I really don't want to be a doctor

Chapter 147 Yu Wenxing is also confused!

After listening to Yu Wenxing's explanation, Li Xiaojun felt a sudden realization.

"It may be that the investigation just now was too careless."

Li Xiaojun found a reason why he didn't find the breathing room,
In fact, this reason is also reasonable,
The size of the ventricles is not fixed, some are very large and easy to be found, while some are extremely small, especially when they are glued to the mesentery above the intestinal cavity, it is impossible to find them without paying attention.

Although Li Xiaojun checked several times just now,

But he didn't pay attention to this problem after all,

Misdiagnosis is also entirely possible.

After waving his hand to let Xiao Luo step down, Li Xiaojun stuck to the familiar question, and stretched out his hand to signal Yu Wenxing to come on stage.

Yu Wenxing looked at the time,

12: 30.

He hurried to wash his hands, and after getting dressed, he held the operating lever.

"It's over in 10 minutes."

Giving himself a goal in his heart, Yu Wenxing began to operate.

Because Li Xiaojun has already investigated once,
And no exceptions were found.

Yu Wenxing could draw a conclusion that this breathing room must be small,

Small ventricles are very simple to deal with, just do a wedge resection of the ventricles directly, unlike large ventricles, after the ventricles are removed, end-to-end anastomosis of the intestinal tube is required.

If you want to anastomose the intestines,
This operation is complicated.

Still holding the mirror first, he inspected the whole abdomen, and after finding nothing abnormal, he handed the mirror back to Li Xiaojun, held the operating lever with both hands, and headed towards the lower right abdomen.

Yu Wenxing's proficiency in the joystick and right lower abdomen is indeed far superior to that of Li Xiaojun.

I saw that the operating rod hardly met the slightest obstacle, and the non-destructive forceps had already grasped the cecum.

Continue to move downwards, take a glance, and after confirming that there is indeed no appendix under the colon belt, Yu Wenxing operates the joystick retrogradely, and starts to search carefully.

breathing room,

It's just a little lump in the gut.
Although it may be very hidden,
But as long as you look hard,

Abnormalities will definitely be found.

Yu Wenxing is very confident in this.

"Brother Jun, look, this section of the intestinal wall looks a little redder than other places, I guess the lesion is not far from here."

It was less than 5cm up, and just at the junction of the cecum and ileum, Yu Wenxing pointed to the intestinal cavity under the camera with the joystick.

"Is it a little red?"

Li Xiaojun looked at it carefully, and felt that there was no difference.

"It should be that the inflammation is near here, and the inflammation in the atrium has come out."

Yu Wenxing didn't explain either,
"Oh."

Li Xiaojun nodded half understanding.

Continue up.

Yu Wenxing's movements became even slower, every inch of the intestine was carefully explored, and every point of the mesentery covering the intestinal wall was gently unscrewed.

10cm,

15cm,

20cm
100cm,

When Yu Wenxing walked up almost 100cm, Yu Wenxing stopped.

At a distance of 100cm, it is almost at the beginning of the jejunum to the Cai's ligament, and further up, it is the duodenum!

And the Meckel Chamber,

Yu Wenxing remembered clearly,
The good hair is on the ileum wall!
Can.
Didn't see it!

Yu Wenxing was suddenly stunned, and recalled the anatomy of the abdominal organs in his mind again, and confirmed that the intestinal cavity of the right lower abdomen was from top to bottom: the duodenum connected to the jejunum, the lower part of the jejunum was called the ileum, and the lower part of the ileum was called the ileum. Connect the cecum, and connect the appendix under the cecum.The lower ileum, cecum, and appendix are collectively referred to as the ileocecal.

The jejunum is divided into the upper section called the jejunum and the lower section called the ileum, and there is no clear boundary between the two.

but.
This is the beginning of the jejunum,
What about the Merkel Chamber? ? ?

"what happened?"

Li Xiaojun saw that Yu Wenxing was also in a dazed state like himself, wanted to laugh but didn't dare, tried to hold back, and then asked.

"fine."

Yu Wenxing adjusted his mentality and comforted himself that the breathing chambers he had were really small and it was extremely difficult to find them.

I searched again.

This time,
Yu Wenxing searched more carefully,
Yu Wenxing unceremoniously cut off the invisible mesentery, exposing the outer wall of the intestine clearly.

Still go up 100cm,

This time,
Yu Wenxing searched for four or ten minutes.

The moment I saw Cai's ligament,

Yu Wenxing's joystick,
trembled a bit.

Still haven't found anything unusual.

"Fuck! I met a ghost."

Yu Wenxing's mentality at the moment is exactly the same as Li Xiaojun's.

There's no way to explain this.

Is it really gastroenteritis or irritable bowel syndrome? ?

Yu Wenxing frowned,
Then again,

If he stepped down like this, what if the patient is still in pain?

Yu Wenxing recalled the diagnosis of pain in the lower right abdomen again in his mind, and once again ruled out gastroenteritis and irritable bowel syndrome,
He found,
After all truth has been ruled out,
leftover,
Maybe it's really just gastroenteritis or irritable bowel syndrome.

Yu Wenxing began to find diagnostic basis for these two diagnoses.

The patient is a third-year high school student with high study pressure, and it is possible to have psychological disorders, so the irritable bowel syndrome is over; gastroenteritis is even simpler, 95% of the population in Huaguo have chronic non-atrophic Sexual gastritis, this diagnosis can include almost all unclear abdominal pains. Besides, this patient is in the third year of high school, under great pressure of study, and most of his daily diet is irregular. It is also reasonable to say that he has gastritis.

and,

I just discovered the slightly congested intestine, which seems to really prove the possibility of gastroenteritis.

Can.
Yu Wenxing was in trouble.

After exploring the abdominal cavity carefully for another hour, it was already two o'clock in the night, and it had been more than three and a half hours since he was on stage, and Tang Ling was already dozing off while sitting on the equipment nurse's stool.

"Brother Jun, there is really nothing wrong with this patient's abdominal cavity."

Yu Wenxing had to give up,
Anesthesia takes so long,
If you don't step down, you can't justify it.

"Then how do you write a diagnosis?"

Li Xiaojun asked.

"Write about chronic gastroenteritis."

Yu Wenxing sighed helplessly.

Medicine is like that,

There are too many unknowns,

Although Yu Wenxing thinks that this patient may not be gastroenteritis, but with the current medical conditions, Yu Wenxing is confident that he has completely ruled out all the diagnoses, and he can only make this diagnosis.

"Ok."

Li Xiaojun didn't insist, "Then step down?"

"Let's explain something to the patient's family first."

Yu Wenxing reminded.

This operation took a long time, but did not give the patient a definite diagnosis, so I had to explain it to the family first,
Otherwise, it would be another medical lawsuit.

Li Xiaojun nodded in agreement, took off the gloves, and said casually: "But I still don't know where this patient's appendix went."

"appendix???"

Yu Wenxing suddenly remembered that he seemed to have missed something, and suddenly woke up,

He just remembered,
I seem to have ruled out the diagnosis of appendicitis from the very beginning;
　I wish you all a happy March [-]th!
　　
　
(End of this chapter)