This doctor is very stable

Chapter 203 Abscess under the diaphragm, a man who resists

Just as Qin Xiaoming finished calling the number, a middle-aged man who looked a bit burly stood up slowly. He held the medical card with his left hand and his stomach with his right hand.

"Number 3 is me."

Seeing that there was no one accompanying him, Qin Xiaoming hurried out to support him.

"Thank you doctor."

Seeing a little doctor helping him, Zhang Haibo quickly thanked him. He is a contractor, so he is naturally considerate in dealing with others.

Qin Xiaoming helped the patient approach the consultation room, Gu Tianyi looked up.

Seeing that Zhang Haibo's face was pale, his head was sweating, and he was covering his stomach with his hands, he stood up and said immediately: "Xiao Qin quickly help the patient to sit down."

Zhang Haibo sat on the chair with Qin Xiaoming's support, and hurriedly thanked him, "Thank you, doctor."

Qin Xiaoming nodded and hurried back to his seat.

Gu Tianyi also sat in the seat, looked at Zhang Haibo next to him and said, "Give me the medical card first."

"Good doctor."

After taking the medical card and putting it on the card reader, Gu Tianyi carefully scanned the patient's information.

"Mr. Zhang, what exactly is wrong with you?"

After speaking, he looked at Qin Xiaoming again, and said, "Take your body temperature and blood pressure."

Zhang Haibo leaned gently on the chair, and said: "Doctor, I just have a pain in my stomach. At first, the upper right side hurts, and then the lower side also hurts. After that, I have a dull pain everywhere, fever, weakness, cold sweat, and some aches all over my body." cold……"

Gu Tian nodded, "When did it start to hurt?"

Zhang Haibo explained, "It was a week ago. At the beginning, I bought some medicine at the pharmacy. The project was in a hurry, so I didn't pay attention. I couldn't bear it today, so I just came here."

Gu Tianyi nodded again, "What kind of medicine did you take?"

"Anti-fever medicine and anti-inflammatory medicine."

"Stick out your tongue first."

Zhang Haibo naturally opened his mouth to do so.

While Qin Xiaoming took the temperature of the patient, Gu Tianyi went to the doctor.

The tongue coating is thick and greasy, and there are bruises on both sides!

The patient is still relatively young, just 35 years old, and has no past medical history.

"Director, the body temperature is 39.3, and the blood pressure is a bit high."

After listening to Qin Xiaoming's words, Boss Gu put his hand on the patient's neck to check the pulse rate.

After finishing, he looked at Qin Xiaoming and said, "Help the patient to the treatment table, and we will do a further physical examination."

After telling the time for the physical examination, Lin Ran and the others also stood up.

As soon as the patient sat on the treatment table, Boss Gu said, "Xiao Qin, the patient has a lot of clothes, please take off two of them."

Qin Xiaoming naturally agreed.

The patient took off two coats, and Gu Tian began to examine him.

First, he did an abdominal auscultation, but what he was listening to was the location of the liver. Lin Ran and the others could tell right away that Boss Gu first suspected that something was wrong with the patient's liver.

Lin Ran quietly stood aside, not saying a word, and the system prompt sounded right next to his ear.

【V4 patients】

[Red abdomen, liver abscess, surgical drainage required. 】

[Subdiaphragmatic red in abdominal cavity, subdiaphragmatic abscess, surgical drainage is required. 】

…………

"Subdiaphragmatic abscess!" Lin Ran couldn't help feeling a little worried for the patient.

What is a subdiaphragmatic abscess?

The pus eroded by the abscess of other organs and tissues accumulates in the gap between the subdiaphragm and the transverse colon and its mesentery, resulting in subdiaphragmatic purulent infection, which is called subdiaphragmatic abscess.

Subphrenic abscess can occur in one or more than two spaces. It is the most common and most difficult type of abdominal abscess, and has a high chance of death.

Lin Ran can't imagine that an ordinary person's liver abscess has eroded and festered and pus has gathered under the infected diaphragm, and he still doesn't go to the hospital for treatment, how unbearable it is!

Maybe this patient will carry it for two more days, and more organ infections will appear.

It will even lead to acute and critical complications such as diffuse peritonitis in the abdominal cavity, pleural edema, and multiple organ failure at that time, even a god can't save it!
Even if the worst situation has not happened, the current liver abscess combined with subphrenic abscess is still very troublesome.

Of course, it's just tricky, and it can be cured with systemic drug therapy and surgery.

However, during this period of treatment, the patient may still have a high chance of death.

As soon as Gu Tian finished auscultating the patient, he took off the stethoscope and immediately asked, "Zhang Haibo, are your family members not here in Yangcheng?"

Boss Gu has seen that Zhang Haibo's hometown is from Gui Province next door, so he asked this question.

Zhang Haibo opened his eyes, and was unwilling to get up, "We do engineering, we shoot a gun to change places, there is no one who drags his family. I don't have any other relatives in Yangcheng."

Gu Tian nodded, "Then I'll just say it directly! Your condition is relatively dangerous at the moment, you need to be hospitalized immediately for an examination and then undergo surgery, and you need to contact your family members. Wife and parents are the best, if it's really inconvenient, brothers and sisters are fine." , mainly to take care of you."

"Hospital surgery? How long will it take!" Zhang Haibo frowned!
"I can't say for sure. If it is less, it will take a month, and if it is longer, it may be two or three months."

Finally, Zhang Ningbo shook his head and asked in pain, "Can't the doctor prescribe medicine for treatment? How can I have time to be hospitalized now?"

Gu Tianyi looked at Zhang Ningbo who was lying on the disposal table, and explained again solemnly, "If you don't receive treatment immediately for your current condition, your life may be in danger in a short time, and you can't say for sure in a day or two;
What do you think is more important than your life?If you really have any inconvenience, maybe I can help you explain it to your unit or leader. In short, you have to be hospitalized for treatment today. "

"will die!"

Zhang Haibo didn't expect it to be so serious, but the construction site was about to be handed over in the last few days, how would the work go on without his cooperation?

If the delivery task cannot be completed on time, the migrant workers under him will have no money!At that time, tens of hundreds of people will not be paid, which is also a big problem!

…………

In the end, Zhang Haibo explained the situation to Boss Gu. Boss Gu was also a quick-witted person, and suggested that he call the boss of Party A and replace him with someone in the contractor team who could replace him in the delivery work.

In the end, Zhang Haibo agreed and did as well.

There is no way, money can be earned later, but there is only one life!
Things were arranged more smoothly.

Some things in front of life can still be resolved through negotiation.

He called his wife again, Zhang Haibo took a deep look at Boss Gu, and said, "Thank you, Director Gu, for your help."

"No, then I'll arrange an examination and hospitalization for you right now!"

"Okay, no problem."

After the patient agreed, Boss Gu went back to his place, wrote the checklist and medication prescription in a flash, and handed the two sheets to Qin Xiaoming who was in front of him, saying: "First get the prescription and take the medicine for the patient first. Afterwards, I will accompany the patient to do the examination and arrange the hospitalization procedures, understand?"

"it is good."

Qin Xiaoming has no reason to refuse.

Finally, Qin Xiaoming found a wheelchair and pushed the patient out of the consultation room.

Watching Qin Xiaoming push the patient away, Boss Gu smiled and said, "Yu Hao, please close the door."

Although the patient is not terminally ill and his body can withstand the operation, it is better not to let the family members of the patient outside hear the case summary.

Yu Hao nodded and went to close the door,
The door of the outpatient clinic was closed, and Boss Gu's consideration came, "Lin Ran, tell me what are the causes of subdiaphragmatic abscess."

Hearing this question, Lin Ran knew that Boss Gu was on the mend again!Diagnosis is worthy of being the director of a department.

"The inducement of subdiaphragmatic abscess is generally due to the inflamed abscess fluid of other tissues and organs in the abdominal cavity, which accumulates in the gap between the subdiaphragm and the transverse colon and its mesentery, resulting in a subdiaphragmatic abscess."

"Yu Hao, tell me about the dangers of subdiaphragmatic abscess."

"Infect other organs and tissues, resulting in multiple inflammatory complications, such as empyema caused by pus penetrating under the diaphragm, acute liver abscess caused by infection of the liver and gallbladder, cholecystitis, acute peritonitis caused by infection of the peritoneum, etc..."

"Well, very good. Subphrenic abscess still needs attention. Once it is discovered clinically, the patient should be advised to be hospitalized for treatment immediately, otherwise the patient's life will be in danger. Remember."

(End of this chapter)