Chapter 681 【681】Helping Classmates Check

Xie Wanying walked over and said to her classmates: "I have written your study and life plan and handed it over to Senior Brother Tao for review. The results should be available in the afternoon. The group will re-discuss your treatment plan in the afternoon, so you don't have to worry."

When it comes to this Buddha, Zhao Zhaowei has always had a mediocre trust in it, but he has more trust in Xie, the female student in the class.

"Yingying, help me do a palpation." Zhao Zhaowei invited her to do a physical examination for him.

Xie Wanying understood that her classmates were still not at ease, so she nodded in agreement.

Lying back on the hospital bed, Zhao Zhaowei pulled off the patient's gown by himself, bent his knees, let his abdomen relax, and said, "Touch my liver. I feel like my back hurts a bit."

"Does your back hurt?" Xie Wanying asked.

"right."

"Let me touch it, you relax." Xie Wanying said to the classmate, put on gloves on both hands according to the department's regulations, and then palpate him.

Put the four fingers together and place them on the lower edge of the liver parallel to the costal margin on the student's right side, while observing the student's breathing. Before the abdomen sinks when the student exhales, Xie Wanying presses down her fingers in advance, and at the same time feels the liver with the side of her fingers instead of the pulp with her fingertips. If you raise your hand and take a slow beat when you inhale, you can touch the liver again.

"It hurts." Zhao Zhaowei reflected, exhaling, feeling sad about his obvious tender point, because it showed that there was a diseased liver in his body.

In addition to palpation and percussion of the liver. Xie Wanying percussed the classmate again, and the pain of the classmate became more obvious. Fortunately, judging from the preliminary results of palpation and percussion, there was no special increase in liver volume. What needs to be paid attention to now is the back pain that classmate Zhao himself said.

Back pain on the right side can have many causes. If there is a suspicion of visceral problems in this area, the possibility of lesions in the lower lungs and kidneys and ureters needs to be ruled out.

During the hospitalization of the students, other parts of the whole body were checked. Imaging and ultrasound reports showed no abnormalities of the lungs and kidneys and ureters. Concern fell back to the possibility of back pain from gallstone cholecystitis, one of the causes identified by the ultrasound report.

Xie Wanying felt carefully where her classmate's back pain was, and said to her classmate, "I will tell Brother Tao and the others about your situation during the meeting in the afternoon."

Zhao Zhaowei told her what was going on: "Yingying, I trust you more. I know what kind of temperament that Buddha is, and he is too careful in doing things. I don't really believe that he will take the risk to help me find out the cause of the disease. I want to cure it, it may need to be explored by surgery."

The classmate actually thought about surgery? Xie Wanying froze for a moment, then fell into serious thinking.

The student’s situation does not rule out that the stones have blocked the inner hepatic and bile ducts. Some stones are too tricky to be able to be seen by B-ultrasound. Otherwise, it is impossible to explain the reason why the student’s jaundice and pain are exacerbated.

The situation of the problem classmate is not critical, a bit like her grandfather, it is difficult for doctors to accept the suggestion of surgery.

"Yingying?" Zhao Zhaowei glanced at her expression, his heart pounding, afraid that she would dare not say the same. Before, a group of boys from Li Qi'an's class came to see him, and each of them advised him to listen to the doctor's advice, and no one was willing to help him give the doctor's advice. It must be because the medical students are afraid of accidentally offending the clinical teacher, afraid that they will not be able to mix in the clinic in the future. Will she be the same?

Xie Wanying thought about it, the situation of her classmate is much better than her grandfather's, it does not mean that there is no indication for surgery at all, it is an optional choice. If the students need to do something after the discussion, she will try her best to help the students anyway.