Chapter 1547 Menopause
The next morning, I came to the hospital.
"Boss Zheng, someone is looking for you and arrived early in the morning." The doctor on duty told Zheng Ren.
"Where are the people?" Zheng Ren asked.
"Say it's your fellow, I'll let you wait in the office."
After changing clothes, Zheng Ren came to the office.
Liu Zewei arrived early. Today, he is going to be discharged from the hospital and accept patients. He is very busy.
And these patients are very likely to go to the community hospital after one day of observation after the first-stage operation.
Therefore, he came very early, which is considered to be welcoming a bright future and witnessed a huge leap in Boss Zheng's career.
Although there are countless things waiting to be done, he is chatting with an ordinary middle-aged man. The man was carrying a thick film bag in his hand, and at a glance he knew that it was the person Old Director Pan said.
"Hello, you are the family member of the patient that the director said." Zheng Ren came in and asked directly.
"This is Boss Zheng." Liu Zewei introduced.
The middle-aged man is very ordinary in appearance and clothes, and looks honest.
Although he was surprised that Zheng Ren was so young, he still bowed honestly, showing his respect for Boss Zheng.
It was introduced by people that when they came to see a doctor in the imperial capital, they basically felt anxious to seek medical treatment. This is asking for help, first of all, the attitude must be correct.
Zheng Ren smiled and asked, "Is the patient your lover? Tell me about the situation."
With that said, he took the film carried by the patient's family.
"Mr. Zheng, the patient is my lover, 42 years old this year. A month ago, she said that it was pain around the navel, but the pain was relieved immediately after the first pain. She thought it was diarrhea or something, but she didn't care." The middle-aged man said.
Zheng Ren nodded, indicating that he knew, and began to watch the time on the film.
In chronological order, looking at the patient's condition from the very beginning can provide a better understanding and cognition of the condition.
"The first attack, it didn't take long, so I didn't take it seriously. But after two or three days, my stomach hurt again. The frequency of the pain became more and more frequent. I was worried that something major would happen, so I took her to the hospital. A glance."
Zheng Ren found the film 23 days ago, took it out and inserted it into the film reader.
The time is not 1 month, but it is normal for the patient's family to describe things a little bit.
It was an upright abdominal plain film, and no free gas shadows were seen under the two diaphragms; there was slight gas accumulation in the left colon, and two "irregular" small vapor-liquid levels were seen in the right lower quadrant; no obvious special changes were seen in other areas.
This kind of "small" gas-liquid level in the right lower quadrant, considering the possibility of incomplete intestinal obstruction, there is no problem in the diagnosis of Haicheng First Hospital.
"I checked it at that time..." The middle-aged man began to look at the film bag, and said after comparing the time: "This is the film. The diagnosis is incomplete intestinal obstruction. We suggest that we go back and observe."
Incomplete intestinal obstruction, there are many predisposing factors, you can be admitted to the hospital for observation, you can also go home for observation.
Zheng Ren considered that the doctor in the Haicheng emergency department did not find any predisposing factors after the consultation, so he made this suggestion.
At most, it's enough to use some Kaisailu or something.
He was familiar with the doctors in Haicheng's emergency department to the core.
Although there are small problems, there is no special treatment, and it is difficult for patients and their families to accept hospitalization.
"What happened later?" Zheng Ren asked casually with the laboratory test sheet at the time.
"After I got home, it was good after the pain was over. After that, I felt pain for a while almost every day, and it was good for about 20 minutes." The middle-aged man said: "When it doesn't hurt, it's like a good person, so My wife and I don't care."
"Three days ago, I had another abdominal pain, but this time it's been a long time, and the cold sweat of the pain broke down." The middle-aged man said: "There was no other way, so I had to call the 120 ambulance and take her to the hospital."
"The diagnosis in the emergency department was 'acute abdomen', and it was said to be observed in the emergency department. I thought it was not the case, so I asked someone to find Director Sun and went to the Second Department of General Surgery to be hospitalized."
Zheng Ren smiled, picked up the inspection at the time, and looked at it carefully.
Imaging examination is indeed still the performance of incomplete intestinal obstruction, but the symptoms are much more serious than last time.
This can also be judged when the patient's family members describe the medical history.
The same is true for blood tests and other tests, which are in line with the judgment of imaging.
Blood counts were slightly higher in white blood cells and higher in neutrophils. Low hemoglobin, middle-aged women, anemia is not uncommon.
Zheng Ren pondered and read the test sheets one by one.
Liver function...Transaminase is a bit high? It doesn't seem to be a big problem. Bilirubin was normal and nothing else was sufficient to make a diagnostic change.
After admission, the Second Department of General Surgery was given symptomatic and supportive treatment such as fasting, gastrointestinal decompression, laxative, fluid replacement, somatostatin inhibition of intestinal secretion and anti-infection.
The diagnosis is clear, and the treatment is quite satisfactory, which is in line with Director Sun's style. Smooth, steady mess.
However, the patient's abdominal pain remained unrelieved after treatment. Later, a transoral enteroscopy was performed, and the report showed: duodenal descending diverticulum, non-atrophic gastritis with bile reflux.
Gastroscopy also diagnosed the patient with atrophic gastritis.
This is not very common, 42 years old, atrophic gastritis?
But it's not a big deal either. It's just rare, not even rare.
Zheng Ren made his own judgment in his mind while looking at the test sheet.
Looking at the test sheet, there are many problems, but they are not major issues, and it is impossible to give a clear diagnosis. In other words, the diagnosis on Director Sun's side was correct, and Zheng Ren had no opinion on this for the time being.
Zheng Ren inserted the abdominal CT into the reader, held his cheek with his right hand, and read the image carefully.
"Boss, there seems to be a problem here. It's quite obvious intestinal obstruction, why isn't it bad?" Su Yun said while standing aside, pointing to the obstruction position on the film.
Zheng Ren nodded and continued to read the film.
After reconstruction, the whole image looks wrong in many places.
The renal tubules are atrophied, and it does not look like a 42-year-old middle-aged woman, but more like the imaging manifestations of people in their 70s.
Excessive aging?
Zheng Ren recalled several clinical case reports, and the diagnosis was directly denied by him.
"What kind of medicine does your spouse usually take? Apart from stomach pain, is there any other discomfort?" Zheng Ren asked while watching the film.
"It's not after 40, menopause, and my temper is a little grumpy." The middle-aged man thought for a while and said, "I always say that I have no future and can't make money in my life. I used to cook for me, but I have been cooking for me in recent years. If I don’t cook, I just complain every day. Or I just dress up and go out to the class reunion.”
"..." Zheng Ren quickly stopped the middle-aged man's topic.
If this goes on, it may become a family ethics drama.
Seven years...eight years...more than ten years of itch, left hand holding right hand, began to pay attention to dressing, and then went out to find the class reunion.
"What I'm asking is, is there any discomfort, and what medicine have you taken?" Zheng Ren asked again and again.