"From the perspective of symptoms and test results, the disease is initially diagnosed as acute appendicitis. Our surgeon will be responsible for the second consultation at a later time. After confirmation, the treatment plan will be given."
Doctor Wang put a question mark behind the acute appendicitis.
This is the practice of all physicians.
Unless it’s a stable and confirmed disease, there will always be a question mark.
Don’t ask why you want to do this.
The doctor’s job is not easy, and he is afraid of being broken.
Dr. Wang is an internal medicine physician, but appendix surgery belongs to surgery. Therefore, in this case, Dr. Wenhao Luo from the emergency department has to do this operation.
The emergency department is originally a department, so it is natural to work together.
Surgery, if it receives a medical case, it will also ask Dr. Wang Lishu to help.
As for many people, doctors in the emergency department are all-powerful and can treat any disease. It was purely a layman and didn't understand the nature of the emergency department.
Soon, Dr. Wenhao Luo came over.
"Doctor Luo, I have admitted a patient with acute appendicitis here, please check again." Dr. Wang said kindly.
"Dr. Wang has diagnosed it, so I must have made no mistake." Dr. Luo Wenhao glanced at the female patient who was so painful, and the conversation turned slightly. "Is the condition serious? Do I need immediate appendectomy?"
Naturally, he picked up the checklist and looked at it.
"Hey, judging from the B-ultrasound image, the patient's appendix lesions should not be serious. How come the pain is so severe?" Luo Wenhao walked to the front of the female patient and touched her forehead.
This is to see if there are symptoms such as fever.
Then pressed the female patient’s abdomen again.
"The tenderness reaction is not particularly obvious. From the B-ultrasound of her abdomen, it should not be enough to remove the appendix. Or the infusion should be used to reduce the inflammation, and then observe."
Dr. Wenhao Luo gave a treatment plan.
is worthy of being a surgeon. He is obviously more professional than Dr. Wang in diagnosing appendicitis.
also seems more confident.
"Doctor, don't you help my girl. I heard that if acute appendicitis is not operated on in time, it will be dead. My daughter is not a squeamish girl. She screamed like this, she must be too painful. You again Help me take a closer look."
The father of the female patient pleaded in a low voice.
"Can I get her pulse again?" Li Quan looked at the woman's father.
"Yes, yes, please!" The woman's father was ashamed when he remembered his reckless behavior toward Li Quan.
Li Quan squatted down again to get the pulse of the woman. Her teeth were trembling from the pain, and her biting "creaked".
The nails even pinched the skin to bleed.
"Ms. Zhang, please relax, I will give you the pulse, if you use too much force, I will not get the pulse." Li Quan calmly calmed the female patient.
At this time, the woman felt a little unconscious from the pain.
Just thinking that the doctor will save her quickly.
Hearing what Li Quan said, she really resisted, and did not grasp the bed frame hard.
"The pulse is still broken, and the pulse condition has begun to change. There seems to be a tendency for the pulse to disappear."
Li Quan couldn't help being shocked.
If his pulse diagnosis is correct, it means that the patient’s condition is rapidly deteriorating.
That is by no means the minor appendicitis diagnosed by Dr. Wenhao Luo.
And the patient's father also said that his daughter is not so squeamish. Don't yell because of a little pain.
"Dr. Wang, Dr. Luo, I suspect that the patient’s large intestine vessel has embolism. The patient’s nails have punctured the skin, and the pain level should be very high. In addition, the patient’s pulse has a tendency to become a deadly pulse. It worsens sharply and worsens. I suggest that the patient have an abdominal CT scan to determine the cause."
Li Quan said with a serious face.
Learning from the lesson that Dr. Wang vetoed last time, Li Quan presented his own basis this time.
Unfortunately, his pulse diagnosis technique has not been upgraded to Xiaocheng level.
I only know that the large intestine vessel may be embolized, but it is impossible to pinpoint a specific vessel accurately.
If the embolization is not the vein, there are only two arteries left. No matter which one is blocked, the patient's condition will be very dangerous.
"Just cutting a pulse, can you diagnose so much information?" Luo Wenhao's eyes narrowed slightly, staring at Li Quan.
Seriously, he didn't take Li Quan's pulse to the patient too seriously.
Although Li Quan used his bone-setting technique under his eyelids not long ago, he amazed him severely.
But the situation is different now.
The cause of the patient’s disease is in the abdominal cavity. Just a pulse can tell that the blood vessel of the large intestine is blocked?
If the pulse is really so magical, what will the major hospitals have to do their best to spend huge sums of money to introduce various advanced testing instruments?
Isn’t it enough to directly train doctors on the technique of pulse cutting?
Save money and effort, and you don’t need to spend money on maintenance and replacement.
"I saw an acute gastroenteritis patient here, and Dr. Li also diagnosed that the patient had acute pneumonia. In the end, under the guidance of Dr. Yang Yu, the patient was tested in time, and the symptomatic treatment was decisively performed. There was no accident."
Dr. Wang, this is deliberately to remind Dr. Luo.
Don’t underestimate Li Quan’s ability.
This Gui Peisheng is definitely the best one he has ever seen.
I was a little disappointed when I picked such a leftover. Unexpectedly, the bottle filled with no sound, this most inconspicuous, but it is a monster.
Doctor Wang is now convinced of Li Quan's ability.
Doctor Luo thought for three or four seconds, and decided to trust Li Quan once.
Be careful and there is nothing wrong with it.
Add an abdominal CT examination application to the patient, which is in full compliance with the procedures and regulations.
"That's good, the family members will immediately take the patient to do an abdominal CT. Don't line up, just tell the doctor in the medical technology department." Dr. Luo opened an application form with the word urgent.
I believe that colleagues in the medical technology department can understand it at a glance.
The woman's father took the checklist, pushed the emergency bed, and ran all the way.
Doctor Luo was very busy and went back to his post.
Not long after, the woman was pushed back by her father.
"Doctor, doctor, the CT film has been taken." At this time, Dr. Wang was actually seeing a new patient. However, in comparison, the woman's condition is obviously more serious.
He took the CT film to view it.
Her heart, his face changed drastically.
"Dr. Luo, Dr. Luo..."
yelled twice, and simply stood up, "Doctor Li, hurry up and push the patient to the operating room with me, hurry!" Dr. Wang's expression was a little savage, almost roaring.
Li Quan pushed the emergency bed and asked, "Doctor Wang, what is the disease of this patient?"
He didn't even have a chance to check the CT film, so naturally he didn't know the cause.
"It's probably a mesenteric artery embolism." Dr. Wang gritted his teeth and spit out a few words bitterly.
Li Quan was stunned when he heard the name of the disease.
Immediately, a book about the disease appeared in his mind.
This disease is very rare, and it is easy to be missed and misdiagnosed. Once delayed, the mortality rate is extremely high, and the case fatality rate is as high as 50%-80%. It is a disease that is not easy to find but extremely fatal.
No wonder Dr. Wang’s expression is so hideous.
They are not pushing the female patient to run, but are competing with Yan Wangye for the woman’s life.
If the competition is won, the woman can live.
If loses, then a living life is gone.
Fortunately, under Li Quan's reminder, I had an abdominal CT in time. It is not treated as appendicitis. Otherwise, the consequences will be disastrous.
