2022 Rare adult free liver (monthly ticket 64500129)
You guys hurry up! Chat with the doctor here, do you have some public morality? If you have a good relationship, you will chat in the tavern after get off work. What are you talking about here?" Zheng Ren shook his hand and threw the moral shackles on the patient's family.
They were stunned for a moment and calmed down.
The patient had a severe stomachache and was feeling uncomfortable on the CT side. Because of this, one CT is not enough and he had to do two more, which caused their dissatisfaction.
This kind of noise is unconscious and is an occasional event.
After being yelled twice, the anger and courage disappeared, and the whole person calmed down.
In addition, Zhou Litao had a good temper and kept explaining, so they hurriedly got into the house with the doctor in the emergency surgery department to get a list.
Zhou Litao was sweating and winked at Zheng Ren, asking to take Zheng Ren into the duty room of the host.
But Zheng Ren didn't go, so he walked directly to the door of the emergency surgery clinic and urged him repeatedly.
The doctor flew to issue a order, and the patient's family trotted away.
Seeing the patient's family disappear, Su Yun walked into the emergency surgery clinic, raised his thumbs up, and praised: "Boss, your acting skills are good, very good."
Zheng Ren smiled and said, "Let's go to Mr. Zhou's duty room."
If the patient's family members turn back if they have something to do, they may be even bigger.
Zheng Ren is experienced in this kind of small friction that is not considered a medical dispute.
After all, I am the hospitalization officer of the emergency department, so I have seen a lot of these little winds and waves.
When he arrived at Zhou Litao's duty room, Zheng Ren was completely relaxed and sat on the chair with a smile.
"Mr. Zhou, go up and fight him." Su Yun sat directly on the bed and said with a smile.
"How dare you?" Zhou Litao said frowningly. He knew Su Yun was joking, but this joke was not funny at all.
Everyone is a doctor, knowing the embarrassment of the topic just now, and they all consciously tell new things.
"Mr. Zhou, what is the patient's condition?" Su Yun asked: "Free liver is usually found in childhood. Why has the patient been delayed until now?"
"When the patient came, he asked about his medical history. It is said that he had interrupted abdominal pain since he was five or six years old, but it would be cured in a while." Zhou Litao said, "I didn't care at home, and I thought it was because the little girl was weak."
"Later, the patient got used to it. Every time the pain was in pain, the right side would be slightly better."
"On the right, this is the rhythm of resuscitation of the liver by position."
"Absolutely, every time I have a stomachache, I will find a lump that can move when I push it with my hand." Zhou Litao said.
This... Zheng Ren was helpless. The patient was really so excited that he found such a big lump on his stomach, but he didn't even come to the hospital for examination?
No, it should be...
Zheng Ren thought, Su Yun had already asked: "Have the patient been in the hospital for examination?"
"It was said that I had checked twice, and the abdominal pain was relieved and I checked it when I remembered it. It was nothing, and the patient gradually forgot about it."
Forgot,
Forgot!
"The patient suffered a long pain this time, and the right lying position did not improve. The upper abdomen was particularly large. In addition, nausea and vomiting, the pain was severe, so he was scared and called 120 ambulances to take it to the hospital."
"After I came, I touched it. The patient's abdomen was not tender, and I could touch a mass moving from right to left."
"What were you thinking about at that time?" Su Yun asked.
"If I don't have an examination, what can I think about it." Zhou Litao smiled, "But I have thought about the spleen and liver deformities."
"Is the intestinal obstruction serious?" Zheng Ren asked.
"After listening, I could still hear intestinal rumbling, but it was a little weaker, about once a minute." Zhou Litao's physical examination was very detailed and there was no blame.
"Okay, then just watch the movie and send it to the surgery department." Zheng Ren smiled and said: "It is really rare for adult free livers. The first report of Terrier and AUVray in 1897 has been reported, and there has been no decent summary since then, and there are few cases."
"Well, as long as it is mainly children, those under 5 years old." Su Yun added.
Zhou Litao knew that the two people in front of him sounded very well, but it was the first time they saw them.
What is ability?
This is the ability.
You can remember things in the book after reading them, which is a good memory. But in clinical practice, it can be used, just like you have seen many examples, this is a great skill!
Some things and some people cannot accept them.
Zheng Ren called Dr. Liang and said that the examination was almost done, and the film on the left position had been uploaded.
Turn on the computer and call out the patient's image data, it can be seen that the colon enters between the liver and the diaphragm from the posterior liver space.
The image is quite typical, and the distance between the liver and the horizontal position is about 10m away to the left compared to the film.
This is the origin of the lump that patients can touch on their own, and it is also the origin of intestinal obstruction.
There is no complete blockage, no strangulation, necrosis, and the patient's condition is in a controllable stage.
After watching the movie, the movie on the right side of the movie was passed on.
After changing positions, you can see that the liver moves very clearly and directly return to the original part.
However, the intestinal compression and the film has some artifacts. It is estimated that the patient was suffering from intestinal obstruction and felt obvious pain and restlessness when lying on the right side.
"Okay, please send the surgery department to prepare for emergency surgery." Zheng Ren turned off the image data.
"Send liver and gallbladder?"
Zheng Ren glanced at Su Yun and said with a smile: "Your Brother Yun said, send the liver and gallbladder, and ask the gastrointestinal tract to go on stage together. First, the gastrointestinal tract is reduced intestinal tract, and then the liver and gallbladder are fixed in the liver."
"Don't let me take the blame." Su Yun said: "It's all you said, I never do anything to bother people."
This disease is actually very simple, but it’s just that everyone hasn’t seen it before, and it’s just a little vague.
The liver is caused by the developmental abnormalities such as long, weak, and lack of development, which makes the liver unable to fix it. When the patient stands upright, the liver moves downward, the liver diaphragm gap widens, the colon is embedded in it and obstructs it, and then a series of clinical symptoms such as aggravation of pain, nausea, and vomiting are produced.
"Mr. Zhou, let the surgeon accompany you." Zheng Ren reminded, "Don't let anything happen on the way."
"Okay." Zhou Litao walked out of the duty system, called out the surgeon who was checking his body, and gave a few instructions.
Afterwards, Zhou Litao walked into the surgical emergency room to deal with the patient who was undergoing the examination before.
Zheng Ren smiled and followed Zhou Litao out. He glanced at the surgical clinic and immediately stopped.
"Boss?" Su Yun followed him, but he unexpectedly stopped suddenly and almost hit Zheng Ren's back.
Zheng Ren didn't say anything, hurried back to Zhou Litao's duty room, grabbed a white suit and put it on.
"What are you hysterical?" Su Yun asked him at the door.
"Let Mr. Zhou prepare nitroglycerin and whisper to not add pressure to the patient." Zheng Ren said very seriously.
Chapter completed!