medical road high rise

Chapter 467 A Strong Little Girl
Chapter 469 The Strong Little Girl
Qin Feng went on to see the doctor, Yue Meng went to call the number, and Zhang Yao made arrangements.

The second patient, a middle-aged woman, walked in with the support of her husband. When she came in, she kept clutching her stomach and walked tremblingly.

"what's the situation?"

The patient began to talk about his wife's condition, "My wife started to have pain in the lower right abdomen three days ago. At first I thought she had a bad stomach, so I went to the pharmacy to buy anti-diarrhea medicine, but it didn't work. Instead, it got worse and worse. The more serious it got, the pain was really bad this morning, so I took her to the hospital."

"Let me check you first." Qin Feng said.

Qin Feng checked and found that the patient had tenderness and rebound tenderness at the McBurney's point in the lower right abdomen, which was a bit like appendicitis.

It's just that Qin Feng didn't directly draw a conclusion, but asked the patient to undergo B-ultrasound, blood routine and a series of examinations.

An hour later, the patient's husband returned with the results.

The blood routine showed that the patient’s leukocytes were elevated, which was related to appendicitis. The urine routine was normal, and the right lower abdominal pain caused by common ureteral stones was directly ruled out.

The B-ultrasound results showed that the patient's appendix was somewhat different from that of patients with appendicitis. Generally, the appendix of patients with appendicitis was thick and large, but this patient's appendix was only a little bigger.

"Let's be admitted to the hospital for observation for a day." Qin Feng did not make a diagnosis, but issued a hospitalization order first.

The patient's husband nodded, picked up the sheet, and was about to help the patient when the patient let out a cry of pain.

"Ouch."

"Wife, what's wrong with you?" the patient's husband asked with concern.

"My legs are weak, I can't walk anymore," said the patient.

"Then I'll carry you." The patient's husband squatted down, but was stopped by Qin Feng.

"and many more."

Knowing that patients with appendicitis will not have weak legs, Qin Feng hurriedly asked: "Is your weak legs caused by pain?"

"Well, my stomach hurts very much now, and I can't make any effort." The patient nodded.

This is a very serious problem. Qin Feng recalled that when the patient came into the consulting room for the first time, it seemed that her husband walked in with the help of her husband.

It turned out that the patient was supported because of weakness, but Qin Feng was negligent.

Through this point, Qin Feng dared to conclude that the patient should have nothing to do with appendicitis, and it is impossible for appendicitis to have such symptoms.

Therefore, Qin Feng now needs to find out the cause of the patient.

"Wait a minute, I'll ask a few more questions. There should be something hidden about your wife's illness," Qin Feng said.

The patient quickly sat down again, and the patient's husband stood up, looking at Qin Feng expectantly.

"Tell me about your situation in detail, and tell me how you feel." Qin Feng said seriously.

The patient clutched his stomach, "Just three days ago, when I was mopping the floor at home, I suddenly lost strength and fell to the ground. It took more than an hour to regain my strength, and the feeling of weakness lasted longer the next day."

"Is it the weakness of the legs, or the whole body?" Qin Feng asked.

"Legs."

"I'll give you another physical examination." Qin Feng asked the patient to lie on the examination bed.

Qin Feng did a muscle strength test on the patient's legs, and found that the patient's lower limb muscle strength was only grade 3, while that of normal people was grade 5.

The patient's muscle tone increased, and the subumbilical plane of the abdominal skin had hyperpain, and at the same time, the temperature was absent.

Qin Feng judged that it was a nerve problem, but there is only one nerve related to the legs that can affect the abdomen.

spine!

This is a classic case. When medical students take elective courses, the general teachers will share it, just to give everyone another judgment, so as not to blindly judge it as appendicitis.

This case is a tumor in the spine.

The symptoms of this case are similar to those of appendicitis, and it is easy to be misdiagnosed. Once appendectomy is performed, the patient may become paralyzed in the lower body.

Qin Feng told the couple his judgment, and the couple still trusted Qin Feng.

An MRI checklist was issued and they went through.

Although MRI is more expensive, compared to health, they can still accept it with gritted teeth.

The MRI was relatively slow. After Qin Feng got off work, he waited for the couple specially. The MR result also made Qin Feng heave a sigh of relief.

The patient did have a tumor in the spinal canal, because the compression of the tumor caused the patient's spinothalamic tract and vertebral tract to be involved, resulting in lower abdominal pain and abnormal muscle strength of the lower limbs.

However, the patient's white blood cells were abnormal, and Qin Feng felt that it had something to do with appendicitis.

The patient should have a tumor in the spinal canal plus appendicitis, two diseases.

After Qin Feng was diagnosed, both the patient and the patient's husband looked a little scared. After all, tumors are synonymous with death in their impression.

"Doctor Qin, what should we do?" the patient's husband asked worriedly. ,

"The only option is surgery, cut out the tumor, and then..." Qin Feng explained the surgery.

This operation sounds difficult, but compared to other tumor operations, it is still simple. As for the patient's other condition, appendicitis, it is even simpler. The attending physicians in the emergency department can do it, let alone Qin Feng's.

After tumor resection, it is no problem to cut off the appendix.

However, Qin Feng still had to admit the patient to the hospital for observation for one day, and the surgical plan was yet to be determined.

After arranging the admission of the patient, Qin Feng republished the case on the intranet.

Again aroused the discussion of the people.

What Qin Feng shared is very common, and can be encountered by emergency doctors.

"The case shared by Mr. Qin is very interesting. I returned all the things I went to school to the teacher."

"It is indeed easy to confuse, so we should pay more attention."

"I also encountered this disease three years ago. What I diagnosed was acute appendicitis. After resection, the patient's condition became more serious. Fortunately, it was discovered in time. Otherwise, the patient would have been paralyzed in bed for the rest of his life."

Everyone commented under Qin Feng's intranet account, and soon the building piled up to a thousand floors, and there were many doctors who were bored playing computer games at work.

Qin Feng was packing up his things, but met a mother hurrying over with a little girl in her arms.

The little girl was lying on the bed, curled up, calling her mother constantly.

Qin Feng started to put on his gloves and asked, "What's the situation?"

"My child has had a stomachache since the morning. I took her to the community hospital for a check-up. After taking the medicine, it became more and more serious. Her stomach bulged like a balloon, and her fever never went away," said the patient's mother. .

Qin Feng nodded, and then examined the patient first.

At this time, the little patient was already wet with sweat, which shows how painful she is now. A normal child should be crying now, but this little girl is still persisting, and Qin Feng also admires it very much.

(End of this chapter)