked at Zhou Litao, smiled slightly, and said, "Gasoendoscopy is okay, CT, B-ultrasound is okay, blood collection and test is okay, is that right?"
"Yes." Zhou Litao replied immediately.
"How is the past history?" Zheng Ren asked.
"No history of surgical trauma, unmarried and childbirth, no hypertension, coronary heart disease..."
"Are you all okay?"
"Yes." Zhou Litao replied with certainty.
"Where is the family history?" Zheng Ren asked.
"Uh..." Zhou Litao was stunned for a moment, "I didn't ask this."
"When the patient is in a stable mood, ask about his family history." Zheng Ren turned around and walked towards the emergency department.
"..." Zhou Litao smiled bitterly.
Are all big bosses like this? Family history? Do you need to ask about family history in the emergency department?
Generally, patients with heart disease will have a history of heart disease at home, which is not important at all.
Therefore, family history is a medical history that is often overlooked by lower-level hospitals. Even in the emergency department of 912, Zhou Litao believes that it is not important.
"Is it meaningful?" Zhou Litao chased after him and asked, "It's just a stomachache, and the family's inherited abdominal pain?"
"Ask, I have no clue now, so I can only learn more about the situation." Zheng Ren said, "By the way, look at her appearance, is there anything special?"
Zhou Litao was stunned for a moment, special?
"Boss Zheng, what are you thinking about?"
"I didn't think about it all. I just meant that special circumstances include environmental factors, family factors... not right!" Zheng Ren suddenly said, "She is not from the imperial capital."
"No." Zhou Litao said, "is a migrant worker."
"Then these two points can almost be eliminated." Zheng Ren sighed and said, "The environment has changed and the location of residence has also changed. The abdominal pain has not improved but has worsened."
"Boss Zheng, I think the diagnosis of depression can solve all problems." Zhou Litao said.
"I'm 10 years old and depressed until now? How heavy is that?" Zheng Ren's tone changed.
Zheng Ren has always been very cautious in the diagnosis of mental diseases, and this time is no exception.
"Suppose, I say hypothesis. Suppose the patient has had depression since he was a child, and then it became more and more severe. Later, when the Dao Emperor Capital worked more and more overtime, the depression became worse." Zhou Litao said the more he felt that his analysis was correct.
Zheng Ren suddenly stopped, turned his head to look at Zhou Litao, and smiled and said, "Mr. Zhou, to diagnose depression, you need a medical history. Have you asked?"
Zhou Litao was a little worried, wasn’t this just now?
It’s impossible to ask a patient in the emergency department if he asks anything or not.
"The emergency department is too busy, so you can't ask questions if you have a patient." Zheng Ren smiled randomly, turned around and continued to walk towards the emergency channel of the emergency department. "I don't wear white clothes. You can take a look later. If there is no problem, go up and take a look."
"What are you looking at?" Zhou Litao asked subconsciously and immediately became timid.
Of course, I asked about the medical history.
He took out the paper and was about to start recording what Boss Zheng needed to ask about.
The test results recorded when 120 was just released on the paper.
Zhou Litao was stunned for a second and immediately asked, "Boss Zheng, you said, I remember, what do you need to ask."
"Mr. Zhou." Zheng Ren was amused and crying.
"ah?"
"If you ask about medical history and observe your expressions, I think you do a good job in normal times." Zheng Ren smiled, "Go and have a look, ask, I won't go up."
"you……"
"I won't go without wearing white clothes. Be careful and see if the patient is emotionally stable or not." Zheng Ren turned around the moment he walked into the emergency corridor and saw that the air cushion was put away, he knew that it was fine.
After returning to the emergency department, he looked around and nothing happened. When Zhou Litao saw Zheng Ren sitting in the waiting hall, he said hello and went upstairs alone to check the situation.
On the top floor, everyone had already come down one after another. The security guards and firefighters of the hospital were all relaxed. Obviously, the girl was persuaded to do so, and everyone's hearts fell to the ground.
Chapter completed!