178, Transferred right lower quadrant pain, clear diagnosis
Su Jie and Li Minghui entered the emergency room and met the emergency patients who came late at night.
A combination of one old and one young.
The old man looked very old, sitting in a wheelchair wrapped in layers of thick cotton clothes, hunched over and holding his stomach.
The younger one was a teenage girl with short hair like a boy. On the coldest day in winter, she was barefoot and wearing a pair of slippers, and her clothes were very thin. She was pushing a wheelchair, and her body was shivering constantly.
"Get this child a coat and cotton shoes. Why is he wearing so little in such a cold weather?" Li Minghui quickly said to the nurse behind him.
Su Jie walked over and asked, "What's going on? What's wrong with the old man?"
"My grandpa is feeling sick in his stomach and the pain is severe." The little girl's voice trembled because of the cold, but she still did not forget to tuck her grandpa's collar, with tears welling up in her eyes.
"Let me take a look."
Su Jie breathed hot air into his palms, then rubbed his hands vigorously, and said to the old man: "Old man, my hands are a little cold. Please bear with me for a while. When I press on your stomach, you can tell me where it hurts."
The old man frowned slightly and replied in a deep, old voice: "Good doctor."
Su Jie reached into the old man's coat and began to perform simple palpation and physical examination.
When the position of Max's point was pressed, the old man felt obvious pain. Su Jie continued to press calmly. After the full abdominal examination was completed, he took out his hand, carefully covered the old man with clothes, and then asked:
"When did your stomach hurt?"
"It started in the afternoon, doctor." the old man replied.
"Can you describe the specific feeling of pain a little bit, such as where it started in the first place, how it got worse, and what the specific pain feels like?"
"After eating at noon, I took a nap for a while. I woke up at about 1 p.m. with pain in my upper abdomen. Then the pain in my upper abdomen stopped and turned into pain in my lower abdomen. The pain was the most severe at the position you just pressed.
Swelling and pain.”
It could be seen that the old man was suffering from severe pain, but his thinking in answering the questions was extremely clear, and his wording was accurate and concise. This reminded Su Jie inexplicably of the state of soldiers when answering instructors' questions.
"Check the blood and contact the general surgery manager for consultation. It should be acute appendicitis."
During this period of time, Su Jie performed joint operations with general surgery. He saw many patients with appendicitis and accumulated a lot of experience in diagnosing the clinical symptoms of such patients.
The old man had obvious tenderness at McBurney's point, and the pain started from the upper abdomen, then transferred to the right lower abdomen, and became fixed and intensified.
This is a very typical symptom of metastatic appendicitis and right lower quadrant pain.
"If the pain is distended, the appendix should not be gangrenous or perforated yet. Check the blood quickly and remind the general surgery manager to arrange emergency surgery if possible," Su Jie said.
The little girl had already put on her coat and put on her cotton slippers. Although her body was still shaking a little due to the cold, her face was gradually turning color. She bent down to Su Jie very politely and said
: "Thank you doctor."
"It's okay, this is what I should do." Su Jie couldn't help but tuck her collar, thinking that this child's tutoring was really good.
The boss of the general surgery department was quickly rushed over. Dark circles covered his entire eye area, and his melancholy and irritable mood could be felt from afar.
Seeing Su Jie and then looking at the patient, he asked: "The patient you are seeing? Is it appendicitis?"
Su Jie nodded: "Yes."
The boss of the general surgery department nodded, went over to do a quick check, looked at the blood test results, and then waved his hand and said, "Let's go to the general surgery department first. Make the preoperative preparations and go to the operating room immediately."
But just when he was about to take the patient away, he looked at the old and young combination strangely and asked: "Are you the only family member of the patient? Where are your parents?"
The little girl replied politely: "My parents are dead."
All dead...
The general surgery manager was stunned and even wondered if he had heard wrongly.
This child looks like he is almost an adult. He is not at an immature age. Why does she say it so easily when his parents are dead?
It’s like saying ‘my parents are not at home’, ‘my parents are out for something’, ‘my parents will be back later’…
Is she serious?
Su Jie and Li Minghui were also stunned. Looking at the little girl with a rather indifferent expression, they couldn't help but frown.
"Go to the General Surgery Department first, and then contact your family there. You need to sign a consent form for the surgery. You are not an adult yet, so you can't sign it."
The boss of the general surgery department didn't want to dwell on these issues. Going out for consultations in the middle of the night was enough to make him irritated. Now he just wanted to go back to the department and finish dealing with this patient quickly. Maybe he could go back to bed and relax for a while.
Just as the little girl was about to leave, she wanted to take off her coat and cotton slippers. Su Jie stopped her and said, "You have to stay with your grandfather in the hospital anyway. When your family brings the clothes, you can take them off."
Give these things back to us."
"I only have grandpa."
The little girl said lightly, but after hesitating for a moment, she gave up the idea of returning it immediately. She looked up at Su Jie and promised: "I will send it back in a few days, I promise."
"Well, I believe you." Su Jie nodded and helped the little girl and the old man tuck their clothes. It was windy outside and there was no chance for the cold wind of winter night to take advantage of them.
The little girl pushed the wheelchair and left with the boss of the general surgery department. Su Jie actually wanted to go to the operating room to perform surgery for this old man, but he still had to work the night shift in the emergency department. There was a shortage of manpower at night, so he couldn't leave his job easily.
After this combination of an old man and a young man left, in the following time, only a few drunk patients with trauma came to the emergency department, and one man had a fight with his parents and committed suicide by drinking shower gel.
It's time to sew, and it's time to have your stomach lavaged.
With the blessing of the [God of Night Shift], the night was relatively peaceful.
The sun rose and covered the earth. Li Minghui stretched out after finishing his shift and couldn't help but sigh: "Grandma, with this shift, I can work the night shift for a week without any problem, and the night shift also has overtime."
As for fees, I’ll make a fortune tonight.”
"Come on, Su Jie, I'll treat you to breakfast. The xiaolongtang package is enough!"
The best entertainment after the night shift is undoubtedly a delicious breakfast!
This meal not only satisfies the hunger after a night of work, but also ensures that the next seven or eight hours of sleep will prevent the body from being hungry and waking itself up early.
It can be said that this meal is of great significance as it connects the past and the future!
You must be bold and arrogant, and you must eat until you are full!
But Su Jie waved his hand, washed his face with cold water, and said, "I'm going to the general surgery department to see that patient."
Su Jie did not specify which patient it was, but Li Minghui immediately understood it and echoed: "Okay, I'll go and have a look with you. It just so happens that I'm not very sleepy now. We can go to dinner together after watching it. It's just right!"
"
After a sleepless night and surviving the most sleepy moment, the two of them seemed to be having a flashback. Although they had big panda eyes, they felt extremely excited. There seemed to be a perpetual motion machine inside their bodies that roared violently, and the flames started to erupt.
The exhaust pipe at the rear of the car spurts out.
Chapter completed!